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Welcome to the finale of Doing It For Ourselves,

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Black Women, Salon, and the Science of Health

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Equity. I'm Nyesha Frey here with Dr. Shanita

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Randolph and Dr. Reagan Johnson as we reflect

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on what we've learned, what's next, and how each

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of us can advance health justice. Let's dive

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in and do it for ourselves. You never know where

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you're at and how you may be influencing the

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next generation or how you might be feeding into

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strategies to advance health equity. And as Reagan

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has shared, health justice, building toward health.

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justice by just saying, hey, I see you, sister.

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Come on over here. I got plenty of people. And

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I am an opinion leader, right? They don't listen

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to me. Just all you got to do is let your arm

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hang there so she can put herself on the press

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a couple times. She ain't asking for nothing

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else. Just come on now. And that helped you get

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to where you are. All right, Shanita, lean in.

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Why beauty salons and barbershops? They're definitely

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trusted spaces, as Ray said. It's definitely

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not a new concept, right? You think about Dr.

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Loretta Germont and her work as a nurse scientist

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around engaging barbershops in her work as well.

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There are others. It has just historically been

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that space for communities to have safe conversations.

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And so it's a natural space. When we think about

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the sustainability of it, it's a natural space.

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I think one thing that we have been very specific

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about, though, why barbershops and beauty salons

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and engaging them in ways that are sustainable,

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because although it has been a space, you know,

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as we were talking earlier, is it sustainable?

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Right. Because they're entrepreneurs now. Much

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as they love the community, they are about their

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money. Yes. Oh, we can't. We're not asking them

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to be interventionist in this study. Right. It's

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giving them the tools to do what they already

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do. You know, when we think about even our stylists

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and barbers who have partnered with us, giving

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them a great big shout out and a thank you to

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them. We love and appreciate them so very much.

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They're doing stuff in their communities. Like

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they're not just curling and cutting hair. You

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know, I think about Tamika Hughes, who's one

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of our partners. She has a nonprofit that she

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started, Level Up Parenting. where she is really

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trying to be that resource for single parents

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is how it started, because that was her lived

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experience. She was a single mom. And so how

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does she give back? She has started Level Up

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Parents and Jean Blackman, who has started establishing

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safe cultures. So these are barbers and stylists

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are just so engaged in the health and well -being

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of their communities naturally. So it's just

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an amazing space to really partner with them.

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That's awesome. I love it. We're going to get

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into how can stylists, salons, and community

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members get involved with Up News? Yes. So they

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can definitely reach out to upnews at duke .edu.

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That's how they can email us and contact us to

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get engaged. We are engaging. Six counties across

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the state of North Carolina. Let me see if I

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can do these without missing one. Durham County,

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Guilford County, Forsyth County, Mecklenburg

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County, Cumberland County, Wake. I did it. And

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Wake County. So right now we are recruiting in

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the Cumberland County and Wake County areas.

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And so if there are beauty salons or stylists

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and owners that you know that are interested,

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they can reach out to updos at duke .edu to let

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us know that they're interested in being a part

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and we can share more information. We're willing

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to come have lunch with you, send you information,

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have a Zoom call to just let you know what those

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steps would look like. And so they can definitely

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contact us. I like to say as well that we're

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partners in creating. a platform for Black women

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because it is a gap. And so really how I'm seeing

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this is that you're more than a research participant.

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You're really a partner in creating what Black

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women need for their health or not need. And

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I think this has given us an opportunity to see

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how effective Updo would be and will be. And

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what are some of the gaps and things that we

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need to consider as limitations in order to fix

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that? And so we're just asking for the community

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to partner with us in those efforts. Yeah. And

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I think you can also reach out to us on our website

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or follow us at our website, the heat lab, H

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-E -E -A -T lab dot org backslash updos. Yes.

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And just so everybody is clear, it's U -P -D

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-O. Right. So not do like your, like your bill

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is due. D -U -E. Not that. Not that. Like you're

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going out for the night. Going out. You looking

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cute. U -P -D -O -S. Okay. So, and remember there's

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two E's in heat. One for equity, one for engagement,

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then the A for advocacy, and then that T for

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trust. So that's heat. H -E -E -A -T. All right.

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And so that's a dot org. What is that backslash

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or forward slash? It's a slash. It's one of them

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slashes. Right. You'll figure it out when it

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don't go through. Try the other side. OK, so.

