CONDOMSENSENV
GOMOJO Blueprint
The Power of Prevention is CARE
VISION FOR SUCCESS
Like the long-term progression of the concerns that have brought us to this point, it will take time to correct our current course. To get where we need to be, we must have the financial, political and programmatic resources necessary to meaningfully scale up domestic HIV, sexually transmitted infections and unwanted pregnancy prevention efforts.
The Current State of HIV/AIDS in the U.S. and Nevada
The Center for Disease Control and Prevention (CDC)’s new estimates show that there are about 20 million new sexually transmitted infections in the United States each year, costing the American health care system nearly $16 billion in direct medical costs alone. Infiltration to all parts of the United States Public Health Departments are key to our immediate success.
According to the Centers for Disease Control and Prevention, “more than 1.1 million people in the United States are living with HIV infection, and almost 1 in 6 (15.8%) are unaware of their infection. Gay, bisexual, and other men who have sex with men (MSM), particularly young black/African American MSM, are most seriously affected by HIV. By race, blacks/African Americans face the most severe burden of HIV.”
NPR reported, “ Monthly HIV treatment regimens range from $2,000 to $5,000. With the life expectancy for HIV patients increasing, the lifetime cost of treatment in today's terms is estimated at more than half-million dollars. People who are uninsured can still qualify for health services through the federally funded and state-run Ryan White Care act, which pays for medication through the AIDS Drug Assistance Program, or ADAP.”
Today, society is rapidly changing and same sex relationship is more apparent. Laws and courts permitting same sex marriage is indicative of the change of our society with higher infection rate to HIV/AIDS.
Importance of preventing HIV/AIDS is prominent. The most important health care cost project facing in the U.S. is prevention of HIV/AIDS. Cost to treat HIV/AIDS is higher than other STD treatments. The prevention of HIV/AIDS has higher priority for the cost of healthcare in the United States.
Using condoms is the the most cost effective and simple solution. Today in the U.S., 450 million condoms are sold each year. Each male condom cost only about $0.73 and female condom cost about $4.00. Using a latex condom to prevent transmission of HIV is more than 10,000 times safer than not using a condom. GOMOJO offers a tool to prevent the health problem, and it is a cheap and effective solution.
INTRODUCTION
“To realize the promise of available HIV prevention tools, they must be brought to scale…the appropriate mix of evidence-based HIV prevention strategies must achieve sufficient coverage, intensity, and duration to have optimal public health impact.”
Global HIV Prevention Working Group, 2007
WHAT WE MUST DO
The nation and the downtown Las Vegas must make the following commitments to move us closer to a world free of HIV/AID with our combined wisdom and research.
- We must invest in programs that are working on the local level such as access to prevention services in comprehensive sexuality education and support these programs with ongoing research.
- We must ensure HIV prevention programs that are adequately supported and funded including core prevention, surveillance and public information reaching all Americans with accurate information.
- We must increase the availability for media campaigns. To increase the availability, we must incorporate grant and funding information in co-branding strategies of the Downtown Las Vegas startup community. The Members of Downtown Las Vegas startup businesses must unite and work as a one start up company and share their similarities to support the city.
- We must increase the availability of online interventions by:
- Increasing the Downtown community knowledge through online loyalty program
- Making HIV/AIDS information and local stories collected available online to share and connect local communities with the world
- Facilitating to solve problems through online interventions
- Increasing awareness through partnership programs to local communities and health based organizations by emphasizing high risk HIV/AIDS demographic
- We must expand the availability of free and low cost HIV testing.
- We must increase condom availability and appeal by empowering people to discreetly carry, safely store, easily access and use condom sense with an airtight, waterproof condom carrying device customized in endless beautiful artwork of local artists.
- We must increase the number and availability of youth-specific interventions. GOMOJO is working to raise the societal urgency regarding to the HIV/AIDS issues through our partnerships by highlighting the opportunities, challenges, and efforts affecting boys and young men and women of color and poverty to the public.
- We must invest in programs that expand the reach of core HIV prevention activities like sexually transmitted disease (STD) treatment, adult vaccination programs, microbicide development, substance abuse and mental health services and housing.
