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

12th World AIDS Conference

Abstracts 60763-60768 1141

60763 Peer education for youth groups/NGOS
Purna Chandra Misra. 65, Pawani Complex, Jagamohan Nagar, Jagamara,
Bhubaneswar, 751030, India
Orissa is the most backword state of India. There is no sex education either in
formal or non formal education system, for youth. YD has a net work of 300 youth
Ngos spred all over orissa. In order to educate the youth out side the formal
structure of education IIYD trained 45 representatives from 45 NGOs to multiply
the idesa of Sex and sexuality to the local and district level. Technical support
obtained from NAZ Foundation and British Council. The TOT helped to scale
down the idea to 500 people of 250 organisations
Results: (1) Five hundred peer educators are trained.
(2) Gender specific program helps a lot in communication.
(3) Local language and Colocal languges are essencial for education.
(4) Sexual language acquantance facilate sexual behavour change. Most of
the TOT participants ahave sexual life beyond their usual partner. This is in cases
secret.
(5) People who know safer sex do not practice because of immotation quickness
of sexual activities.
(6) (6)Participants proud of Indian cultureare indulged in unsafe sexual practice
and play dual role one in IN and other OUT.
60764 Knowledge and attitudes about HIV-AIDS: A comparative
study
Monica Revigliono1, C. Reynoso1, P. Spoleti1, R. Bortolozzi2. 1Faculty of
Dentistry, 2Faculty of Medicine, 585 San Juan St, 2000 Rosario, Argentina
The magnitude of AIDS in Argentina presents an alarming dimension. This study
was conducted to know the degree of information and acceptability about this
subject in our environment A random sample was selected, where 100 of the
participants were patients (P) that came to the Fixed Prosthodontics Department
(Faculty of Dentistry, National University of Rosario, Argentina) for their assistance; 100 were students (S) of the last academic year of dentistry; and 100 were
dentists (D). As a measurement instrument a questionnarie was developed, to
determine the degree of knowledge and the attitudes toward HIV-AIDS, with 8
questions: (1) Do you know what is the HIV?, (2) Do you know how the virus
is transmitted?, (3) Do you consider that you have a risky behavior?, (4) The
prevention campaigns through the media: inform you about this subject?, (5)
Do you believe that you are infected?, (6) Would you receive assistance from
an HIV positive dentist?, (7) Woud you receive assistance in a dental office
where an infected patient was treated before you?, (8) Woud you work close to
an AIDS patient?. This questionnarie was answered anonymously, but with the
group identification (P, S, D,); the acceptable values was yes (Y), no (N), and no
answer (NA) was recorded when some questions were not answered. The data
was computerizated using the Epi Info 6 program.
Results:

Results: The team is more integrated if they know about the limits and the
largeness of their functions. This reflects work's efficacy, at the attendance, at the
coordination, at the supervision of monitors and agents.
Discussion: The supervision, made through different ambits, promote a better
work integration and reaches more efficiently the project's target.
60766 AIDS prevention campaigns on TV: Men as target
Adriane Roso1, S.M.N. Nora2, R.M.G. Gue3. 1Rua Luizafonso 234, Porto Alegre,
RS; 2Secaode Controle Das DST/AIDS, 3Escla De Saude Publica, Porto Alegre,
RS, Brazil
Three sources of data were used: (1) a Round-table, composed by individuals
representig the public health field, (2) Focus Group with the sample and (3) the
Word Association Technique. The sample was composed by 10 subjects, divided
in two groups. (Group one-G1-:5 men, 20 to 30 years of age, up to 8th grade
completed, with an annual income up tp $1.500, and Group two-G 2-5 men, 30
to 40 years, 9th up to 13th grade completed, with an annual income between
$1.500 to $3.000.
The Content Analysis was used to analize the data. It was observed some
differences between the two groups regarding the reasons of the non use of
condoms. The participants of G1 said they do not use it because it does not offer
security and it can burst. On another hand the participants of G2 said they do not
need to use condom because they are married.
The findings show a necessity of specific campaigns about the efficacy and
quality of the condoms.
The campaign, as a whole, was effective in achieving its most immediate
intended target audience, considering the target understood the message. The
campaign broke the traditional patterns of prevention campaigns in Brazil, associating sex to pleasure.
60767 Dry alcohol days during festivals to prevent HIV/AIDS
Puja N. Ambwani, I.S. Gilada. Indian Health Organisation, Municipal School
Bldg., J.J. Hospital Compd. Bombay, India
Issue: Spearheading the Nation's crusade against AIDS since 12 years, we are
often confronted with strange issues, hitherto not described elsewhere, wherein
there is hastened spread of HIV/AIDS as a result of free-flow of alcohol. While
religious and political leaders have taken a back-seat in harm-reduction, our
NGO, acclaimed for its innovations in AIDS prevention-uses multi-prong strategies. Larger AIDS control during religious festivities in India could be achieved
through an informed policy on dry alcohol days.
Methods: After series of advocacy meetings with political/religious leaders and
police officers to impress upon them the impact of festivities on alcohol consumption and subsequent unsafe sex resulting in HIV/AIDS spread. The community
leaders were urged on a CODE OF CONDUCT to avoid sponsorships from Alcohol and Tobacco companies; de-facing their ads; to refrain people from high
risk behaviours; to conduct anti-AIDS campaigns and to divert some funds for
the same. The Government in sharp departure from its usual stand, had organised Display Competition on "HIV prevention through gods" with our technical
guidance.
Results: During Ganesha Festival in Bombay alone 100 million US$, equivalent of five year national AIDS control budget, is spent and millions of youngsters
spend innumerable working hours. Consumption of Alcohol and Sex Workers
increased many fold during such festivals in past; now contained by at least 60%.
During months of Shravana (Hindu) and Ramzan (Muslim) people from respective
religions practise restraints on such vices. During dry days of parliament elections
in 1996, CSWs recorded 50% reduction their clients.
Lessons Learned: Having impressed with the sincerity in saving youth, the
authorities conceded to our suggestions. Dry period benefits the youth in long
run, besides helping Police maintain law and order during the festivals. Without
prejudice against any religion, Fasts and Dry days can play a major role in control
of HIV/AIDS. Certainly similar exercises can help in larger prevention and control
of HIV/AIDS.
S60768 Knowledge on maternal-child HIV infection among
Objective: To investigate the extend of knowledge on maternal-child HIV infection
and sources of information on HIV/AIDS obtained by women in small villages in
Thailand.
Methods: Eight-item questionnaire was conducted with 100 women (15-40
years old; mean 31.4). Seventy three percent of the Subjects were married,
mostly being daily wage workers. Average yearly income was about US $1,000.

