Abstract Book Vol. 2 [International Conference on AIDS (14th: 2002: Barcelona, Spain)]

XIV International AIDS Conference

Abstracts WePeC6208-WePeC6212 133

WePeC6208 Health care workers (HCW) in risk
V.R. Girianelli MI. Santos, D.S. Fontenelle. UISHP, Estrada Henrique de, Melo,
304 - B. Ribeiro, Rio de Janeiro, Rio de Janeiro, Brazil
Background: The number of notifications of the accidents with biological materials has increment in Rio de Janeiro. However, one gives credit that the number
of occurred accidents is very upper to the notified one. Aiming at to inquire this
hypothesis, a study was developed to identify the determinative of the subnotification and to know the tack of the professionals of health to the strategies of
prevention of potential acquisition of occupational infection.
Methods: Transversal study with the employees of the UISHP was carried. The
study it was based on auto-instructive questionnaire, answered in the end of the
period of interest. Information on EPI use, accidents with biological material and
vaccine state for hepatitis B and tetanus had been collected.
Results: The questionnaire was answered by 46,4% of the employees. Of these
56.5% had corresponded to the team of nursing and 21.1% to the medical team.
17,7% informed to have suffered at least one accident with biological material.
The cause of the accidents were: 25% phlebotomy, 14.6% needle recapping,
14.6% medicine application, 12.5% collection of blood and 8.3% material discarding. How much to display 70.8% of the percutaneous type. However, 68.3%
had not looked to attendance in all the accidents. Amongst the reasons they are
distinguished: 35,7% not to believe the risk of contamination, and 21,4% unfamiliarity of prevention after-accident. Of that they had looked attendance and they
initiated prophylactic medication, 40% had interrupted the handling. It fits to stand
out that 75% of the employees were not immunized for hepatitis B.
Conclusion: This study the urgency in the sensitization of the health professionals standes out, therefore they can be vehicles of dissemination of these diseases
for the general population and capsize to absorb great part of the features destined to the programs of assistance with Prophylaxis after-display.
Presenting author: Vania Girianelli, Estrada Henrique de, Melo, 304 - B. Ribeiro,
Rio de Janeiro, Rio de Janeiro, Brazil, Tel.: [phone], Fax: +55 (021)
33503043, E-mail: [email protected]
WePeC6209 Behavior change intervention for the sex workers
in Eastern Nepal
M.R. Poudyal. AMDA/FHI, A/DS Prevention Project, AMDA Hospital, AIDS
Prevention Project, Damak, Jhapa, Nepal, Nepal
Issues: Nepali Sex Workers are associated with national as well as international
network in eastern Nepal. They are facing hands to mouth problems due to the
proverty. They are far from the treatment of Sexually Transmission Infections due
to the lack of availability proper services. The condom using rate is very low.
Description: The Association of Medical Doctors of Asia has implemented a Behavior Change Intervention throughout five district of eastern Nepal. The main objective of the intervention is to reduce the rate of sexual transmission of HIV/AIDS
among the female sex workers and their clients. For the above purpose this
project is continuing the Behavior Change Intervention in the community since 11
October 1999. During the last two years (11 Oct. 1999 to 30 Sept. 2001), AMDA
has found 281 Female Sex Workers (FSWs) of different categories. Among the
total FSWs 70% are married and 60% are literate. Most of them found associated
with their pimp. The main cause of being in sex worker is the economic condition and ignorance. During the period STI camps for FSWs were conducted. The
result was - 10% syphilis was found. After the intervention 75% of them can say
the mode of transmission, prevention measures, of HIV/AIDS/STIs. 62% of them
were found using condom correct and consistently
Lesson learned: Even the sex workers are well known about the condom use but
lack of empowerment, due to the social stigma, lack of negotiation skill they are
facing some problems for the proper and consistent use of condom so we learn
that sex workers should be empowered for the condom use, condom negotiation
and STI treatment.
Conclusion: The sex workers, who are ready to change their behavior should be
created enabling environment by giving knowledge skill and opportunity through
the advocacy in the society so that the social stigma towards the female will be
supportive. Ultimately, it helps the sex workers to change their risk behavior.
Presenting author: Ajij Poudyal, AMDA Hospital, AIDS Prevention Project,
Damak, Jhapa, Nepal, Nepal, Tel.: [phone], Fax: [phone], E-mail:
amdafhi @jhapa.info.com.np
WePeC621 0 Results of five rounds of risk behavior sentinel
surveillance of one Philippine city
PS. Uysingco1, R. Azcuna2. 1Tridev Specialists Foundation, Inc., 58 san gabriel
st., sta. rita village, sucat, paranaque city Philippines; 2University of the
Philippines-College of Public Health, Manila, Philippines
Background: Although the Philippines is a low prevalence country; seropositives
were being detected in growing number of sentinel groups and surveillance sites.

