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

12th World AIDS Conference

Abstracts 43202-43207 887

GO. Fortunately the new drugs bring better conditions of life for people with
HIV(+) or AIDS. However if the Developing Countries make hardly investments in
prevention, in few years we'll have millions and millions of infected people without
any chance of treatment.
43202 The STD/HIV/AIDS clinic working successfully in a urban
marginal precary area of Guatemala
Haroldo Medina, C. Galindo. Medicos Sin Fronteras, 5 a. calle "A", Guatemala
City, Guatemala (Central Africa)
Issues: The community "El Milagro" (Population 60,000), don't have
STD/HIV/AIDS, clinic. Skills and Knowledge to prevent STD/HIV/AIDS is in a
very low level. Health center and workers, don't have diagnostic material, nor
STD drugs treatments.
Project: MSF, Government & non-government institutions, with experience in
STD/HIV/AIDS prevention methods, supported the Health Center, the ACOVA
Volunteers organization and the community, to open and develop a prevention,
counseling, morbidity and treatment clinic. Health personnel were trained and
prepared to induct a substantial increase of skills and knowledge in 100% of
population.
Results: The clinic is on the responsibility of the Heath Center, and provides
services to the community, and high risk groups.
25 people were trained in counseling, Universal care prevention rules and
Syndromic Approach Management in STD 10,000 information brochures were
provided, this education and promotion material was produce by health personnel,
the community and volunteers
Full involvement of health workers, and community volunteers in this prevention
program, successfully provides better communication and well done trainee. This
produces a positive change in behavior in the community. The promotional work
also produced high demands in treatment, counseling and condoms.
43203 A change in belief from "witchcraft" to HIV/AIDS is
required in the Sindi community
Cissy Nyamarere. PO Box 10028 Kampala, Uganda
Issue: HIV/AIDS continues to be the most devastating disease in Uganda. While
awareness has helped to reduce the incidence in Urban areas, the trend in
rural areas is appalling. Poverty fear and frustration are the leading factors in
the spread of HIV. Income generating activities could help to empower the rural
people to reduce the spread of HIV.
Project: Poverty Alleviation Project (PAP) funded by Uganda Government to
strictly HIV positive people started a Small Scale Industry majoring in sewing and
knitting school uniforms and bed covers. This provided employment and other
benefits to HIV positive people in Sindi Community. By the end of the year, the
number of people voluntarily testing themselves increased greatly from 6 to 33
approximately.
Results: There is more openness about HIV/AIDS in the area. The Community
has changed its belief and the death rate has reduced tremendously.
Lessons Learnt: Fighting poverty in the rural community, brings people together to talk about HIV/AIDS. This leads to more awareness and hence effective
prevention of HIV/AIDS.
43204 National "STOP AIDS '97" campaign in Lithuania
Marija Caplinskiene1, S. Chaplinskas2, R. Buceviciene2, A. Treciokas2,
M. Broniukaitis3, D. Jurgaitiene4, D. Klaipeda5. 1P.O. Box 2756, Vilnius LT2021;
2Lithuanian AIDS Centre, Vilnius, LT, 3Kaunas AIDS Department, Kaunas, LT;
4Public Health Centre, Klaipeda, LT; 5lnstitute of Informatics, Vilnius, LT,
Lithuania
Issue: to found more accessible ways to reach different community groups and individual personality with understandable information on HIV infection and provide
with means of protection.
Project: continuous project "STOP AIDS" on free distribution of accessible
and visual information material: leaflets, brochures, passports, T-shirts, journal
"Protect your health", preventive means during rock festivals, memorial days, at
discos, clubs, on the beach, railway, bus stations, airplanes; the broadcasting on
TV, Radio; the regular information in press, the street stands against AIDS.
Results: the resonance of past prevention campaign and the attention to
HIV/AIDS are drawn increasingly in general community, especially between youth
and some politicians, more and more NGO's show interest to participate and to
be active in different events, mass media take more space about HIV/AIDS, more
private companies support this action.
Lessons Learned: "STOP AIDS" campaign is accessible not only for different
community groups but for every individual of society, it's a good possibility to
make active and attractive sexual, STD/AIDS education and condom promotion,
it's essentially important not only in the national but in the international level to
fight with AIDS.