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So so I'm so excited because, you know, by the

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time that this comes up, we're going to be. Moving

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through Cumberland, we're going to be advancing

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into Wake. We're going to be looking toward Durham

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and Forsyth and then Mecklenburg. So if y 'all

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are there and you are what we like to call high

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volume, well -established salons in those counties,

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hit us up, updues at duke .edu. So before we

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go, and as we start to wrap up, I love to talk

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about one. Let's think about what are our future

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plans. And then also how, well, let's talk about

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this. Let's take it one at a time. So now that

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we know how people can get involved, what are

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your long -term goals for updos? And what does

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success look like? I'll start with you, Shanita,

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with what are the long -term goals? And then

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Reagan. be on standby for what does success look

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like? Yeah. The long -term goal is that updos

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will be an evidence -based intervention that

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can be accessible for nonprofits, other organizations

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doing health promotion around HIV, and just the

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lay community to have access to. That it is one

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that is, again, in our scientific world, it has

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been proven to be effective. That is the long

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-term goal. As a researcher, what we realize

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is that, you know, we're not going to make it

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be something that is not, right? And so if our

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results show that there are opportunities for

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growth in certain areas, our goal then will be

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to address those limitations. So one way or another,

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we're going to learn if it works. And if we learn

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that there's some things that are not quite working,

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we're going to move forward with making those

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improvements. The bottom line is that we are

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here for the community and making sure that Black

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women know what options are available so that

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they can maintain and preserve their sexual health

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in whatever way that looks like for them. And

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so I love that. Reagan, what does success look

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like? I mean, maybe I said it, maybe not. Give

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me your idea on what does success look like?

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Yeah, I think both of those things, what you

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and Shanita said, right? I think we could also

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kind of, if we were looking to measure success,

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I think our states with the top 10 states or

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cities that's always highest in HIV, those specifically

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reproducing updos in some shape, form, or fashion.

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I think women understanding their choice, like

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if we could get to all black women across the

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south at least understanding that they have a

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choice in hiv prevention i think that would give

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us some success and then um i think success looks

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like freedom freedom to choose choose their method

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like you can choose prep you can choose other

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things but just understanding that you have that

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freedom If you're enjoying the show as much as

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from questions you didn't ask. Thank you for

00:11:32.669 --> 00:11:35.269
your continued support and let's keep the conversation

00:11:35.269 --> 00:11:38.230
going. Yeah, and one thing that we haven't talked

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about that I think is really important when we're

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thinking about Black women and HIV prevention

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is that we don't have to depend on someone else

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to tell us their status. right, for us to be

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safe. And I think that's the big part of doing

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it for ourselves, right, is if we're scared to

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ask the question, if we're not trusting the answer,

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if we're depending on that other person to be

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honest with us and that doesn't really work out,

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we have other means and measures to protect ourselves

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and not have to be dependent on someone else.

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Because there's lots of reasons why people don't

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tell. Some of those reasons can be assessed as

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good and some of those reasons can be assessed

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as bad. But the point is, is that whether you're

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a person that's living with HIV, there's treatment.

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If you're a person that does not have HIV, there's

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effective prevention. And so moving the needle

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on awareness. Of those things, especially for

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Black women, being able to prevent transmission

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of HIV is very, very important. And so I love

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what you said about freedom. This is also a type

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of freedom is not being dependent. Right. And

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so we want people to talk. You know, we want

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people to share. We want people to be truthful

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and honest. But the data shows that's not what's

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happening. So as much as we want that to happen.

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We have to provide and innovate other solutions

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and strategies. And fortunately, medicine, technology,

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science, research has provided PrEP, which is

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how effective is PrEP in preventing transmission?

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Up to 99%. Up to 99 % effective. So in other

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words, if you are a person who is having a sexual

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relationship with another person. who does have

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HIV, whether you know it or not, if you're having

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a sexual relationship with them and you're not

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using condoms and you're taking PrEP, the science

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says that it's 99 % effective in preventing you

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from contracting HIV from that person. That's

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powerful. That's huge. It cannot be understated.

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And so one of the things that we want to do is

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not give away all of our, you know, secret sauce

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of our research, right? But we definitely want

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to make the point about why this research, why

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this approach is so innovative, so powerful,

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and why we want people to be involved and why

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we are inviting more funders to support this

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work, right? More collaborative partners of like

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mind, like spirit. to be a part of the heat lab

00:14:28.419 --> 00:14:31.960
in this important work. So one of the things

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that I also love to leave my audience with are

00:14:34.820 --> 00:14:38.379
additional tools, additional, you know, things.

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What are the people, organizations, books or

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movements that inspire you in your work in health

00:14:48.120 --> 00:14:51.240
equity? I mean, we're at a time where I think

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I know myself. I am constantly looking for inspiration,

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right? To stay filled up, right? And not be discouraged.

