MSM QUARTERLY REPORT

<body topmargin=0 leftmargin=0 marginheight=0 marginwidth=0> <table cellpadding=0 cellspacing=0 border=0><tr> <td valign="top" colspan=2 height=82 BGCOLOR="#006699" TEXT="#080000" bgproperties="fixed" background="05bfd523.jpg"> <div> <FONT SIZE="5" COLOR="#000000" FACE="Arial" ><B>Cape Fear Regional Bureau For Community Action, Inc.</B></FONT><B>     |     </B><A HREF="index.htm" TARGET="_top" TITLE="Cape Fear Regional Bureau For Community "><U><B>home</B></U></A></div> <div> <A HREF="id39.htm" TARGET="_top" TITLE="Our Services"><U><B><IMG SRC="04e0e0e0.png" border=0 width="14" height="14" ALT="up" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"></B></U></A><B>  </B><IMG BORDER="0" SRC="1x1.gif" HEIGHT="14" ALIGN="BOTTOM" HSPACE="0" VSPACE="0" WIDTH="14"><B>    </B><A HREF="id50.htm" TARGET="_top" TITLE="Quarterly Narrative Report for Nontradit"><U><B><IMG SRC="04d0e0e0.png" border=0 width="14" height="14" ALT="previous" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"></B></U></A><B>  </B><A HREF="id51.htm" TARGET="_top" TITLE="Statewide Community Planning and Organiz"><U><B><IMG SRC="04f0e0e0.png" border=0 width="14" height="14" ALT="next" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"></B></U></A></div> <div> <A HREF="http://www.capefearregionalbureauforcommunityactioninc.org/mf.htm" TARGET="_top" TITLE="http://www.capefearregionalbureauforcomm"><U><B>Click Here For Site Map</B></U></A></div> </td> </tr><tr> <td valign="top" width=210 BGCOLOR="#FFCC66" TEXT="#080000" bgproperties="fixed" background="23fd2993.jpg"> <div> <B>These are pictures of the different agencies across North Carolina that are working on the African American Men At Risk Initiative meeting to share their program and findings.</B></div> <bR> <DIV ALIGN="LEFT"></DIV> <div> <B><IMG SRC="20ab6cf0.jpg" border=0 width="182" height="207" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"></B></div> <div> <B><IMG SRC="20cb6790.jpg" border=0 width="182" height="121" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"></B></div> <div> <B><IMG SRC="20eb6840.jpg" border=0 width="182" height="132" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"></B></div> <div> <B><IMG SRC="210b6790.jpg" border=0 width="182" height="121" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"></B></div> <div> <B><IMG SRC="212b6790.jpg" border=0 width="182" height="121" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"></B></div> <div> <B><IMG SRC="214b6790.jpg" border=0 width="182" height="121" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"></B></div> <div> <B><IMG SRC="216b6b40.jpg" border=0 width="182" height="180" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"></B></div> <div> <B><IMG SRC="218b69f0.jpg" border=0 width="182" height="159" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"></B></div> <div> <B><IMG SRC="21ab6750.jpg" border=0 width="182" height="117" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"></B></div> </td> <td valign="top" height=398 BGCOLOR="#FFFFFF" TEXT="#080000"> <div> <I><B>MSM QUARTERLY REPORT</B></I><I><B> <embed src="HTMLobj-520/Khalil.wav" autostart="true" loop="true" hidden="true">  </B></I></div> <div> <TABLE BORDER="0" CELLPADDING="1" CELLSPACING="1" WIDTH="597" BORDERCOLORLIGHT="#C0C0C0" BORDERCOLORDARK="#808080" FRAME="VOID" RULES="NONE" HSPACE="0" VSPACE="0" > <tR> <tD VALIGN=CENTER HEIGHT= 19 WIDTH="593"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="19" ALIGN="bottom" WIDTH="593" HSPACE="0" VSPACE="0"></tD> </tR> <tR> <tD VALIGN=CENTER HEIGHT= 30 ><NOBR><div> <B> <A NAME="msm_third_quarterly_report_for_2002"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="1" ALIGN="bottom" WIDTH="1" HSPACE="0" VSPACE="0" ></A></B><B>MSM THIRD QUARTERLY REPORT FOR 2002</B></div> </NOBR></tD> </tR> </TABLE></div> <bR> <bR> <div> <TABLE BORDER="0" CELLPADDING="1" CELLSPACING="1" WIDTH="424" BORDERCOLORLIGHT="#C0C0C0" BORDERCOLORDARK="#808080" FRAME="VOID" RULES="NONE" HSPACE="0" VSPACE="0" > <tR> <tD VALIGN=CENTER HEIGHT= 19 WIDTH="420"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="19" ALIGN="bottom" WIDTH="420" HSPACE="0" VSPACE="0"></tD> </tR> <tR> <tD VALIGN=CENTER HEIGHT= 19 ><NOBR><div> <I><B><U>COLLABORATION WITH OTHER AGENCIES</U></B></I></div> </NOBR></tD> </tR> </TABLE></div> <bR> <bR> <div> <B>The Bureau is presently networking and collaborating with the Cumberland County Mental Health Department, E. Newton Smith Public Health Center and NC DHHS Region V Office, referring MSM of African Descent to each on a regular basis.