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

Track D: Social Science: Research, Policy & Action
Mo.D. 1902
DEVELOPMENT OF A MASS MEDIA AIDS CAMPAIGN FOR ETHNIC MINORITIES IN
THE NETHERLANDS
Kiits F,*, Singels L**, van Duifhuizen, R.. * AIDS Foundation of the Netherlands, *
Netherlands Institute for Health Promotion and Disease Prevention, Project AIDS
prevention for Migrants and the European Project AIDS & Mobility AIDS Foundation
of the Netherlands
Issue Migrants and ethnic minorities are present in the Netherlands for ages. A broad range
of people (more than 150 nationalities) came to the Netherlands for various reasons.The
largest groups are: Moroccans,Turks, people fr-om Surinam and the Netlherlands Antilles.
Furtherrnore refugees and asylum seekers are a considerable target population. All these
groups have specific needs for HIV prevention interventions,
Project Although the Netherlands started specific HIV interventioris (material development,
peer education etc.) for migrants and ethnic minorities in 1988, a clear mainss imedia strategy
was lacking so far. Howeve, this was considered to become more and more important in
order to support small scale initiatives arid create a supportive envirornment for migrants
affected by HIV/AIDS. Due to limited resources the four largest ethnic rinority groups
were selected as target populations of the mass media campaign.The campaign was coordinated by the national AIDS coordinator of AIDS prevention for migrants and developed by
a private agency in close collaboration with members of the target population.
Results Media representatives, experts and people with HIV/AIDS froni the four groups
were consulted in order to give suggestions on the concept of the c r paigin. Draft materials were pretested within the respective target groups.Within the campaign several media
and materials in different languages were used: leaflets, posters, television progr ammne, telephone service, radio-spots and programmes, a press conference and free publicity
Lessons learned Since the campaign started in december 1995 and will continue till the
end of 1996, it has not yet been fully evaluated.The following remarks can be made after
the first phase:
- in order to promote the helplines, television- and radioprograrnmes proved to be the
most effective; in general the written materials did not encourage people to call the
helplines;
-cooperation between helplines, healthcare services and couselling services is necessary.
Many callers could rot get adequat help and support and had to be referred;
- a lot of time is needed for the preparation of a mass media campaign in order to meet
the needs of the specific target groups involved.The time (and bridget) needed was not
fully available.
Femria Kievits, Stichting Aids Fonds, Keizersgracht 390-392, 1016 GB Amsterdarn,The
Netherlands
Mo.D. 1903
EVALUATION OF COMMUNITY BASED INTERVENTIONS WITH NON-ENGLISH
SPEAKING ASIAN WOMEN
__I fhoanS., G.C. Associates. Leicester, United Kingdom
Issue: Non-English speaking Asian women are unable to access generic HIV Education
messages.
Project: Work with non-English speaking Asian women was initated and carried out over a
one year period. I150 women were accessed in community settings. Sexual health education
was delivered in community languages (mainly Punjabi and Urdu), paying attention to
appropriate cultural norms.This work was carried out to enable identification of issues that
would make this group of women more readily accessed by sexual health and particularly
HIV education messages.
Results: The evaluation of this project (from discussions with the womnen), showed preparation to discuss sensitive issues to be vital.This needed to be put inr a context they could
relate to. Information from 'Home' countries was advantageous as was playing a relevant
trainer role' which they could identify with.
Lessons Learned: Sexual health work with non-English speaking Asian women is not difficult, it is just 'different'. Attention needs to be given to the differences but these in themselves should not, and did not in this project, provide any barriers to carrying out sexual
10 health education work with this group.
O",
S. Chohan. G.C.Associates, c/o 98 Glen Road, Oadby Leicester LE2 4PG, United Kingdom.
S Tel.[phone]. Fax [phone]
S Mo.D. 1904
OU INTEGRATING TREATMENT ADVOCACY INTO ASO'S CASE MANAGEMENT:
C EFFECT ON ACCESS/ADHERENCE IN THE ASIAN/PACIFIC ISLANDER COMMUNITIES
> Braverran,G'dali*, Shirnazaki,Paul ",Yu,Danny*, Lew,Steve *, Lakhana,Peou *. The Living
Well Project/API AIDS Services, 1841 Market St, SF, CA 94114 USA
515 Issue: Asian ard Pacific Islander (API) comnurities living in tse USA have been considered
I _ hard to reach in providirrg AIDS Treatmerst Services and lirnkage to f-41V Primary Care and
<: Clinical Research.
c Project: A Treatrrrent Advocate (TA) pilot project integrated into case Inanagerent services
O departert of an API HI/AIDS ASO. An on-site-TA provides treatmet srterveraton cou
~ seling to clients, as welll as orn--goirng treatmrent trainings arsd corisrltaricy to casevor kern.
