Abstracts Vol. 1 [International Conference on AIDS (11th: 1996: Vancouver, Canada)]

Track D: Social Science: Research, Policy & Action
Lessons Learned: Multi-agency collaborations can reach diverse subgroups ol MSM.
Adequate training in communication and sales skills are important as is staff understanding
of theoretical models and health issues.The Internet is a valuable tooi for reaching MSM
who are not particularly connected to the mainstream gay comarinity
Robert W Wood, AIDS Prevention Unit, 2124- 4th Ave, 4th Floo Seattle WA 98 121 USA
Phone: [phone]; fax: [phone]; email: woodbO I@heali th reto/ go
Mo.D. 1804
COMMUNITY BASED EDUCATIONAL PROGRAMME: MOST EFFECTIVE WAY OF
INTERVENTION.
(Mrs.) ain Kusum. Secretary, Gram Rachana Samiti, Jaipur, India.
Objective: Evaluation of community based educational programrie!mving rin anmong rural
sex workers of Rajasthan State of India.
Methods: Personal interviews with sex workers, controllers of sex centres and members of
their families were organised. Group discussions with sex workers a i general people of
the villages from the vicinity were also organised.
Results: Several kind of educational programmes on HIV/AIDS were organised among the
rural sex workers in the 5 districts of Rajasthan. Camps jointly fir both mien and women,
video films, traditional puppet shows, street plays, group discussions etc, were among them.
One community based programme was also organised which proved most effective, reliable
and extensive.
There is a custom among the sex workers' tribe 'RAJNAT'.They gather at the temple of
their goddess on full moon night every month.They don't have liquor and sexual relation
with anyone on that dayThey fast and worship their goddess. Education of sex workers in
small groups or talking with individuals during these gatherings proved very effective.
Informations or data collected earlier could be tested and verified through cross talkings
with each other and different groups of sex workers. Since the sex workers don'ti have to
wait for a client or any other job to do they participate in the discssions patiently ask
questions and further discuss within their groups.
Conclusions: It has been observed and confirmed that intervention among the sex workers can be done through community based programmes most effectively
(Mrs.) Kusum Jain, Secretary Gram Rachana Samiti (GRS) 21, Nandpuri Colony, Purrana
Ramgarh Road, Jaipur302 002 India.Tel:312560 Fax: 9 I 14 1-60647 I1
Mo.D. 1805
HIV PREVENTION FOR WOMEN IN A RURAL REGION OF EASTERN SWITZERLAND
Schmid, MR.,* Page, J.,* Twisselman,Wiebke,* Zeegers, Paget D.,* Glaridon, M.I.,*** C oda,
P.,*** Conzelmann, C.,*** Zemp, E.,*** Stutz,T.** * Institutes of Social and Preventive
Medicine, University of Zurich and * University of Basle, Switzerland: * Federal Office of
Public Health, Berne, Switzerland
Issue: Thanks to the collaboration between a traditional woman's iorganizatioen and an
HIV/AIDS einstitution, the topic of HIV/AIDS and sexuality can find its way into rfamilies and
relationships sia womenn. Dopefully such a strategy will promote sc a more open consmunication
about sexuality in the community at large and permit more realistic personal risk assessment.
Project: As part of the 1994- 1997 national umbrella project "Women's I ealht fcIusris: HIV
Prevention," a pilot prevention project lasting 1 8 months was launched in a region of eastern Switzerland.The collaboration between as well-grounded and wideltsupported
women's organization with an einstitution specializing in HIV prevention akes it possible to
bring the topics of sexuality and HIV to women in the countryside and to personalize the
issue.Through speakers and podium discussions for women and men, information about
HIV trransmission and AIDS was presented alongside topics such as female socialization and
sexual identity formationa, dependencies, role expectations, and need for protection, to
uncover the psychological bar riers women encouinter in HIV prevention. Io give the women
an opportunity to hear more detailed arguments about the relationship between their role
as women, partners, and mothers and sexuality and HIV/AIDS, specia small-group courses
were offered which the local women's organizations could request asnd could be tailored to
meet their specifications.
Results: On average, 46 people (1 0% being men) attended eacl of tire events to date.The
primary reasons for attendance consisted of information gathering for personal reasons or
professional interests. Not all women supported the women-specific perspective, as they
feared that would free men of their- r esponsibilities. Most of the audience downplayed risk
of infection arising from infidelity given that they felt secure in their marriages.