- We must provide meaningful support for locally driven and developed HIV prevention programs. GOMOJO help the Downtown community by increasing the knowledge of the HIV/AIDS epidemic through loyalty program, sharing local stories and information, offering solutions for the local problems, increase the HIV/AIDS awareness, offering partnerships with local community and health based organizations.
- We must follow the Global, National, State and local health departments and help forming alliance with local communities to maximise the nation’s HIV prevention efforts ensuring cohesive approach to work with local communities.
Where are we now?
GOMOJO HIV/AIDS Investment Plan:
GOMOJO advocate sustainable HIV/AIDS investments that focusing state and local public health. GOMOJO grassroot movement taking immediate initiatives to guide the course of actions to stop HIV/ AIDS infections by developing sustainable HIV/AIDS investment plan. The HIV/AIDS investment plan transforms the AIDS prevention programs to sustainable program that meet the needs of those who affected by HIV/AIDS in the U.S for the years to come.
GOMOJO has completed the sustainable HIV/AIDS Investment Plan by following the United States Presidents strategy. The President strategy includes recommendations and requirements to ensure appropriate investment of the 58 billion dollars fund to fight for AIDS Free Generation.
The current state of HIV/AIDS in America is unacceptable, and the health of American citizen is compromised. If the current situation continues, the momentum we have gained to ensure AIDS Free Generation will be diminished. Effectiveness of the AIDS prevention programs that has been implemented to diminish new HIV infections will no longer be adequate. We must stop this to happen.
HIV Prevention Programs Background:
Over the years, America’s HIV prevention programs impacted diminishing the HIV/AIDS epidemic. HIV transmission in the U.S. fell dramatically in the early years of the epidemic but has remained relatively stable ever since at approximately 50,000 new HIV/AIDS infections yearly. This has resulted in a continuing increase in the number of individuals capable of transmitting the virus in the U.S., totaling nearly 1.2 million persons as estimated by CDC.1
In the domestic epidemic, African-Americans carry the burden of HIV/AIDS, representing nearly half of all cases in 20062 in the 33 states and five U.S. dependent areas with confidential name-based HIV infection reporting, while representing only 13 percent of the U.S. population.3 Gay men and other men who have sex with men of all races and ethnicities also carry a disproportionate burden. Between 2003 and 2006, HIV/AIDS cases increased among gay men and other men who have sex with men and represented nearly 50 percent of all HIV/AIDS cases and 67 percent of male HIV/AIDS cases in 2006.4
Despite the successes we have seen, our efforts must be scaled up if we are ever to meet the actual prevention needs of these and other high-risk populations.
1 Glynn M, Rhodes P. Estimated HIV prevalence in the United States at the end of 2003. National HIV Prevention Conference; June 2005; Atlanta. Abstract 595.
2 Centers for Disease Control and Prevention. HIV/AIDS Surveillance Report, 2006. Volume 18. Retrieved April 11, 2008 from
<http://www.cdc.gov/hiv/topics/surveillance/resources/reports/2006report/table1.htm>
Why GOMOJO?
In simplest terms, GOMOJO grassroot movements are the resonation of the voices of people. We felt imbalance between the number of persons in need of prevention services and the funding and support available to provide these services.
While HIV prevention programs strive for the broadest demographics to reach all individuals capable of transmitting HIV and their partners, the prevention programs are losing its grip. Some of the factors impair the ability of our programs to prevent new infections are simple. Some of factors are difficult, if not impossible, to address within the context of our programs alone.
America’s prevention response suffers from a legacy of indifference. From the beginning, when the federal government remained silent during the crucial early years of the epidemic, America’s investment in preventing HIV infection
has been woefully inadequate. While America’s support for our work is broad, it is very shallow. Most Americans, while sympathetic, perceive HIV/AIDS as a problem faced by “other” people. Consequently, they are not immediately willing to compromise their own interests to promote the wellbeing of others.
