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

XIV International AIDS Conference

Abstracts WePeF6885-WeOrG1l292 299

1 In 1998 the Supreme Court of India delivered a judgement that the law imposes
a duty on a person living with HIV-AIDS effect of spreading the infection of his
own disease, which is obviously dangerous to life, to the woman he marries'. It
has been arrived at without fully comprehending the issues and without adhering
to elementary principles of natural justice.
2 Disclosure of Identity-usually a professional secret,but an exception is there
which still holds for the above things which is called privileged communication in
Indian Laws.
This privileged communication is defined as communication made by a doctor to
a proper authority that has corresponding legal, social, and moral duties to protect
the public.
Lessons learnt: The law can never be enforced practically. Sometimes, the female despite knowing that her husband is having AIDS still chooses to marry
him. The possible explanation which we encountered is that they said "what if
they were married to someone who did not tell his HIV status at the time of marriage but later is HIV positive, so it better to marry someone who is at least honest
to you".
Recommendation: The court has no right to evade civil liberties of any person
and if a person is known to be HIV positive the right to marry should be left to the
partner.
As far as the privileged communication is concerned we think that it is of use
to society as a whole, but as far as privacy of the individual is concerned it is
evaded, but sometime that may be of harm to others so we are in the favor of the
privileged communication
Presenting author: Mohit Singla, 525/35 sukhdev Nagar, near khanpuri
chungi,heera colony, Hoshiarpur 146001, Punjab, India, Tel.: [phone],
E-mail: mohitsingla@ glide.net.in
WePeF6885 Reproductive demands and care to people living
with HIV/AIDS (PLWA): limits and possibilities in
specialized health services in Sao Paulo city -
Brazil
L.A. Oliveira1, I. Franga-Junior2, N.E.K. Silva3. 1Programa Municipal de DST
AIDS da cidade de Sao Paulo/Faculdade de Sadde Piblica/Universidade de
Sao Paulo, Av. Dr Arnaldo, 715 sala 218 HSM, ZIP 01246-904, Sao Paulo, SP
Brazil; 2Faculdade de Saude Ptblica/Universidade de Sao Paulo, Sao Paulo,
Brazil; 3Programa Municipal de DST/AIDS da cidade de Sao Paulo/Faculdade
de Sadde Ptblica/Universidade de Sao Paulo, Sao Paulo, Brazil
Background: The Brazilian response to AIDS epidemic is providing PLWA increases in life expectancy and it is allowing the reproductive issues to emerge.
Methods: This work intends to understand how reproductive demands are received in two specialized services in Sao Paulo city
A qualitative study was conducted using anthropological techniques, focusing
health work process as defined by a marxist theoretical framework.
Results: In a broader sense, work carried out can be characterized as a traditional but comprehensive medical care model conducted by a teamwork functioning as group of people instead of a integrated teamwork within a need-oriented
program.
The pregnancy has been the main focus of reproductive health care, while the
contraception or the desire to become father/mother haven't received same attention. Professionals prefer PLWA to avoid pregnacy but it is not explicitly discussed
in individual consultation or group activities. Reproductive needs do not emerge
easily in individual care settings conducted by physicians or other professionals,
because of disease control leading effort.
PLWA must explicit their reproductive demands in order to have an answer which
becomes heavily dependent on each professional knowledge/effort, taken individually. In situations that demand was discussed by teamwork or shared among
more professionals, the answers allowed generation/disposal of technology in reproductive care. Additionally, educational groups activities seem to provide more
room for emergence of demands by favoring user free expression.
The PLWA's reproductive decisions don't reach status of professionals daily concern.
Conclusions: The services can contribute to PLWA's reproductive decisions by
incorporating such demands in a common care program shared by teamwork
and PLWA. The group activities or activities that bring about the PLWA's free expression should be stimulated and improved qualitatively, promoting reproductive
autonomy and rights.
Presenting author: Ivan Franga-Junior, Av. Dr. Arnaldo, 715 sala 218 HSM, ZIP
01246-904, Sao Paulo, SP, Brazil, Tel.: [phone], Fax: +55
11 3085-0240, E-mail: [email protected]
WePeF6886 Psyschosocial support for hiv positive subjects
during pregnancy and first year of newborn life