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So as you're moving through this work and over

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the years, right? Because this isn't our first

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time of things being difficult. Let's just say

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that, okay? But what are some of the things that

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really motivate you and keep you moving forward?

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A lot of things keep me going. I think faith.

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of course, and heart for the work. Right now,

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I do a lot of reading to kind of keep me engaged

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and give me direction. So right now I'm reading

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Let This Radicalize You. And it's organizing

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and the revolution of reciprocal care. It's a

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book by Kelly Hayes and Mary Ann. It's a really,

00:15:39.259 --> 00:15:43.779
really, really good understanding of how you

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organize people. to mobilize them for change.

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Thank you for sharing that title. I'm going to

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have to look into that and lean in some more

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into what that has to share. And I hope my audience

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does too. Thinking about, you know, even people.

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People whose careers that inspire us or organizations

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that we look to and say, wow, that's awesome.

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I would love to be able to do something like

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that. Is there anything like that or any person

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like that for you, Shanita, that maybe you look

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to? And I definitely appreciate where you're

00:16:17.429 --> 00:16:19.490
coming from, Reagan, in regard to lifting up

00:16:19.490 --> 00:16:24.110
our faith, which is very critical. The first

00:16:24.110 --> 00:16:27.789
thing that comes to my mind in answering that

00:16:27.789 --> 00:16:32.740
question. It's an unlikely answer, but it is

00:16:32.740 --> 00:16:37.519
actually a faith -based organization that I have

00:16:37.519 --> 00:16:41.419
been affiliated with since college. And the leader

00:16:41.419 --> 00:16:47.240
has just signed an agreement with a major healthcare

00:16:47.240 --> 00:16:54.240
organization where they will build on their faith

00:16:54.240 --> 00:16:57.879
-based organization has 65 acres of land. They're

00:16:57.879 --> 00:17:02.500
partnering with a health care organization to

00:17:02.500 --> 00:17:07.619
build a facility on their land and partnering

00:17:07.619 --> 00:17:10.119
with them, this faith -based organization, to

00:17:10.119 --> 00:17:13.680
deliver health care, particularly in that particular

00:17:13.680 --> 00:17:18.200
community. They have mobile units that will come

00:17:18.200 --> 00:17:21.500
to the community for regular screenings. And

00:17:21.500 --> 00:17:25.400
I have been inspired by that in terms of health

00:17:25.400 --> 00:17:30.480
equity. Because it is holistic and the church

00:17:30.480 --> 00:17:36.319
bringing, there's power there, right? This land

00:17:36.319 --> 00:17:41.359
belongs to us and we're keeping it. There's a

00:17:41.359 --> 00:17:44.799
food desert here. There's health needs that need

00:17:44.799 --> 00:17:47.000
to be met here. So it looks at the whole self.

00:17:47.640 --> 00:17:50.059
So that has been a movement and an organization

00:17:50.059 --> 00:17:52.940
most recently. I think that has inspired me.

00:17:53.019 --> 00:17:57.000
Like it's inspired thinking. Around how we are

00:17:57.000 --> 00:18:01.920
to address equity. It also puts the ownership

00:18:01.920 --> 00:18:08.000
and the power in the community. Right. The power

00:18:08.000 --> 00:18:13.140
doesn't lie with us. The power really lies within

00:18:13.140 --> 00:18:17.279
the community. How we can position ourselves

00:18:17.279 --> 00:18:23.099
to be facilitators and partners with them. Whereas

00:18:23.099 --> 00:18:26.279
our normal work has been. We've been seeking

00:18:26.279 --> 00:18:29.059
them out as partners. They know how to do this.

00:18:30.220 --> 00:18:33.799
The community knows how to do the real work of

00:18:33.799 --> 00:18:37.160
addressing health equity. And so how do we position

00:18:37.160 --> 00:18:41.519
ourselves to be servant leaders for the community

00:18:41.519 --> 00:18:44.900
to be able to continue to build and sustain in

00:18:44.900 --> 00:18:47.799
this way? And so it's really caused me to reframe

00:18:47.799 --> 00:18:52.539
and rethink my positioning as a researcher and

00:18:52.539 --> 00:18:57.750
as a scientist. been very encouraged by the health

00:18:57.750 --> 00:19:00.529
equity work that they are that they are doing

00:19:00.529 --> 00:19:07.349
that is a business model sustainable and very

00:19:07.349 --> 00:19:12.569
impactful and and i appreciate that too because

00:19:12.569 --> 00:19:16.390
by sharing these types of resources my purpose

00:19:16.390 --> 00:19:19.650
with questions you didn't ask is to make sure

00:19:19.650 --> 00:19:23.670
that people understand you are not alone in this

00:19:23.670 --> 00:19:26.569
fight to advance health equity and to build towards

