Siempre Unidos
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Siempre Unidos is the leading care provider for
HIV The human immunodeficiency viruses (HIV) are two species of ''Lentivirus'' (a subgroup of retrovirus) that infect humans. Over time, they cause acquired immunodeficiency syndrome (AIDS), a condition in which progressive failure of the immune ...
-positive individuals in
Honduras Honduras, officially the Republic of Honduras, is a country in Central America. The republic of Honduras is bordered to the west by Guatemala, to the southwest by El Salvador, to the southeast by Nicaragua, to the south by the Pacific Oce ...
. It is a unique fusion of a local self-help group and a US-based not-for-profit, ensuring that the services provided are closely tied to the needs of the community and that the community has access to the resources and cutting-edge medicine of the United States.


History

Siempre Unidos began in 1995 as a Honduran self-help group organized out of the Episcopal church. Rev Pascual Torres, Chancellor of the Episcopal Diocese of Honduras, helped organize After Hurricane Mitch, volunteers from St. Stephen's Episcopal Church in Belvedere, CA came to Honduras to rebuild houses and help provide safe drinking water. When they discovered the Siempre Unidos self-help group, the life expectancy of members was 6 months. Dr. Denise Main began work creating a sister organization in the states to help organize and provide resources for the self-help groups.


Clinics

Starting in 2003, the
San Pedro Sula San Pedro Sula () is the capital of Cortés Department, Honduras. It is located in the northwest corner of the country in the Sula Valley, about 50 kilometers (31 miles) south of Puerto Cortés on the Caribbean Sea. With a population of 671,460 ...
meeting area became a true clinic, offering medical care and triple anti-retroviral medications. By 2004, they had opened clinics in
Siguatepeque Siguatepeque () is a city and municipality in the Honduran department of Comayagua. The city has a population of 73,480 (2020 calculation). History Founded by the Spanish in 1689 as a religious centre for retreats and monastic training, the p ...
and Roatan, growing to be one of the largest AIDS care providers in Honduras. Patients cook and share free hot meals and provide support for each other. They have a dedicated staff of Honduran physicians and nurses, while a US HIV specialist visits every few months to evaluate especially complicated cases. Affordable anti-retroviral treatment is provided through the Honduran government an
RAMP


Workshops

Now that they can expect to lead full, productive lives, Siempre Unidos members are faced with the prospect of finding employment. In Honduras, job discrimination against HIV-positive people is severe; it isn't uncommon for a large employer to force all employees to take HIV tests, firing all those that are positive. As a result, Siempre Unidos has developed a variety of forms of employment for its members, including sewing and jeweling, guaranteeing a
fair wage A living wage is defined as the minimum income necessary for a worker to meet their basic needs. This is not the same as a subsistence wage, which refers to a biological minimum, or a solidarity wage, which refers to a minimum wage tracking labor ...
and safe, secure working conditions. The resulting products are sold in the United States under the SiempreSol brand, with profits returning to the clinics to expand access and services. SiempreSol is
fair trade Fair trade is an arrangement designed to help producers in developing countries achieve sustainable and equitable trade relationships. The fair trade movement combines the payment of higher prices to exporters with improved social and enviro ...
certified by the Fair Trade Federation. The aim is to create a new model of sustainable AIDS care, where patients are able to pay for their own care.


Outreach

Recognizing that the only way to end the epidemic is through stopping its spread, Siempre Unidos does extensive outreach and education, reaching the most at-risk groups—commercial sex workers, street children, and high school and university students. Siempre Unidos is also one of the only organizations in Honduras that offers voluntary confidential and accurate HIV screenings.


References

{{Reflist


External links


SiempreUnidos.org

SiempreSol.org
HIV/AIDS organizations Medical and health organizations based in Honduras