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

XIV International AIDS Conference

Abstracts WePeF6743-WePeF6746 269

Abstract WePeF6743 - Table
Test T1 -T4 T1 -T2 T2-T3 T3-T4
BDI (Depression Scale) F=8.940 p<0.000 F=2.542 p<0.06 F=6.321 p<0.006 F=0.005 p<0.81
STAY X1 (Anxiety State) F=5.868 p<0.00 F=5.009 p<0.076 F=2.466 p<0.043 F=0.196 p<0.701
SCL90R (Psychological Symptomps) F=21.910 p<0.000 F=7.649 p<0.856 F=9.471 p<0.007 F=6.533 p<0.086
TSK (Ruminations) F=4.608 p<0.004 F=5.215 p<0,024 F=0.826 p<0.365 F=0.104 p<0.747
TSK (Searching informations) F=1.416 p<0.238 F=0.317 p<0.575 F=2.822 p<0.096 F=2.345 p<0.128
TSK (Searching social contacts) F=3.798 p<0.025 F=1.000 p<0.319 F=22.338 p<0.000 F=5.408 p<0.002
MOS HIV (quality of life indicatory r.) F=6.557 p<0.000 F=0.617 p<0.434 F=10.935 p<0.001 F=0.461 p<0.499
MOS HIV (physic and mental stress) F=8.912 p<0.001 F=0.63 p<0.430 F=7.55 p<0.002 F=0.439 p<0.509

Recommendations: The project is able to mobilise needed resources. This approach motivates people to respond positively to the HIV/AIDS prevention & control programme. The success of the project depends upon the key players, their
health, capacities and limitations. It is important to involve medical & social work
professionals.
Presenting author: Anju Sharma, D-5, Banganga C.H.S Govando Station, Road
OPD. U.S. Vitamin, Denoar-Mumbai -88, Mumbai, India, Tel.: [phone],
Fax: [phone], E-mail: [email protected]
I WePeF6743 Evaluation of the effects of a psychoeducational
intervention and support carried out by self-help
technics
T Speranza1, M. Giulianelli1, R. Balzano1, M.V. Zaccagnini1, I. Colettal,
F. Danese2, I. Stockel2, A. DAlessandro2. 1INMI Spallanzani, via Cutigliano 38,
Rome, Italy; 2Parsec Associazione Ricerca Interventi Sociali, Rome, Italy
Introduction: Living with HIV/AIDS is very stressful and this condition can increase possible disadaptative behaviour. The model proposed wants to help the
patient face the disease in order to make him/her able to cooperate with health
care workers in a specific programme
Objectives: A) To experiment a psycho-educational study; B) To evaluate the effects of the immediate and near future process according to depression, anxiety,
stress, perception of the quality of life and coping strategies
Method: The patients(20M;26F) from the age of 23 to 55, have accepted to take
part in a psycho-educational intervention that combines the professional guidance of a psychologist in a structured group, according to the principles of selfhelp, carried out in 6 months (16 meetings and 3 groups each of 15, 15 and 16
patients). Every patient was diagnosed with the administration of the following
psychological instruments: SCID (InterviewDSMIV); BDI (Depression); STAI Xl
(Anxiety); SCL 90R (Distress); TSK (Coping)
MOS-HIV (Medical Outcomes Survey): Before the beginning of the intervention
(T1) after 3 months (T2); after 6 months and after further 6 months
Results: The results are showed in the table above.
Conclusions: The adaptation of living with HIV/AIDS has improved thanks to the
intervention where the patients learned how to cope better with their disease and
adherence
Presenting author: Tommaso Speranza, via Cutigliano 38, Rome, Italy, Tel.:
[phone], Fax: [phone], E-mail: [email protected]
WePeF6744 Catholic church sensitisation to HIV/AIDS infected
community for the self care
J. Nzeyimanal, B. Ntaconayigize2. 1GIPA project/CED CARITAS, GIPA Project,
B.P 2014, Bujumbura, Burundi, Burundi; 2CED Caritas, Bujumbura, Burundi
Issues: Catholic Church in Burundi has established 60 health care centres in the
countrywide. In each one of the centres, there is a group of people in charge of
AIDS programs. Mostly, they said groups are carrying out a health care AIDS prevention and holding a follow up program to the people living with AIDS (PLWA).
But the community is just receiving assistance from the church and has no initiative for self care.
Descriptions: When the church responsible discovered that this strategic of long
term assistance may lead to the inefficiency, it was decided to choose 7 pilot centres for experimentation of the new program of mobilising and sensitising the local
community for the self health care for the PLWA. Those groups have been being
financed by the church I order to start the generating income activities projects.
They are working closely with the Greater Involvement of People infected or affected by AIDS (GIPA) project volunteer working for the church organisation CED
CARITAS. The present activities are functioning with a great socio-economic impact to both PLWA and their careers. The community is involved.
Lessons learned: The Catholic Church has engaged firmly to fight AIDS and
poverty as it plans to reduce the HIV/AIDS impacts in the infected community. It
has understood that working with community and people infected or affected by
AIDS the best strategy to succeed their plan.
Recommendations: Church should be firmly committed in community based
AIDS programmes and should also consider the involvement of people infected
or affected by AIDS in order to find the adequate response.
Presenting author: Josephine Nzeyimana, GIPA Project, B.P 2014, Bujumbura,
Burundi, Burundi, Tel.: [phone], Fax: [phone], E-mail: gipabdi@cbinf.
com

