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

1046 Abstracts 60258-60263

12th World AIDS Conference

Study Period: January 1st, 1992-December 31st, 1997.
Study Participants: 243 subjects from 5 North African Mediterranean countries:
100 from Tunisia, 70 from Algeria, 53 from Morocco, 19 from Egypt and 1 from
Libya.
Study Tool: Standard questionnare administered before udergoing HIV test.
Statistical Analysis: Multiple logistic regression analysis.
Results: Sex distribution was: 228 males and 15 females; 8 males reported
homosexual behaviour and 15 patients (8 females and 7 males) reported prostitution. Ninety-two individuals (39.1%) reported injecting heroin use (29 among
them also reported injecting cocaine use), 142 (58.1%) non-injecting use and
6 (2.5%) non use of drugs; the majority among drug users (91.9%) reported to
start after coming to Italy. The overall HIV prevalence was 3.7% (9/243): it was
higher among injecting drug users than among the others (8.4% versus 0.7%, p
< 0.01). Among the patients reporting injecting drug use, cocaine use was found
independently associated with HIV infection.
Conclusions: Our data show that the acquirement of HIV infection among
North African individuals attending our center is mainly related to injecting drug
use, that they start after their arrival in Italy. The results suggest the need of intervention program targeted to minority population frequently involved in behaviour
at risk for HIV infection.
60258 HIV infection and related behaviour among Columbian
female, male, and transsexual sex workers in Rome
Laura Spizzichino1, M. Zaccarelli2, S. Venezia1, P. Gattaril. 'AIDS Unit ASL
RME Rome; 21RCCS L. Spallanzani Rome, Italy
Objective: To analyze the HIV related behaviour in a group of sex workers from
Columbia attending a HIV clinic that is traditionally the reference center in Rome
for foreign people.
Design: Cross-sectional and follow-up study.
Methods: The data, collected from a standard interview routinely performed at
each visit (enrolment and follow-up), concern for the patients asking for HIV testing and treatment between May 1st, 1992 and December 31st, 1997. A structured
counselling was also routinely given.
Results: Overall, 151 subjects from Columbia, reporting prostitution in the
previous six months at the enrolment, attended the center in the study period:
120 were transsexuals, 22 females and 9 males. HIV prevalence was: 22.5%
among transsexual, 22.2% among male and 0.0% among female patients. Only 6
patients (all transsexuals) reported intravenous drug use, but all groups reported
a high number of sexual partners (median of 150 partners per month in the last
six months among transsexuals, 110 among females, and 60 among males).
The proportion of patients who reported regular condom use with clients was
77.3% among females, 70.0% among transsexuals, and 55.6% among males
and increased during the follow-up. Among 56 (out of a total of 70) initially HIV
negative patients returned for at least one follow-up visit, 7 HIV seroconversions
were observed: 6 among transsexuals and 1 in a male patient. The proportion of
seroconversions was 2.3% (1/43) among subjects who reported regular condom
use with clients during the follow-up versus 50.0% (6/12) among those who did
not (p <.001). All female prostitutes reported to refuse anal sex, to use water
based lubricant, and to routinely undergo gynecologic examination.
Conclusions: The number of sex workers from Columbia attending our center
in recent years is dramatically increasing. The high rate of HIV seroconversions
observed in omo/transsexual prostitutes was related to unsafe sexual practices
and suggests that these groups need more prevention efforts, while female sex
workers showed lower risk behaviour and better self healthcare.
60259 Control of neuropathy, loss of appetite, skin infection in
HIV/AIDS patients using herb medicine (3G)
Life Hong, Dukshin Hong. PO. Box 48983, Nairobi, Kenya
Background: HIV/AIDS is a major public health night-mare and the most serious
socio-economic and development its up. The rich-poor face same problem of
access to care for HIV infection and its related illness in CBHC programe recurrent Neuropathy, Lymphadenitis, Skin infection, Loss of appetite, Lack of sleep
and Oral thrush are main medical problem which HIV/AIDS patients complain. To
reduce this problem, a research was done on herb medicine(3G).
Methods: The HIV positive patients who attended the clinic with above symptomes note were kept on this herb medicine(3G) and fresh fruits for 15-30 days.
And prepared HIV, Liver Fuction, Urine, CD4/CD8 tests were done regulary in
University of Nairobi.
Results: We treat more then 30 cases, they were lightly controlled their all
symptomes 100% within 3-5 days. And the reduction of CD4 was controlled too.
Conclusion: As the scientific analisis continue of this crude 3G, this 3G is
being introduced a routine method for controlling the above medical problem or
HIV/AIDS patients.

S60260 STD management in the private sector in Osun State,
Nigeria
Ayodeji Oluwole Odutolu. Life Vanguards 28 New Iwo Road, Osogbo PO Box
2182, Osogbo, Nigeria
Objectives: - To determine the beliefs and health seeking behaviour of adult
Nigerian on STDs and the current treatment regime among private health care
providers in Osogbo, Nigeria.

