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

196 Abstracts WePpE2111-WePpE2114

XIV International AIDS Conference

Conclusion: Inclusion of HIV/AIDS education in to school curriculum, and to
support educators to provide ongoing, consistent messages and skills building
amongst school students, is very emphasized.
Presenting author: Farahnaz Abdollahzadeh Mahlani, Faculty of Nursing & Midwifery, Shariati-e-Djunubi Ave., P.O.Box 51745-347, Tabriz, Islamic Republic of
Iran, Tel.: [phone], Fax: [phone], E-mail: fLabdollahzadeh
@ hotmail.com
WePpE211 Revisiting HIV/AIDS information dissemination
W.H. Odiwuor. NECOSI-Kenya, G.PO. Box 2929, 00100, Nairobi, Kenya
Issues: The problem with the widespread AIDS menace in Kenya is the fact that
almost everyone (90%) has heard of HIV and AIDS, yet they do very little about
it. Most communities in Kenya in general do not actualize, comprehend, admit or
even accept the seriousness of the AIDS menace. Yet strangely enough, studies have shown that a Kenyan dies of AIDS every three minutes. Most people
in these communities see HIV/AIDS as an integral part of their daily lives. They
associate HIV/AIDS with some of their cultural phenomenon and link the scourge
with taboos within their communities.
Description: This paper will highlight the misinterpretation of information disseminated in the fight against the HIV/AIDS scourge. Most of the information sent
down to the communities' falls short of the cultural interpretations. This paper
which is based on an anthropological analysis, will therefore re-construct most
of the misinterpreted HIV/AIDS information taking into consideration the cultural
phenomenon of those communities involved.
Lessons learned: Creating HIV/AIDS awareness with an understanding of the
various cultural phenomenon of a community has proved an effective way of information dissemination. What the pupils learn about AIDS in schools and the
discussions they later on have with their parents at home conforms to a dialogue
of understanding and gainful knowledge which ultimately help reduce the spread
of the AIDS scourge.
Recommendations: This research recommends that for every HIV/AIDS awareness campaigns, it must be supported with a good understanding of the cultural
background emphasizing the difference between the home culture and the school
culture as well.
Presenting author: Wycliffe Humphrey Dr. Odiwuor, G.P.O. Box 2929, 100,
Nairobi, Kenya, Tel.: [phone], E-mail: [email protected]
WePpE2112 The prevention of HIV as it is perceived by young
people aged between 14 to 16 years old within the
educative system in Catalonia
D.P.S. Paricio Salas, M.P.S. Pont Sabata. Sida-Studi, Sant Pere mes
Alt, 17-bajos, 08003, Barcelona, Spain
Background: The aim is to approach the reality of HIV from the perspective of
young people and is based in three aspects: the way they see and experience
HIV/AIDS; which solution, according to them, is the best and what they think
about condoms.
Methods: The results were collected throughout 2001 via closed-reply questionnaires to fill in before the HIV/AIDS workshops
Survey profile: 1.000 secondary schools students aged 14-16 years old from Catalonia (Spain). It's not a pre-selected sample; this selection has been taken from
those centres which request our workshops.
Results: The results of three aspects of the survey were:
- More than 80% define AIDS as a problem.
- 50% consider that prevention is the main way to stop HIV/AIDS. Only 25%
defend the option of medical treatment and research and only 1 out of 10 see
stopping unsafe sexual practices as an alternative.
- 90% see condoms as an instrument to avoid problems and for 78% they are the
best contraceptive method.
- 40% believe that the main problem with condoms is convincing the partner to
use them. Otherwise, 35% of the girls believed that the main problem is how to
use them whereas 23% of the boys believed that the main problem is how to
obtain them.
- More than 30% of the surveyed people had received information about
HIV/AIDS at school.
Conclusions: young people see AIDS as a "problem" and they know what the
solution is: the condom, even though it is proved that this information does not
necessarily mean a change in attitudes. Moreover, we consider that all this information is creating a misplaced sensation of security, especially in young people
who have not faced any unsafe situations and who consider that in itself this information is a preventative measure.
Presenting author: David Paricio Salas, Sant Pere mes Alt,17-bajos, 08003,
Barcelona, Spain, Tel.: [phone], Fax: [phone], E-mail: ssjform
@ suport.org