</B></div> <bR> <div> <B>The Fayetteville Urban Ministry and St. Paul Education Center assist the Bureau’s MSM of African Descent indigent client’s/contacts with food, clothing, etc.</B></div> <bR> <div> <B>The Bureau, HUGGS and Cape Fear Home Health and Hospice networks and collaborates on a regular basis concerning HIV/AIDS, MSM of African Descent clients/contacts.</B></div> <bR> <div> <B>The Bureau has set up a referral system with numerous homeless shelters and adult care facilities for MSM of African Descent clients/contacts with substance abuse problems, those living with HIV/AIDS, and those highest at risk for contracting HIV/AIDS, Syphilis and other Sexually Transmitted Diseases.</B></div> <bR> <div> <B>The Bureau is presently networking and collaborating with the Region V Community Planning Group concerning strategic plans to reach Persons of African Descent who are MSM, (closeted bisexuals/down low men.)</B></div> <bR> <div> <B>The Bureau is presently networking and collaborating with other Community–Based Organizations and AIDS Service Organizations that are conducting outreach, but are not funded under this African American Men at Risk Initiative.</B></div> <bR> <bR> <div> <TABLE BORDER="0" CELLPADDING="1" CELLSPACING="1" WIDTH="461" BORDERCOLORLIGHT="#C0C0C0" BORDERCOLORDARK="#808080" FRAME="VOID" RULES="NONE" HSPACE="0" VSPACE="0" > <tR> <tD VALIGN=TOP HEIGHT= 19 WIDTH="46"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="19" ALIGN="bottom" WIDTH="46" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=CENTER><NOBR><div> <I><B><U>NARRATIVE PROGRESS TOWARDS GOALS</U></B></I></div> </NOBR></tD> </tR> </TABLE></div> <bR> <div> <TABLE BORDER="0" CELLPADDING="1" CELLSPACING="1" WIDTH="627" BORDERCOLORLIGHT="#C0C0C0" BORDERCOLORDARK="#808080" FRAME="VOID" RULES="NONE" HSPACE="0" VSPACE="0" > <tR> <tD VALIGN=TOP HEIGHT= 76 WIDTH="94"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="76" ALIGN="bottom" WIDTH="94" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=CENTER WIDTH="526"><div> <B><U>Goal</U></B><B>: </B><I><B>An eleven (11) month needs assessment to reach out to men having sex with men of African Descent, focusing upon bisexual and down low men, who do not consider themselves “gay” in the traditional sense and are opinion leaders in their community.</B></I></div> </tD> </tR> </TABLE></div> <bR> <div> <TABLE BORDER="0" CELLPADDING="1" CELLSPACING="1" WIDTH="627" BORDERCOLORLIGHT="#C0C0C0" BORDERCOLORDARK="#808080" FRAME="VOID" RULES="NONE" HSPACE="0" VSPACE="0" > <tR> <tD VALIGN=TOP HEIGHT= 57 WIDTH="94"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="57" ALIGN="bottom" WIDTH="94" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=CENTER WIDTH="526"><div> <I><B>The focus will be upon bisexual/down low men in gay bars, juke joints, bookstores and other settings where targeted population assemble.</B></I></div> </tD> </tR> </TABLE></div> <bR> <div> <TABLE BORDER="0" CELLPADDING="1" CELLSPACING="1" WIDTH="627" BORDERCOLORLIGHT="#C0C0C0" BORDERCOLORDARK="#808080" FRAME="VOID" RULES="NONE" HSPACE="0" VSPACE="0" > <tR> <tD VALIGN=TOP HEIGHT= 38 WIDTH="94"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="38" ALIGN="bottom" WIDTH="94" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=CENTER WIDTH="526"><div> <I><B>Street contact will be conducted in peek bar hours periodically on weekends.