P. Altini1, G.C. Orofino2, L. Gennero2, R.M. Di Frenna', A. Cavagnetto 1.
'Arcobaleno AIDS Association, Arcobaleno AIDS Association, Via Caprera,
46/D, Turin, Italy; 2Dept Infectious Diseases Div A Amedeo di Savoia Hospital,
Turin, Italy
Issues: We have noted, in the last five years, a progressive increase in the desire of parenthood in HIV positive subjects. Among our outpatients, at the end
2001, 11,8% (37 out of 315) generated almost a child or tried to do so. Many
factors contribute to this attitude: the very low rate of infection in newbors in west
ern countries, the optimism related to HAART, the spread of infection among non
drug user eterosexual polulation. A child, however, represent a challenge for HIV
+ people, particullary when also the partner is seropositive. The period during
pregnancy and the first year of life of the newborn may be very difficult: fear for
virus transmission, fear for the future, economic difficulties, etc. We planned so a
program of assistance ("less 9 to up 15")also for.
Descpription: the project is focused on the psychosocial support of HIV + persons during parenthood, i.e. nine months before and fifteen after birth. Individual
and group meetings with a psychologist, educational sessions on the significance
of parenthood, informations on the disease and peer education counselling are
offered; artificial milk and other necessaries for bottle feeding are also provided
to HIV + women. In one year and half, near 50 persons have been assisted. In
many cases, both parents were HIV+.
Lesson Learned: althogh the prevention of transmission risk expositions and of
unplanned pregnancies is a very important tool in PLWA, willingness of maternity
and paternity is undoubltedly a growing issue. This demand require a specific plan
of attendance, where institutional and voluntary service may efficiently interact
Recommendation: couselling about a conscious and responsible reproduction
may be performed with eterosexual HIV patients; programs to sustaine single
and couples decided to generate may be very useful, starting by material need
(i. e, artificial milk) and in collaboration with no- profit organizationts and trained
psychologists
Presenting author: Pietro Altini, Arcobaleno AIDS Association, Via Caprera,
46/D, Turin, Italy, Tel.: [phone], Fax: [phone], E-mail: gcorofino
@ hotmail.com
WeOrG1 291 Advocating for a legislation that protects people
living with HIV/AIDS (PWA's) rights
R.P.U. Pascal', V.D.S. Deliyanis', D.M.C. Melendez', C.B.M. Bustamante',
C.S.R. SAnchez2, L.Y.M. Yaconi3, L.O.D. Olivares'. 1 VIVO POSITIVO, Ernesto
Pinto Lagarrigue 131, Recoleta - Santiago, Chile; 2Movimiento Unificado de
Minorias Sexuales, Santiago, Chile; 3Fundacidn Savia, Santiago, Chile
Issues: advocacy, legislation, role and strategies of PWA's in the process of defending our rights.
Description: Since 1998, when created a multidisciplinary commission in VIVO
POSITIVO, with the participation of a variety of social representatives, for the
analysis of the existing national legal project, the different instances and attitudes
of discrimination towards PWA's, human's rights documentation and international
legislation on the subject, a systematic and sustained work had been done. Due
this work, it was possible to create a substantial body of knowledge. Latter on, a
reduced team of PWA's could stand against a reluctant political sector giving solid
arguments to guide on the legislative process, introducing key issues related to
vulnerability, social and development concerns-benefits, together with the importance of tackling the expansion of the epidemic, through a legal instrument that
promoted a protected and friendly environment towards PWA's.
Lessons learned: Participation of trained PWA's, is a key element in creating an
effective and non discriminatory AIDS legislation. Due to this participation, since
December 2001, in Chile we have a legislation regarding AIDS, even do this law
does not give us 100% of satisfaction in particular issues, we can say that this
law effectively can protect our rights to work, education, confidentiality, outstand
Governmental obligations regarding prevention and ensures a mitigation of the
psychosocial impact of the epidemic.
Recommendations: The fact of an existing legislation does not grant the protection of PWA's rights, a follow up process by HIV+ public activists, in association
with legal professionals is needed in order to make feasible the applicability of
this kind of legal instruments
Presenting author: Rodrigo Pascal, Ernesto Pinto Lagarrigue 131, Recoleta
- Santiago, Chile, Tel.: [phone], Fax: [phone], E-mail: cornavih
@ interactiva.cI
WeOrG1292 Meaningful involvement of people living with
HIV/AIDS: positive and negative effects of
involvement in community-based programs
C.J. Castle1, C. Cornu2, R. Dua3, D. Herrera4, V. Nadkarni5, A. Ouedraogo6,
N. Velasco4. 1Horizons//Intemationa H/V/AIDS Alliance, Horizons/Population
Council, 4301 Conn Ave NW, Suite 280, Washington, DC 20008, United States;
2International HIV/AIDS Alliance, Brighton, United Kingdom; 3Horizons
consultant, Mumbai, India; 4Horizons consultant, Quito, Ecuador; 5Tata Institute
for Social Sciences, Mumbai India; 6Horizons consultant, Ouagadougou,
Burkina Faso
Background: Greater involvement of PLHA is a critical response to the HIV/AIDS
epidemic. Yet little research exists exploring how it affects their quality of life and
NGO policies & services.
Methods: We examined the effects of PLHA involvement in NGOs in Burk
ina Faso, Zambia, Ecuador & India. 800 respondents were interviewed: service
providers of 17 NGOs, PLHA & people affected by HIV/AIDS who use the services, & relatives of PLHA involved in NGOs, health workers, policymakers &
community leaders.
Results: The study identified 4 types of involvement: PLHA use NGO services
(access), support the activities either as support staff or volunteers (inclusion),
provide AIDS services (participation), & design services and manage organiza