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

308 Abstracts WePeG6901-WePeG6905

XIV International AIDS Conference

WePeG6901I Promotion of sexual health at the national,
regional and international levels: A public health
approach
E. Coleman', R. Mazin2, A. Martin Hilber3. ICenter for HIV/ST/ Prevention
Studies, Program in Human Sexuality, University of Minnesota, Program in
Human Sexuality, 1300 S. 2nd St, Ste. 180, Minneapolis, Minnesota, United
States; 2Pan American Health Organization, World Health Organization,
Washington, United States; 3Reproductive Health and Research, World Health
Organizatino, Geneva, Switzerland
Issues: Historically, two challenges to HIV/AIDS prevention have been the translation of research and practice into sound policy; and the integration of HIV prevention needs and concerns into a wider agenda that addresses the broad 'sexual
health' concerns of specific populations, nations, and the world community.
Description: The authors, principal consultants on sexual health policy development at the national, regional and international level, sought to identify 'lessons
learned' from developing sexual health guidance from a public health approach.
Responding to a variety of sexual health problems and, in particular the HIV epidemic, several documents outlining public health strategies designed to promote
sexual health have been published (e.g., the Pan American Health Organization
in collaboration with the World Association for Sexology (WAS) published "Promotion of Sexual Health: Recommendations for Action (2000)." National reports
have been prepared by national institutes in Australia and the United
Kingdom, and the United States. And currently, the World Health Organization,
in collaboration with the WAS, is preparing a world document which addresses
HIV prevention and comprehensive care within the wider context of sexual health
promotion.
Lessons learned: Despite great differences in attitudes about sexuality, diverse
groups were able to find common ground on evidenced-based strategies to promote sexual health. The international, regional and national documents are remarkable consistent and stimulating strategic plans in various other regions and
countries in the world.
Recommendations: One of the most significant advances in HIV/AIDS policy
worldwide has been the development of documents at the national, regional and
international levels advancing sexual health. It is imperative that sound policies
be developed and disseminated widely.
Presenting author: Eli Coleman, Program in Human Sexuality, 1300 S. 2nd St.,
Ste. 180, Minneapolis, Minnesota, United States, Tel.: [phone], Fax: [phone], E-mail: colem001 @tc.umn.edu
WePeG6902I Women at risk: ethnographic perspectives on
methamphetamine use and HIV risk in two us sites
E.M. Gorman1, A.P. Pach2, C. Clark3, J. Topolski4, K. Nelson5, A. Scrol5,
E. Amato5, T. Applegate5. I San Jose State University san jose state university
1 washington sq, san jose, ca 95192-0124, United States; 2NORC-Univ of
Chicago, Washington D.C., United States; 3San Jose State University San
Jose,Ca 905192-0124, United States; 4Missouri Inst of Mental Health, San
Louis,MO 63139, United States; 5San Jose State University, San Jose, Ca
95192-0124, United States
Issues: between 1991-2001 public treatment admissions for methamphetamines
in western and midwestern us states increased by 1000%; women often represented 50% of admissions. many reported histories of idu yet had little awareness
of hiv or hepatitis issues.
Description: the nida funded substance use risk exploration (sure) project undertook ethnographic and epidemiological research in western washington and sw
missouri between 1998-20001 in both rural and urban settings. lessons learned:
fifty-four women with histories of methamphetamines and other drug/alcolhol
abuse patternswere interviewed; findings provided information about initiation,patterns of drug/alcohol use, sexual behavior and related health and mental health considerations, including impact of meth use on familes and children.
subjects ages ranged from 19-54 with a mean age of 32; approximately 25%
were women of color, all reported using meth alone or in combination with e.g.
marijuana, ecstasy,cocaine, heroin in the previous 60 days. Twenty-eight percent
(28%) reported idu histories, primarily of meth; 26% had injected in the previous
30 days. subjects reported little awareness of hiv or hepatitis risk; fewer than onethird had been tested. meth use predisposed to unsafe sexual practices; women
described complicated, difficult reproductive health histories with high ratios of
menstrual irregularitiesmiscarriages and abortions.reasons for current use included desire for increased confidenceconnecting to othersaltering depression,
sex and assisting in job tasks. women described mental health and social consequences - having to give up children, divorce, disintegration of families and
violence, recommendations: findings indicate a very alarming problem with significant consequences for women who use methamphetamines. those women
who inject are at high risk for HIV. there is need for considerable research and
development of appropriate outreach, education and prevention efforts.
Presenting author: e michael gorman, san jose state university, 1 washington

sq, san jose,ca 95192-0124, United States, Tel.: [phone], Fax: +1408
924 5892, E-mail: emgorman @ email.sjsu.edu