Oppression and stigma are at the root of America’s social problems, including HIV/AIDS. Poverty and
discrimination, especially racism, homophobia and sexism, undermine every attempt we make to keep people healthy.The nation’s response to HIV/AIDS is fragmented. America’s response to HIV/AIDS has been a shifting patchwork of strategies and approaches that often thwarts the success of our programs through ongoing change in emphasis and imposition of unfunded mandates.
Scientific fact does little to confront ideological concerns. Ideological concerns are often a significant barrier to the implementation of evidence-based HIV prevention interventions. HIV prevention advocates must creatively reframe our positions in a way that brings broadly acceptable value and meaning to the essential strategies in our arsenal.
Each of these issues, in some way, has led to the current state of HIV/AIDS in America. For some of these concerns, progress can be made sooner rather than later if the nation commits to making change happen. Others will take generations to resolve. Nevertheless, we must own the reality of these circumstances as we move America’s HIV prevention response forward.
“We must regroup and recommit ourselves to developing an HIV vaccine and other new prevention
weapons while providing proven HIV prevention tools to those who need them.”
Anthony S. Fauci, M.D., Director, National Institute of Allergy
and Infectious Diseases, National Institutes of Health, 2007
ABOUT US
#GOMOJO is a grassroots movement for AIDS FREE GENERATION
We are in the business of saving lives, for profits, good times and great memories.
We organize people ensuring synergistic efforts that build models that are effective in achieving and organizing goals, and can be shared and scaled elsewhere.
GOMOJO bags are a unique, stylish and practical way to carry, store and easily use your small essentials, yet protect them from the elements. can rest assure at all times, in all places and in any element. MOJO bags are airtight, waterproof, sealed and concealed plastic tubes designed to carry your everyday essentials such as condoms, cash, coins, cigars, medications and virtual 1,000's of items.
It is currently offered in 3 convenient sizes and a wide selection of beautiful designs to choose. MOJO bags are made from thin wall tubing with permanently sealed bottom, wrapped with full color vinyl MOJO design topped off with a with a secure and snug fit vinyl key chain hanger and cap.
We have developed our local Las Vegas community business model incorporating a High Impact Community Based Strategy following the recommendation of the Center for Disease Control and Prevention (CDC). Our immediate focus is to connect the passionate people of Las Vegas to our community to education and health based organizations as well as all of the amazing events and developments in our community. What you will find in this site is a wealth of knowledge. We are inspired by art, music, humans, pets, food, politics, cool movements and outdoors hiking, biking, surfing, snowboarding, skateboarding. Animals, nature, sunsets, sunrises, poetry, music festivals, community walks and breaking records.
GOMOJO is a grassroots movement based on human minds, bodies, souls and thoughts. We have ever lasting faith in history and science and the power of unextraordinary!
OUR MISSION:
Business of saving lives, for profits, good times and great memories.
How it was started:
In July 2010, President Obama released the National HIV/AIDS Strategy. The strategy that is simple with inspiring vision: “The United States will become a place where new HIV infections are rare and when they do occur, every person, regardless of age, gender, race/ethnicity, sexual orientation, gender identity or socio‐economic circumstance, will have unfettered access to high quality, life‐extending care, free from stigma and discrimination.”
The strategy outlined three primary HIV health outcome goals: 1) reducing new HIV infections, 2) increasing access to care and optimizing health outcomes for people living with HIV, and 3) reducing HIV‐related health disparities. To accomplish these goals, the President declared that we must undertake a more coordinated national response to the HIV epidemic. And that’s what the key Federal agencies involved in the fight against AIDS set out to do: working with state, tribal and local governments, businesses, faith communities, philanthropy, the scientific and medical communities, educational institutions, people living with HIV, and others.
Reducing New HIV infections
• By 2015, lower the annual number of new infections by 25 percent (from 56,300 to 42,225).
• Reduce the HIV transmission rate, which is a measure of annual transmissions in relation to the number
of people living with HIV, by 30 percent (from 5 persons infected per 100 people with HIV to 3.5 persons
infected per 100 people with HIV).
• By 2015, increase from 79 percent to 90 percent the percentage of people living with HIV who know
their serostatus (from 948,000 to 1,080,000 people).