</B></I></div> </tD> </tR> </TABLE></div> <bR> <div> <TABLE BORDER="0" CELLPADDING="1" CELLSPACING="1" WIDTH="627" BORDERCOLORLIGHT="#C0C0C0" BORDERCOLORDARK="#808080" FRAME="VOID" RULES="NONE" HSPACE="0" VSPACE="0" > <tR> <tD VALIGN=TOP HEIGHT= 76 WIDTH="94"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="76" ALIGN="bottom" WIDTH="94" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=CENTER WIDTH="526"><div> <I><B>All contacts will receive safe and safer sex education, need for HIV testing and information where they may receive additional safe and safer sex education, mental health assistance, and other social needs as applying to each contact personally.</B></I></div> </tD> </tR> </TABLE></div> <bR> <div> <TABLE BORDER="0" CELLPADDING="1" CELLSPACING="1" WIDTH="627" BORDERCOLORLIGHT="#C0C0C0" BORDERCOLORDARK="#808080" FRAME="VOID" RULES="NONE" HSPACE="0" VSPACE="0" > <tR> <tD VALIGN=TOP HEIGHT= 115 WIDTH="94"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="115" ALIGN="bottom" WIDTH="94" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=CENTER WIDTH="526"><div> <I><B>Additionally, we will seek to obtain data through an outreach strategist as to how to most effectively do outreach within this community. This data is needed, because this particular community is not normally targeted as an isolated community, but as part of the “heterosexual” or “homosexual” community, depending where contact is made.</B></I></div> </tD> </tR> </TABLE></div> <bR> <div> <TABLE BORDER="0" CELLPADDING="1" CELLSPACING="1" WIDTH="627" BORDERCOLORLIGHT="#C0C0C0" BORDERCOLORDARK="#808080" FRAME="VOID" RULES="NONE" HSPACE="0" VSPACE="0" > <tR> <tD VALIGN=TOP HEIGHT= 115 WIDTH="94"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="115" ALIGN="bottom" WIDTH="94" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=CENTER WIDTH="526"><div> <I><B>Developing effective outreach to the bisexual community will allow us to educate this population, learn how to do outreach within the community and thereby lower the number of STD and HIV infections within this community and subsequently lowering the number of female and male STD infections that would normally be transmitted by bisexual/down low men.</B></I></div> </tD> </tR> </TABLE></div> <bR> <div> <TABLE BORDER="0" CELLPADDING="1" CELLSPACING="1" WIDTH="345" BORDERCOLORLIGHT="#C0C0C0" BORDERCOLORDARK="#808080" FRAME="VOID" RULES="NONE" HSPACE="0" VSPACE="0" > <tR> <tD VALIGN=TOP HEIGHT= 20 WIDTH="46"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="20" ALIGN="bottom" WIDTH="46" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=CENTER><NOBR><div> <B>OBJECTIVE 1: </B><B><U>INDIVIDUAL</U></B></div> </NOBR></tD> </tR> </TABLE></div> <bR> <div> <TABLE BORDER="0" CELLPADDING="1" CELLSPACING="1" WIDTH="627" BORDERCOLORLIGHT="#C0C0C0" BORDERCOLORDARK="#808080" FRAME="VOID" RULES="NONE" HSPACE="0" VSPACE="0" > <tR> <tD VALIGN=TOP HEIGHT= 210 WIDTH="94"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="210" ALIGN="bottom" WIDTH="94" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=CENTER WIDTH="526"><div> <I><B>One on one contact with MSM of African Descent who are sexually active within the heterosexual and homosexual communities (bisexual/down low men). Contact will be made in gay bars, juke joints, bookstores, crack houses, liquored/ bootlegger houses, and shooting galleries, along with other frequented settings. OraSure HIV Antibody Counseling and Testing will be made available to all contacts along with condoms, and hopefully bleach and water kits for MSM of African Descent, who are injectable drug users. This initiative will be held over an eleven-month period, with a goal to reach not less than one hundred (100) contacts. It is hopeful that this will increase our counseling and referral services.