WePpE2113 A training methodology used to design in-service
HIV/AIDS care training for South African public
sector health care workers
T.H. Adendorff, M.E. Dankers, S. Conway, M. Diese, P. Connely. IAPAC, suite
244, Postnet Killarney, Private Bag X2600, Houghton 2146, South Africa
Issues: Training health care workers (HCWs) appropriately and equipping them
with the necessary knowledge and skills to care for patients with HIV/AIDS is a
major challenge facing the South African Health Department. Although the National Department of Health HIV/AIDS Guidelines had been in place since 1999,
many health care workers were not aware of them and had no formal training in
HIV/AIDS care. To reach these untrained workers, a training program was developed.
Description: Based on the adult learning theories, a training programme was
designed, to enhance problem-solving skills and bring about perceptual shifts in
how HCWs treat, care for and support PLHA. The main purposes are to add to
existing knowledge and find out what is and what is not working in HIV/AIDS care
provision. Most importantly, the training enables HCWs to go back to their setting
and train others. The learning activities include A)Care Team Learning using a
peer education techniques, B)Change Management Learning using team building activities, leadership skills development and communications, and C) Care
for Carers' Learning based on mentorship, peer support and motivational media.
Seven building blocks are used in the process of training;(1) identifying the needs;
(2) defining objectives; (3) creating knowledge objects; (4) designing learning objects; (5) allocating appropriate time frames; (6) recruiting, developing and supporting suitable accredited trainers and, (7) evaluation and monitoring.
Lessons learned: Decentralization of training initiatives can be used to attain a
wider reach of HCWs for training programmes, but needs to be sustained with
adequate ongoing support. Addressing immediate needs can result in guideline
lead care.
Recommendations: A mid term evaluation needs to be conducted to measure
the impact the training. Expansion of and ongoing collaboration with all sectors of
health care delivery is necessary
Presenting author: Tania Adendorff, suite 244, Postnet Killarney, Private Bag
X2600, Houghton 2146, South Africa, Tel.: [phone], Fax: [phone]
5990, E-mail: [email protected]
WePpE2114 Survey on knowledge and behavior towards
HIV/AIDS amongst medical students in Espirito
Santo State, Brazil - 2001
N.C. Fiqueiredo1, F.F. Menezes2, F Souza2, R.L.R. Alves3, E.P. Yamaguti3,
S.F. Moreira-Silva3. 1Prefeitura Municipal de Vitoria - ES, Rua Rio Branco,
123/203, Praia da Costa - Vila Ve/ha, Espirito Santo, 29100-380, Brazil; 2UFES -
ES, Vitoria, Brazil; 3HINSG - ES, Vitoria, Brazil
Background: Studies have showed the lack of a connecting link between knowledge and behavior, especially among young adults, seeing that even though
knowledge as regards AIDS transmission seems wide-spread many young individuals do not perform safe sex. The aim of this descriptive study is to evaluate
knowledge, personal-risk perception and the preventive sexual conduct among
medical students.
Methods: Out of 480, 383 (80%) medical students at a Federal Medicine college
in Espirito Santo State-BR agreed to participate in the survey. They were surveyed on their knowledge about transmission, precautions to take when providing
care and general behavior to HIV/AIDS and the risk of HIV infection. They were
analyzed in two groups: one of college beginners and another of senior students.
Results: Out of 383 students, aged in average of 21,5 years old, 153 (40%) female, 230 (60%) male, 212 (55%) were college beginners and 171 (45%) were
seniors students. The medical students, regardless of being beginners or senior
students, showed a fairly high level of knowledge about the transmission of HIV
(99%) but out of 295 sexually experimented individuals 42% reported not having used a condom in their latest sexual intercourse, 19% reported having more
than one sexual partner. 16% reported not using a condom when doing some illicit drug. The students were more likely to modify behavior to protect themselves
from occupational exposure to HIV infection than from nonoccupational exposure.
Moreover, 297 out of 379 (78%) reported that they had no chance of acquiring
HIV.
Conclusion: The data showed a high rate of medical students having active
sex life and keeping high-risk behavior, regardless of the year they were attending. Despite the high level of knowledge of medical students, many students did
not perceive themselves at risk. Intervention programs with a view to counseling these students should be proposed, so as to the change the students risk
behavior.
Presenting author: Ninive Camillo Figueiredo, Rua Rio Branco, 123/203, Praia
da Costa - Vila Velha, Espirito Santo, 29100-380, Brazil, Tel.: [phone],
Fax: [phone], E-mail: [email protected]

WePeE6437 AIDS, NGOs and the brazilian state: partnership
and conflict
L.M.R Silva. Universidade Federal de Sao Carlos, R. Aziz Cury, No 93, CEP
13568-420, Maria Estela Faga, Brazil
Background: to study the relationship between the National Coordination for