Execution of the GOMOJO, high impact community based strategy
The Downtown Las Vegas GOMOJO strategy is that builds up and enhances the Downtown community capacity through co-branding and sharing information collected to change the world, solving problems
COMMUNITY
We believe that people shares in our fervor of building a stronger community, of growing a tight-knit, people-based network, and of breaking down destructive social barriers, all of which derive from our shared, basic goal of giving back to community.
We organize people ensuring synergistic efforts to document models that are effective in achieving and organizing goals, and can be shared and scaled elsewhere.
Our recent achievement and immediate focus
We have developed our local, Downtown Las Vegas community’s business model incorporating a High Impact Community Based Strategy following the recommendation of the Center for Disease Control and Prevention (CDC).
Our immediate focus is to connect the passionate people of Downtown Las Vegas to community to education and health based organizations as well as all of the amazing events and developments in our community.
.
“We must increase the level of understanding of AIDS as a crisis that affects many groups of people and our entire health care system. To do this we must act together.”
Dr. Nicholas A. Rango (1944-1993), Director of
New York State AIDS Institute, 1988-1993
Prior Successes:
Arrange condom in a carrying devices, MOJO BAGS.
Distribute pre-filled MOJO BAGS to local health departments, individuals via E-commerce, local retail establishments, and companies.
1. Provide vision and strategic direction for our local responses to HIV/AIDS.
2. Judiciously manage our system level inputs including human and fiscal resources.
3. Coordinate HIV prevention efforts in our jurisdictions to ensure they fit together in a logical and effective way.
4. Build and sustain meaningful internal and external partnerships to support the integration of services at the client level and maximize the health benefits to our constituents.
5. Consistently and thoroughly assess the current status of the epidemic through traditional core surveillance and special surveillance studies.
6. Use evidence-based decision-making processes to drive program planning, funding, implementation and evaluation.
7. Leverage non-traditional resources like business, civic organizations, media and other institutions in our communities.
8. Diagnose disease and ensure linkages to quality care and treatment services.
9. Provide capacity development and technical assistance to community-based organizations and other providers to strengthen their potential for success.
10. Support CDC’s efforts to educate the general public about HIV/AIDS.
11. Provide tools proven effective at preventing HIV transmission to all who need them like condoms, STD treatment and efforts to prevent mother-to-child transmission to ensure individuals who are uninfected
stay uninfected.
12. Mobilize communities, including community planning groups, to foster community ownership over the local fight against HIV/AIDS.
13. Develop, advocate and enforce public health policy that supports our ability to offer meaningful public health services, including engagement of our own state and local governments.
14. Evaluate internal and external processes to ensure our programs have the greatest impact possible.
15. Conduct public health research to promote innovation and to strengthen current and future HIV prevent
16. Discreetly Carry, Safely Store, Easily Access and USE CONDOM SENSE
LAST PIECE IS EXECUTION AND PUBLIC ANNOUNCEMENT FOR A CALL TO ALL FOR ACTION.
ACTION BY GOMOJO:
Here is what we have been doing:
MOJO website: The purpose of this site is to provide endless research and analysis of scientific evidence based proof that we've got YOUR MOJO covered!
Developing tools - GOMOJO bags:
GOMOJO bags are a unique, stylish and practical way to carry, store and easily use your small essentials, yet protect them from the elements. can rest assure at all times, in all places and in any element. MOJO bags are airtight, waterproof, sealed and concealed plastic tubes designed to carry your everyday essentials such as condoms, cash, coins, cigars, medications and virtual 1,000's of items.
It is currently offered in 3 convenient sizes and a wide selection of beautiful designs to choose. MOJO bags are made from thin wall tubing with permanently sealed bottom, wrapped with full color vinyl MOJO design topped off with a with a secure and snug fit vinyl key chain hanger and cap.
MOJO LifeSaver-2.5" in Length and 1" around plastic tube beautifully wrapped in your choice of endless designs to choose with a snug fit vinyl capped top and a key chain hanger bottom.
MOJO Lifesavers -discreetly hold 3 Condom snug fit in a carrier used to safely yet carry condoms. are a device used to mobilized safe sex wherever we live, learn, work, play, relax, wander off too, travel, worship, deploy and roll through is the safe sex vehicle needed to prevent STD/HIV/AIDS and unwanted pregnancy.
