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

XIV International AIDS Conference

Abstracts WePeF6652-WePeF6656 249

WePeF6652 Home Based Care services by Community Based
Organisation (CBOs) on HIVIAIDS Program as best
solution for decongesting the hospitals
G.E.O. Ogutu. Institution, p.o.box 6101, kisumu city, KENYA, Kenya
Issue: Home Based Care services for AIDS patients as best solution for decongesting hospital
Description: A pilot project called HIV/AIDS Prevention and Care (HAPAC) is implemented in Nyanza Province by 120 Community Based Organisations (CBOs).
All the stakeholders were involved at the inception stage and continue actively
participating in the project activities.The trained CBOs Health workers offer Home
Based Care (HBC) services to the infected and affected persons, referrals of medical cases,orphan care/support,food supplements,capacity build the groups, Anti
AIDS promotional campaigns using multimedia strategies.
Lessons: (i) Involvement of community stakeholders is very vital in instilling the
sense of community ownership and sustainability purposes.
(ii) Establishing referral linkages between the community health workers and
health facilities ensures prompt services to the refered cases thus increasing facility's clientele.
(iii) The abject Poverty situation retards AIDS programs as the CBOs Home
Based Care Program hasa limited resources to address psycosocial and economic support required by the affected community.
(iv) The increasing number of AIDS orphans needs urgent attention before it gets
out of hand.Home Based Care services may not address the long term needs of
the AIDS orphans.
Recommendations: (I) The CBOs implement Eighty per cent (80%) of the
HIV/AIDS program in the country and more resources should be channelled to
strengthen community groups.
ii) AIDS program should incorporate poverty alleviation strategies to improve low
income status of target audience otherwise it remains a vicious cycle. For example, even if antiretroviral drugs were to be issued free of charge, majority will
still die of hunger or poor nutrition. One can't take the powerful antiretrovirals on
empty stomach, it will be like overdosing oneself.
(iii) Appropriate IEC materials and HBC kit should be developed to enable CBOs
implement their work effectively.
Presenting author: gordon ogutu, p.o.box 6101, kisumu city, KENYA, Kenya,
Tel.: [phone], Fax: [phone], E-mail: [email protected]
WePeF6653 Gipa initiatives in communitybased care and
support programs in rural India
Y. Yuvarai. India Hiv/Aids Alliance, India Hiv/Aids Alliance, 605, Bhikaji Cama
Bhavan, 6th Floor Bhikaji Cama Place, New Delhi-110066
Issue: the concept gipa is well accepted world wide in the field of hiv/aids but
least implemented in the hiv/aids prevention programs and careand support programs as well.an initiative has been taken by the india hiv/aids alliance to promote
the implementation of gipa through the care and support programs in india.
Description: palmyrah workers development society is an ngo implementing the
community based care and support programme through local ngo/cbo in southern
districts of tamil nadu.the efforts taken to promote the implementation of gipa concepts are,familiarising the gipa concept,emphasising the importance of involving
the plwa in the care and support programs and including gipa as a component
of care and support programs.the ngo provided training on how to address the
issues around involving the plwa in the care and support programs.
Lessons learned: ngo should create a conducive environment for plwa to contribute.it is important to involve the plwa who are commited and who can contribute to the cause.the plwa need to be trained before they are involved into the
programs.
Recommendation: their involvement need to be optimised from them being involved at the implementation level to decision making process.
Presenting author: Anandi Yuvaraj, India Hiv/Aids Alliance, 605, Bhikaji Cama
Bhavan, 6th Floor Bhikaji Cama Place, New Delhi-110066, India, Tel.: [phone], Fax: [phone], E-mail: [email protected]
WePeF6654 Strengthening the role of men in reducing
HIV/AIDS transmission in Vietnam
S. Le Van. The Center for Public Health and Development, The Center for Public
Health and Development, # 68, Thuy Khue Street, Tay Ho District, Hanoi City,
Vietnam
Issues: In Vietnam, HIV/AIDS epidemic has been being become serious problem
on health and society. Therefore, it is needed efficiency solutions for HIV/AIDS
prevention. In fact, men have an important role in reducing transmission of HIV in
Global and Vietnam in particular.
HIV/AIDS infected rate are increasing, 84.56% of the total are men. The trend of

rejuvenation among HIV infected groups that most of them are in the age of under
29 years old increasing from 33.9% in 1996 to 70.3% in 1998.
Gender inequality is important cause of HIV infection. Women usually are sexual
victims and they are infected with HIV/AIDS easier than men because of their
body structure, they have more difficulties than men in accessing with treatment
and medicine.
Description: In Vietnam, many researches and intervention programs are being
undertaken among mobile men in big cities, they immigrate to cities from rural

