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

194 Abstracts 13543-13547

12th World AIDS Conference

HIV/AIDS was prioritized before the classroom programme. Teachers are being
trained to become resource persons for the students in school, to keep the sustainability of the programme. Classroom education on HIV/AIDS is being given
to Standard VIII with the help of trained teachers and appropriate IEC materials
developed by GAP.
Result: Under the project 220 teachers were trained and through classroom
intervention over 3500 students from the city of Ahmedabad were informed about
HIV/AIDS. Appropriate training has created an impact and there is is an increasing
demand for AIDS education in other standards in the schools.
Conclusion: Appropriate methodology and training can be effective to handle sensitive and neglected issues like sex, which has been recorded through
one constant demand of such programmes from the schools and from trained
teachers.
13543 1 A school-based AIDS education programme in Masaka
District, Uganda: Practicalities, problems and solutions
John Kinsman1, S. Harrison1, J.F. Kengeya-Kayondo1, E. Kanyesigye1,
S. Musoke2, J. Whitworth1. 1Medical Research Council Programme On AIDS,
P0O. Box 49, Entebre; 2Ministry Of Education Kampala, Uganda
Issue: - A useable, comprehensive and culturally acceptable AIDS education
programme is required for the school-going youth of rural Uganda.
Project: - As part of an on-going large IEC/STD intervention trial, a 19 lesson
teacher-based AIDS education programme was implemented and evaluated in
50 Primary, and 16 Secondary schools in 12 parishes of Masaka District, Uganda.
A series of 3 teacher-training and evaluation workshops spread over a year were
held in each parish, between which teachers implemented the programme in the
classroom.
Results: - 148 teachers were trained, and about 3,400 students were subsequently exposed to the programme. Teachers responded positively to the
programme, but problems were encountered in three areas: (i)language: the programme had to be conducted in English, which not all students could fully grasp; (ii)
programme content: the role play activities caused difficulties for some students,
and the condom lessons aroused resistance from sections of the community; (iii)
and practical problems, including: insufficient classroom time to implement the
programme; teacher mobility between schools; sexual harassment of schoolgirls
by male teachers, and communications difficulties due to poor roads. Solutions
include flexibility with the English language policy, alternative approaches to role
play activities, targeting influential individuals with information about the need for
young people to use condoms, and the formal inclusion of comprehensive AIDS
education into the curriculum.
Lessons Learned: - Teachers' positive responses suggest that this programme
has much to offer young people who attend school, and that it could be adapted
and repeated in other contexts. However, political support and a parallel community-based IEC programme are both vital to its success. In addition, implementation may be incomplete unless AIDS education is fully incorporated into the
curriculum, as extra-curricular activities do not always receive the attention that
they may warrant.
13544 Consumption of illegal drugs and condoms use in
students of four public high scool from Venado Tuerto,
Argentina
Jaquelina Giagnorio1, M. Pedrola1, N. Azcona2, M. Giagnorio2, M. Azcar2.
1Hospital A. Gutierrez, URUGUAY 202 2600 Venado Tuerto Argentina, Venado
Tuerto SF; 2Prevensida Venado Tuerto, ARGENTINA
Objectives: To determine if the relationship exists between consume illegal drugs
with the condom's use in students of public High School from Venado Tuerto.
Material and Methods: We made a voluntary, anonymous, self-administrated,
multiple choices survey to students of four public High School from Venado
Tuerto.
Results: Answered 832 students, 51 (6.4%) related consumed ilegal drugs,
sucked or injected. Relationship for sex was women 27 (52.9%) and men 24
(47.1%). Concerning the amount of last year partners: one (61.9%), 2 or 3
(14.3%) and 4 or more (23.8%). About the condom's use 27.3% answered always, never 34.1% and sometimes 38.6%; in addition, 72.7% regularly don't use
condoms.
Conclusions: We recognized that students addicts to illegal drugs are a risk
group to HIV infection and furthermore if plus the multiples sexual partners and
the low use of condoms. We believe that whom directed of AIDS's programs must
be more attention for enlargement efforts to this special population.
i 13545 Sexual transmission of HIV: Information on sexual
practices among university students in Rio de Janeiro
Marcia Teresa Belo1, A. Trajman2, E.G. Teixeirat, L. Selig3, M.T. Haddad
Junior1, M.B.C. Pereiral, M.M. Castello Branco1. 1Rua Ailton Vasconcelos
220/103, Ilha do Governador 21941-070, RJ; 2FTE Souza Marquez, U. Gama

Filho, SMS-RJ, Rio de Janeiro, RJ; 2FTE Souza Marquez, U. Gama Filho,
FAPERJ, Rio de Janeiro, JR; 3FM. Teresopoli S-Feso, U. Gama Filho, SES-RJ,
Rio de Janeiro, JR, Brazil
Objective: To evaluate sexual practices versus information on HIV transmission
among university students.

