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

886 Abstracts 43197-43201

12th World AIDS Conference

to develop projects and preventive actions in schools all year round. Niter6i is
the 10th county with the highest HIV infection rate in Brazil and epidemiological numbers have shown that 55% of them have been sexually infected during
adolescence.
Results: Implementation of a preventive STD/AIDS culture through a permanent commission for STD/AIDS managed by Grupo Pela Vidda - Niter6i and public
educational organs (formed by 60 teacher working in 45 schools among 6 counties, and 38.000 students taking part in varied actions for STD/AIDS prevention.
The project has reached 176.000 students in 122 schools from 6 counties.
Lessons Learned: Preventive work in STD/AIDS among teenagers are successful when methodologies which call for their participation are used, including
themes about sexuality, reproductive life and youth pregnancy.
S43197 HIV/AIDS/STDS education for prison communities in
Lagos State, Nigeria
Dora E. Ofobrukwenta, Regina Clement Akpan. Life Link Organisation 13
Commercial Rd. P0O. Box 2659 Apapa Lagos, Nigeria
Issue: The overall objective is to educate and train Prison Officers' Wives Association (PROWA) members, Prison Staff and Prisoners on HIV/AIDS/STDs
prevention and control.
Project: Based on the findings of our baseline data, which revealed a low
knowledge of HIV/AIDS/STDs held for the target population (i.e. PROWA, Prisoners and Prison Staff), detailed intervention programme was carried out. The
main objective was to educate and train PROWA members. Prisoners and Prison
Personnel on the prevention and control of HIV/AIDS/STDs. Strategies used
to achieve this Objective were Seminars Workshops Participatory Techniques,
distribution of IEC materials including Condoms, both Uni-lateral and Bi-lateral
techniques were used throughout the period of the project.
Results: (i) After education and training, the result showed a remarkable
increase in knowledge of HIV/AIDS/STDs. For instance 66.6% of PROWA participants had a good knowledge as against 41.6%. (ii) Participants knew the
behaviour that put them at risk of contracting HIV. (iii) The targets were able to
demonstrate proper use of Condom.
Lesson Learned: Increased knowledge of HIV/AIDS could be achieved if video
coverage and photographs of activities carried out were allowed in the Nigeria
Prison System for the purpose of playback at intervals.
43198 A new approach to involving the community in HIV/AIDs
program planning: Zambian experience
Masauso Nzima1, D.A. Bickel1, M. Sichone2. 'Project Concern International
Zambia, PO. Box 32320 Lusaka 10101; 2Central Board of Health, Lusaka,
Zambia
Issue: Addresses a new approach to consensus building for HIV/AIDS STD
program and activity design. This initiative brings together groups from various
sectors, including governmental and non-governmental structures down to the
community based players. This approach builds rapport among stakeholders,
identifies their comparative advantages and the experience of shared programming. It precedes and informs participatory community based evaluation.
Project: Program emphasis is placed on building long-term capacity for respective stakeholders to deliver HIV/AIDS services. The program provides opportunities for government agents to directly experience the process of developing
and implementing interventions at the community level. The community in turn is
afforded the opportunity to understand first hand, the mandates and restrictions
of the formal sector. This approach has laid valuable groundwork for research
leading to a potentially sound program design and effective community advocacy.
Results: The result is a measurable process that has created the basis for
dynamic and thus culturally responsive HIV/AIDS programming. Tangible results
include the creation of a community based task force and subsequent strategic
planning for program/activity design. Critical to this process is the development
of concrete and accessible monitoring and evaluation tools. Instruments are currently being adapted for meaningful use by government implementing structures
down to community based programs.
Lessons learned: Successful, culturally appropriate multi-sectoral response to
the epidemic is an enormous challenge. The process requires patience, flexibility
and maximum structured participation to ensure ownership by all stakeholders.
With limited but well focussed guidance local partners were able to formulate
working terms of reference (guidelines) for each district task force.
|43199 | Prevention and control of STD/HIV in the
community/primary health care settings
Ana L. R. Vasconcelos, F. Moherdaui, A.A. Silva, V.G. Veloso, P.J.N. Chquer.
Brazilian AIDS Program MOH Espl. Ministerios BI. G Brasilia - DF; 2Health
Community Coordination, Brasilia, DF, Brazil
Issue: In the last years the AIDS epidemic in Brazil has been characterized by its
ruralization, fast progression in female population and low income class. There
fore, reach those population with action of prevention and control of STD/HIV is
one of the most important strategy.
Project: In Brazil, the actions of prevention and control of STD/HIV in the
community/primary health care basis have been done by the community health
care workers (CHCW). There were two program carrying on their actions with
the CHCW: The Community Health Care Workers Program (CHCWP) and The