Lessons learned: Evenits about HIV/AIDS and sexuality in an open setting targeting women
can stimulate discussion and set the wheels in motion. A more intimate setting with small
women-only groups, however, has proven successful in allowing examination of the issues in
more depth, more openness and personal reflection. Future such intervertions in rural
areast should not treat the topic of HIV and sexuality exclusively but rather address the
broader trora of wonton's teoth issues.
W.Twisserann, Surratrastrasse 30, Ch 8006 Zurich, Switzerlandf
Telephone: 0041I I 257 66 54 Fax: 0041I I 257 69 62 email: mitti.msifspni.urnizh.clr
Mo.D. 1809
A STUDY ON THE FACTORS RELATED TO TALKING ABOUT AIDS WITH PARENTS
AND JUNIOR HIGH SCHOOL CHILDREN
fitom IYof/95,Yoneatsu, Osani*, nu roko, Morial. 'The Institute o Pubic Hfmealth.To yo,
Japa; **The Priblic oeealth Center ofrYokoham 620amalhea, Japan.
Objective: lb investigate hew murch parents tails about AIDS witha flier chrildrrr arid chat
effect talking about AIDS has on par ents and children.
Methods: VVe iravestigated by qirestrennair e the fatfier s and iaother o chrilde whci slo attend
otto public lort high school in Yokohansa City.We sent the quest main aires to botrh parents
through tlaeir priblic tunort high srhool children. Beth psients cornpletrd the ferns itt their
homaes. After tfaat, their chrildiren brought them back to scholif.-[he i na h peioid wit
fret- II1/9/95 to I It/1I6/95.The rarraber of potential study surbjecs,,,i-s 85% failies (abaout
I1,7raO persnsr).We collected r esponases 6 eom 820 faarilies (72.4%. ti-c ri ee 501 farmaiies

consisting of both father and mother.1 The total valid responses were fromi 6 1 6 fmilies.
I,1 17 persons (509 fathers, 608 mothers).
Results: Regaricling both parents, the experience of talking about AIDS with children related
to "thinking that AIDS was someone else's problem". Regarding niotiters, the ixprience of

MoD.1804 - Mo.D.1814
talking about AIDS with childr en related to "the subjective evaluation of their knowledge
about AIDS", "the prediction of the increase of PWA/H ". Regarding both parents, the hope
of talking more about AIDS with children related to "the subjective evaluation of their knowl
edge about AIDS ","the prediction of the increase of PWA/H","the recognition about possibility of HIV infection of children","the attitude toward a child's friend who is infected with
the HIV virus","the attitude toward a child's classmate who is rumored to have PWA/f I",
and "the a itude toward a rmernber of the family who is infected with the FI IV virus".
Conclusions: When we educate parents to teach their children about AIDS, we confirmed
that it is very important to teach not only "the Inowledge of AIDS as a disease" but also
that "both parents don't thinl that AIDS is someone else's problem (it is ever)body's problen)" and, "the imiportance of having symrpathetic feelings toward PWA/H".
Hitomi.Yoshimiya.4 6--I,Shirokanedai,Minato ku, Tokyo, I 08,Japan.
Telephone: [phone] I I (426) Fax: [phone] e mrail: AC6 IYSMY(aeasahi-net.or.jp
Mo.D. 1812
"I LIKE THE FACT THAT YOU'RE HERE IT MAKES ME THINK THAT OTHER PEOPLE
ARE BEHAVING MORE RESPONSIBLY" PROMOTING SAFER SEX IN EUROPE'S
LARGEST PUBLIC SEX ENVIRONMENT (PSE)
Dockrell. lMartin J* Fisher, James E.**" *Gay Men Fighting AIDS (GMFA), London UK,
""AIDS Education Unit, Barnet Health Authority London, UK
Issue: Making appropriate, information, condoms and lubricant available to men having sex
in PSE's are important but undemanding functions of outreach work. More important is to
promote a cultuire of mrutual responsibility and to create opportunities for peer education
where verbal communication is rare.
