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

158 Abstracts WePeD6287-WePeD6291

XIV International AIDS Conference

public about HIV/AIDS and to provide information on medical/social services in
English and Japanese languages.
Presenting author: Michiko Otaya, 1300 North Mission Road, Los Angeles, California 90033, United States, Tel.: [phone], Fax: [phone], E-mail:
[email protected]
WePeD6287 National HIV/AIDS education: understanding The
perspectives and practice of parents
understanding young people. citizenship
M.K.B. Kakonge Mpomba Benjamin. The AIDS Support organisation, The AIDS
Support Organisation (TASO), PO box 10443, Kampala, Uganda
Background: There has been much debate in Uganda about the values and
attitudes of young people and their contribution to society. Concern has been expressed that the content driven National Curriculum has not provided sufficiently
for pupils' moral and social education, that there has been no teaching of political
literacy and that young people are leaving school uninterested in the part they
can play in actively contributing to their community and our democracy.
Description: Primary schools were chosen as it is here that the foundations for
social and moral education are built. Secondly Orphaned children were targeted
along with their guardians.
Results: In summary, these two schools appeared to be successful in many aspects of social and moral education in that the children were able to articulate
their learning and be guided by the school's teaching. There was evidence of social cognition as the children were provided with the contexts which enabled them
to think about their emotions and how people interact with one another, to engage in interpersonal problem solving, lessons learned: All of the teachers talked
of the role of parents and whilst most teachers from School B felt that parents
supported what they did in school, many in School A were concerned that parents operated different moral codes, where 'bad language' and the resolution of
conflict by physical violence were condoned. One teacher felt she tried to give her
pupils 'a different set of ideals but they are undermined as soon as they get out
of school'. The children, by contrast, argued that learning about right and wrong
was basically the same at home and school, but with different rules and sanctions
for some areas
Conclusion: Parents are the starting point in s childs career therefore need to
get the facts concerning the education of their children.
Presenting author: Benjamin Mpomba Kakonge, The AIDS Support Organisation (TASO), P.O box 10443, Kampala, Uganda, Tel.: [phone], Fax: +256
41 566704, E-mail: [email protected]
WePeD6288 The Zambian ProTEST project: Reaching out to
the community
A. Mwale1, R. Ginwalla', K. Chileshe2, M. Mwansa3. 1 University Teaching
Hospital, Zambart, UTH Department of Medicine, Box 50110, Lusaka, Zambia;
2Chawama clinic, Lusaka, Zambia; 3Matero clinic, Lusaka, Zambia
Background: The Zambian ProTEST project encourages voluntary counseling
and testing as an entry to integrated management of HIV related illness, including tuberculosis. Two pilot sites are currently running in high-density peri-urban
communities. To inform and educate the people in these communities, ProTEST
intensified on outreach activities, using already existing groups that identified with
the community. These included members of HIV support groups, Youth friendly
services, mobilisers,and post-test club members. Ongoing workshops were held
to equip them with basic information on HIV/AIDS, STI's and tuberculosis.
Methods: Outreach was carried out through the following:
Individual mobilization
Group sensitization, using dramas, role-plays, song and dance
Distribution of IEC materials: leaflets, posters, quarterly Bulletin
Youth friendly services to give easier access to the Youth
Personal testimonies given HIV positive individuals
Production of 2 videos - "The Silent Enemy" and "Open Secret", both on HIV
related issues.
Results: There was an overwhelming (three-fold) increase in people accessing
the VCT service. As part of a VCT evaluation, most clients interviewed after VCT
said they heard about the service through the outreach workers.
Conclusion: Community sensitization is more effective when existing groups of
people already identified as part of the community give out information. This helps
dispel fears, correct misconceptions and encourage access to services.
Presenting author: Anderson Mwale, Zambart, UTH Department of Medicine,
Box 50110, Lusaka, Zambia, Tel.: +260 - 1 - 254710, Fax: +260 - 1 - 254710,
E-mail: [email protected]