In 10 rounds of serosurveillance (HSS), HIV prevalence was at least 1% in sentinel group of female sex workers (FSW) and men who have sex with men (MSM).
Behavioral sentinel surveillance (BSS) was established in 1997 to complement
serosurveillance data for HIV prevention and control programs.
Methodology: BSS is conducted annually to track risk behaviors and risk reduction practices in sentinel groups of indirect and direct female sex workers, men
who have sex with men and Men-at-Risk (MAR) groups. Samples of 120 respon
dents were selected from each survey group per round by random and purposive
sampling procedures. Data collection was by face-to-face interview using a prepared questionnaire. Epi6 was used in data management and analysis. Simple
trend and bivariate analysis of data.
Results: In five rounds: 1) demographic features unchanged over time; 2) low
and decreasing condom use in FSW samples. >50% of MSM and MAR samples
report multiple sex partners and low condom use; 3) use of injectable drugs and
sharing of needles remain low, but use of non-inject able drugs remain high; 4)
Self-reported STI decreasing in indirect FSWs but remain high and increasing in
direct FSWs. Low but increasing in MSM and remain under 10% in MAR samples.
5) Treatment-seeking practices of respondents improved in FSW samples but not
in MSM and MAR samples; 6) Knowledge of avoiding HIV was >60% in FSW
samples. Highest MSM and lowest in MAR samples.
Conclusion: Risk practices for STI and HIV remain high in all survey groups
despite extensive prevention/education programs. Risk reduction practices (i.e.,
consistent condom use, appropriate treatment practices) showed no significant
improvement. Risk of blood-borne infection by needle sharing remain low.
Presenting author: perfecto uysingco, 58 san gabriel st., sta. rita village, sucat,
paranaque city, Philippines, Tel.: [phone], Fax: [phone], E-mail:
[email protected]
WePeC6211 Still high risk behaviour among men who have sex
with men in Denmark, 2000
E. Smith1, S.R Knudsen2, J. Haff2. 1Statens Serum Institut, Statens Serum
institut, Dept of Epidemiology, 5 Artillerivej, DK 2300 Copenhagen, Denmark;
2STOP AIDS, Copenhagen, Denmark
Aim of the study: To describe aspects of sex life among Danish men who have
sex with men (MSM) in an era with HAART in order to improve preventive measures.
Material and methods: Quantitative survey among MSM in Denmark regarding sexual behaviour, HIV testing pattern, HIV infection, attitudes and knowledge.
Questionnaire distributed as paper print and on the Internet. Unsafe sex was defined as unprotected anal sex between non-concordant partners.
Results: A total of 1,745 MSM responded, representing about 4% of all MSM;
20% via the Internet, 35% from gay bars and festivals, and 3% from saunas and
parks. Median age was 35 years (14-85 years). 94% reported having had sex
with only men in the past year, 6% had had sex with both genders. 1% reported
to be HIV-infected: 10% aged 30-34 years and 22% aged 45-49, p<0.001. 38%
reported sex several times per week, 24% more seldom than once a month. Sex
was reported more frequent among younger than older men. HIV-infected MSM
had less often sex than non-infected men, p<0.02. 75% had been HIV-tested at
least once, 54% had been tested within the past 3 years. 40% of 20-25 year olds
and 20% of MSM over 25 years had never been tested. 62% HIV-infected and
22% non-infected claimed that partner's HIV-status was important. 80% MSM
had decided to practise safe sex, of these 29% had practised unsafe sex at least
once since then. 27% MSM had had unsafe sex in the past year. Determinants
for unsafe sex were: No. of sex partners, a once and for all decision to practise
safe sex, age, HIV-status and actively expressing how one wants to practise sex.
75% knew that PEP could be offered after sexual exposure to HIV and 4% meant
that this option had made them less worried about HIV.
Conclusion: Knowledge on HIV-issues was high even on PER 27% MSM had
had unsafe sex in the past year. Supporting MSM in making decisions on safe
sex practise may have implications for future preventive strategies in MSM.
Presenting author: Else Smith, Statens Serum institut, Dept. of Epidemiology, 5
Artillerivej, DK 2300 Copenhagen, Denmark, Tel.: [phone], Fax: +45 3268
3874, E-mail: [email protected]
WePeC6212 Behaviour change: A core component of
prevention and care
B.S.R. Basirika, M.J. Mayanja James, K.A.R. Kiguli Annette Rachel,
M.J. Mwirumubi Jane. Health Partners, c/o Box 26785, Kampala, Uganda
Issues: HIV /STIs prevention and improving the quality of life in AIDS situatio,.
Description: The paper elaborates on how the Church of Uganda assisted grassroot people in Kome to establish and sustain a Community Based AIDS Programe {CBAP) to sensitise the masses about AIDS and to enhance individuals'
behaviour change and home based care.The CBSP activities include: site identification, baseline evaluation, capacity building of communitsy volunteers, members of the AIDS affected families, and their immediate care givers on: nasic facts
about AIDS, sex and sexualitygender issues, self esteem, risky behaviours and
soliciting local leaders' support. The authors are cadres at different levels in the
medical and social propfessions working with CBAPs.
LESSONS; Behaviour change was based on educational exercises and continuous effort that enabled the awareness which deepened the understanding of
one's risky behaviours.

Recommendations: Political will is still needed to boost CBAPs and motivate
society to acquire and maintain behaviour change in order to enhance HIV prevention and AIDS care.
Presenting author: Susan Rachel Basirika, c/o Box 26785, Kampala, Uganda,
Tel.: [phone], Fax: [phone], E-mail: [email protected]