</B></I></div> </tD> </tR> </TABLE></div> <bR> <div> <TABLE BORDER="0" CELLPADDING="1" CELLSPACING="1" WIDTH="601" BORDERCOLORLIGHT="#C0C0C0" BORDERCOLORDARK="#808080" FRAME="VOID" RULES="NONE" HSPACE="0" VSPACE="0" > <tR> <tD VALIGN=CENTER HEIGHT= 19 WIDTH="92"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="19" ALIGN="bottom" WIDTH="92" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=CENTER WIDTH="502"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="19" ALIGN="bottom" WIDTH="502" HSPACE="0" VSPACE="0"></tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 364 WIDTH="92"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="364" ALIGN="bottom" WIDTH="92" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=CENTER WIDTH="502"><div> <B>During the first three (3) quarters, the Bureau’s Macho Men’s Initiative conducted nontraditional evening and late night street outreach in Cumberland County, primarily in MSM of African Descent hangouts, i.e., Bragg Blvd. strip (approximately a twelve [12] block area in the middle of Bragg Blvd. Cross-dressing is also common in this area.) This area is where military and civilian heterosexual orientated men who have sex with men, who do not identify themselves as “gay” frequent. The Spectrum (A local gay bar on Bragg Blvd. strip, open seven [7] days per week from 8:00 p.m. until 2:00 a.m.</B><I><B>) </B></I><B>where a large segment of the closeted bisexual/down low men cruise, where heavy alcohol and drug abuse prevail; Adult Bookstores on Bragg Blvd. strip, where there is free sex and sex for money – these businesses are open twenty–four – seven (24/7), and also have a high exchange of sex for drugs. Also, the people of African Descent heterosexual “juke joints” (clubs), crack houses/bootlegging houses, and shooting galleries one–on–one street outreach is conducted in a very sensitive manner to closeted bisexual/down low men who do not consider themselves “gay.”</B></div> </tD> </tR> </TABLE></div> <bR> <div> <TABLE BORDER="0" CELLPADDING="1" CELLSPACING="1" WIDTH="605" BORDERCOLORLIGHT="#C0C0C0" BORDERCOLORDARK="#808080" FRAME="VOID" RULES="NONE" HSPACE="0" VSPACE="0" > <tR> <tD VALIGN=CENTER HEIGHT= 19 WIDTH="96"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="19" ALIGN="bottom" WIDTH="96" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=CENTER WIDTH="502"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="19" ALIGN="bottom" WIDTH="502" HSPACE="0" VSPACE="0"></tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 250 WIDTH="96"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="250" ALIGN="bottom" WIDTH="96" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=CENTER WIDTH="502"><div> <B>During the first three (3) quarters, February through September 2002, the Bureau primarily conducted risk assessments on how to effectively reach the targeted MSM of African Descent (bisexual/down low men) by counseling and testing through the Bureau’s progress notes. Through this assessment, the Bureau is empowered to reach more closeted bisexual/down low men of African Descent. Because of our risk assessment, through our progress notes, these contacts are enabling the Bureau to culturally and sensitively reach closed bisexual/down low man. The organization is presently breaking the “ice barrier” by empowering a sensitive targeted population that normally distrust the status quo, primarily due to the fact they are predominately heterosexually inclined and numerous are military connected.</B></div> </tD> </tR> </TABLE></div> <bR> <div> <TABLE BORDER="0" CELLPADDING="1" CELLSPACING="1" WIDTH="608" BORDERCOLORLIGHT="#C0C0C0" BORDERCOLORDARK="#808080" FRAME="VOID" RULES="NONE" HSPACE="0" VSPACE="0" > <tR> <tD VALIGN=CENTER HEIGHT= 19 WIDTH="99"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="19" ALIGN="bottom" WIDTH="99" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=CENTER WIDTH="502"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="19" ALIGN="bottom" WIDTH="502" HSPACE="0" VSPACE="0"></tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 326 WIDTH="99"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="326" ALIGN="bottom" WIDTH="99" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=CENTER WIDTH="502"><div> <B>The Bureau’s contractual staff Mr. Anthony Daniels, Planning Strategist, Dr. Thomas Koonce III, Needs Assessment Coordinator, along with Administrator, Mr. Ashley Rozier, II worked collectively in a very</B> <B>sensitive manner with the closeted bisexual/ down low community in producing a brochure in a nonjudgmental, sensitive, and “down low manner” named </B><B><U>Be Safe ! Respect Your Partner ! Protect The Blood ! Respect Your Loved One !