Bridging the Gap: Conference Record [Abstract book, International Conference on AIDS (12th: 1998: Geneva, Switzerland)]

12th World AIDS Conference

Abstracts 60078-60084 1015

which counselors can develop the technique of counseling from the beginning to
advanced skills by themselves.
Lessons Learned: Basic knowledge about women's rights and children's rights
have awared all counselors to think clearly how to handle and to manage for the
best benefit of the clients in all situations, especially for women and children. AIDS
have promoted women's status in Thai -society to gain more equally powerful with
men.
60078 Survival of AIDS patients in Manipur, India
Ashok Agarwal1, P. Singh Narendra2, T. Singh Dinamani3, N. Singh Devendra4.
1108 Rastraguru Avenue Nager Bazar Calcutta 700028; 2Senior Physician &
Pram JN Hospital Imphal Manipur; 3Medical Office JN Hospital Imphal Manipur;
4Hony Admininstrator ICMR Project on AIDS Imphal Manipur, India
Background: Manipur is facing the brunt of HIV epidemic since 1989. Data on
AIDS survival in Asia is scanty.
Objective: To estimate the median survival time of AIDS patients from the
point of diagnosis to death in an underdeveloped zone (Manipur) of a developing
country (India).
Design: Retrospective study.
Methods: AIDS cases diagnosed in Imphal (capital of Manipur) between
1993-1995 by the State Physician Responsible for AIDS Case Management
(PRAM) located in JN Hospital re studied retrospectively from the hospital records
and following up the individuals within the community.
Results: Out of 71 cases diagnosed, 64 (90%) had died. Extra-pulmonary
Tuberculosis was the comonest (45.3%) AIDS defining disease.
The median survival time of AIDS patient was found to be 3.9 months (95%
CI = 5.4-9 months). The variation of survival times was observed with age,
number of initial AIDS defining diseases, initial diagnosis (Extra-Pulmonary TB
only/Esophageal Candidiasis only/HIV Encephalopathy only/HIV wasting Syndrome only/Others) and marital status.
Conclusion: The survival of AIDS patient in Manipur is among the shortest observed in the various parts of the World. To make AIDS patients live
longer in Manipur, the government is to frame and implement provision of better
management facilities of HIV/AIDS patients.
60079 Sexual practices among Nairobi University
freshmen
Benson Subiri Obwogo. PO Box 19676 Nairobi East Africa, Kenya
Issue: Campus students represented on educated cohort of the youthful population affected and infected by the AIDS scourge.
Project: This AIDS survey, targetting freshmen, tested their knowledge, Attitude, Behaviour and Practice, KABP, towards AIDS, through KABP self-administered questionnaires that were re-inforced by personal interviews conducted by
fellow students who were specially-trained peer educators. Topic guide questions
were used.
Results: All the students (100%) felt that AIDS was real on campus although the
administration had done little to curb its spread. They called for more agressive interventions into the problem, including seminars (75%), decentralized counselling
services (67%), less freedom (30%), more recreational facilities (80.9%), increased stipends (98%) and AIDS test before marriage (54%). Prostitution, stress
and loneliness and alcohol intake were also blamed. Although 61% had had sex
recently without using a condom, 81.3% and 75%, respectively, advocated for
condom use and abstinence to curb the disease.
Lessons Learned: That there is great need for AIDS interventions targetted
at Freshmen, and, which should be fully backed by the campus administration.
That these interventions should promote condom use, abstinence and mutual
monogamy and trust through peer education.
S60080 Evolution of the skin lesions developed through HIV
infection in children undergoing AZT treatment
Cristina Ileana losif1, I. Darasteanu2, S. Petrea2, M. Mardarescu2, D. Marian2,
P. Trifu3, I. Strauss2. 1Al. Campul Cu Flori Nr. 2B BI. C 17A Sc.l Et. 7 Apt. 29
Sect. 6 Bucharest; 2Colentina Hospital for Infectious Diseases Bucharest; 3N.
Gh. Lupu Hospital Colentina Bucharest, Romania
Background: The report was drafted as a feedback evaluation during a period of
1 year within the day care ward for HIV/AIDS infected children at the "Colentina"
Infectious Disease Hospital - Bucharest, Romania. The appraisal group consisted
of 98 children, 48 of them without ARV treatment (antiretroviral), that is group 1
and another 50 being subject to ZDV monotherapy, that is group 2. The average
age of these children was around 8 years old with limits between the ages of
2 and 13. As for the disease transmission way, it was exclusively non-vertical.
The skin lesion assessment was first done on both groups before the cure with
ARV and then periodically repeated every 3 month. The following skin lesions
were observed during the study: infectious lesions:- bacterial fungal vital parasitic

inflammatory lesions malignant neoplasias
Feedback: All types of lesions described above were presents in both groups;
as far as the group treated with ARV, a drop was noticed in the occurrence
of parasitic and fungal infections; the herpetic and zoster lesions had a slower
development and a scarcer occurrence amongst the children treated with ARV;
though several malignant neoplasias occurred amongst the children from both
groups, these did not surface at the skin level.

