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

XIV International AIDS Conference

Abstracts WePeG6962-WePeG6966 321

Presenting author: Diana Travieso-Palow, University of Miami, Department of
Family Medicine, PO Box 016700 (R-700), Miami, Florida 33101, United States,
Tel.: [phone], E-mail: [email protected]
WePeG6962 Commitment by NGO on Community Dietary
Support for PWA/H in Japan
Y. Kinoshita1, Y. Higashi1, M. Gotohl, F Shinsho2. 1Japan HIV Center, Japan
HIV Center, 2nd Chiga BL50-B, 7-16 Hayato-Cho, Showa-Ku, Nagoya, Japan;
2Nagasaki University, Nagasaki, Japan
Background: Dietary support is rarely provided for people with HIV/AIDS in
Japan, although regular and balance diet should be one of important issues on
health maintenance of PWA/H taking HAART therapy. We have been providing
nutritional support and counseling for PWA/H to improve their eating habits. To
create a guideline for proper dietary habit of PWA, we made needs assessment
of for dietary support for PWA/H.
Methods: Personal interviews on dietary habit, medication, desire for dietary support and the reason for it were made by a dietician and a counselor for 30 PWA/Hs
who were using care support from the Japan HIV Centre.
Results: Among the participants, 22 were Japanese and 8 were from outside
Japan. More than 60% of them were twenties or thirties. Those who used HAART
therapy were 80%. Desire for dietary support were expressed by 80%, and main
reason for it were 'experience of illness' (88%), 'aware on body shape' (50%),
and 'to keep better immunology' (33%). One third of them claimed economical
difficulty.
Conclusions: The result shows strong needs for dietary support for PWA/H including (1)Continuing individual dietary advice, (2)Instruction for cooking associated with counseling, (3)Emergency counseling, and (4)Regular catering services. According to the results, we established and published a Dietary Recommendation and a guideline for dietary support.
Presenting author: Yuri Kinoshita, Japan HIV Center, 2nd Chiga BL50-B, 7-16
Hayato-Cho, Showa-Ku, Nagoya, Japan, Tel.: [phone], Fax: [phone]
2290, E-mail: [email protected]
WePeG6963 The Nyamweda rural community experience
building community capacity to manage HIV/AIDS
prevention and care programmes
M.J. Mucheri. Tsungirirai, Tsungirirai A/DS Service Organisation, P 0 BOX 107,
Norton, ZIMBABWE, Zimbabwe
Issues: There is a lack of response to HIV/AIDS prevention and care by most
communities in Zimbabwe. The strategies, which have been employed by many
AIDS Service Organisations, have been 'top down 'thereby diminishing the communities empowerment in containing their interventions. Communities are viewed
as beneficiaries of pre planned programmes and are generally only involved
on the implementation stages of the programmes. HIV/AIDS cases are still increasing forcing the organisations to change their approach in the fight against
HIV/AIDS.
Description: Involving the community in research, needs assessment, planning,
implementation and monitoring and evaluation helped the Nyamweda community
to gain an appreciation and face the crisis of AIDS. A partnership was build between Tsungirirai an implementing organisation and the community in an effort
to empower the community to own the programmes. Skills training in participatory programme management, HIV/AIDS Prevention and care skills have been
an integral component of the programme.
Lessons Learned: The Nyamweda community are now able to come up with their
own initiatives to reduce the risk of HIV/AIDS. Given the support and acknowledgement as key to the fight against HIV/AIDS the communities can unite and
share responsibilities. The Nyamweda community formed committees to spear
head their local HIV/AIDS programmes showing a sense of ownership to their
programme.
Recommendations: There is a need for programmes to take cognisance of
the importance of involving the communities in all decision-making processes in
HIV/AIDS programmes.
The approach used in the Nyamweda programme will be replicated to all the
Tsungirirai programme sites.
Presenting author: Justin Mucheri, Tsungirirai AIDS Service Organisation, P
O BOX 107, Norton, ZIMBABWE, Zimbabwe, Tel.: [phone], Fax: [phone], E-mail: tsungi @ mweb.co.zw
WePeG6964 The value of Multi-Purpose Centre's in a
community to reduce the impact of HIVIAIDS
B.J. Fiqaii. P 0 Box 7243 Erf 4169, Khomas Hochland Road, Kuisebmond, PO
Box 7243, Erf 4169, Khomas Hochland, Kuisebmond, Walvis Bay, Namibia

Issues: A Centre can offer multi-services, especially targeted at the reduction of
the impact and destigmatisation of HIV/AIDS
Description: The Walvis Bay Multi-Purpose Centre (WB MPC) is situated in
Kuisebmond, which is a historically disadvantaged community of about 30 000
inhabitants. Most people are unemployed, and according to the latest epidemiological reports, Walvis Bay has a prevalence rate of 27%, making it one of the five
most affected regions in the country.