</U></B><B> This brochure has assisted in educating the closeted bisexual/down low man about HIV/AIDS, Syphilis and other Sexually Transmitted Diseases. Also, it has encouraged our contacts to receive more counseling and testing. This has encouraged our targeted population to work with the Bureau to develop a risk reduction plan. This brochure was accomplished through individual and group sessions with this targeted population. Also, Ms. Myra Allen, North Carolina HIV/ STD Prevention and Care Branch Representative was instrumental and innovative in providing technical assistance.</B></div> </tD> </tR> </TABLE></div> <bR> <div> <TABLE BORDER="0" CELLPADDING="1" CELLSPACING="1" WIDTH="612" BORDERCOLORLIGHT="#C0C0C0" BORDERCOLORDARK="#808080" FRAME="VOID" RULES="NONE" HSPACE="0" VSPACE="0" > <tR> <tD VALIGN=CENTER HEIGHT= 19 WIDTH="103"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="19" ALIGN="bottom" WIDTH="103" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=CENTER WIDTH="502"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="19" ALIGN="bottom" WIDTH="502" HSPACE="0" VSPACE="0"></tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 97 WIDTH="103"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="97" ALIGN="bottom" WIDTH="103" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=CENTER WIDTH="502"><div> <B>Due to the fact that the MSM of African Descent are aware that the Bureau has staff indigenous to its population; therefore, a trust has developed. This trust has allowed them to frequent the Bureau’s office more often than other locations and not be threaten.</B></div> </tD> </tR> </TABLE></div> <bR> <div> <TABLE BORDER="0" CELLPADDING="1" CELLSPACING="1" WIDTH="616" BORDERCOLORLIGHT="#C0C0C0" BORDERCOLORDARK="#808080" FRAME="VOID" RULES="NONE" HSPACE="0" VSPACE="0" > <tR> <tD VALIGN=CENTER HEIGHT= 19 WIDTH="107"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="19" ALIGN="bottom" WIDTH="107" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=CENTER WIDTH="502"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="19" ALIGN="bottom" WIDTH="502" HSPACE="0" VSPACE="0"></tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 173 WIDTH="107"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="173" ALIGN="bottom" WIDTH="107" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=CENTER WIDTH="502"><div> <B>The total population outreached during the first three (3) quarters was (all number are approximations) one thousand thirty–three (1033), targeted population reached was four hundred four (404) MSM of African Descent (closeted bisexuals/down low men). The general population reached was two hundred seventy–nine (279) homosexual males of African Descent and two hundred forty–three (243) Caucasian homosexual males, one hundred two (102) closeted bisexual Caucasian males and five (5) Native American homosexual males</B></div> </tD> </tR> </TABLE></div> <bR> <div> <TABLE BORDER="0" CELLPADDING="1" CELLSPACING="1" WIDTH="620" BORDERCOLORLIGHT="#C0C0C0" BORDERCOLORDARK="#808080" FRAME="VOID" RULES="NONE" HSPACE="0" VSPACE="0" > <tR> <tD VALIGN=CENTER HEIGHT= 19 WIDTH="111"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="19" ALIGN="bottom" WIDTH="111" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=CENTER WIDTH="502"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="19" ALIGN="bottom" WIDTH="502" HSPACE="0" VSPACE="0"></tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 58 WIDTH="111"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="58" ALIGN="bottom" WIDTH="111" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=CENTER WIDTH="502"><div> <B>During the first three (3) quarters nine hundred ninety–nine (999) condoms were distributed and five hundred ten (510) brochures were distributed.