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

XIV International AIDS Conference

Abstracts WePeF6624-WePeF6628 243

lates to the equity with which care is provided, the efficiency of care giving within
the resources available and the access that people have to care.
Recommendations: TB and HIV/AIDS services should be monitored for quality
as well as quantity of services provided.
Presenting author: Dave Haran, Liverpool School of Tropical Medicine, Pembroke Place, Liverpool, L3 5QA, United Kingdom, Tel.: [phone], Fax:
[phone], E-mail: [email protected]
WePeF6624 Programming integrated home and community
based care and support for children affected by
AIDS in India: emerging challenges and lessons
learned
D. Baipai1, S. Ghosh1, A. Rao2, A. Kurup2, K. Shinde2. 1International HIV/AIDS
Alliance, International HIV/AIDS Alliance, Queensbury House, 104-6 Queen's
Road, Brighton BN1 3XF, United Kingdom; 2India HIV/AIDS Alliance, New Delhi,
India
Issues: This paper shares challenges and lessons learned in programming an integrated programme of Home and Community Based Care and Support for Children Affected by AIDS (CAA) and their families in India. This paper argues that
an integrated approach to programming can ensure sustainability and responsiveness to the diverse care and support needs of CAA. Working with children at
all levels is important to be effective and have a substantial impact on quality of
life. The mechanisms of technical and financial support that are essential in the
setting and scaling up of a care and support programme are also highlighted.
Description: The Alliance is pioneering an EU/Step Forward-funded integrated
community and home based care and support programme in the states of Tamil
Nadu, Andhra Pradesh and Delhi. The programme provides technical and financial support to a first cohort of 29 implementing NGOs (INGOs), through 3 Lead
Partners. The INGOs include ASOs and organisations with strong community development and primary health experience. The Alliance programme coordinates
activities by INGOs to ensure a holistic response within a continuum of care for
CAA. The Alliance has avoided vertical programming for CAA in favour of an integrated approach to ensure effective coverage and sustainability.
Lessons learned: An integrated approach can respond to the diverse care and
support needs of CAA in a locally appropriate and sustainable way.
Mainstreaming the care and support needs of CAA and their families at the community level helps overcome prevailing attitudes of stigma and discrimination.
CAA have specific needs which are different from those of adults whilst each
child's needs differ based on stages of development and the contexts in which
they live.
Recommendations: It is important to be child-centric in the planning and implementation of services.
Integrating prevention with care and support services to CAA can reduce their
vulnerability to HIV.
Presenting author: Divya Bajpai, International HIV/AIDS Alliance, Queensbury
House, 104-6 Queen's Road, Brighton BN1 3XF, United Kingdom, Tel.: +44 1273
718968, Fax: [phone], E-mail: [email protected]
WePeF6625 AIDSNet support community-based HIV/AIDS
prevention, care and support activities in
northeast Thailand
C. Saisaenqian 1, N. Boonyabuddhi2, P Thongpulperm2, S. Lasak2,
S. Vittaporn2. 1AIDSNet Foundation, AIDSNet Foundation, 625/8 Phimanchon
Village 1, Ropbueng Road, Muang District, Khon Kaen 40000, Thailand; 2, Khon
Kaen, Thailand
Issues: According to HIV crisis in the community of the Northeastern region in
Thailand. There was insufficient funding for the local organization and little provision for technical support, skill related to prevention, care and project management.
Descriptions: From 1999-2001,AIDSNet Foundation funded by World Bank Social Investment Fund, provided the financial, technical support and networking to
strengthening the capacity of local organization for community-based HIV/AIDS
prevention care and support activities in the Northeastern region of Thailand.
Over the 2 years of the project a total of 127 projects were funded. This granted
projects implemented activities among various target groups including people living with HIV/AIDS, youths, community leaders, sex workers, business owners,
deaf, monks, laborers, children affected by HIV, women, villagers and AIDS workers from all sectors. Additional 33 capacity building carried out by AIDSNet, developed the networks and coordination among organizations involved AIDS activities.
Lesson learned: The project model, provide funding, technical assistance
through capacity building activities include one to one support visit and support
for networking, is a highly effective means of supporting community-based AIDS
prevention, care and support activities.