1C:: - he TA accesses anrd reviews rredical r-ecor-ds with clierats, interfaces vaitli r!en~ts' physicians,
L~ liraks clients to mental health counseling, alternative and experimestal therapies. Clients arid
_ caseworkers ar-e educated about pathogenesis, diagnostics, managing aid reporting syspC- tonss, prophrylaxis anrd treatrrerrt of UIV and associated olportrristic ifectiraris
0
Results: A total of 48 clients received TA services (either oneone or througf ad inter
preter) between 2/7/95 and I12/7/95. 46% of clients densonstrated rreasurable inaprovement
C in compliance on western meds. 77% followed through on 2 to 4 TA recormerrclations. 52%
O initiated, added, or changed a western therapy 23% soughtlA services to select in HIV pri-g mary care Dr: 65% of clients independently contacted theTA more thai 3 tiunes. (Additional
C:: analysis will include 36 clients receiving consultancy services through caseworker s.)
L Lessons Learned: APIs accessing an API ASO, regardless of ethnicity or english language
C (- skills will highly utilize services pertaining to HIV medical concerns. Augrmentation of HIV

- specific primary care can be achieved through use of case managerrent m odels. Although
X 48% of APIs accessed TA at CD< I100 adherence is high.
G'dali B,,ivr-rman,5r LWt 1841 Market St, SF, CA 9,1103USATelephonre: 115 575 3939 x305
206 Frx 4i 135,'5--3935

Mo.D.1902 - Mo.D.1907
Mo.D. 1905
BARRIERS TO CARE IN A TRADITIONALLY UNDERSERVED COMMUNITY
Wilson, S*, Hemberger; K***, Frank, G* ***,-Templeton, M**, IsraejskiDennis M* ** **
*AIDS Task Force, City of East Palo Alto, CA, USA: "AIDS Community Research
Consortium, Redwood City CA, USA; *San Mateo County AIDS Program, San Mateo,
CA, USA
Issues: East Palo Alto (EPA), a predominantly non-white economically disadvantaged community, is among the cities most affected by AIDS in California. To proactively address the
issue of commnunity needs an AIDS Task Force was cormmissioned by the City Council to
recommend a coherent response to the HIV epidemic.
Project: The Health/Social Services Committee of the AIDS Task Force developed a survey
to assess the barriers to care among EPA residents (respondents). Specific areas of need for
health and social services were identified by the commrittee and a survey was developed
which was widely distributed by outreach worlkers and volunteers in streets, shopping centenr, churches, clinics, jail, and drug recovery programs.
Results: Four hundred sevenrty-three surveys were completed. Respondents were predominately African American (61%) and Latino/a (25%).The n majority of respondents were
female (55%; 260).Twenty-three percent (87) of respondents were less than 20 years old.
The mrsajority of respondents (66%; 310) had been personally impacted by HIV/AIDS; 15%
were less than 20 years old. Regardless of "impact", the majority (83%; 388) would seek out
HIV clinical services (if available) in their community Only 37% (I 74) would seek care in
the only extant medical facility while virtually qual rnumber s would seek care if it were
available in their church. Less than 20% would use a mobile van. Expense (63%) and transportation (50%) were identified as the greatest barriers to care. Language was identified as
a barrier to care in a substantially higher proportion of respondents less than 20 years old
(32%) than respondents greater than 20 years of age (2 1%). Child care posed a restriction
on access to care equally among women (43%) and nen (42%).
Lessons: The ongoing HIV epidemic has broadly impacted EPA. In order to address the
needs of this traditionally underserved community affordable and locally available services
must be provided.These services should be disseminated in an intelligible manner, sensitive
to the personal needs and specific culture of the client.