</B></div> </tD> </tR> </TABLE></div> <bR> <bR> <div> <B>OBJECTIVE 2: </B><B><U>COMMUNITY</U></B></div> <bR> <div> <TABLE BORDER="0" CELLPADDING="1" CELLSPACING="1" WIDTH="650" BORDERCOLORLIGHT="#C0C0C0" BORDERCOLORDARK="#808080" FRAME="VOID" RULES="NONE" HSPACE="0" VSPACE="0" > <tR> <tD VALIGN=TOP HEIGHT= 172 WIDTH="117"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="172" ALIGN="bottom" WIDTH="117" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=CENTER WIDTH="526"><div> <I><B>The Bureau will conduct a block party/street rally (independently funded) in communities where MSM of African Descent who are sexually active within the heterosexual and homosexual communities (bisexual/down low men) resides. This block party will be conducted early in the initiative in order to create an air of awareness of the Macho Men’s Initiative in the Greater Cape Fear Region. OraSure HIV Antibody Counseling and Testing will be made available to all attending this event. Condoms and educational materials will be distributed to various attendees.</B></I></div> </tD> </tR> </TABLE></div> <bR> <div> <TABLE BORDER="0" CELLPADDING="1" CELLSPACING="1" WIDTH="630" BORDERCOLORLIGHT="#C0C0C0" BORDERCOLORDARK="#808080" FRAME="VOID" RULES="NONE" HSPACE="0" VSPACE="0" > <tR> <tD VALIGN=CENTER HEIGHT= 19 WIDTH="121"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="19" ALIGN="bottom" WIDTH="121" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=CENTER WIDTH="502"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="19" ALIGN="bottom" WIDTH="502" HSPACE="0" VSPACE="0"></tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 250 WIDTH="121"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="250" ALIGN="bottom" WIDTH="121" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=CENTER WIDTH="502"><div> <B>On March 9, 2002 the Bureau conducted a Block Party/Rally in a heavy drug infested indigent neighborhood where MSM of African Descent – who are not cross-dressers – but are very macho, closeted bisexuals/down low men who are “gigolo” nontraditional male prostitutes. They were MSM of African Descent who are injectable drug users (cocaine, heroin) alcohol and crack cocaine users, that sell themselves for money and/or drugs to traditional homosexuals. Information concerning HIV/AIDS, Syphilis and other Sexually Transmitted Diseases were distributed to this subculture, in a sensitive non–identifying (to the public) and non–judgmental manner. This was conducted by individuals who are indigenous and non–threatening to this population. Entertainment and food was provided for the public.</B></div> </tD> </tR> </TABLE></div> <bR> <div> <B>OBJECTIVE 3: </B><B><U>GROUP</U></B></div> <bR> <div> <TABLE BORDER="0" CELLPADDING="1" CELLSPACING="1" WIDTH="658" BORDERCOLORLIGHT="#C0C0C0" BORDERCOLORDARK="#808080" FRAME="VOID" RULES="NONE" HSPACE="0" VSPACE="0" > <tR> <tD VALIGN=TOP HEIGHT= 249 WIDTH="125"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="249" ALIGN="bottom" WIDTH="125" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=CENTER WIDTH="526"><div> <I><B>The Bureau will identify the gatekeepers of the MSM of African Descent who are sexually active within the heterosexual and homosexual communities (bisexual/down low men), and the organization will also conduct a small group meeting of ten (10) or so (independently funded) to more directly identify and contact not less than one hundred (100) MSM of African Descent who are sexually active within the heterosexual and homosexual communities (bisexual/down low men) who have sex with women of childbearing age. It is hoped that subsequently lowering the number of females and males STD infections that would normally be transmitted by these MSM of African Descent who are sexually active within the heterosexual and homosexual communities (bisexual/down low men).