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

166 Abstracts WePeD6323-WePeD6326

XIV International AIDS Conference

Presenting author: Novruzali Aslanov, [email protected], Azerbaijan, Tel.: [phone], Fax: [phone], E-mail: [email protected]
WePeD6323 Telephone counseling program on STDs, HIV/AIDS
and sexual health: experiences of social
marketing company in Bangladesh
A.Z.M. Rahman, PR Rasheed, A.T. Chowdhury. Social Marketing Company,
Bangladesh, Smc tower (7th floor), 33, Banani C/A, Dhaka-1213, Bangladesh
Issues: open discussion on issues and problems related to sex is still not a common practice in Bangladesh. They remain shelled with whatever they have - belief, taboos, superstitions and above all STDs. youth and adolescents do practice
risky sex behavior and are also psychologically shattered with the myths and false
belief on sexual health.
Description: Social Marketing Company (SMC) undertook the venture of TELEJIGGASHA (counseling through telephone) to meet the demand of personalized
counseling on sexual health in anonymity. Anybody can dial up and hook on to
the trained counselors sitting in separate booths for males and females.
Lessons learned: There is huge unmet demand for confidential counseling on
STDs and sexual health among the people. During May 2001 - December 2001,
on average, 70 calls were received per working day. Male callers made up 57% of
the total calls while females the rest. Unmarried males (56%) seemed to be perturbed, more than married ones, with psycho-sexual problems that surfaced after
marriage in case of females (47%). Students came up heavily (26.5%). Among
females, 24% were housewives. The query areas are: STD (5.84%), HIV/AIDS
(4.35%), Sexual health (34.76%), Reproductive Health (19.45%). The males were
more concerned on sexual health than their counterparts (56.62% versus 6.5%).
Reproductive health constituted 28.5% of queries asked by the females as against
12.44% of the queries from males who were also more concerned about STDs,
HIV/AIDS than the females (8.35%, 6.34% v 2.6%, 1.78%).
Recommendations: Expansion of counseling program over telephone to other
areas of the country
Sex education for adolescents in formal and non-formal settings
Strengthening of Reproductive Health Programs.
Reproductive Health Programs are to be strengthened.
Education on psycho-sexual health be incorporated in curricula for health personnel.
Development of need-based, targeted BCC materials.
Presenting author: Azmz Rahman, Smc tower (7th floor), 33, Banani C/A,
Dhaka-1213, Bangladesh, Tel.: [phone], Fax: [phone], E-mail:
smcprgms @ bol-online.com
WePeD6324 Implementation of HIV and STI prevention policies
based on behavioral risks of men having sex with
men in Almaty (Kazakhstan)
M. Shakirov1, B. Zhusupov 2, S. Valieva1, G. Suleimenova3. 1Research Institute
of Skin and Venereal Diseases, Almaty, Kazakhstan; 2Center of Public Opinion
Investigations, Almaty Kazakhstan; 3Almaty City Center of AIDS Prevention and
Control, Almaty, Kazakhstan
Men having sex with men (MSM) are known to be vulnerable towards infecting
with HIV. Unisexual contacts between men were punishable according to the
Criminal Code of Kazakhstan until early ninetieths. For that reason MSM were
remained one of the most hidden communities.
Behavioral survey conducted among 100 MSM in Almaty in 2001 had elucidated
the following.35 per cent of MSM used drugs with one forth of them injecting
heroin. Anal sex was practiced by 99 per cent of respondents. During the last
6 months 20 per cent of MSM had sex with ten and more partners and 29 per
cent of MSM had sex with only one partner. The number of sexual partners was
correlated directly with the use of drugs. 9 and 19 per cent of respondents used
condoms during sexual intercourse with cohabitant and non-cohabitant partners
accordingly. During the last 12 months symptoms of STI such as anal and genital ulcers or blisters, urethral or anal discharge, pain and burning with urination
and scrotal swelling had developed in half of respondents. The spread of STI
among MSM using drugs was significantly higher than among MSM who do not
use drugs. Half of respondents were not ready to appeal for STI care in the official
health care settings if necessary. Satisfactory level of awareness in the issues of
HIV transmission and prevention was expressed by one-forth of respondents with
strong direct correlation between level of awareness and using condoms.
Low awareness of MSM in HIV prevention issues, high-risk behavior and limited access to information, counseling and STI care were selected as principal
targets for addressing interventions. Development of information materials, outreach, safer sex and condom promotion and provision of a referral service for
MSM infected with STI were established in Almaty. Governmental structures have
taken a leadership in these activities. Strong cooperation and support to NGOs
dealing with HIV/AIDS prevention is sustained.

