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

952 Abstracts 43538-43542

12th World AIDS Conference

obtains 85% materials locally, develops 2-3 workshops a month, 14 hrs each, 25
participants, one of every 4 participants becomes a trainer volunteer Cost for materials: US$4 per participant and 15 per trainer volunteer. When including salaries,
these cost add up to US$15 per participant and 56 per trainer volunteer (direct
unitary costs). Project has invested in 18 trainers for 15 months US$142,450,
other funds collected US$48,978, aprox. 490 workshops, 12,430 participants and
3,390 trainer volunteers prepared for local levels.
External cooperation will become an element of change in the way it involves
and develops local innitiatives and concious problem awareness. Cost-effectiveness parameters must be developed and enriched with information tech. support
S43538 Implementation of pre and post survey on HIVIAIDS
intervention programs: Experience of intervention on
youth at high risk in Bali, Indonesia
Made Efo1, T. Parwati Tuti2, F. Yuliana Flora3. 1J.L. Belimbing 66. Y, No.4,
Denpasar, Bali; 2Director Citra Usadha Indonesia, Denpasar; 3Citra Usadha
Indonesia, Denpasar, Indonesia
Issue: The intervention programs should be planned, conducted and evaluated
with eligible tools. In order to achieve the goal, we need to conduct pre and post
survey tests. Pre test survey is a survey to collect data to understand the base
line condition, assessment needs and understanding of the focus of the issues
we are facing on knowledge, attitude and behavior (KAB) of the target group,
while post test survey is data collection after the implementation of intervention.
Project: The respondents were collected purposively from youth at three sites:
Gianyar, Denpasar, and Singaraja. The intervention programs was done to 121
respondents, and the respondents were followed up by pre and post test survey. Data was processed with Epi-info computer program and presented in both
quantitative and qualitative.
Result: The implementation of pre and post survey in the intervention program
can be used as a tool to measure changes of KAB of respondents before and after
the intervention. Data collected from pre and post survey accurately confirmed
the results of the intervention. The experience of intervention on youth at high risk
in Bali for 12 months periods found that a proportion of changes was showed, e.g.
after the intervention, 100% of respondents answered questions about knowledge
correctly, while correct answers for questions about attitude increased up to 95%
and correct answers for questions about behavior changed to 70% (condom use).
Lessons Learned: Implementation of pre and post survey in intervention program can assure consistencies of intervention programs. Pre and post test can
also be a tool to measure the changes of knowledge, attitude and behaviors
S43539 Attitudinal training: A need for HIV/AIDS workers
Waranuch Chinvarasopak. EC/AIHD AIDS Project, Mahidol University Salaya,
Nakornpathom, Thailand
Issue: Training those who work on HIV/AIDS programs to strengthen their capacity in planning and implementing HIV/AIDS interventions could easily fail if the
training program does not address attitudes related to HIV/AIDS.
Project: One of the EC/AIHD AIDS Project component is the capacity building
which aims to enhance technical abilities and build/strengthen skills of people
who implement and deliver HIV/AIDS programs and services. The project has
developed various courses to respond to HIV/AIDS situation in the country. The
topic ranges from planning behavior change communication strategy, sexuality
and HIV/AIDS, gender perspective for HIV/AIDS program, and HIV/AIDS counseling. All courses vary in terms of content but share major concept which is
intended to first focus and challenge participants on their attitudes towards issues
related to HIV/AIDS.
Results: Participants attending the training course came from both government
sectors and NGOs. They involved in HIV/AIDS programs one way or another -
as educators, trainers, counsellots, care providers, IEC officers, etc. Most of them
were trained on HIV/AIDS related training program at least once. Most participants came to the training with some feeling and expectation that could blind their
learning experiences. The major obstacles were their attitudes towards HIV/AIDS,
sexuality, gender, rights, and people living with HIV/AIDS which certainly affect
the way they view the problems and design the strategy to cope with the problem.
Lessons as being discussed during the training seem to be never learned in real
life.
Lessons Learned: a) Knowledge and skills will hardly be effectively applied
by HIV/AIDS workers if they do not equipped with right attitudes on working on
HIV/AIDS intervention programs, b) Motivation which could derive from self-risk
awareness, value on the works being done, ability to make a difference should be
addressed within the training, c) A comprehensive training programs should be
well designed to better achieve the capacity building process of both individual
and organizations.
43540 1 Multi-sectoral collaboration for HIV/AIDS control in
Uganda

Christopher Oleke1, J. Hubley2, P. Nsugba3. 1STD/AIDS Control Programme
Ministryu of Health, PO. Box 8, Entebbe; 3Sexually Transmitted Infections
Project Entebe, Uganda; 2Leeds Metropolitan University Leeds, UK
Objectives: To assess the nature and extend of multi-sectoral collaboration for
STDs/AIDS Control in Uganda and determine the factors affecting its effective
implementation.

