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

1154 Abstracts 60836-60841

12th World AIDS Conference

60836 HIV prevention should begin at school age (6-10 years)
Giovanni Piu, G. Pitzalis, V. Piu, E. Piu, C. Trarontin, A.M. Sotgiu. Sardinian
Association Preventions AIDS, Via San Saturnino 58/A, 09127 Cagliari, Italy
Issue: The A.S.P.A. (Sardinian Association for the Prevention of AIDS) wich was
founded in 1990 in Cagliari, brings together, as laid down in the first article of its
statute, all those, without distinction of sex or age, who would like to volontarily
contribute to inform, prevent and help in the fight against AIDS using all the
methods adopted by a non-profit making organization without any political or
religious tendencies.
Project: An educational programme against AIDS stimulate both personal and
social responsability and must include notions of sexual education and human
biology, therefore numerous experts of infective illnesses from the field of microbiology and virology who for many years have been fighting this illness work
for the A.S.P.A.. The Association's messages have been aimed at thousand of
primary, secondary and high students in Sardinia and Tuscany through meetings, marches, concerts and shows and have always been accompanied by the
presence of the Association's mascot "ASPINO". It should not be forgotten that
"ASPINO" is known all over the world having participated in the International
AIDS Conferences held in Florence, Amsterdam, Berlin, Yokohama and Vancouver. To date, more than 650.000 informative pampleths have been distributed
including "The story of ASPINO" given to primary school students. These were
printed thanks to financing from the Sardinian Regional Government and were
sponsored by the Health, Hygiene and Social Services Department. The booklet
is written in very simple language with a number of essential images wich explain
to the children what the HIV virus is, how it is transmitted and what the state of
HIV positive is.
Results: These initiatives have enabled us to obtain a reduction in the number
of cases of AIDS in Sardinia wich in fact has passed from 5th to the 11th highest
hit region in Italy for AIDS cases wich are reported on a regular basis by the
Italian Ministry of Health.
Lessons Learned: the Association was created in the knowledge that "Prevention" was the only effective low cost weapon, especially if aimed at the very
young (6-10 years old), and still today the main tool to fight this grave problem is
to inform and make people aware of how this pathology is sexually transmitted,
especially the young who are without doubt one of the groups most at risk.
60837 A help-with-housing workshop: an original tool
Sabrina Palama. Solidarite Enfants Sida 125 Rue Diavrov 75020 Paris, France
Issue: Access to housing and dynamics of families living with HIV: a collective
action.
Project: Housing being hard to find in the Paris area and families' situation
growing more and more difficult, Sol En Si created in 1993 a workshop for families
in need of steady housing. The workshop meets three times a week and is based
on: 1/advertisement scouting; 2/negociation between families on the offers directly
made to Sol En Si; 3/preparing applications for welfare housing; 4/assistance with
budget managing; 5/re-stimulation of people at the end of their tether.
Results: In 1997, out of 58 families who regularly attended the workshops:
16 were housed in Sol En Si flats; 6 got a social flat; 7 found an "on the market"
flat; 10 received financial assistance for private housing; 3 got therapeutic flats; 5
are not in touch any more; 6 still attend the workshop.
Lessons learned: The initial principle, which was based on an energy balance
to settle the problem, i.e. 50% energy from Sol En Si, 50% from the families,
seems correct so as to ensure proper integration of the family in their new home.
S60838 Experience of an NGO (ASO) on orphans support
Bethy Mbuyi Nkashama1, Muadi Ado Tshibambe2, Safi Valy Elonga3. 1Musumari
no 8, Lemba/Bighini; 2Assistance Aux Orphelins (ASO) Kinshasa; 3Project
Sida/Esenaf Kinshasa, Congo/Kinshasa
Objectives: Provide AIDS orphans with an assistance in health field, in nutrition
and education.
- Spiritual, moral and material support.
- Teach one of the survived parent how to take ends living.
Methods: Identification of orphans whose parents died of AIDS and their
guardian
- Registration
- Visit to the family
- Counselling
- Supervision of some activities.
Results: For 2 years we have registered 200 orphans: 80% orphans have one
member of the parent died, 20% have no parents (two dieds). After visit and
counselling ASO's member, 15% have changed their behaviour, they accepted
that they are seroposition. 44% attend prayer session where they find peace of
heart and feel no longer lonely. 10% manage to sell bread, soda, in order to
support themselves. 5% learn a professional skill, 10% can pay their own tuition
fee and 1% refuse to coop.

