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HIV/AIDS

and

Student

Health

Care

at

T.R.H.S.

Introduction:

The

Social

Problem

The

juvenile

population

of

the

Fordham

Bronx

Park

section

of

the

Bronx,

NY,

ages

years,

has

the

highest

number

of

reported

living

AIDS

cases

in

Bronx

county

at

or

of

the

total

reported

living

cases

of

AIDS

in

the

Bronx

(CDC,

Atlanta,

GA).

Results

of

the

Problem

High cost of medical care from opportunistic diseases;  Premature death rate of

HIV/AIDS

infected teens;  The spread of

HIV

to other teens and infants (Perinatal);  The high mortality rate of children

resulting from perinatal infection;  The high mortality rate of young adults ages

resulting from infection during adolescence.

The

Problem

Restated:

The

Fundamental

Cause

The

lack

of

information

available

from

parents

and

from

public

and

private

sources

to

adolescents

regarding

AIDS

prevention,

diagnosis

and

treatment

results

in

one

of

the

highest

incidence

rates

of

reported

living

AIDS

cases

in

Bronx

County,

NY.

Ten

Metropolitan

Areas

Reporting

Highest

Number

of

AIDS

Cases

**Metropolitan Area

of AIDS Cases** New York City 109, Los Angeles 38, San Francisco 26, Miami 21, Washington, DC 20, Chicago 18, Houston 17, Philadelphia 16, Newark 15, Atlanta 14,

Gathering

Evidence

of

the

Problem

In New York State there are

reported living cases of

AIDS,

the highest number of reported living

AIDS

cases in the United States.

or

are in New York City.

or

of those cases in

NYC

was reported in the Bronx.

or

of those reported Bronx cases are in the Fordham

Bronx Park area.

or

of these

AIDS

cases are children

yrs.) and

or

are adolescents

yrs.).

At a ratio of

HIV+

to reported living cases of

AIDS

based upon a census of

students enrolled at Roosevelt High School, approximately

or

students at Roosevelt High School are HIV+.

(NYC

Dept. of Health, Office of

AIDS

Surveillance, Publication “Estimates of Persons Living with

AIDS

in New York City”,

ed., Issued

(^8) Docsity.com

Evaluating

Existing

Public

Policies:

SPARK

Program

Advantages

of

the

SPARK

Program

Provides information to students in the classroom regarding the prevention, diagnosis, and treatment of

HIV/AIDS;

Provides

counseling for students who may be suspicious of having been exposed to

HIV

or infected by the virus;  Provides students access to information on clinics and hospitals which provide

HIV

testing and

HIV/AIDS

treatment;  Encourages student openness in discussing

HIV/AIDS

and related issues by maintaining student confidentiality and providing emotional support from concerned staff and peers;  Provides counseling, social and emotional support for students who may have relatives that are victims of

HIV/AIDS;

Provides condom distribution to students on a free and confidential basis.

Evaluating

Existing

Public

Policies:

SPARK

Program

Disadvantages of the

SPARK

Program  Under utilization by students of on site instruction, counseling and related services;  Inability to guarantee proper use of condoms by students outside of

SPARK

personnel supervision;  Low attendance prevents students from realizing full benefits of the

SPARK

program through instruction and consistency of counseling;  Inadequate staffing of the

SPARK

program prevents exposure of many students to the program and its offerings. 

SPARK

occupies space in a building where classroom space is held at a premium due to overcrowding. 11 Docsity.com

Preferred

Public

Policy

The first and third alternatives are preferred because they:  Provide needed services without straining limited facilities;  Provide students immediate access to testing services;  Maintain the confidentiality and anonymity of students; 

P

rovide students with counseling and medical services in the event that testing is positive;  Are recommended by a recent

CDC

study, which included test subjects from the Bronx, suggesting children whose parents are actively involved in HIV/AIDS information dissemination are less likely to be at risk for exposure and infection.

Selecting

the

Best

Public

Policy

Solution

The

three

public

policy

alternatives

identified

above

are:

Rental

space

in

the

area

outside

the

school;

Mobile

Van

Services;

Annual

Orientation

focused

on

Parents

and

Guardians,

especially

Mothers.