Design: Qualitative study
Methods: Semi-structured interviews were conducted amongst 13 AIDS Control Programmes in the government line ministries. Mainly the Programme Managers were interviewed on key issues concerning multi-sectoral collaboration.
Relevant planning and implementation documents from the 13 ACPs and 22 districts which had decentralised STD/AIDS Control activities were reviewed. Three
Case studies looking at activities which were supposed to be implemented multisectorally were conducted in order to find concrete evidence for collaboration in
practice.
All sectors involved in STD/AIDS Control have a positive view on multi-sectoral
collaboration. Good working relationship, clarity of roles, willingness to share
power, roles, resources are important in ensuring collaboration. Multi-sectoral
collaboration becomes more effective if planned for and included in the implementation documents.
S43541 Systematization of the management of medications antiretroviral in provincial hospitals from Rosario City,
Argentina
Miguel Pedrola1, J. Giagnorio2, R. Bortolozzi3, S. Lupo3, J. Galindez4,
M.E. Teicher5, O. Fay6. 1 Uruguay 202 2600, Venado Tuerto; 2Prevensida
Venado Tuerto SF; 3Hospital Centenario Rosario SF; 4Hospital Eva Peron
Grdro. Baigorria SF; 5Hospital Provincial Rosario SF; 5Programa Provincial De
ETS Y Sida Rosario SF, Argentina
Objectives:Systematize the delivery and control of medication anti- retroviral
and related with HIV/AIDS. To determine the number of patients that receives
to medicate by Provincial Program of ETS and AIDS. Avoid that a patient could
receive to medicate in more than one pharmacy and, to determine the number of
cases to be yet not notified.
Material and Methods: We made a formulary, the which must be completed by
the physician, and delivered together to the medical prescription in the pharmacy
of the public hospital. This system brought in Hospital Provincial del Centenario,
Hospital Escuela Eva Per6n and Provincial de Rosario. The formulary was composed of following dates: 1) Code of the patient; 2) Clinical and of laboratory
dates; 3) Indication of treatment anti-retroviral and related with HIV/AIDS.
Results: During the monthes of march, april and may of 1997, receive to
medicate anti-retroviral 347 patients and had 3 patients that were receiving to
medicate in more than one hospital. Detected 65 cases no notified. Were finding
make use of AZT 91.8%, ddl 55.4% and ddC 40.43%. Were utilizing inhibitors of
proteasa 23.10%.
Conclusions: This system, helped us to resolve some problems that were
presenting us such as, the undernotification of cases AIDS and the supply of
medication to a same patient, in more than one hospital. We believe that yet,
we must follow perfecting this system, to intend diminish the load of work to
physicians.
43542 1AIDS prevention strategy for female population
Maria Cristina Pimenta1'2, R. Munhoz2, A.L. Spineli2. 1ESPL Ministerios BL G
Brasilia DF 70058-900; 2Brazilian AIDS and STD Program, Brasilia DF, Brazil
Issue: The first reported AIDS case in Brazilian women was reported in 1983.
The ratio male to female was 40/1 at the time. This ratio has fallen drastically year
by year where in 1994 it reached 3/1 and in 96/97 it maintained 3/1. Within the
female category the age group most affected is the 15 to 39 age group. Sexual
transmission predominates as form of transmission for women in Brazil, followed
by drug use. These are women within the reproductive age group establishing a
direct correlation between the increase in the number of female cases and the
number of pediatric cases.
Project: Based on the new epidemiological trends of the epidemic, a new
strategy was developed to focus on the establishment of networks and new partnerships within the existing social structures available for lower income women
such as public institutions and community based organizations. The premise for
effective prevention work is that efforts to provide women with information and education should be consolidated within the public health system. More specifically
within the routines of women's health care services. Access to STD diagnosis and
proper treatment being a major focus point for preventive intervention in addition
to providing counseling services and HIV testing as requested.
Results: (1) Establishment of an operational National Advisory Committee for
AIDS and Women's issues. (2) Financial support for 35 behavior intervention
projects which promote women's self-steam and self respect as it relates to their
relationships with society considering their economic, social and sexual roles (20
for female pop. In general and 15 for sex workers). (3) Production of appropriate
support materials. (4) Access of HIV testing to pregnant women including pre
and post counseling and treatment services. (5) Production and broadcasting of
2 mass media campaigns in 1997.
Lessons Learned: Prevention actions which aim at reducing HIV infection
must change the female cultural references and behavior related to safe sexual
practices, and also improve the quality of life of women living with HIV/AIDS.

Changes in prevention strategies must consider the interdependent dimensions
of women's health including her physiology, reproductive health and gender specific multiple social roles. Women should not be disregarded as potential IV drug
users.