Leveraging greatest impact by continuing to support and invest in implementation science = hundreds of documents stocked and fully loaded content curated from the streets of Downtown Las Vegas to globally scale
Evaluating the efficacy of optimized combination prevention.
Developing evidence-based approaches to reaching people early enough in their disease progression
Advertising—public service messages in the media and in public spaces to increase awareness of and support for a product, service, or behavior
Developing community events and loyalty programs for supporting the Downtown revitalization strategy
Where we are going with it
Increase the availability and reach of media campaigns
Increase the availability of online interventions
Expand the availability of free and low cost HIV testing
Increase condom availability and appeal
Increase the number and availability of youth-specific interventions
INCREASE THE AVAILABILITY AND REACH OF MEDIA CAMPAIGNS
Our Media Advocacy —GOMOJO teaches intended audiences (often young people, people of color and transgender) through influencing the mass medias selection of topics and shaping the debate on these issues, we seek to change the social and political environment in which decisions on health and health resources are made
• Community member frustration over lack of media attention on HIV/AIDS
• Pharmaceutical companies heavily promote HIV as a manageable chronic disease
• Sexuality and condom use still portrayed as negative, dirty, and unhealthy.
THE GAPS WE ARE FILLING
• No current media campaigns targeting injection drug users
• Campaigns targeting specific minority communities and HIV+ populations need to be expanded
• No current radio campaigns and limited television marketing
• No current campaigns that feature celebrities, athletes, and politicians getting tested for HIV
• Expand media campaigns to portray safe sex in a healthy, fun, sexy way
• Encourage discussion of condoms in movies and television shows
• Develop campaigns that feature celebrities, athletes, and politicians getting tested for HIV
• Include prevention messages in restrooms of bars/clubs, airports, and casinos
INCREASE THE AVAILABILITY OF ONLINE INTERVENTIONS
Increasing awareness and referrals to our partnerships within local community, philanthropy, faith and health based organizations, as well as learning, inspiring and fun places to go, things to do and people to see, with a special emphasis on identified target populations
Promoting better understanding of the dynamic interaction among the behavioral, clinical, policy, systems, occupational, and environmental determinants of health is the key to the successful implementation. A special emphasis on identified target populations is essential part our strategy.
THE GAPS WE ARE FILLING
The key implementing action is disseminating information to our Las Vegas community.
• Limited staffing for active peer education
• Limited staffing for disease investigation
• No coordinated statewide internet interventions/marketing campaigns
• No active online intervention on craigslist
• Lack of interventions reaching out to MSM population in non-MSM online venues
• Limited educational outreach on online sites, such as chat room educational sessions
• Display local links for HIV testing and services on the first page of websites
• Have peer educators set up an educational profile on social networking sites and ‘friend’ others
• Randomly display innovative and diverse condom advertisements
• Include a standard place for HIV status disclosure on all sites
WHEN ONE IS INFECTED, ALL ARE AFFECTED.
EXPAND THE AVAILABILITY OF FREE AND LOW COST HIV TESTING
THE NEED
• Community members are engaging in risky sexual and/or needle sharing behavior; yet, these people are not getting tested for HIV due to barriers in cost and availability
• Minority communities, although disproportionately at risk for HIV, report less availability of free or low cost HIV testing options in their communities. The Centers for Disease Control and Prevention recommend routine screening of HIV in health care settings for all adults
• There is community stigma around HIV testing; HIV testing has not yet been “normalized”
THE GAPS WE ARE FILLING
• No rapid testing in the field - LAS VEGAS we are getting AHF testing van.
