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

12th World AIDS Conference

Abstracts 60887-60891 1163

only one had a VL lesser than 20 c/mL. All the other sample results were higher
than this cut-off value and 4 of them had more than 500 c/mL.
Conclusion: This evaluation indicates than in the majority of samples (66%),
the use of an ultra-sensitive method for HIV -RNA quantification with ubiquitous
primers is a valuable approach. In most discordant results (87%) a higher level
is evidenced. Two aspects need further investigations: high values seem to be
underestimated; negative HIV-RNA value obtained by standard methods is rarely
associated with an undetectable level using ultra-sensitive HIV-1 Monitor' with
ubiquitous primers.
S60887 Relationship between HIV/AIDS acquired patients and
family and community - Present situation and solution
Van Doan Nguyen, Hong Loan Vo, N.G.A. Huynh, D.A.N. Tran. Sociology Centre
Ho Chi Minh National Political Academy Cau Giay Hanoi, Vietnam
Objective: - Make a fair assessment on the attitude, behaviours, responses
conducted by HIV/AIDS carriers, and the members of his/her own family and of
the community.
- Recommendations on relationships improvement solutions for contribution to
peaceful live with HIV/AIDS patients and children protection within a world with
AIDS.
Design: The survey was carried out in 19 communes and wards of 3 provinces
(Quang Ninh, Dac Lac, Dong Nai) having high rate of HIV/AIDS carriers.
Methods: Analysing available documents and Method of observation
- In-depth interview with individuals: 61 targeted HIV/AIDS carriers living with
their families and 61 members from core families having HIV/AIDS infected
persons.
- Questionaire: The number of interviews are 605.
Result: - Attitude and behavior between the HIV/AIDS infected persons with
their families.
- HIV/AIDS carriers: 61/61 embittered (100%); 61/61 obsessed towards family
(100%); 3/61 resigned to (0.49%) and 1/61 heavily depressed (0.16%).
- Their families Obsessed families: 61/61 (100%), with certain distance 57/61
93.44%), with very great distance 4/61 (6.56%).
- Attitude and behavior between the HIV/AIDS infected persons with the community.
-HIV/AIDS carriers: 49/61 very obsessed (80.32%), 12/61 obsessed (19.68%).
- The community: Aid to HIV/AIDS persons in fact is very low: aid in kind
1.65%, aid in cash 0.66%, spiritual stimulation 18.51%, employment creation
3.64%, employment for HIV/AIDS family 1.16%, hardship allowance 2.15%, free
care 12.88%, other aids 1.65 and unknowing 62.81%
- Exiting and further complexes in relationships and the wide gap to be filled
back.
- Incease of necessary, timely and efficient information consultancy.
- Performance of management and care for HIV acquired people in families as
main solution and establishment of a special unit for AIDS patients.
| 60888 Prevention for all
Maria Adelaide Xavier. R. Euclides Da Cunha, Brazil
Issues: The need of education professionals - as influence agents among children
and teenagers, prepared to deal continously and in prior to prevention.
Project: since 1994, the Santos STD/AIDS municipal project, has been enabling
educationers who were realizing interventions at schools from this experience on,
in 1997, it is initiated a focused task to the "teachers of all", reinforcement teachers, teachers who make up for others when they are absent. Such educations
professionals have received STD/AIDS drug addiction, sexuality and solidarity
training to deal with HIV carriers. Different strategies were elaborated according
to age, and weekly intervention were initialed with their students at the highschool
classes preservatives were distributed.
Results: 132 educationers were enabled, who reached 3171 students from 8
years old to 24 years old (from 2nd grade and technical highschool), through 317
workshops in the whole 14 schools were involved in Santos.
Lessons Learned: when a task is being developed at a school, it is intend
that an effective prevention program cannot be reduced to a point intervention;
but consistency, stability and supporting are required, therefore the investment
shall be done in the curriculum structures, and its post analysis reviewing and
adaptation are not only a touch process but also rich and required, which should
be shared and builtup aiming one common objective, that is intitutional, social
and individual reduction related to STD/AIDS drug addiction prevention for all
60889 Formation project of STD/AIDS formation multiplies
teenagers
Tawia Maria Justo1, M.A. Xavier2. 'Av. Bernardino De Campos 671/71;
2Programa Municipal DST-AIDS, SP, Brazil
Issues: Implement effective strategies to STD/AIDS prevention among Santos

