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

248 Abstracts WePeF6648-WePeF6651

XIV International AIDS Conference

counselling efforts. A two-year project has initiated 17 community based counselling centres in 6 districts of
Tamil Nadu between 1998 and 2000.
Method: a total of 55 counsellors were trained and supported to set up community based counselling services in rural areas, within 40 kms, of the hospital
where they provide counselling during the morning hours
Once a week, at a specific time and day, counsellors provided counselling services in the local community in a place that is provided by a community such as
a room in a school, a room in the panchayat office, a room in one of the villagers'
homes
Issues: discussed included reproductive health, sexuality, marriage, HIV, condoms etc. Majority of the clients were women and included adolescent girls follow
up refferals for support, where necessary, was provided by the counsellor, as far
as possible, at the same hospital where she/he was placed help with treatment
and follow up was provided by the counsellor at the hospital level and the community level respectively, confidentiality was maintained as far as possible.
Results: 77% increase in clients attendance
58% increase in attendance of women in OP clinics
40% increase in number of partners who were treated
45% people completed treatment
48528 people were counselled
Less than 10% in dropout cases
Conclusion: institution based services need to be linked with community centered services, preferably with considerable overlap between the two, especially
in the area of counselling an attempt is being made to get the National AIDS Control programme to include community centered counselling as part of its national
policy.
Presenting author: Lata Hemchand, 4, 1 st street, Kamaraj Avenue, Adyar,
Chennai, Tamilnadu, India, Tel.: [phone], Fax: [phone], E-mail:
[email protected]
WePeF6648 Setting up a minimum standard of care for PLWA's
in community home based care to assure
continuum quality of care in a poor resourced
community
S. Chingombe1, B. Chola2. 1Bwafwano Community Home Based Care
Organization, Lusaka, Zambia; 2Bwafwano Community Home Care
Organization, Bwafwano Community Home Based Care Organization, PO Box
33155, Lusaka, Zambia
Issues: The role of home based care in providing care for chronically ill people
especially infected with HIV/AIDS is increasing in poor resourced community in
peri-urban areas where formal health care system are failing to meet demands
and needs of people infected by AIDS. In Lusaka, Zambia, there are a wide range
of home care programme such as ones initiated by health care institutions e.g.
hospitals to those initiated by community like our programme.
Description: Bwafwano home based care is located in Lusaka, Zambia operating in a shanty compound. It is community based and Interdenominational. It
provides holistic care to 1050 chronically ill and their families in a population of
250,000 people.
This paper will explain how a community home based care programme offers
home care services to people living with HIV/AIDS and their families by providing
guaranteed quality of care and improve length of life. To assure this quality and
quantity care should be comprehensive (holistic), continuum and integrated with
prevention on HfV/AIDS.
Lesson learnt: Home care programmes are sustainable and feasible if community based. One important issue is reflected upon is the one that concerns the
minimum standard of care. Some of the elements for a minimum standard of care
given in this presentation are only applicable to this kind of setting.
Recommendation: 'Me formulation of a standard of care is necessary for a home
care programme to ensure quality of care of HIV/AIDS patients and their families.
Community based home care programmes are feasible and recommendable answer to needs of AIDS patients if the requirement of minimum standard of care
component is assured and provided.
Presenting author: Beatrice Chola, Bwafwano Community Home Based Care
Organization, P.O Box 33155, Lusaka, Zambia, Tel.: [phone], Fax: [phone], E-mail: bwafwano@ hotmail.com
WePeF6649 A response to the need for care and support
programmes for survivors of commercial sexual
exploitation
R. Sen. Institution, San/aap, Kolkata, West Bengal, India
Background: The rate of HIV/AIDS amongst girl children rescued from prostitution in increasing at an alarming rate. West Bengal is one of the primary source
and transit routes for children trafficked for sexual commercial exploitation in In
dia, Bangladesh and Nepal. Neither has the State Health Department responded
to the needs of care and support programmes for these girls, and nor does West
Bengal figure in the priority zone for programmes on HIV/AIDS amongst funding
agencies.
Issues: Cases of gross violations of human rights of girls living with HIV/AIDS
perpetrated by health systems are on the increase in West Bengal, as in the rest
of India. Children rescued from Prostitution are tested for HIV without consent or