Result: While 80% of the respondents reported their awareness of the risk
of HIV infection through breast feeding, the risk of HIV transmission to a child
through pregnancy was recognized only by 71%. Major sources of the information listed were television (57%) and at the hospital (48%), whereas information
brochure (19%), school education (7%), and poster (3%) were of less impact.
Conclusion: Although general information on HIV/AIDS is available on television or at the hospital, the prevalence of information on maternal-child infection

Patients (P)
1) Y: 93.10%2) Y: 93.10%
3) Y: 29.20%
4) Y: 58.30%

N: 5.60%- NA: 1.40%
N: 6.90%
-N: 70.80%
N: 37.50% - NA: 4.20%/

Students (S)
Y: 100%
Y: 100%
Y: 59.80% - N: 40.20%
Y: 43.32% - N: 56.70%

Dentists (D)
Y: 100%
Y: 100%
Y: 50.90% - N: 49.10%
Y: 41.80%- N: 56.40%NA: 1.8%
N: 100%
Y: 47.30% - N: 52.70%
Y: 50.90% - N: 49.10%
Y: 96.40% - N: 3.60%

5) N: 100%
6) Y: 44.40% - N: 52.80%
7) Y: 41.70% - N: 54.20%
8) Y: 77.80% - N: 22.2%

N: 100%
NA: 2.80% Y: 42.50% - N: 57.50%
NA: 4.20% Y: 41.70% - N: 58.30%
Y: 97.60%- N: 2.40%

According to these results we conclude that exist a high degree of disinformation, this suggests that the educational actions implemented by the institutions can
not produce changes in the community behavior, so we recommend to intensify
all the actions to achieve a more aware society.
60765 The importance of supervision for the harm reduction
project's team
Marta Conte1, B.T.N. Barcellos2, S.D. Siqueira3, M.R. Mayer3. 1 Praca das
Nacoes Unidas, 61/301; 2Health State Secretariat, Porto Alegre, RS; 3Health
City Secretariat, Porto Alegre, RS, Brazil
Problem: The Harm Reduction Projects are very recent, imposing in this way to
each Country or State to construct their peculiar form for developing, adjusted for
their local reality. Because these project approaches the use of illegal drugs, frequently produce some repercussion in different social segments: police, religious,
domestic and others. These repercussions are expressed by resistance and have
direct consequence above the team that develop this project. In Porto Alegre
(State of Rio Grande do Sul), in the south of Brazil, the project began in 1996
and the project's team are composed by a coordinator, a psychologist supervisor,
a psychologist assistant of coordination, ten monitors and some spontaneous
community agents.
Program: Despite the necessities that are coming, some types of supervision are created: a) for the project's ambit, through extern advise; b) for the
coordination's ambit, through the supervision by a psychologist; c) by the field of
activity, through the coordinator's supervision among the monitors; d) for the team
activities through the supervision of the psychologist assistant of the coordinator,
including the monitor's relationship during the work; e) for the community agents'
ambit through own monitors among the community.