43205 Sustaining the spirit of volunteerism in Olongapo City for
HIV/AIDS prevention and education
Alain Bansil, B.G. Capili, J.P. Asuncion, B.V. Leoligao. Olongapo City AIDS
Foundation INC, Olongapo City, Philippines
Objectives: To sustain the interest of volunteers as partners of OCAFI in it's
program implementation on HIV/AIDS prevention and education. To effectively
reach grassroots level ofcommunity and widen it's area of coverages.
Methods: (a) Team building workshops were conducted among volunteer's. (b)
Regular monthly meeting were done that focuses mainly on volunteer's needs.
(c) Consultative workshop, particularly on important projects were done every
quarter (d) A system of awards and incentives was established. (e) Fellowship
meeting and enrichment activities particularly on important occasions.
Result: (a) Out of the original 187 volunteers which attended the first orientation
seminar of OCAFI, 50 were actively involved in the actual project implementation.
(b) The 50 volunteers can effectively carry out HIV/AIDS lectures, organize lecture
forums on thier own with minimal supervision from staff, (c) A sense of ownership have developed in these volunteers, (d) Program of OCAFI were effectively
carried out.
Lesson Learned: Proper motivation, training, sense of belongingness and
teamwork are important means to sustain spirit of volunteerism.
43206 People living with AIDS And HIV primary prevention
M6nica Souza1, G. Genovese2, M. Barbosa2, C. Conceio2, N. Tebet2,
J. Mitidieri2, I. Queiroz2. 1Rua Presidente Dominiciano 150, 24210-271 Nitero:
2Grupo Pela Vidda/Niteroi, Niteroi RJ, Brazil
Issue: Niteroi is the 10th county with AIDS in Brazil, what makes the development of systematic actions to spread information about its prevention to more
vulnerable groups a priority.
Project: Prevention and Education Department has been developed from
Grupo Pela Vidda - Niteroi (NGO/AIDS) to help giving information about STD/AIDS
and its prevention to the population.
Trained and updated staff have prevention projects' to different groups: women;
sex professionals; men who have sex with men; low income people; teachers
and students from public schools. Different methodologies which take into consideration each group's necessities and particularities: informative workshops,
speeches, theatrical plays, distribution of informative material and condoms. There
is also training to create agents who will spread information about STD/AIDS.
* Financing: Ministerio da Saude do Brasil (Brazilian Health Department) and
Fundaqao Municipal de Saude de Niteroi (a Health Institution in Niteroi).
Results: Within primary prevention interventions, 12.000 homosexuals and
bisexuals, 200 sex professionals, 1600 low income people and 15.000 students
have been hit. 406 teachers, 80 women, 20 sex professionals and 20 health
professionals have been trained to meet the needs of low income people, and
are already acting on their working areas.
Lessons: Educational actions in STD/AIDS must take into consideration the
needs of each group aimed (previous information, socio-economic situation
and risk perception). Changes in behavior are more effective when people are
conscious about the need of prevention, helped by someone from their own
community and methodologies they have to take part in are used.
1 43207 Model development on community and institutional
based care in three communities; rural vs. sanitary area
Taweesap Siraprapasiri1, P. Yingseri1, K. Ungchusak2. 13 Pakham St Lampang
Provincial Health Office Lampang 52000; 2Division of Epidemiology, Bangkok,
Thailand
Issue: HIV/AIDS is a chronic disease which has physical, mental and social impacts. community and health care facility have to develop strategies and services
to meet their needs.
Project: Lampang Provincial Health Office has developed models for community and institutional care for HIV/AIDS patients. One rural and two sanitary
villages were selected for developing community strategies. Two health centers,
one 30-bed district hospital, and 800-bed provincial hospital were selected for
developing comprehensive and continuum of HIV care. The existing situation
and problems were determined and evaluated both qualitative and quantitative
method.
Results: Knowledge about HIV transmission were satisfactory in three villages.
Forty to fifty percent of people were not comfortable to deal with HIV patients.
Twenty five percent of males have had multiple sex partners in the last year. Community leaders were identified and got involved in planning and design strategies.
Focus group discussion was done in housewife, husband and young adult group
to clarify some AIDS relating problem. Participatory rural appraisal was conducted
to assess vulnerability and set priority of the problems. AIDS volunteers were
trained and found more effective in rural than sanitary villages. The village AIDS
fund is an useful source to produce both preventive and care activities in the
village. AIDS patients in urban village are more reluctant to uncover their HIV

status than in the rural village. Health care facilities are in process of adjusting
comprehensive services. Home health care is a success strategy to enhance the
potential of family to take car AIDS patients.
Lessons learned: If the same success was needed in every community, the
variety strategies have to be used and adjusted according to the situation in each
village.