areas to earn money The high risk behaviors of men is potentiality of HIV transmission to their wives.
Lessons learned: Most of men are in labor aged, young an d have frequent sexuality. They often go to big cities in farming leisure and return in harvest time.
Living far from their home are good chance for them to have sexuality with multi
partners, even commercial sex workers.
Having sex with multi partners can be accepted as a normal behaviour of men.
Almost of them said that, even have sex with multi partners, even sex worker
during city timing. They rarely use condom because of cultural barriers and services. Beside that, there are misunderstanding of knowledge among men about
HIV/AIDs.
Recommendation: 1. Intervention programs should be involved men' sexual resposibility Encourage regular condom usage when have sexuality, help them understand the effect of using condoms when having sex with partners.
2. Improving the knowledge of STDs and seeking STD. Health care services
should be established.
3. Home and community - based care networks should be established.
Presenting author: Son Le Van, The Center for Public Health and Development,
# 68, Thuy Khue Street, Tay Ho District, Hanoi City, Vietnam, Tel.: [phone]
158, Fax: [phone], E-mail: [email protected]
WePeF6655 Home based care and nursing of people with AIDS
at women fighting AIDS in Kenya - Kayole slums,
Nairobi
M. Owiti. Po. box 35168 00200, Nairobi, Kenya
Issues: To support people with HIV/AIDS at home involving families in the actual
care
To educate caregivers about environment, personal hygiene and nutrition, to educate families on drug use, administration and preventive measures against getting
infected and to create an alternative for hospitalization expenses.
Descriptions: Caregivers of clients of Women Fighting AIDS in Kenya and medical personnel were interviewed concerning the activities involved in home based
care of people living with HIV/AIDS.
Lessons learned: Home based care has been found to be having a positive impact on many families who have accepted and are caring for members infected
with HIV. This has reduced stigma since people infected have learned to live positively with HIV and when they die, they do so in dignity.
Conclusion: Community home based care givers can identify problems and anxieties which are discussed at interpersonal level, the medical personnel can inform
accordingly on practical solutions according to the environment of the patient.
HOW MY ATTENDANCE WILL BENEFIT MY COMMUNITY
I have served in the art of nursing with an HIV/AIDS support organization called
women fighting AIDS in Kenya for over 5 years. I have been mostly involved in the
care and prevention issues.
My attendance to the conference will help me very much when I return to the
community, I will come back and implement the information gathered on home
based care and nursing and prevention services in the clinic where I offer services to the people infected and affected with HIV. My attendance and discussion
on different topics like access to treatment will give me an idea on how to lobby
for cheap medicines for people with AIDS back in my country.
Presenting author: Mary Owiti, RP.o. box 35168 00200, Nairobi, Kenya, Tel.: +254
2 217039, Fax: [phone], E-mail: [email protected]
IWePeF6656 Basic community home care
M.B. Mumbi, FO. Waswa, M.O. Otieno, M.A. Awuor. TAPWAK, Po. box 30583,
00100, Nairobi, Kenya
Objective: To analyze what community basic Home care entails.
Description: Home care has more to do with the need of people for compassion,
care and dignity than the fact that hospital care is very expensive. The truth is that
in an environment where the system is geared to cure people, patients with incurable and/or terminal diseases are seen as icons of failure. Home care is not only
about sound economics, but it is about quality of care in resource poor environments. Due to this inability to care with compassion of cure-focused institutions,
TAPWAK Home Based care programme took off. In resource poor areas community Home Based Care comes in handy. The second motivation for community
home care is the value of a familiar environment. If it is then so, that Medical
Care cannot cure a patient, the environment in which he/she has to spend during his/her illness should at least be familiar. For many of our rural clients the
advanced technology and the fast pace of a modern hospital environment leave
them feeling very uncomfortable, even with the best of care. The presence of an
understanding listener, a friendly word and a compassionate caretaker who can
help with very simple basic chores in and around the home. In societies that are
based on meaningful relationships, the presence of loved ones makes a huge
difference. Many times conflict and misunderstandings have had an impact on

their lives. In a well-organized home care system, where there is close contact
between the patient, the family, the home based care worker and the local clinic;
much can be achieved to make life bearable for PLWHAs.
Recommendations: Basic home care can be summarized as the availability of
someone who will listen, care and support with empathy and compassion, facilitate trust and healing in relationships and to allow patients/clients to gain some
control of their own lives.