Project: On weekend nights throughout the summer of 1995 GMFA (a gay community
AIDS organisation) had teams of volunteers near the main entrance to Hanmpstead Heath,
Europe' s busiest public sex environment.Trained volunteers distributed condom and lubricant packs and "BedTime Reading Packs" (specially designed information packs which varied
throughout the project). Half the volunteers were regular users of the Heath. Reading Packs
were wrapped in an anonymous reply paid questionnaire.Towards the end of the project
the 'Iuestiornaire invited users to supply their phone number to participate in a brief semistructured telephone interview.
Results: Fifty eiglht four hour shifts were conducted. Almost 25,000 contacts were made
including tihe distribution of 19,828 condom packs to men entering the Heath and 4,602
reading packs to men when leaving. Fifteen percent (N=624) of questionnaires were
returned. Eighteen telephone interviews were conducted. Fifty-two percent of questionaire
respondents reported bringing condorsms with theme the night they received the pack and
62, reported sometimes having anal sex on the Heath. Anal sex on the heath was more
cornmmnron among men under 26 (72%) than men aged over 36 (52%). Possession of condoms was uni formr across age groups. Interviewees reported unprotected anal sex but usually tonly with egular partners. One third of interviewees cited the visual reminder as the
best thing about the project compared to only I in 6 who valued condom disth ribution
most highly.
Lessons Learned: Detailed information can be elicited feom PSE user s without comprornis
ing privacy, obviating the need for subjective assessments. Most men who had anal sex on
the Heath came with condons. Unprotected anal sex was common only with regular partters. Opportunities to address more complex issues could be created.
Mar tin Dockrell, GMFA, 49 Effra Rd, London S\N2 I BZ, United Kingdom.
Tel.: [phone] Fax: [phone] email: [email protected]
Mo.D. 1813
SEDUCTIVE IMAGES:A LIFE-ORIENTED CAMPAIGN FOR AIDS PREVENTION
Carneir oPatrictti Boer A.,* Santos, S. *Support Group for AIDS Prevention (GAPA/RS),
Porto Alegre, RS, Brazil
Issue: In Brazil, most of the graphic material used in AIDS prevention camnpaigns uses a negative emotional appeal, connecting prevention to fear, causing people to deny their risk.
Project: A campaign consisting of 9 posters was produced and distributed using the basic
concept of seduction and connecting prevention to sensuality and pleasure in order to
generate a positive demand onthe issue. Each poster was designed in a distinct way as to
reach teenager s, intravenous drug users (IDU), heterosexual couples, women, people living
with HIV/AIDS (PLWIIA) and sex workers. Production costs were covered by partership
with MPMFI:I intas (advertising agency) and the pictures were donated by renowned
Brazilian photogiaphers.
Results: In three months, ten thousand posters were distributed nationwide.The campaign
has reached excellent results, drawing the public's attention, as well as the local and national
media's, and increasing the demand for condomes at GAPA/RS.
Lessons Learned: When a campaign uses a positive approach, connecting AIDS prevention
to life and ileassure, individuals can engage more effectively in the practices the message
proposes.
Patricia Carneiro, Rua Perpetua Telles, 10/503, Porto Alegre RS Brazil 904 10-000
lelephone: 55-05 I-221 6367 Fax: [phone]
Mo.D. 1814
PRESS SERVICE ACTION AND ITS DATA BANK, ON AIDS IN AFRICA -
SUB-REGIONAL HEADQUARTERS IN OUAGADOUGOU
Dr fOuedraogo Koudaogo*, Sebgo R*. * PNLS CNLA Burkina Faso, " Sidalerte
Burkina Faste
Issue: Since the first AIDS control policies, a lac of communication, more in quality than
quantity, has characterized the relationship between the mass media and other partners
(doctors, healers, finance institmtions, NGOs,...).This situation has seriously affected the
national Inrr policies due to the different languages. Between the sensationalism sought
by journalist ad the confidentiality associated with certain medical subjects, information on
AIDS in Afrci is often prone to approxirations, in which public opinion is led astray Fhe
n reatin or rI Press Service on AIDS in Africa, financed by the European Commission, is a

response to this significant problerm.
Objective: Tihe channeling of all information related to HIV\//AIDS is an important objective
to establis.liThe diffusion of reliable and timely information should permit for a readjustment in the relations between health professionals and the media, as well as for an intra-,O
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