The WB MPC opened its doors during May 2001 and offers various services: legal
clinic, faith based organization and home based care givers, drama and cultural
group, youth forum for out-of-school youth, PLWAs support group and income
generating project, peer education training for youth, assistance to the private
sector on HIV/AIDS policy and programmes.
Lessons Learnt: The Centre has seen 7000 people passing through its doors
since 1st May 2001. This shows that a Centre can be frequented by the entire
community, and not just for PLWA's. The effect of drama and cultural performances makes the spread of HIV/AIDS messages more understandable. With
the knowledge of the Centre, more organizations have requested the use of the
Centre e.g. for workshops and meetings, therefore allowing more advocacy of the
Centre to take place.
Recommendations: The Centre is the first of its kind in the region, and similar
models for the rest of the country can be built on this one. With the advancement
of technology, the Centre would like to embark on the establishment of an Internet Cafe, in order for more of the population to have access to computers. More
outreach to the business sector and the peer educators must be done, so that the
business sector can realize their Corporate Social Responsibility, which enables
the Centre to maintain their sustainability.
Presenting author: Beverley Jane Figaji, PRO Box 7243, Erf. 4169, Khomas
Hochland, Kuisebmond, Walvis Bay, Namibia, Tel.: [phone], Fax:
[phone], E-mail: [email protected]
WePeG6965 The role of traditional healing in south africa in the
prevention of HIVIAIDS
T.J. Mathiba. Council for Traditional Healers of South Africa, PO Box 381,
Dzanani, Northern Province, South Africa
This paper theoretically illustrates the effects of Apartheid and its legacy. And its
impact of traditional healing This systematic subjectivity distorted the concept and
notion of African healing and Traditional African Doctors. The distortion and destruction which was driven by a system of spiritual, holistic and socially acceptable
practise for generation which derogatory named traditional healers witchdoctors,
associating it with the occult.
Social cohesion and information sharing confluences are viewed from a traditional
point of view forming the fulcrum for enhancement of co-existence prevention and
management of disease such as HIV/AIDS and side- effects.
Major systematic factors vis a vis taboos: ethics, responsibility, accountability and
professionalism are negatively influencing the type of work undertaken by traditional healers for example the advocating the rape of virgins especially young
children and babies simply for the reasons of curing the patient of HIV/AIDS.
This paper also focuses on acknowledgement and recognition of the traditional
healers as custodian of a rich knowledge system. Having the potential of forming
a nexus with western science, Given the projections that HIV/AIDS will destroy
80% of the economically activate population. The need for close collaboration
with other sciences is therefore of dire necessity. Although the trraditional science has been thrashed and denigrated to almost obscurity in the minds of many,
it is alive and has a life of its own and 80% of South Africans of all spectrums use
the system on a daily basis albeit secretly. The intended results therefore are a
clarification of and removal of the anonymity and elevation of status of healers in
the prevention and the cure of HIV/AIDS from a traditional healing point of view.
Furthermore, the guarding against piracy and exploitation of knowledge in the
fight against HIV/AID will form the bedrock of the presentation.
Presenting author: Takalane, Johannes Mathiba, PO Box 381, Dzanani, Northern Province, South Africa, Tel.: [phone], Fax: [phone], E-mail:
[email protected]
WePeG6966 Policy and strategic planning for a national
multidisciplinary AIDS society towards prevention
and control
F Mhalu, K. Amani, H. Msacky, D. Gasarasi, R. Swai. Tanzania AIDS Society,
Muhimbili University College, of Health Sciences, PO.Box 65001, Oar es
Salaam, Tanzania
Issues: Due to complex socioeconomic, security, health and political implications
of HIV/AIDS, effective prevention and control require broad and multidisciplinary
responses. This calls for involvement of trained and skilled professionals in different fields working towards a common goal utilizing verifiable knowledge, skills
and best practices. The multidisciplinary Tanzania AIDS Society (TAS) aims to
contribute to the expansion of Tanzanian's Multisectoral Response to AIDS Prevention and Control.
Descriptions: We describe the strategic planning process in workshops on policy and advocacy undertaken by TAS in determining priority problems, activities
and strategies to be undertaken in the immediate and medium term future in responding to the continuing AIDS crisis.
Results: The vision of the society was decided to be "a strong national multidis
ciplinary organ, a source of comprehensive and authorative information and an
advocate for effective response to HIV infection and AIDS in Tanzania".
Identified immediate priorities were:
- Plans to organise biannual Multisectoral AIDS Conferences in Tanzania; the
second such conference is planned for 16th - 20th December 2002.
- Study on determinants of stigma in HIV/AIDS and undertake advocacy to address the problem.