Recommendation: Due to the complicated HIV impacts, AIDSNet pays attention in capacity building on some essential areas which less attention from other
organizations, develop the intervention model; community care model for children affected by HIV, prevention programme for people at cross border areas and
youth-based prevention approaches.
Presenting author: Chutima Saisaengjan, AIDSNet Foundation, 625/8 Phiman
chon Village 1, Ropbueng Road, Muang District, Khon Kaen 40000, Thailand,
Tel.: [phone], Fax: [phone], E-mail: [email protected]
I WePeF6626 Emerging models of home and community based
care and support in three states of India - a
comparative analysis
S. Ghosh1, D. Bajpai', A. Rao2. lnternational HIV/AIDS Alliance, Brighton,
United Kingdom; 2India HIV/AIDS Alliance, New Delhi, India
Issues and Description: The Alliance's home and community based care and
support programme in the states of Tamil Nadu, Andhra Pradesh and Delhi in
India is in response to the rapidly emerging and unmet care and support service
needs of People Living with HIV/AIDS, Children Affected by AIDS and their families. The strategies of this EU/Step Forward funded programme ensure that there
is community level ownership of projects that have an integrated approach to care
and support. The programme allows for implementing NGOs/CBOs to draw on
their programmatic experience and strengths and organisational capacity in the
planning of project activities, which are contextual with regard to situational and
politico-cultural realities. This has led to the emergence of distinct and a variety
of home and community based care and support models in the three states that
address cross-cutting issues of stigma and discrimination and sustainability.
The paper describes how the Alliance programme in India has evolved, taking
into consideration a scenario of uneven availability of resources, geographical
magnitude, apathy and the issue of diversity. The paper also describes how rapid
scaling up at the front end of the programme was possible- effective and result
oriented support to approximately 40 NGOs within a period of 12 months, despite
complexities of programming within this scenario. The paper further analyses the
factors that contributed to the emergence of multiple models, which differed from
state to state and within states.
Lessons learned and Recommendations: The integration of care and support
work within the broader sectors of health and development is a resource effective
means of reaching out to PLHA, CAA and their families. This also successfully
addresses issues related to stigma and discrimination. Technical Support which
helps in creative programming(vs. replication) is possible without compromising
on standards and result oriented outputs.
Presenting author: Sujit Ghosh, 104-106 Queens Road, Brighton, BN1 3XF,
United Kingdom, Tel.: [phone], Fax: [phone], E-mail: sghosh
@aidsalliance.org
WePeF6627 A year of home-care at the "Casa-Famiglia Buon
Samaritano" for HIV/AIDS patients in Pescara,
Italy: analysis of results
R.V. Graziani, G. Parruti, G. Placido, A. Agostinone, L. Alterio, A. Pieri,
A. Consorte, V. Graziani, G. D'Amico, P. Marani Toro, G. Marani Toro. Ospedale
Civile Pescara, U.O Malattie Infettive, via C. Barbella 10, 65126 Pescara, Italy
Issues: With the advent of HAART for HIV/AIDS patients, it is not clear to what
extent long-term residential facilities still play a role in implementing high-quality
integrated care. A residential facility for HIV/AIDS patients was recently established in our area, involving both medical and ancillary staff at the local Infectious
Disease hospital Unit in a round-the-clock program of home-care. Here we describe the first-year results.
Description: Late in 2000 the first and only residential facility was established
in Pescara, Italy, to guest up to 12 people with HIV/AIDS. So many guests were
reached early in 2001, mostly natives of the local district of Abruzzo. The facility is
run by a non-profit organization and is totally funded by the local government. Access is free for HIV/AIDS patients lacking of any accommodation. Together with
professional and voluntary caregivers, a specialized nurse is always present in
the house. Since January, 2001, a program for home-care of residents has been
started. A medical consultant is always on call, regular visits are delivered twice a
week, on-site blood drawing, echo graphs and electrocardiograms are performed.
Lessons learned: the following advantages have been documented: 1. a sharp
reduction in the overall number of hospital admissions for HIV/AIDS patients; 2.
an increase in hospital admissions of new cases of HIV/AIDS; 3. increased adherence of residents to HAART; 4. improved quality of life and social integration
of residents; 5. overall quantitative and qualitative improvement of care to HIV infected patients at the same costs as in 2000; 6. an increase in hospital admissions
of non-HIV patients, due to available room and theatre facilities.
Recommendations: Our experience suggests that appropriately sized residential facilities and home-care for HIV/AIDS patients may still play a major and costeffective role in implementing better assistance standards as well as in favouring
social integration of residents.
Presenting author: Giustino Parruti, via C. Barbella 10, 65126 Pescara, Italy,
Tel.: [phone], Fax: [phone], E-mail: [email protected]

WePeF6628 Faith helping centre
C.S.Y. Chow. Faith Helping Centre, No. 1, Jalan 7/18C, Taman Mastiara, Jalan
Ipoh Batu 5 1/2, 51200 Kuala Lumpur, Malaysia
Issue: Faith Helping Centre, set up in 1984 by a group of ex-drug users and
church, helps and assists in the rehabilitation of drug users and problematic
youth. Due to the increasing number of PLWHAs, especially among IVDUs, many