Conclusion: Our founding limited, the pray and counsel have helped us to
take in charge of orphans. We wish some aids in the international NGO for giving
answer in our problems in our country.

S60839 Condom use and promotion among the low income
prostitutes
Bijou Banza Maloba1, Banze Faustin Yunba2. 1Ag Tshikapa Matondge Kalamu;
2Sidalerte RDC, Kinshasa, Democratic Republic of Congo
Objective: To determine the change resulting from condom use and promotion
among low income prostitutes.
Method: One hundred low income prostitutes were identified in the various
localities in Kinshasa. Baseline condom use, frequency of STD complaints by
syndromes and the HIV incidence were determined. AIDS sentitisation and proper
use of condom sessions were conducted. After one year, the frequency of condom
used, STD complaines by syndromes and the HIV incidence were analysed.
Result: Baseline regular condom use 40/100 (40%), 60/100 (60%) complained
of STD related syndromes, 60/100 (60%) HIV incidence. After one year, 80/100
(80%) used condoms regulary, 25/100 (25%) complained of STD syndromes and
HIV incidence 15/100 (15%).
Conclusion: Persist condom use for sex among low income prostitues is highly
possible and should be promoted.
60840 Sexual health interventions, networking and
sustainability
Kiran Verma, S. Bhattacharva, S. Sengupta, J. Hague, R. Naravan, N. Agrawa1,
S. Ray2. 1 WBSHP 9A Little Russel Street Calcutta-700071, West Bengal, India
Issue: Importance of building partnerships and effective networks in implementing
sustainable sexual health interventions
Project: The West Bengal Sexual Health Project (WBSHP) is creating and sustaining managed networks of key players including stakeholders of the WBSHP
at the primary level and network of NGOs, State and Central Govt institutions, research institutions, para-statal organisations, National AIDS Control Organisation
(NACO), UNAIDS and other donor agencies at the secondary level.
Results: The WBSHP has been successful in establishing effective networks
and building partnerships between various stakeholders and encouraging referrals
among project partners, private practitioners, governmental and other non-governmental institutions by a) identifying and stimulating existing networks, fora,
groups to effectively address sexual health issues, b) stimulating formation of new
networks to address sexual health issues especially across sectoral boundaries c)
documenting and disseminating best practice in existing and future interventions,
d) facilitating capacity building for effective advocacy, e) stimulating supportive
legal ethical environment for effective sexual health services access and delivery,
through research and training initiatives, f) publishing newsletter focusing primarily
on sexual health issues and g) facilitating exchange and exposure programmes
among peolple working in HIV/AIDS.
Lessons Learned: Networking support helps in establishing linkages between
sexual health policy makers, planners and organisations and individuals involved
in sexual health planning and service delivery for sharing knowledge, experience,
expertise and resources and to help in promoting best practice and advocating
supportive public policies and collective action. Stimulating effective networks
paves the way to sustainability
60841 STD/AIDS and soldiers in the army in Senegal
Amadou Sow Papa. S/C Project Raf 91/004 PNUD Regional BP 154 Dakar,
Senegal
Objectives: I am thinking about a project for solidiers who are big migrants
because of they use to be sent to work, after each two or four years some where
else the aim is to accomplish
(a) To increase dissemination of information on STD and HIV
(b) To increase accessibility to condom
(c) To encourage correct and consistent use of condoms
(d) To persuade then to adopt responsible sexual behaviour that decrease their
risk of Transmithing or contracting HIV
Methodology: I've yet identified, interventions in these regions (Thies/
KaolacK/Tambacounda/Saint-Louis), because of they are constitute as workissiter
for protitutes I intend to chose peer educator groups to conduct information, education and communication (IEC) activities, and reinforce the condom distribution
network.
Results: I am sure that the target population (SOLDERS and Protitutes) Would
use condom if the accesibility is very easy, and get a more responsible sexual
behaviour even the IEC activities are well done, such as, they get one regular
Partener.
Conclusion: Like I was a solidier infected by HIV, I can tell you that there is a
big danger in villager fas from the cities, like it is a taboo for woman of villages to
do not be able to have a boy friend soldier.
Donors agencies, the National Program on AIDS and NGO's figting againts
the AIDS virus have to combinate their efforts for the prevention of the migrating
Populations by faciliting carriyng out of strategies interventions and creating a
synergy of action in IEC, Controlled STD, free condoms distributions I would like

now to tell you that attontion must be given to a communication behariour change
with demands interpersonal communication by using local dialects, through rural
areas.