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

XIV International AIDS Conference

Abstracts WePeF6818-WePeF6822 285

WePeF6818 Secondary and tertiary prevention programs on
AIDS in Puerto Plata, Dominican Republic
M.I. Mendoza, Y. Kingsley, M.A. Goyanes. Grupo Clara, Grupo Clara, PO. Box
533, Puerto Plata, Dominican Republic
Description: Background:
Stigma in the life of PLWAS, Wrong Information, Social isolation, Very low levels
of attention
Common Situations: Depression, Suicide, Anti-Social conducts
Aggravate of illness, Magnify of risk of re-infection, Epidemic extension
PLWAS do not know the laws and his civil rights
Goals: -Education & Advice System for PLWAS in the North Coast of the Dominican Republic.
- Basic clinical and assistance service for PLWAS
Strategies: -Direct Beneficiaries: PLWAS, relatives and closet people
- Indirect Beneficiaries: People affected for AIDS, official infrastructures of Health
and all the population
Ways of action:
- New members goes to education activities and self-support groups
- Basically support: Home, work and eat
- Netservices: Counseling, employment, clinical assistance, legal assistance
- Hospital services: Clinical tests, attention, vertical transmission, internal & external referring system
Lessons learned: Actual results of the project:
- Three self-support groups with 60 PLWAS involved
- Direct attention to HIV infected and affected people
- Strengthening of the public attention services and improvement of quality attention to HIV
- Coordination of support actions with the mass media
- Essential medicines bank
- Development of IEC
- Legal consultant service
- Phone-line assistance
- Inter Institutional Links
Recommendations: Following Actions:
- The challenge of more than 15 new PLWAS every week
- More personal in the work
- More volunteers with a good logistic plan
- Coordination with Institutions and Foundations in order to obtain more
medicines and resources
- Ambulance vehicle
- Answers for displaced people from Haiti
- Short of resorts of communication
Presenting author: Inmaculada Mendoza, Grupo Clara, P.O. Box 533, Puerto
Plata, Dominican Republic, Tel.: [phone], Fax: [phone], E-mail: p.
[email protected]
WePeF6819 Home based palliative and nursing care in one
resource constrained rural Kenyan community
R.G. Lenya, A.S. Adams, M.M. Bauni, L.O. Odiembo. TAPWAK, Po. box 30583,
00100, Nairobi, Kenya
Issues: The rapidly increasing number of people living with HIV/AIDS most of
whom have low performance scale due to opportunistic infections require that
community efforts are mobilized to cope with the challenges of home care. In
resource-constrained settings however, resources are inadequate and therefore
cannot cope with demand.
Description: The Association of People Living with AIDS in Kenya (TAPWAK)
home-based care Programme was established in the peri urban Kibera catchement area of Nairobi, the capital of Kenya in 1996. The principal objective was
to provide a comprehensive care package to HIV/AIDS patients. The package included Counselling of PLWHAs, Nutritional therapies, medication, making referral
services to the clinics
To date there are over 40 volunteers care givers who provide nursing care to 135
HIV/AIDS patients and counselling to 300 PLWHAs. A community clinic under
the home-based care has been established with the help of the ICCO, UNICEF,
and NASCOP In order to cope with the challenges of meeting required medical supplies and running costs, TAPWAK mobilized the community to embark on
domestic resource mobilization which included selling tailoring products, sale of
second hand clothes, personal appeals, donation tins and the introduction of a fee
paying scheme for general Out-patient cases to the general public at the home
based care clinic.
Recommendations: communities should not only be mobilized to participate in
Voluntary care giving, but also in domestic resource mobilization. This is central in
building financial sustainability, which determines the smooth provision of home
care to HIV/AIDS patients and PLWHAs in general.
Presenting author: Rowlands Gombe Lenya, Po. box 30583, 00100, Nairobi,