Presenting author: Maxut Shakirov, Research Institute of Skin and Venereal
Diseases, 60 Raimbeck Street, Post Code 480002, Almaty, Kazakhstan, Tel.: +7
3272 30 40 85, Fax: [phone], E-mail: [email protected]

WePeD6325 Need assessment for sex education amongst the
school children - Jodhpur (Rajasthan)
K.C. Joshil, A. Purohit2, A.K. Joshi1, J. Camilo3, J.D. Singh1. 1FXB Rajasthan,
FXB Rajasthan Society, 1-B, Onkar Bhawan, Opp Mahila Police Thana, Police
Line, Ratanada, Jodhpur 342011, India; 2FXB India, New De/hi, India; 3FXB US
Foundation, Boston, United States
Issues:
1. To asses the need of sex education in both sexes
2. To identify the areas of intervention
3. Age to start with & contents to be covered.
Will the sex education help the students in STD/HIV/AIDS prevention & population
control and in their future sex life.
Description: Four Senior Secondary School, two govt. & two private (Boys &
girls) of Jodhpur city were selected for above study.
100 boys & 100 girls of lower middle & lower social class.
Need assessment has planed by questionnaire relating education.
Age at which sex education should be given.
Knowledge about STD/HIV/AIDS their prevention
Method: of contraception
From which source they preferred sex education.
Result:
- Need of sex education is essential
- 90% agreed to it (100-73 girls) boys (100-97%)
- Preferred age to start sex education was two years lower in girls (14.5%) then
boys.
- Doctors/Health workers are the preferred choice for giving the education in both
sexes.
- Existing sources of sex education in boys were friends & print media (43%-46%)
- In girls print media was the main source then others (85%-23%)
- Condoms as means of contraception was known & the role in preventing STD
was not known.
- The awareness was confined to AIDS not HIV/STD.
- Poor knowledge about method of the contraception & prevalent myth about
sexual behaviour such as masturbation etc.
- Boys considered it immoral & harmful to health and girls did not respond to
these questioners.
This study felt the need of school based sex education by doctor/health workers
or by trained teachers.
Presenting author: Kanti Chandra Joshi, FXB Rajasthan Society, 1-B, Onkar
Bhawan, Opp Mahila Police Thana, Police Line, Ratanada, Jodhpur 342011, India, Tel.: [phone], Fax: [phone], E-mail: [email protected]
WePeD6326 Community-Based Health Promotion Research on
AIDS Prevention and Control in the Rural Area of
China
N. Wei1, J.Q. Zhu2, Z.K. Liang2. 1 The 3rd Hospital of Hebei Medical University,
The 3rd Hospital of Hebei Medical University, Ziqiang Road No. 139,
Shijiazhuang City, Hebei Province 050051, China; 2Division of Disease Control,
Department of Health, Hebei Province, Shijiazhuang, China
Background: 1) To access reasonable and effective health education model for
AIDS prevention and control in the rural community in Hebei. 2) To develop the
knowledge on AIDS among the rural population. 3) To evaluate the process and
outcome of the health education activities.Methods: We selected three villages
(10,000 population) based on different economic levels: developed, developing
and poor. The interactive small groups will be established with a facilitator for
each one will assist the promotion of the project after they finished the training
course of AIDS. The four types of questionnaires have been provided to the residents, the leaders of village, local doctors and mobile population. Multi-type of
health education activities has been taken based on the respective characters of
geographical, human and social environment, facilities and resources among the
three villages.
Results: 1) It has be identified that the effective use of the local facilities such
as cablecasting, closed-circuit television, window dressing and poster has more
priority for health education in rural area. 2) For AIDS campaigns, there is more
cultural representation and acknowledge as it will encourage the use of local resources, talents, skills as well as examples, stories and situation that the people
can identify with. 3) The supportive environment played a great role for health
promotion in the rural community. 4) Total evaluation should be very important for
reflection on health education program, for which the present results will apply to
all over the rural community in Hebei next year.
Conclusion: There is widespread lack of knowledge about the transmission of
HIV and about effective means of prevention among the mobile population. Rural
people need to have access to HIV information and education in order to know the
risk and responsibilities, to clear misconceptions, disbelieves and misunderstanding in societies since there is low prevalence of HIV infection in Hebel province.

Presenting author: Ning Wei, The 3rd Hospital of Hebel Medical University,
Ziqiang Road No. 139, Shijiazhuang City, Hebei Province 050051, China, Tel.:
[phone], Fax: [phone], E-mail: [email protected]