WePeF6745 Social apartheid and violence as barriers to
HIV/AIDS prevention in Sao Paulo city, Brazil
A. Lancetti1, M.E.L. Fernandes2, P Lamptey3, M.PS. Matos', D.C. Costa
Filho4. 1Zerbini Foundation, Rua Guaianazes, S&o Paulo, Brazil; 2Associacao
Saude Familia, Sao Paulo, Brazil; 3Family Health International, Washington,
United States; 4State Department of Health, Sao Paulo, Brazil
Issues: Homicide is the leading cause of death among adolescents and young
adults living in the outskirts of Sao Paulo city. Poverty, high rates of unemployment (more than 18%), drug use, drug trafficking, sexual abuse and rape among
women, adolescents and children in conjunction with lack of proper access to
services, schools, recreation centers, and information generates increased risk
to HIV/AIDS/STI in these regions. Strategies and interventions to prevent and
control HIV need to take the violence problem into account.
Description: an intervention project for HIV/AIDS/STI prevention and care was
implemented during 2000-2001 in close collaboration with 9 public health units
(out of which 4 were inside slums) on the outskirts of Sao Paulo city. As soon
as the project started, the first major challenge the project faced was the violent
environment Therefore an intensive effort was made to project HIV/AIDS prevention beyond the health agenda. A series of multifaceted activities was conducted
involving health workers, policy makers, specialists on sexual abuse and rape,
police and security departments involved in special assistance to women, and
services that provide care (including antiretroviral therapy) to victims of rape in
order to discuss and establish appropriate referral and support systems.
Lessons learned: HIV/ AIDS prevention projects need to be designed taking
into account the interaction between HIV and violence; health workers, community leaders, policy makers,. Funding agencies (national and international) must
be involved and prepared to deal with violence as a risk factor for HIV; Referral services and support systems need to be developed to face violence; There
are limited intervention experiences documented on the proper management of
violence in Sao Paulo.
Conclusion: The prevention of HIV/AIDS in poor resource settings in Sao Paulo
needs to urgently address violence, otherwise intervention projects and programs
will have limited results.
Presenting author: Antonio Lancetti, Rua Guaianazes, 1406, Apto. 901, Sao
Paulo, Brazil, Tel.: [phone], Fax: [phone], E-mail: asfsp
@terra.com.br
WePeF6746 High vulnerability of ARC among spouses and
children of IDU's
L.B.S. Lamabam. saso, Social Awareness Service Organisation, Khwai
Lalambung Makhong RIMS Road (S), Imphal-795001, Manipur, India, India
Issue: There is an alarming rise in AIDS related cases (ARC's) amongst spouses
and infants of IDU's in Manipur which has an estimated 14,000 IDUs population
(RSA report, Imphal, UNESCO, 2000).
Description: Out of a total 219 PWA's in a project taken up by SASO ('HIV/AIDS
Intervention, Prevention and Home Based Care' August 1999 - December 2000,
funded by OXFAM) 43 are female spouses, 13 are young children/wards (all below 13 years) of the IDU's. Already, there has been 53 deaths -8 female spouses,
2 infants and the rest IDU's. Services provided for PWA's under the said project
includes free health check-up, free TB treatment (pulmonary), mobile health care
services by health workers, counselors, vocational training for widows etc.
Lesson learnt:
- Existing provisions for supplying medicines for opportunistic infection do help to
some extent but is not effective in the long run.
- Most existing PWA's under the said project are unable to afford ARV drugs.
Recommendation:
- There is an urgent need to expand programs to prevent Parent To Child Transmission to bring down ARCs.
- Effective advocacy and lobbying for more subsidized rates of ARV medicines
Presenting author: Birendrajit Singh Lamabam, Social Awareness Service Organisation, Khwai Lalambung Makhong RIMS Road (S), Imphal-795001, Manipur, India, India, Tel.: [phone], Fax: [phone], 312230, E-mail:
sasoimph @sancharnet.in