Methodology: - 200 questionnaires were administered and 4 FGDs held.
Service records were obtained from 10 private hospitals and laboratories.
Results: - Condom used as a means of prevention for STDs was not considered by respondents. In more than 75% of cares, preventions with locally
purchased, antibiotics and herbs is considered suitable. Many claimed they will
use condoms only because of HIV/AIDS.
Health Seeking Behaviour: - Self medication is the order of the day. There is
a lot of antibiotics abuse. If self medication fails, 35% of respondents will contact
traditional practitioner while 40% will contact chemist and phamacist, the private
clinic comes fourth while the public hospitals and STDs clinic are rarely contacted
(5%). Most people consider the use of laboratories as a waste of resources.
Medical treatment of STDs at the private clinic is syndromic. But it is an issue of
guess work or the available medication. Most private clinics have no access to
the government syndromic management manual.
The current belief of STD and the health seeking behaviour promotes the
spread of HIV/AIDS in Osun State, Nigeria. Proper syndromic management of
STDs have not been fully integrated into the private sector in Osun State, Nigeria.
60261 | Network provides opportunity for skills sharing, support
and a raising of professional standards for interactive
trainer-facilitators in HIV education
Lisa Heft. S.F AIDS Foundation PO. Box 426182, San Francisco, California, USA
Issues: Interactive training utilizes student-centered activities where the teacher
facilitates a creative learning process. This can often be more effective than the
traditional lecture-based approach, especially when combining the technical and
emotional aspects involved in HIV education. Interactive trainers use experiential
exercises with individual and small group activities and discussion, visualization
and role-playing, often combining adult learning theory with popular theater methods. Presenters serve as facilitators, blending the combined wisdom, cultural and
life experiences, and HIV knowledge levels of the group as students and teachers
teach each other. Interactive trainers often challenge traditional approaches within
their own agencies as they present new materials; therefore they can benefit from
networking with other facilitators to share lesson designs, evaluation tools and a
love for effective, creative learning methods.
Project: The Trainer's Network is a group of San Francisco Bay Area AIDS educators dedicated to using interactive methodology. The Network meets monthly
to trade lesson plans and activities, assist each other with training challenges,
eat and laugh together, field test new ideas, contribute new pieces to a growing
poetry and quotations file and share new materials and approaches.
Results: Members of the Trainer's Network look forward to their monthly meetings as a source of information, reflection and professional support. Members have
called upon each other to field test new lessons, peer critique newly-designed
activities and training manuals, do consulting work together, evaluate trainings,
develop evaluation methods, share lesson plans inter-agency and increase the
use of interactive methodology in HIV education. Topics for which interactive
activities have been designed by network members include everything from
immunology to behavior change theory. Trainer's Network members have also
designed a "Profile of the Interactive Trainer" which is utilized in their respective
agencies and have contributed to a national interactive trainers manual.
Lessons Learned: The interactive Trainer's Network provides support, educational opportunities and feedback for colleagues in the field as it raises
the level of quality, consistency, creativity and professionalism for effective HIV
education.
S60262 Control system of AIDS detected docume
Hua Li, S.J.S. Shen Jing Sheng, L.Z.P. Lu Zhi Ping. No. 33 North Shamian St.
Guangzhou, PR. China
In this article the author introduces the development and function of the HIV
antibody test data management system of Guangzhou Health and Quarantine
Bureau. By differentiating the name, age, sex and nationality of the sudjects,
starting from the angle preferable to the management of the test and by using
relative data management system, we process the HIV materials to be tested.
There are 12 targets to be tested for the original record, such as code, name,
sex, age, nationality, occupation, sample to be tested, date to test, proposing unit,
purpose, result of HIV antibody test and report. Being equipped with relatively new
prompting input technology, this system can help consulting, indexing, modifying,
printing, counting and collecting rapidly, conveniently and accurately in many
ways, In this way, management work is done with higher efficiency* data is more
accurate, work is standardized and management is more scientific.
60263 Incidence, type and influence on viremia of intercurrent
infections in patients with HIV-1 disease
Soledad Lopez Calvo1, C. Pereiro2, A. Castro1, P. Vega1, M. Hermida3,
J.L. Diazt, J.D. Pedreria1. t Unit Of AIDS, Hospital Juan Canalejo La Coruna,
Angela B De Sota 1-9~ 15009 LA Coruna; 2A.C.L.A.D. La Coruna; 3Health

Sciences Institute La Coruna, Spain
Objectives: To analyze the incidence, type and influence on viremia of some
intercurrent infections in a group of HIV patients periodically controlled as outpatients.
Methods: 63 patients were included and evaluated at three month intervals
for intercurrent infections and for quantifing HIV-RNA plasma level by Amplicor