</B></I></div> </tD> </tR> </TABLE></div> <bR> <div> <TABLE BORDER="0" CELLPADDING="1" CELLSPACING="1" WIDTH="626" BORDERCOLORLIGHT="#C0C0C0" BORDERCOLORDARK="#808080" FRAME="VOID" RULES="NONE" HSPACE="0" VSPACE="0" > <tR> <tD VALIGN=CENTER HEIGHT= 19 WIDTH="622"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="19" ALIGN="bottom" WIDTH="622" HSPACE="0" VSPACE="0"></tD> </tR> <tR> <tD VALIGN=CENTER HEIGHT= 135 WIDTH="622"><div> <B>The Bureau has conducted a risk assessment to empower opinion leaders within the MSM of African Descent and who are bisexual/down low, that do not consider themselves “gay” to take control of their density. These opinion leaders assist the Bureau in identifying this targeted population. The Bureau has identified these individuals via its current aggressive nontraditional late night and weekend out reach efforts. The agency has exceeded in reaching the one hundred (100) closeted bisexual and down low men of African Descent. </B></div> </tD> </tR> <tR> <tD VALIGN=CENTER HEIGHT= 19 WIDTH="622"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="19" ALIGN="bottom" WIDTH="622" HSPACE="0" VSPACE="0"></tD> </tR> </TABLE></div> <div> <B>Between December 2002 and January 2003 the Bureau will conduct a “Video Rap Group Session” with MSM of African Descent (bisexual/down low MSM of African Descent). This group is unique in that these down low men, are open with their sexuality, which is most un–ordinary within this group. These men are open, in part, due to the trust they developed through the Bureau’s risk assessment and outreach efforts.</B></div> <bR> <div> <TABLE BORDER="0" CELLPADDING="1" CELLSPACING="1" WIDTH="104" BORDERCOLORLIGHT="#C0C0C0" BORDERCOLORDARK="#808080" FRAME="VOID" RULES="NONE" HSPACE="0" VSPACE="0" > <tR> <tD VALIGN=CENTER HEIGHT= 19 WIDTH="100"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="19" ALIGN="bottom" WIDTH="100" HSPACE="0" VSPACE="0"></tD> </tR> <tR> <tD VALIGN=CENTER HEIGHT= 20 WIDTH="100"><div> <B><U>Barriers</U></B></div> </tD> </tR> </TABLE></div> <bR> <div> <TABLE BORDER="0" CELLPADDING="1" CELLSPACING="1" WIDTH="627" BORDERCOLORLIGHT="#C0C0C0" BORDERCOLORDARK="#808080" FRAME="VOID" RULES="NONE" HSPACE="0" VSPACE="0" > <tR> <tD VALIGN=CENTER HEIGHT= 19 WIDTH="118"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="19" ALIGN="bottom" WIDTH="118" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=CENTER WIDTH="502"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="19" ALIGN="bottom" WIDTH="502" HSPACE="0" VSPACE="0"></tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 58 WIDTH="118"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="58" ALIGN="bottom" WIDTH="118" HSPACE="0" VSPACE="0"></tD> <tD VALIGN=CENTER WIDTH="502"><div> <B>There is need for substance abuse treatment facilities targeting this population, due to the fact that are more prone to substance abuse than heterosexual persons.</B></div> </tD> </tR> </TABLE></div> <bR> <bR> <div> <TABLE BORDER="0" CELLPADDING="1" CELLSPACING="1" WIDTH="626" BORDERCOLORLIGHT="#C0C0C0" BORDERCOLORDARK="#808080" FRAME="VOID" RULES="NONE" HSPACE="0" VSPACE="0" > <tR> <tD VALIGN=CENTER HEIGHT= 19 WIDTH="622"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="19" ALIGN="bottom" WIDTH="622" HSPACE="0" VSPACE="0"></tD> </tR> <tR> <tD VALIGN=CENTER HEIGHT= 58 WIDTH="622"><div> <B>The E. Newton Smith Public Health Center, Cumberland County Mental Health Department and NC DHHS Region V Office provides an excellent service in working with the Bureau in its outreach, counseling, testing and referral efforts.</B></div> </tD> </tR> <tR> <tD VALIGN=CENTER HEIGHT= 58 WIDTH="622"><bR> <div> <B>There needs to be more educational information targeting MSM of African Descent, bisexual/down low communities.</B></div> </tD> </tR> <tR> <tD VALIGN=CENTER HEIGHT= 19 WIDTH="622"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="19" ALIGN="bottom" WIDTH="622" HSPACE="0" VSPACE="0"></tD> </tR> <tR> <tD VALIGN=CENTER HEIGHT= 20 WIDTH="622"><div> <B>There is a need for more condoms.</B></div> </tD> </tR> </TABLE></div> <bR> <div> <TABLE BORDER="0" CELLPADDING="1" CELLSPACING="1" WIDTH="626" BORDERCOLORLIGHT="#C0C0C0" BORDERCOLORDARK="#808080" FRAME="VOID" RULES="NONE" HSPACE="0" VSPACE="0" > <tR> <tD VALIGN=CENTER HEIGHT= 39 WIDTH="622"><div> <B>There is a need for more protective measures for anal oral sex (“tossing the salad” or “rimming”).