pre and post test counselling. After testing positive, they face the compounded
stigmatisation of prostitution and HIV. The paper describes a care and support
programme set up at the face of this adversity by a group of survivors of commercial sexual exploitation in children living with HIV/AIDS. 'SNEHA' the home
for children rescued from prostitution living in state custody has an integrated
Care and Support Programme where survivors living with HIV/AIDS have acquired paramedic skills in care and run support group programmes. This group of
young girls act on advocacy issues with the government or issues of treatment,
care and combat neglect and stigmatisation. Using dance theatre, the group addresses diverse issues of trafficking, rights of girl children, Violence on Children
within Prostitution, their rights to Treatment, Care, Support and Rehabilitation Programmes. The Paper includes an account of Issues of Reparation and right to
Repatriation of victims of Trafficking who are sero-positive.
Presenting author: Roop Sen, 38B, Mahanirban Road, Kolkata, West Bengal,
India, India, Tel.: [phone], Fax: [phone], E-mail: [email protected]
WePeF6650 A rural and urban model of care
B.J. Nkosi. Cotlands Baby Sanctuary Turffontei, Johannesburg, South Africa
Description: Cotlands Baby Sanctuary, situated South of Johannesburg, was established 65 years ago as a home for unmarried mothers and babies. Over the
years the focus has changed, and six years ago Cotlands opened a 20-bed paediatric HIV/AIDS hospice - the first of its kind in South Africa. As the epidemic
expanded so did the need for our services. This led to the development of our
Home Care Programme, both in a rural and in an urban environment.
Issues: A rural and an urban model was developed and implemented to address
the needs of HIV infected children in two areas where support services were not
available.
The models deals with:
1. The inter-relationship between the hospital/clinic/general practitioner, the community, the hospice and the patient.
2. Services delivered along a continuum of care.
Lessons Learned: 1. Community mobilization
2. Capacity building within communities
3. The need to develop networks and relationships in order to render an effective
service.
Recommendations: This model is cost effective and efficient in terms of rendering services to HIV infected children and their families. It has also proved successful in identifying potential AIDS orphans so that alternative placement plans
can be arranged prior to the death of their caregiver. This model can economically
be duplicated in either rural or urban areas.
Presenting author: Busi Nkosi, c/o Cotlands, P O Box 74042, Turffontei, 2140
Johannesburg, South Africa, Tel.: [phone], Fax: [phone], Email: [email protected]
WePeF6651 Women beyond the accessibility of treatment: the
social, cultural and family barriers in accessing
services in the rural parts of AP
D.S.S. Alfred1, S. Vijaya 2, R.S.S. Alfred1, M.S. Kumari1. 1SHADOWS, Solomon
Hospital, Solomon Center, Chirala, India; 2SHADOWS, Chirala, India
Issue: The women are denied access to treatment due existing social, cultural
and family barriers. The accessibility of services inside a same fame family vary
from women to men in that family
Project description: SHADOWS, a service organization, conducted Participatory Community Assessment (PCA) and designed the care and support program
which was supported International HIV/AIDS Alliance. SHADOWS found out that
the women health is neglected and not treated. The women in India are socially
and culturally are suppressed and dined equality. In addition to culture, religion
also plays a major role. The women are have no right of equal food, cloth and
treatment right from the childhood. Women Living with HIV/AIDS has no access
to treatment mainly due to lack of money, family traditions and distance for treatment. But the man seeks various places for treatment and become poor by the
exploitation by the quack and doctors. 60% of women have Anemia and malnutrition. Women Living with HIV/AIDS are have no access for treatment of opportunistic infections and go for AIDS stage. SHADOWS developed strategy to reach
the unreached by home care to address the affordability and accessibility. The
community based volunteers and team will visit home and give primary treatment
and refer to medical care providers if needed. Same time provide information on
preventive aspects and home management. The interacts with the community to
mobilize the community
Lessons learned: The women Living with HIV/AIDS care utilizing the services
and get curative and preventive treatment. The men have responded and are
permitting women for treatment of opportunistic infections.
Recommendations: Women should be recognized as top priority though they do

not perceive the need of the treatment and health care. Hence women should be
persuaded and provided health care. The family should be sensitized
Presenting author: davidson solomon alfred, shadows, solomonhospital, solomoncenter, chirala523155, India, Tel.: [phone], E-mail: [email protected]