• Limited diversity in HIV testing providers | South
• No online HIV test result options
• Limited education to providers about routine HIV testing
• Lack of testing incentives for high risk populations
• Limited free off-site testing outreach to minority and heterosexual communities
• Offer more rapid testing to increase the number of people who receive their test results
• Offer more oral testing options to increase the number of people who are willing to test
• Encourage testing at fraternities, sororities, and the dorms
• Offer testing in more “mainstream” locations (farmers markets, grocery stores, schools)
• We encourage providers to make HIV testing a routine part of medical exams
• Increase street-based HIV testing to reach sex workers and their partners
• Encourage testing with one’s partner
INCREASE CONDOM AVAILABILITY AND APPEAL
• Community members stated lack of accessible, free condom distribution locations
• Community stigma surrounding the purchase and/or use of condoms result in less frequent use
• Few bars and clubs offer free condoms
• Lack of funding and resources for widespread condom availability
• Limited locations for free condom distribution sites
• Limited hours of operations for many free condom distribution sites
• Lack of funding and resources for “appealing” condoms
• Widely distribute condoms in both gay and non-gay establishments, including mainstream locations such as barber shops, bus stops, movie theaters, dorms, bars, and clubs
• Advertise and provide a wider variety of condoms (range of flavors, colors, sizes)
• Couple condom distribution with campaigns that promote condom use as sexy and desirable
• Advertise locations of free/reduced-cost condoms
• Have nightclub bouncers hand out condoms as people enter the establishment
• Install condom machines at bars, clubs, and gyms
• Distribute condoms at locations frequented by youth such as skate parks, schools, Boys & Girls Club
• Actively hand out condoms in places of high-risk activity
GoMOJO INCREASEs THE NUMBER AND AVAILABILITY OF YOUTH-SPECIFIC INTERVENTIONS
THE NEED
• Community member frustration over lack of media attention on HIV/AIDS
• Current media campaigns only target the GLBTQI community and reinforce the
stigma that associates HIV as a “gay disease”
• Pharmaceutical companies heavily promote HIV as a manageable chronic disease
• Sexuality and condom use still portrayed as negative, dirty, and unhealthy.
THE GAPS
• No current media campaigns targeting injection drug users
• Campaigns targeting specific minority communities and HIV+ populations need to be expanded
• No current radio campaigns and limited television marketing
• No current campaigns that feature celebrities, athletes, and politicians getting tested for HIV
• No current campaigns that demonstrate that while HIV can be treated effectively, living with
HIV is not easy and drugs have many side effects.
STRATEGIES WE ARE COMMITTED TO USING
• Include discussions of homosexuality in sexual health programs
• Address the stigma associated with discussion of sexuality, birth control and HIV/STD testing
• Create and collected “tip sheets” on how to use and bring up condoms with a partner
• Provide opportunities for role-play condom negotiation
Conclusion
.
CONTACT
Michele Bader Reed
Founder
702-683-4034
micheler@themojobags.com
Fusae Ozawa
Co-Founder
702-427-1611
fusaep@themojobags.com
References:
Information of the closing of the Southern Nevada Health Dept
https://sites.google.com/site/mojohandybag/partnership-letters?offset=10
Community Planning Group of Southern Nevada’s
https://8204899d-a-62cb3a1a-s-sites.googlegroups.com/site/mojohandybag/mojolifesavers/las-vegas-std-sti-resources/2011-2016ComprehensiveStateHIVPreventionPlan.pdf?attachauth=ANoY7crR5EzKGphtHX_C70LzyD4N7z3iaJ_ra0QHBGO28c3QPrpuyp3JJDniujQV2z1QfHnXyaf8n0157mLU89Fs1O9N6HGPzA6GvYLAT6LtKIVgInH4X8na_4YwlkoRDnB5YczKFac3ovzLQSnU8sh_nSvZfUklg4FpHiye6qUe6JGRCHlbUr3Jiy7ljzhPoJfgbcoLuvXx6eOk6gZoHQ7WNm8NZfOGMrtCUaJgn69Ai_rMWCLXxchvD_p5TZegMLJ6v213d1TO_5gFdQnMPsGaQqqlOsFP27vIQ3itlZ1CytYXKY87S5ECdVywKCBef2iC9ccy-Wy5&attredirects=0
http://www.nastad.org/Docs/023930_REVISED_NASTAD_Blueprint_final_043008.pdf
http://www.nastad.org/prevention/default.aspx
http://www.nastad.org/docs/Report-NHPI-Module-3-FINAL-May-2014.pdf