Comments: Though the ARV monotherapy is no longer recommended nowadays, and we have stopped using it also, it is worth emphasizing the softened
development of the HIV symptomatic infection at the children who received ARV
treatment. Given the lack of immunity monitoring means, the skin lesions (fungal,
vital) can stand as a token for the immunity drop.
60081 Women, HIV/AIDS and advocacy: Setting priorities
Juanita Chesnut1, Tamara Maynard2. 120 Richmond Place, Bronx, NY; 2Katrina
Haslip LawTAP New York, NY US
Issues: We will discuss barriers-and how to overcome such barriers- to HIV-positive women of color advocating for themselves.
Project: We will draw upon our personal experiences of how we became
advocates in our communities, in particular, how we became involved with peer
education and outreach through the Katrina Haslip Law Technical Assistance
Program.
Results: HIV-positive women of color face gender, culture, language and education barriers, but through advocacy and outreach, women who are themselves
infected become their own best advocates as they know what their needs are.
HIV-positive women are effective policy makers for the issues that concern us:
research on women's health and medication, ensuring that women receive health
care, prevention messages, childcare and other services.
60082 AIDS Outreach Programme targeting tribal communities
along the National Highway, migration of menfolk to big
cities and Udaipur being tourist city, hoteliers facilitate
sex trade
Dr Gopi Chand-Lodha. 5D New Fatehpura Udaipur (Rajasthan) Pin 313001,
India
AIDS being a social malady linked to the endemic poverty and modernisation. In
this tribal region, socio-economic and geographical situation and premarital sex
practice help spread. Rise in material aspirations, shift in the traditional attitudes
also contribute. For the women recourse to sex has become a necessity especially
along the National Highway where promiscuous truckers pay handsomely for the
casual sex. They also resort to homosexuality. Migration of men to urban areas
where they encounter sex with prostitutes transfer the virus to spouses and others.
The AIDS outreach programme of NGO Seva Mandir supported by 300 Health
Workers, 400 trained local professionals spread over in 500 villages attempts
to (1) Raise multi-sectoral awareness (2) Links STD, TB with AIDS (3) Achieve
gradually improvements in peoples quality of life by adopting self-help technique
(4) Try to bring changes in sexual behaviour (5) Try to augment income generating
assets. 46 Teams comprised of trusted Health Workers and paraprofessionals,
local village people visit door to door and discuss this difficult, not yet visible issue.
Contact local restaurant owners and provide First Aid boxes, condom dispensers.
Motivate people to visit local treatment centres for STDs. Contact truckers, give
literature. Arrange puppet shows, film shows, prayer groups, etc.
The illiterate poor women try to abstain from indulging into sex but extreme
degree of poverty compel to indulge again. By providing support through our
integrated socio economic programmes created an environment where such
sensitive issues are discussed freely. Mutual trust has been established.
Have to integrate poverty alleviation by introducing home-based income generating programmes. Their participation, Rapid Spot Test method, low cost treatment
affordable at village level, change in male attitudes to contraception, fertility and
sexuality and grassroots voluntarism are essential for comprehensive prevention
programmes particularly when AIDS are not visible.
60083 Take care psychologique of people living with HIV/AIDS
at home
Chritine Gonhiloagninhoun, J.K. Kouame, T.J. Tiehie, T.B.E. Tape,
14, Cote D'lvoire
Objective: To give psychological supports of the people living with HIV/AIDS at
home.
Strategy: Identify people living with HIV/AIDS in the ten (10) care structure in
ABIDJAN U S A C.
Result: About 1075 people living with HIV/AIDS are identified and followed
with personal agreement during one year, but 849 people have changed their
behavior in order to not complicate their mind with their new status after some
informations and advises.
The activity showed us that the care psychologique is very important in order
to make the people technique in good condition by the member, of association
of people living with the HIV/AIDS, this care is very important than CLINICAL
assistance.

60084 The effects of HIV infection on the quality and flow of
saliva
Elizabeth A. Coates', D.E. Wilson2, R.M. Logan2. Adelaide Dental Hospital,
Frome Road Adelaide; 2The University Adelaide, Adelaide, Australia
Background: Oral manifestations of HIV infection are diverse and occur frequently. HIV-related salivary gland disease and xerostomia are two such manifes