XIX International AIDS Conference

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MOPE511 - Poster Exhibition


Cultural competency: clinicians role in HIV/AIDS care

G.A. Downer

Howard University College of Medicine, AIDS Education & Training Center- National Multicultural Center, Infectious Diseases, Washington, United States

Background: The care provider who understands that beliefs about disease, health, and perceived causes of sickness stem, in part, from an individual's culture and to be effective, health care services should be responsive to, and respectful of, cultural and lin­guistic needs is on the path of cultural awareness. To help clinicians better understand how Cultural Competency (CC) can improve quality of care and health outcomes while simultaneously eliminating health disparity for persons living with HIV, Howard University developed the BESAFE Cultural Competency HIV Care model.
Methods: During a ten year period, over 19,300 HIV clinicians and other HIV providers received the BESAFE CC training specifically dealing with how to care for ethnic and racially diverse persons living with HIV/AIDS. Highlights of the Cultural Competency evaluations were summarized annually. Longitudinal responses were also summarized. In addition to this summary, frequency and cross tab analysis were obtained for both the evaluation feedback of cultural competency and BESAFE events.
Results: Almost 39% of providers who completed our longitudinal assessments reported that they had successfully incorporated the cultural competency skills acquired during Howard University trainings daily, in their practice settings. Approximately 30% said they planned to apply the skills obtained in the training. Organizational support for cultural competency was reported as a significant factor for all clinicians in their ability to apply their cultural competency skills.
Conclusions: The BESAFE Cultural Competency Model is based on a framework of six core elements which includes: Barriers to care; Ethics; Sensitivity of the provider; Assessment; Facts, and Encounters. Results show that the goal of this training, which was to develop a clinical workforce, capable of delivering the highest-quality care to patients regardless of culture, ethnicity, race, or language proficiency was successful.


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