WePeD6289 Is in situ HIV prevention outreach feasible within a
busy gay men's sauna?
S. Nicholson. East Sussex, Brighton and Hove Health Authority, Globe House, 3
Morley Street, Brighton, BN2 2RA, United Kingdom
Background: In July 2001, The Gay Men's Health Matters (GMHM) team at Terrence Higgins Trust South began undertaking HIV prevention outreach sessions
in the coffee lounge of a popular gay men's sauna in Brighton, England. To date,

eighteen x 3hr sessions have been delivered. This paper describes the results of
a process evaluation of this work from the perspectives of men using the sauna,
sauna staff and outreach workers to ascertain the feasibility and acceptability of
conducting HIV prevention outreach in a gay men's sauna.
Method: A self-complete anonymous questionnaire completed in situ by sauna
clients (n=80) and semi-structured interviews with sauna staff (n= 8) and outreach
workers (n= 5).
Results: The paper describes the client sample, their use of the commercial gay
scene, their contact with the GMHM team both at the sauna and elsewhere, and
their views concerning the feasibility of outreach work being undertaken in situ
at the sauna. These results, supplemented with interview data from sauna staff
and outreach workers, suggest that in situ outreach work is indeed feasible and
acceptable within specific areas of the sauna providing certain criteria are met.
These criteria include aspects of the physical lay out of the venue and the approaches taken by outreach workers in engaging clients.
Conclusion: We discuss the feasibility of conducting outreach within a busy
Brighton sauna. We detail the successes and limitations of the work that has
already been undertaken and consider the advantages, disadvantages and transferability of such work in the future.
Presenting author: Stephen Nicholson, Globe House, 3 Morley Street, Brighton,
BN2 2RA, United Kingdom, Tel.: [phone], Fax: [phone],
E-mail: [email protected]
WePeD62901 The impact on community based HIV/AIDS
counselors in HIV/AIDS prevention programs
A.L. Omondi E.G. Auka, J.K. Kimanzi, C.O. Mangira. TAPWAK, Po. box 30583,
00100, Nairobi, Kenya
Issues: The infrastructure to deliver quality HIV/AIDS prevention and mitgation
services is difficult for many poor countries most affected by the AIDS pandemic.
One aspect of these services would be voluntary counseling and testing (VCT),
a special discipline which is highly advanced and well paying. Many countries
have tried to develop an infrastructure to provide voluntary counseling and testing(VCT) by training Counselling aides who usually are nurses, teachers or graduate social workers. In the rural districts of Kenya, TAPWAK in collaboration with its
development partners embarked on the training of community based counseling
assistants/counselling aides.
Description: In rural districts of Butere and Mumias in Kenya, a network o f 60
community-based counseling aides/counselor assistants have been trained and
deployed. The community selected the trainees and the training was done using a
curriculum developed and approved by Kenya AIDS NGOs Consortium (KANCO).
These counseling assistants are a mixture of priests, primary school teachers,
parents, traditional birth attendants etc and many held no special positions in the
community before, only that the community entrusted them with the task. They
underwent a 6-week intensive course (in two-week phases) each. Due to the nature of trust they enjoy within their communities they have managed to link the
rural population on to the AIDS clinics run by the districts. Family cohesion and a
referral system were established all through. The counseling aides have a register of their clients, which help them to connect PLWHAs to a mobile clinic run by
TAPWAK.
Conclusion: this is a cost effective intervention which makes voluntary counseling and testing (VCT) accessible, helps to reduced stigma, supports families living
with AIDS and is quiet sustainable in resource poor countries. If improved upon
and strengthened it can deliver other service such as dots for TB, PMTCT, and
follow up of PLWHAs in rural areas
Presenting author: Anthony Lenya Omondi, PRo. box 30583, 00100, Nairobi,
Kenya, Tel.: [phone], Fax: [phone], E-mail: tapwak@kenyaonline.
com
WePeD6291I A programme to argument sexual health
awareness & to prevent sexual exploitation among
children
N.P.K. Chandrasekera. Save the Children, UK, Anuradhapura, Sri Lanka
Issues: Lack of fundamental knowledge on sexual health related issues and
sexual exploitation are common problems confronted by Sri Lankan childrenespecially in the rural sector.The socio-cultural background of Sri-Lanka that
does not allow candid discussions on sexuality is one of the root causese of the
former whereas ignorance of parents,migration of mothers seeking employement
and a sharp rise in stimulating print and electronic media are some of the contributory factors to the later.
Accordingly,a programme on sexual health and exploitation prevention was carried out by Save the Children UK in, district Office to help the children to protect
their rights specified in the article 34 of the Child Rights
Description: The programme was conducted for two years,the frist year was
meant to raise the awareness on sexual health and to prevent exploitation.We per
formed a situational analysis on 340 children in Anuradhapura District,Sri-Lanka
to identify the major issues encuonted by them.Thereafter,a KAP survey among
a selected group of children was followed by training a peer group on life skills.
Finally,a street drama was performed on related issues in order to gain access to
the communityMoreover,IEC materials were produced and distributed among all.
Lessons learned: Three major issues faced by the children were father's alcoholism,mother's migration for employment and sexual abuse.