</B></div> </tD> </tR> <tR> <tD VALIGN=CENTER HEIGHT= 19 WIDTH="622"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="19" ALIGN="bottom" WIDTH="622" HSPACE="0" VSPACE="0"></tD> </tR> </TABLE></div> <div> <B>There is a need for more counseling and therapy for MSM of African Descent and particularly down low men due to the fact of their violent behavior towards openly gay persons.</B></div> <bR> <div> <TABLE BORDER="0" CELLPADDING="1" CELLSPACING="1" WIDTH="424" BORDERCOLORLIGHT="#C0C0C0" BORDERCOLORDARK="#808080" FRAME="VOID" RULES="NONE" HSPACE="0" VSPACE="0" > <tR> <tD VALIGN=CENTER HEIGHT= 39 WIDTH="420"><div> <B>There is a need for needle exchange for MSM closeted bisexual/down low men who are injectable drug users.</B></div> </tD> </tR> <tR> <tD VALIGN=CENTER HEIGHT= 77 WIDTH="420"><bR> <div> <B>There is a need for more funding to employ more individuals indigenous and culturally sensitive to the population.</B></div> </tD> </tR> </TABLE></div> <bR> <div> <TABLE BORDER="0" CELLPADDING="1" CELLSPACING="1" WIDTH="626" BORDERCOLORLIGHT="#C0C0C0" BORDERCOLORDARK="#808080" FRAME="VOID" RULES="NONE" HSPACE="0" VSPACE="0" > <tR> <tD VALIGN=CENTER HEIGHT= 415 ><NOBR><div> <B><U>Technical Assistance</U></B></div> <div> <TABLE BORDER="0" CELLPADDING="1" CELLSPACING="1" WIDTH="591" BORDERCOLORLIGHT="#C0C0C0" BORDERCOLORDARK="#808080" FRAME="VOID" RULES="NONE" HSPACE="0" VSPACE="0" > <tR> <tD VALIGN=CENTER HEIGHT= 19 WIDTH="587"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="19" ALIGN="bottom" WIDTH="587" HSPACE="0" VSPACE="0"></tD> </tR> <tR> <tD VALIGN=CENTER HEIGHT= 20 WIDTH="587"><div> <B>There is a need for grant research assistance.</B></div> </tD> </tR> </TABLE></div> <bR> <div> <TABLE BORDER="0" CELLPADDING="1" CELLSPACING="1" WIDTH="194" BORDERCOLORLIGHT="#C0C0C0" BORDERCOLORDARK="#808080" FRAME="VOID" RULES="NONE" HSPACE="0" VSPACE="0" > <tR> <tD VALIGN=CENTER HEIGHT= 19 WIDTH="190"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="19" ALIGN="bottom" WIDTH="190" HSPACE="0" VSPACE="0"></tD> </tR> <tR> <tD VALIGN=CENTER HEIGHT= 20 WIDTH="190"><div> <B><U>Media Attention</U></B></div> </tD> </tR> </TABLE></div> <bR> <div> <TABLE BORDER="0" CELLPADDING="1" CELLSPACING="1" WIDTH="40" BORDERCOLORLIGHT="#C0C0C0" BORDERCOLORDARK="#808080" FRAME="VOID" RULES="NONE" HSPACE="0" VSPACE="0" > <tR> <tD VALIGN=CENTER HEIGHT= 19 WIDTH="36"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="19" ALIGN="bottom" WIDTH="36" HSPACE="0" VSPACE="0"></tD> </tR> <tR> <tD VALIGN=CENTER HEIGHT= 20 WIDTH="36"><div> <B>N/A</B></div> </tD> </tR> </TABLE></div> <bR> <div> <TABLE BORDER="0" CELLPADDING="1" CELLSPACING="1" WIDTH="463" BORDERCOLORLIGHT="#C0C0C0" BORDERCOLORDARK="#808080" FRAME="VOID" RULES="NONE" HSPACE="0" VSPACE="0" > <tR> <tD VALIGN=CENTER HEIGHT= 19 WIDTH="459"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="19" ALIGN="bottom" WIDTH="459" HSPACE="0" VSPACE="0"></tD> </tR> <tR> <tD VALIGN=CENTER HEIGHT= 20 WIDTH="459"><div> <B><U>Development of Educational Materials</U></B></div> </tD> </tR> </TABLE></div> <bR> <div> <TABLE BORDER="0" CELLPADDING="1" CELLSPACING="1" WIDTH="626" BORDERCOLORLIGHT="#C0C0C0" BORDERCOLORDARK="#808080" FRAME="VOID" RULES="NONE" HSPACE="0" VSPACE="0" > <tR> <tD VALIGN=CENTER HEIGHT= 19 WIDTH="622"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="19" ALIGN="bottom" WIDTH="622" HSPACE="0" VSPACE="0"></tD> </tR> <tR> <tD VALIGN=CENTER HEIGHT= 58 WIDTH="622"><div> <B>The Bureau produced a brochure targeting bisexual/ down low MSM of African Descent, entitled</B> <B><U>Be Safe ! Respect Your Partner ! Protect The Blood ! Respect Your Loved One !</U></B></div> </tD> </tR> </TABLE></div> <bR> <bR> </NOBR></tD> </tR> <tR> <tD VALIGN=CENTER HEIGHT= 19 WIDTH="622"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="19" ALIGN="bottom" WIDTH="622" HSPACE="0" VSPACE="0"></tD> </tR> </TABLE></div> <bR> </td> </tr></table></body>