Dr Dennis sraelski Medical Drector Sar Mateo County AIDS Program 3700 Edison Street,
Sari Mateo, CA, USA 94403 Telephonre: (4 15) 573-2385 fax: [phone] enail:
dmi/t/camis.stanrford.edu
Mo.D. 1906
RANCAP - RURAL ALASKA NATIVE COMMUNITY AIDS PLANNING
SpeieTracy,* Barney David**. **Chugachrniut Native Corporation. National Native
American AIDS Prevention Center
Issue: Due to the isolation of Alaska Native villages arind scarce available resources it is irnportant for the indigenous peoples of Alaska to be actively involved in prioritizing essential HIV
services.
Project: An LIIV/AIDS community prevention /case management program servicing seven
Alaska Native Communities held three community planrning meetings to address -IIV/AIDS
service delivery issues to rural Native villages.These meetings brought together medical and
social service providers with tribal leaders, community menmbers and HIV+/AIDS Alaska
Natives.The goal of the meetings were to provide an environment of open dialogue
between villagers and services providers. Optional villagers were able to discuss and prioritize desired HIV services, ultimately empowering the villagers with the ability to provide
leadership and direction to their own community based intervention.
Results:Through the community-based planning meetings the Native people were able to
distinguish and prioritize services they believe to be essential. Five sub-headings of primary
concern were developed; Community Responsibilities, Prevention Education, Case
Management, and Social and Medical services. Prioritizing services occurred with each sub
heading. Highest ranked services included village council empowerment, alcohol issues of
services, including service provision responsibility
Lessons Learned:These mreetings provided a means for Alaska natives to become actively
involved in the development and implemnentation of service delivery to villages. Lastly a
foundation was created for services providers to better collaborate their service delivery
Tracy Speie. HIV/AIDS Prevention Coordinator/Case Manager 420I Tudor Center Dr
Numrber 210, Anchorage, Alaska 99508 Tel: [phone] Fax: [phone] I
Mo.D. 1907
WHITES, AFRICAN-AMERICANS AND HISPANICS IN VIRGINIA:A COMPARISON OF
BELIEFS ABOUT HIV TRANSMISSION, PREVENTION AND RESPONSIBILITY.
Kennaner, J. David, Bradford, J.B. VA Commonwealth Univ. Survey Research Laboratory and
Hendricks, MJ,VA HIV Community Prevention Pisisning Conaiintee
Objective: [o compare beliefsR about HIV transnissionr, prevention measures and responsibility for UIV prevenstion and treatnsent, surveys were conducted witha randoni sariples of
White (W), Afican-American (AA) and Hispanic (H) adults in Vrginia (VA), USA, in canjunction witfi the VA HiV Prevention Cornnmunity Plarmiig Conmnittee.
Methods: Data come from (I) a gene ral popul ation random sample telephone survey conducted jars. 19-Marcha 22, 1995 contaning responses frorn 1,087 W arid 365 AA adaalt resider-its ofIVA anad (2) a random sanaple telephone sunrvey of 492 adult Us romn areas with
greatest concentration of Us VA conducted April 8-June I I, 1995.
Results: On 9 qurestions relating to beliefs abaout IIIV Irarinsaission,Ws averaged 5.67 correct, AAs 4.56, uad fs 3.82 (vFI 623 I; p 0000)f Of 5 questions about Iknowledge of HIV
prevention techniques, Ws averaged 2.63 conraect, AAs 2.42 arid [-s 2. 10 (Fs=44.24;
p=.0000). Education and income are highly correlated with correct responses on both
indices for all gaoups. Speaking English is highly correlated with correct responses for Hs. Of
Ws, 73% say that government involvement in I iiV prevention is very important, compared
to 88% of A/As and 9 I% of Hs. OfWs, 54% said that governnent should pay for HIV rnedical treatment, compared to 80% of AAs and 81% of Hs. Of Ws, 86% said that people with
HIV/AIDS should pay for their medical treatment, compared to 69% of AAs and 46% of Hs.

Thirty-one percent of Ws, 52% of AAs, and 61% of Hs strongly agreed that the federal government should set up clinics to care for those with HIVWs with higher income and education are less likely to support federal clinics or to agree that government is responsible
fui -IV fpceve ion arid rmedical are and more lilcely to ag ree that individuals with HIV