"The first part of this book, composed of two chapters, investigates the global trends in the HIV landscape that have led to increased vulnerability to HIV infection among gay and bisexual men and transgender women in Africa and the Caribbean. We examinethe causes of limited action to address gay and bisexual men's and transgender women's vulnerability and the geo-political dynamics shaping their vulnerability and neglect. Specifically, we show how stigma, discrimination, and violence targeting gay and bisexual men and transgender women have served as barriers to HIV prevention and care. We explore how formal and de facto efforts to prevent sexual and gender minority community-led organizations from full participation in civil society in Africa and the Caribbean, coupled with the dynamics of development funding, constrain the ability of sexual and gender minority communities to tear down structural barriers that prevent them from accessing affirming HIV prevention and care. "--
What contributions can LGBT activists make to eliminating the inequities that drive the HIV epidemic in countries that are hostile to sexual and gender minority rights? In In Breaking Barriers: Sexual and Gender Minority-led Advocacy to End AIDS in Africa and the Caribbean, Robin Lin Miller and George Ayala tell the story of a transnational partnership among community activists from eight countries to address the entrenched stigma and discrimination that blocks sexual and gender minority people from accessing affirming HIV care.
What contributions can LGBT activists make to eliminating the inequities that drive the HIV epidemic in countries that are hostile to sexual and gender minority rights? In Breaking Barriers: Sexual and Gender Minority-led Advocacy to End AIDS in Africa and the Caribbean, Robin Lin Miller and George Ayala tell the story of a transnational partnership among community activists from eight countries to address the entrenched stigma and discrimination that blocks sexual and gender minority people from accessing affirming HIV care. Through their extended case study of Project ACT, they demonstrate how activists contributed to social progress within their country environments, despite great obstacles.
Documenting the project from its inception through to its untimely demise due to the Covid pandemic, Miller and Ayala highlight the many ups and downs endured by activists and their allies as they tried to promote access to health care in politically and culturally hostile national contexts and with limited financial resources. They raise questions about the role of donors and partners from the Global North in supporting progress on the ground in Global South countries. They also consider effective strategies for evaluating human rights-focused HIV advocacy in these fraught environments. Ultimately, Miller and Ayala provide readers guidance on principles of practice for human rights advocacy and for planning, carrying out, and evaluating projects that aspire to create structural change to improve access to affirming HIV care for sexual and gender minority people.
Recenzijos
This book offers one of the most thorough descriptions available of what advocacy evaluation looks like when it is community-engaged, collaborative, driven by values, methodologically rigorous, and fully-integrated into the work of advocates so that it supports their learning, adaptation, and the pursuit of their goals. As a longtime advocacy evaluator, I was deeply moved and incredibly inspired. * Julia Coffman, Founder and Co-Executive Director, Center for Evaluation Innovation, Washington, DC * This is a compassionate and honest account of advocacy for policy reform and strategic community-led responses to HIV prevention and LGBTQ+ persons' needs in Africa and the Caribbean regions. This compelling account of years of advocacy and lobbying neither idealizes nor trivializes partners committed to social transformation. Successes and failures provide the reader with much to learn from, especially, the importance of adaptative strategies of resilience in the face of resistance. * Sybille N. Nyeck, Associate Professor of Africana Studies at the University of Colorado, Boulder *
Series Foreword
Judah J. Viola and Robin Lin Miller
List of Tables
List of Figures
List of Abbreviations
Project ACT Timeline
Introduction: Avenir Jeune de L'Ouest
PART I STIGMA AND THE GLOBAL HIV EPIDEMIC
Ch. 1 We don't want to speak about it
Ch. 2 Our power is believing in a better life tomorrow
PART II THE MAKINGS OF PROJECT ACT
Ch. 3 The small and mighty
Ch. 4 Becoming a learning community
PART III ADVOCACY IN ACTION
Ch. 5 Promise rises
Ch. 6 We need allies
Ch. 7 Knocked back on our heels
Ch. 8 With a little bit of money and a little bit of time
Ch. 9 There will be no protests here
Epilogue
About the Evaluation
Notes
Works Cited
Index
Acknowledgements
Robin Lin Miller is Professor in the Department of Psychology at Michigan State University, where she directs doctoral training in community psychology and is associate director of the master's degree and certificate in program evaluation. She earned her PhD in psychology from New York University. She began her career as an evaluation specialist for the Gay Men's Health Crisis (GMHC) in the earliest years of the HIV epidemic. She has since evaluated diverse community-designed and led programs in the US, Africa, and Caribbean for adolescents, Black gay and bisexual men, and other at-risk populations (e.g., ex-offenders, bisexual girls, male sex workers).
George Ayala is the former Executive Director of MPact Global Action for Gay Men's Health and Rights, where he led the agency's overall strategic direction and high-level global advocacy with funders, governments, and multilateral organizations. He worked collaboratively with activists worldwise to advocate for equitable access to HIV
and other health services for sexual and gender minority people. Dr. Ayala currently serves as the Deputy Director of the Alameda County Public Health Department where he oversees the cummunicable disease, chronic disease prevention, family health, and public health nursing divisions. He sits as the department's representative on the local HIV Planning Council and served as incident commander of Alameda County's Monkeypox response. He earned his PsyD in clinical psychology from Rutgers University. As a community psychologist, Dr. Ayala has focused his research on the socio- structural predictors of health, HIV service access and utilization among sexual minority men, and the comparative advantages of community-led HIV responses.