00:19:26.569 --> 00:19:29.750
health justice there are a number of partners

00:19:29.750 --> 00:19:33.349
and organizations and ways to innovate you don't

00:19:33.349 --> 00:19:35.930
have to feel helpless you don't have to feel

00:19:35.930 --> 00:19:39.329
hopeless you don't have to feel as though your

00:19:39.329 --> 00:19:43.579
dreams are you know far off and far away yeah

00:19:43.579 --> 00:19:45.000
it's going to take some work and it's going to

00:19:45.000 --> 00:19:46.799
take some time and some investment and things

00:19:46.799 --> 00:19:49.400
like that but there are examples of people who

00:19:49.400 --> 00:19:51.980
are doing it that you may be able to learn from

00:19:51.980 --> 00:19:55.119
and cut that timeline down right and so what

00:19:55.119 --> 00:19:58.779
we want to do is to help facilitate collective

00:19:58.779 --> 00:20:03.140
action so that we can start to be the change

00:20:03.140 --> 00:20:06.380
that we wish to see in the world right and so

00:20:06.380 --> 00:20:10.549
final thoughts Is there a message you want our

00:20:10.549 --> 00:20:13.509
listeners to take away about health equity, community

00:20:13.509 --> 00:20:17.589
and the power of doing it for ourselves as we

00:20:17.589 --> 00:20:21.210
close out? Yeah, I think I'd say health equity

00:20:21.210 --> 00:20:26.289
is everyone's work. And as I said earlier, ain't

00:20:26.289 --> 00:20:30.920
nobody coming to save us. So part of. Being radicalized

00:20:30.920 --> 00:20:33.380
to organize, it's like Shanita said, organizing

00:20:33.380 --> 00:20:36.960
the troops on the ground, the grassroots community

00:20:36.960 --> 00:20:42.339
in order to get where they need, how they want

00:20:42.339 --> 00:20:47.900
to get there. Yes. Thank you, Reagan. Yeah, I

00:20:47.900 --> 00:20:51.339
would just say the last part about the power,

00:20:51.440 --> 00:20:54.339
doing it for ourselves, that realizing that this

00:20:54.339 --> 00:21:00.859
work is hard. Particularly where we are now in

00:21:00.859 --> 00:21:04.440
our society, it's a lot of things. It's hard.

00:21:04.779 --> 00:21:08.640
It's disappointing. It causes a lot of emotions.

00:21:09.400 --> 00:21:13.180
And continue to do the work, but also continue

00:21:13.180 --> 00:21:16.720
to find space of peace, space for restoration,

00:21:17.200 --> 00:21:23.119
space for hope, and space for yourself individually.

00:21:23.420 --> 00:21:26.259
Because if you cannot take care of yourself,

00:21:26.359 --> 00:21:29.400
then... You can't do this work. And so just finding

00:21:29.400 --> 00:21:33.539
that whatever that looks like for you as you

00:21:33.539 --> 00:21:36.059
continue to do this work around health equity,

00:21:36.119 --> 00:21:38.920
just make sure internally that we are taking

00:21:38.920 --> 00:21:42.779
care of ourselves holistically. And that's a

00:21:42.779 --> 00:21:50.099
message for Shanita. I can relate. I resonate

00:21:50.099 --> 00:21:52.759
as well, Shanita. I think it's for you, me, and

00:21:52.759 --> 00:21:55.200
everyone else that is listening today is that

00:21:55.200 --> 00:21:58.359
we do have to remember that this work is worthy.

00:21:58.539 --> 00:22:01.759
It's important. In some cases, it's even critical,

00:22:01.960 --> 00:22:06.160
right? It's a necessity. It is hard. But what's

00:22:06.160 --> 00:22:08.799
also a necessity is that we have to take care

00:22:08.799 --> 00:22:11.359
of ourselves before we can take care of anybody

00:22:11.359 --> 00:22:14.680
else. And so that I appreciate that reminder.

00:22:15.079 --> 00:22:18.099
And with that. I want to say thank you, thank

00:22:18.099 --> 00:22:20.440
you, thank you, Dr. Shanita Randolph and Dr.

00:22:20.619 --> 00:22:23.039
Reagan Johnson for joining Questions You Didn't

00:22:23.039 --> 00:22:27.059
Ask and making this such a wonderful, rich conversation

00:22:27.059 --> 00:22:29.900
and allowing us to learn more about your work,

00:22:30.019 --> 00:22:33.079
your leadership, and your research. Thank you.

00:22:33.440 --> 00:22:35.160
Thank you for having us.