public schools teenagers.
Project: The STD/AIDS municipal program implemented in 1995 the STD/AIDS
and drugs multiplier teenager in municipal schools, viewing provoke among the
youngsters a discussion about their vulnerabilities related to HIV infection, sexuality, reprodutivity and drugs addiction. Due to the language, a characteristic
common problem of this phase and the creation of favorable space to dis
cuss above mentioned themes the multiplier teenagers previously selected and
capable, coordenated with great success the workshops inside the schools.
Results: Between 1995 and 1997 110 multiplier teenagers were trained and supervised; 119 STD/AIDS drugs workshops were realized reaching a total of 3169
2nd grades and high school students from municipal schools. The teenageers
were selected from 14 years old to 18 years old, considering their availability and
interest degree.
Lessons Learned: noting that language and the common characteristic problems experienced in this phase and the creation of a favorable space to discuss
these subjects have contributed to the sucessful performance of this project. The
teenagers can be better reached if they receive prevention messages from their
pairs.
60890 Profile of women attending STD counselling centre at
Government General Hospital (GGH), Chennai
K. Vani A. Kothandan, S. Sankaran, P. Thankachen. DESH, 3 De-monte Colony
TTK Road, Alwarpet, Chennai 600018, India
Objective: To study the profile of women attending STD Clinic at GGH.
Design: A total of 50 samples were selected using non-probability convenient
sampling using interview schedule as a tool.
Result:
Variables ~o

Age
Educational Qualification
Marital Status
Occupation
Income
Knowledge about STD/HIV/AIDS
Ways of Acquiring Infection
Spouse Extra Marital Contact (EMC)
Spouse + Alcohol + EMC
Sexual dissatisfaction with Spouse
Young Widow
Commercial Sex Worker
Poverty

16-31
Illiterate
Married
Unorganised Sector
Rs.800/NIL

38
42
49
58
38
82

31
20
14
10
15
10

Lessons Learned: From the results it is evident that a large percentage of the
attendees have marital disharmonies and partners addiction to alcohol leading
them to high risk lifestyle. These can be intervened through marital counselling
and family life education. Another factor is illiteracy among most of the attendees.
Due to their ignorance about STDs they get infected through high risk behaviour
of their partners. Hence education on STD/HIV is imperative.
60891 Training of people with HIV infection for a
community-based care program in Ho Chi Minh City
(HCMC), Vietnam
Wanda Figueroa12, T.H. Tran3, P.K. Kloser1, P.K. Correll1. UMDNJ/New Jersey
Medical School, Newark NJ; 2695 Cardinal Hill Lane, Powell, Ohio, USA;
3Center for Tropical Diseases, Hochiminh City, Vietnam (USA)
Issues: An increase in the number of people with HIV infection that lack family, social, economic and/or medical support has been noted in HCMC. Certain
populations at-risk for HIV infection have not received education and prevention information through existing programs. The rate of HIV infection has not
decreased in high-risk groups, particularly commercial sex workers.
Project: A pilot program, "Friends Helping Friends", has been developed by
the Center for Tropical Disease in HCMC. The program consists of 45 three hour
courses conducted over a period of 5 weeks by physicians, nurses and social
workers. The course topics include patient care, hygiene, psychosocial aspects of
HIV disease, finding sources of housing, food, clothing and funds for health care
and treatment, safe sex practices, the location of needle exchange programs, the
prevention of HIV transmission and the principles of self-care. Participants are
volunteers that are HIV infected and will be certified by the AIDS Committee. A
major program goal is to facilitate interaction among clients with HIV infection,
their families, the community and health care providers.
Results: The first class of 24 volunteers had their first course in January of
1998. The class consisted of twenty males with a history of intravenous drug use
and four females that had been commercial sex workers. The class members
were excited about assisting other people with HIV disease. The members felt
that they could limit suffering and reduce the negative view of HIV disease by
assisting their community.
Lessons Learned: Studies have shown that peer education has not been effective in HCMC for reducing high-risk behaviors, however, this unique approach
provides practical assistance in conjunction with education and may be more
successful. Participants and instructors are committed to the program which may
determine whether the program is successful in obtaining the envisioned goals.