WePeG6903 Institutionalization of Reproductive Health:
A Company Health Program Intervention
F.M.G. Gantalao. SHED Foundation, Inc., Kimball Plaza, Papaya St, General
Santos City, 9500, Philippines
Issues: Reproductive Health (RH) programs give priority to women and children
where it has been successful. Most health sectors focuses on the women and
children, as well. But attempts at involving men sector in the RH awareness and
services were not given the same level of priority. Thus, less effort on the male
populace to seek health services.
Description: Kimball Plaza a retail business with almost 45% of the population
are male. Every employee are required to undergo an orientation on the health
program of the company, especially with the increasing rate of STDs in the city.
Health orientation are included in every conduction of company policies, rules and
regulations.
Male workers are encouraged to seek health services at the company's clinic
with the support of Male Kaugnay (in-plant male volunteer for health) which includes information, counseling and referral to other institutions and professionals
for special cases.
Lessons learned: - Male workers open up more with male volunteers
- Promoting RH in the orientation facilitates more the information dissemination
- Providing clinical consultation inside the company motivates male workers to
seek health services
- Credible and trained male volunteers are effective motivators for higher awareness among the male workers
Recommendations: - Use of co-workers as health volunteers
- Effective linkaging and networking with GO's, NGO's in health related concerns
facilitates easy referrals and monitoring
- RH policies and other health programs must be integrated in company policies
for higher awareness
Presenting author: Fe Myrna Gantalao, Kimball Plaza, Papaya St., General Santos City, 9500, Philippines, Tel.: [phone], Fax: [phone], E-mail: [email protected]
WePeG6904 Enhancing HIVWSTD prevention and sexual health
promotion through training on operations
research
N. De Vera. Institution, San Juan, Metro Manila, Philippines
Issues: Though many studies on reproductive health are conducted, there are
still many issues on sexual health and reproductive health that remain to be investigated. Filipino researchers need to conduct studies on sexuality, psychosocial
determinants and socio- cultural implications in relation to increasing incidence of
HIV/AIDS in the Philippines. More so, HIV/STD workers request for strengthening
research competencies. This situation provides the context for the organization's
project.
Description: Since 1997, Health Action Information Network (HAIN) conducted
a series of 21 day intensive training program composed of 3 modules: 1) Concept and Theories 2) Quantitative and Qualitative Research, 3) Practicum. Participants are multi-disciplinary and multi-sectoral representing non-government and
government agencies and the academe.
Lessons learned: The training on operations research validated the significant
role in the development work in general and sexual and reproductive (SRH) work
in particular. The training facilitated strengthening of local and regional networking among participating agencies. Each training activity provided the opportunity
to polish the modules incorporating needs and experiences of the participating
agencies
Recommendation: Request is to continue the training to cover more regions
and partner agencies particularly those involved in HIV/STD SRH work. Alumni
of training request supplemental short training courses (3-5 days) that will further deepen research competencies on SRH and will give updates/trends in HIV/
STD/SRH work. They also identified need for consultation meetings at regional
& national level as venue for sharing and for discussing research priorities and
agenda. The participants ask HAIN to facilitate strengthening of local/regional
network for research utilization and advocacy work.
Presenting author: Nilda De Vera, 201 C.M. Recto St., Addition Hills, San Juan,
Metro Manila, Philippines, Tel.: [phone], Fax: [phone], E-mail:
[email protected]
WePeG6905 family planning programs in countries with high
hiv prevalence: evidence on status and trends
from 2 subsaharan african countries
KA. Agarwal, Kokila, DA. Dickerson, Don. The Futures Group, the futures
group, 1050 17th st, washington, dc, United States
Issues: Some of the countries in East and Southern Africa, were recognized

for successful FPP before the impact of the AIDS epidemic became apparent.
HIV/AIDS interacts with family planning in a multitude of ways - impacting demand from family planning; provision of services where high mortality of health
workers may be a problem; lowering fertility, etc. It is unclear if the severe epidemic affected the family planning programs in these countries?
Description: The study will be based on a global analysis of historical trends
in AIDS, family planning and maternal health policy and program effort supple