Kenya, Tel.: [phone], Fax: [phone], E-mail: tapwak@kenyaonline.
com

WePeF6820 Involving local businesses to support income
generation projects for HIV/AIDS support groups
I. Seifert. Positive Action Society Lesotho, PO. Box: 1895, Maseru, 100, Lesotho
Issues: Income Generation Projects for PLWHA's (People Living With HIV/AIDS)
are a very effective way of providing much needed resources to manage the hardships caused by HIV/AIDS. Unfortunately most income generation projects are
not sustainable, due to a lack of management and marketing experience. Utilizing
the marketing and communication skills of the private sector can make income
generation projects sustainable and it also assists the local business community
to get actively involved in HIV/AIDS prevention and mitigation activities.
Description: This paper will show innovative ideas of how to develop and produce locally marketable products, which can be made in the confidentiality of the
own home or at support group level. Managing the generated funds at support
group level effectively can provide a regular income as well as improved medical treatment and monthly contributions for funeral cover. Being able to live a
productive life after the trauma of testing HIV positive contributes greatly towards
planning for the future and positive living. This paper is based on the 3 years experience of the Positive Action Society in Lesotho, who's main source of funds
are derived from its income generation projects and the close collaboration with
the local private sector.
Lessons learned: The local private sector is very concerned, but needs innovative ideas to get actively involved in the national fight against HIV/AIDS. With the
introduction of our website www.positive-action.org we have drastically increased
our orders for the income generation project.
Recommendation: Utilizing the marketing and communication skills of the private sector has to be much more researched and implemented specially in resource poor countries with high HIV prevalence.
Presenting author: Ingo Seifert, P.O. Box: 1895, Maseru, 100, Lesotho, Tel.:
[phone], Fax: [phone], E-mail: [email protected]
WePeF6821I Developing and establishing an advanced HIV
nursing practice
R. Spirig1, V. Werder2, J. Voggensperger2, M. Unger2, I. Bischofberger1,
D. Nicca 2, S. De Geest1. 'Institute of Nursing Science, University Basel,
Institute of Nursing Science, University of Basel, Bernoullistr. 28, CH-4056
Basel, Switzerland; 20utpatient Departement of Internal Medicine, University
Hospital Basel, Basel, Switzerland
Issues: Developing and establishing an advanced nursing practice represents
an essential step toward a future-oriented HIV/AIDS care. An action research
process was initiated to establish advanced nursing practice at the HIV clinic of
the Outpatient Department of Internal Medicine at the University Hospital Basel.
Action research is a research design that generates knowledge about a social
system while at the same time tempts to promote change. The most important
goal was to improve nursing care for patients and family caregivers.
Description: Advanced nursing practice in the field HIV/AIDS is based on solid
knowledge regarding HIV/AIDS, current therapies, and care and requires ongoing education and reflection. Central concepts are caring, clinical experiences,
evidence based practice, and patient preferences. Through a systematic step by
step process, the nurses at the HIV clinic are better educated and more experienced in these concepts. An additional aspect of advanced nursing practice is
the specialization of each nurse in one topic of HIV/AIDS such as adherence,
symptom management, or prevention.
Lessons learned: The nurses are offering state of the art HIV/AIDS care to patients and family caregivers and are installing special services such as adherence
or prevention consultation.
Recommendation: It is important to support a process of learning while establishing advanced HIV nursing practice. It enables the nurses to face future
changes in HIV/AIDS care and health care in general in a proactiv way.
Presenting author: Rebecca Spirig, Institute of Nursing Science, University of
Basel, Bernoullistr. 28, CH-4056 Basel, Switzerland, Tel.: [phone], Fax:
[phone], E-mail: [email protected]
WePeF6822 Chin Wag - a chat show all about treatments and
HIV living
B.J. Beadle. The AIDS Treatment Project of Australia, PO. Box 876,
Darlinghurst, 1300, NSW Australia
Issue: There is a wealth of treatments and health information on the Internet, and
in various print-based media, for people living with HIV/AIDS. But to what extent
is this information readily utilized? Do "fact sheets" and articles alone address
important issues of living with HIV treatments outside a limited factual and clinical
context?
Description: The AIDS Treatment Project of Australia (ATPA) Community HIV

Treatment Forums offer an alternative approach to "positive education". The
forums use a peer-based "edu-tainment" format influenced by the ubiquitous
TV chat show. The format brings together prominent HIV positive Peer Icon
Ms Vanessa Wagner (cross-dressing performer) and "University-trained" Nurse
Nancy (PhD student), along with healthcare workers from the sector, to provide
information and encourage free-ranging discussion about treatments and living
with HIV/AIDS to plwha audiences. The ATPA has conducted these forums in
provincial towns in NSW over the last three years. An entertaining peer-structure