Family Health Program (FHP). The principal strategy of those programs are:
information, education and counseling for HIV testing of all STD patients and all
pregnant women; identification and referral of STD patients and their partners to
the primary health care units; and home follow up of pregnant women regarding to
their VDRL status. The CHCWP team is composed by one nurse and a maximum
of 30 CHCW. Each CHCW follows monthly 200 to 250 families, if in rural or
urban area respectively. On the present moment, in Brazil, we have 2.217 nurses
and 44.532 CHCW following 6.017.339 families. The FHP team is composed by
one community doctor, one nurse, two auxiliary nurses, and four CHCW. Each
CHCW follows 200 families. So, on the present moment we have 969 team of
FHP with means 3.876 CHCW following 775.200 families. Those programs have
been expanded along the country.
Result: With the actions above described we achieve to: break the chain
transmission of STD/HIV; decrease the vertical transmission of HIV; manage
adequately the STD cases by using the syndromic approach and eliminate the
congenital syphilis as a public health problem
Lessons Learned: The identification of actions for preventing and controlling
STD/HIV by using the CHCW has the advantage of giving to the population
the appropriate information/education in STD/HIV/AIDS respecting their social,
cultural principles and their way of communication.
S43200 Training young leaders aiming AIDS prevention: Rosario,
1997 - 6 years of experience
Stella Bonetto, J. Galindez, M. Palma, H. Hoet, S. Busetto. 1Bv. Oroho ZC 2000
Rosario PCIA. Santa Fe; 2Brigadier Estanislao Lopez School, Rosario, SF;
3Retrovirus Unit Hospital Escuela Eva Peron, Gro. Baigorria, Argentina
Objectives: 1) To generate AIDS prevention specific focuses in youth encounter
centers. 2) Training young community leaders in order to multiply the preventive
dynamic, concerning their prevention agents rol. 3) Alternative projects constructions 4) To potent their ability to multiply each leader. 5) Tests results through
means of the investigation and revision of their own practices.
Material and Methods: Teenagers between 16 and 17 years old (8 girls and 7
boys), from different socioeconomical levels were selected belonging, all of them
from a middle class High School (Brigadier Estanislao L6pez). As it was informed
before these selection was carried out according to previous special conditions
required by the authors. These teenagers after receiving their training were able
to spread the idea to other youngers of 15 different High Schools in our Area.
In 1997 ten new teenagers have been incorporated to replace the ones who
finished the secondary school last year, keeping the proyect going on. Besides,
this year two workshops were done for teachers and students's parents allowing
this to maintain a constant training of 15 students of different schools, public
and private. Each of these activities are divided in three steps: a) workshop of
workshops; b) Training days; c) Evaluation plan.
Results: Starting with the first fifteen trained youth, more than a hundred qualified students, with their different modalities are working as multiplier agents within
their friends, people surrounding them, and now teachers are parents always
taking into account human dignity and facing discrimination and prejudices. This
transference information methods seem to be effective between youth in our
Region.
Conclusions: The strong impact that reflection and concientization workshops
produces fructify quickly. The leaders carry out and projects numerous activities
(small conferences, diagnosis interviews, plays, hot lines and mail lines). Teachers
are being permanently consulted about their projects which permits a clear follow
up and progress of those forecoming. The youth integration, the protagonism and
the experiences exchanged are pleasing additional results.
43201 Partnership between NGO and GO - The experience of
the State Comission on AIDS of Rio de Janeiro, Brazil
Margarete Simoes Ferreira. Health Department of Rio de Janeiro, Rua Uruguai
449 BLB App202-Tijula, Rio de Janeiro/RJ 20510-060, Brazil
Issues: Rio de Janeiro State is the Second of Brazil in number of AIDS's cases.
Until 31/7/1997 we had 17.523 cases notified. The State Commission on AIDS
is official, legalized by the Rio de Janeiro government in 1992 in order to join
efforts from NGO and GO to improve politics and works based on Human Rights
and to criate new strategies to defy AIDS epidemic. With the BIRD's funds the
Commission's signification was absolutely essential making project's evaluation
to be financed and controlling the funds spended. The discovery of anti-virals
drugs brought new possibilities to public assistance organization. The claims for
more prevention actions and beds on the public hospitals were replaced for more
medicines and blood tests.
Project: To confront the registers of the Commission's meetings on 1996
and 1997, codifing the subjects discussed, They will be classified in five points:
Prevention, Clinical Assistance (including tests, ambulatories and hospitals),
Medicines, Personnel Appeals for Assistance and Institutional Development (including courses, trainers, acquisition of basic equipments, rules and vaccine's
rules).
Results: There were 10 meetings in 1996 where Prevention appears 21 times,

Assistance 13, Medicines 11, Personnel Appeals for Assistance 2 and Institutional Development 17. In 1997 there were 8 meetings with less members than in
1996. The points discussed were: Prevention, 5 times; Assistance 3; Medicines
6; Personal Appeals for Assistance 4 and Institutional Development 4.
Lessons Learned: While the medical knowledge about AIDS increases we
can observe a decline of prevention's works and discussions even on NGO or