Methods: A questionnaire consisting of nine questions on information about
HIV transmission and eight questions regarding the student's sexual practices
was applied to 381 medicine and engineering students in the first and last year of
the graduation course in a private university in Rio de Janeiro, Brazil.
Results: The questionnaire was answered by 380 students. Among them, 251
(66%) were male, 231 (61%) were in medical school, and 212 (56%) in the first
year of graduation. Median age was 22 years (17-45). Sexual transmission was
ignored by <2% of the students, although oral, vaginal, and active male homosexual intercourse transmission were ignored by 24%, 12%, and 11% respectively.
In addition, 12% ignored that an apparently healthy person can transmit the virus
and 4% ignored that the use of condoms reduces the risk of transmission. Among
323 students who are sexually active, 5 (1.5%) had homosexual intercourse and
50 (15.5%) had more than 3 partners in the last 12 months. Anal intercourse was
reported by 134 (41%) and vaginal intercourse by 317 (98%) students. Condoms
were not used among 35% of the former and 38% of the latter. Out of 308
students who answered that condom use reduces the risk of HIV transmission,
155 (48%) reported always using it. There were no differences between medicine
and engineering students.
Discussion: Although the majority of students are aware of the sexual transmission of HIV, the transmission practices are not fully understood by a large
portion of them. Moreover, despite their understanding of the efficacy of condoms
in prevention, more than half the students have not actually changed their habits.
Conclusions: We identified two distinct problems. On one hand there is still a
need for reinforcing information campaigns in the media and teaching institutions.
On the other hand, the transmitted information is not attaining its objective, since
there is no apparent change in the sexual practices of half of the students.
S135461 Knowledge, attitudes and practices regarding STI among
Maasai youth in school in Kajiado district, Kenya
Thomas Verstraeten, E. Kiok, S. Tawuo. PO. Box 30461, Nairobi; Ministry of
Health, Kajiado; National AIDS Control Programme, Nairobi, Kenya
Objective: To establish base-line data on the level of knowledge about, attitude
towards and practices towards sexually transmitted infections.
Methodology: Questionnaires were filled by 877 primary school pupils and
857 secondary school students from 25 schools randomly chosen from the whole
district.
Results:

Mean age
Know at least 2 ways of HIV prevention
Think can get AIDS
Will assist a friend with AIDS
Have ever engaged themselves in sex
Have engaged themselves in sex last 3 months
Have had more then 1 sexual partner last 3 months
Have heard of condoms
Used a condom during last sexual contact

Primary Schools Secondary Schools
Boys Girls Boys Girls
14 yrs 14 yrs 17 yrs 16 yrs
57% 48% 83% 77%
37% 34% 54% 51%
78% 83% 98% 99%
53% 30% 76% 30%
15% 8% 63% 30%
6% 3% 21% 4%
89% 82% 98% 94%
28% 19% 38% 25%

Conclusion: The level of knowledge on HIV/AIDS and the modes of prevention
is relatively high. The self-assessment for the risk of infection is low. A majority of
boys and a large percentage of girls are already sexually active in both primary
and secondary schools. Although a very high percentage of both girls and boys
have heard of condoms, only a minority has ever used them ever or at the last
sexual contact. Boys are more sexually active and report higher condom use.
13547ý Are Serbian secondary school pupils informed about
AIDS?
Sanja Matovic-Miljanovic', Milica Scekic1, J. Petrovic1, D. Mitrovic2, S. Krstic2.
SInstitute of Public Health of Serbia, Olge Alkalaj 6/32, Beograd, Belgrade, FR;
2lnstitute of Public Health of Leskovac, Leskovac, FR, Yugoslavia
Objectives: The aim of this paper is to establish information rate of secondary
school pupils on AIDS, and to identify their interest on AIDS related issues.
Design: Prospective study
Method: The research was taken through 1996. on 1031 pupil from 5 secondary school from Serbia, age 15 to 18 years. As a research instrument, specially
constructed questionnaire is used.
Results: Young people know that sexual intercourse is one way of HIV transmission (96.0%), but they also think that HIV can be transmitted by coughing,
sneezing or pool swimming (15.0%). Even 64.0% of pupils believe that blood
donation or transfusion can transmit HIV. They state that most information's came
from TV and daily press, while popular literature, and health workers also ranked
high.
Conclusions: The results of research shows that secondary school pupils are
not enough informed on ways of HIV transmission. These require distributing
health informations of youth through continuous health education work in AIDS
prevention. It is necessary to establish a closer cooperation between secondary
schools and health educators, in order to achieve the best results.