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

336 Abstracts WePeG7034-WePeG7037

XIV International AIDS Conference

treatment, support and care; tomorrow - prevention; and beyond - development of
a safe, affordable and effective vaccine, Stop AIDS Now! raises funds and awareness to support innovative and sustainable interventions in poor countries. Each
of the partners have their own specific focus. Together the unique characteristics
of the partners enhance their ability to work together, learn from each other and
support new projects.
Lessons learned: Development organisations have broad experience in implementing successful projects. HIV/AIDS organisations bring together not only the
sensitivity to ensure that projects support and include vulnerable populations but
also add the value of being able to stimulate broad-based public and private financial support and awareness to HIV and Development programmes. Joint partnerships can stimulate other sectors of society such as the business community
and organised labour to become more involved in HIV/AIDS issues.
Recommendations: Models such as Stop AIDS Now! can be replicated in other
countries. HIV/AIDS organisations can learn from and work with development organisations and all parties can gain support from each other to create better programmes and to do more collectively than on their own. These partnerships can
stimulate not only additional financial resources but also additional commitment
within society at large.
Presenting author: Joseph Scheich, STOP AIDS NOW!, Keizersgracht 390-392,
1016 GB, Amsterdam, The Netherlands, Tel.: +(31)(20) 528 7828, Fax: +(31)(20)
627 5221, E-mail: [email protected]
WePeG7034 Access to injecting drug users in Moscow city for
social and behavioral research
M.N. Trubnikov1, D.V. Blagovo1, D.A. Barkov 2. 1NGO "Returning to Lifes",
Moscow, Russian Federation; 2Narcology Clinic of Moscow Region, Moscow,
Russian Federation
Injecting drug users (IDUs) are a hard to reach group around the world. The
specialised medical facilities and law enforcement agencies in the Russian Federation register only a fraction of IDUs. Therefore any study sample for IDUs from
the individuals covered by these agencies will not represent the features of the
people in the community. It's intended to study socio-behavioral and psychological features of IDUs in Moscow city, their knowledge and attitudes to HIV/AIDS
and STI and to assess the effectiveness of harm reduction activities in IDUs.
Description: We are conducting a research on social, behavioral and psychological features of IDUs in Moscow city aimed at identifying risk factors to HIV and
STIs and to assess the effectiveness of the harm reduction activities. In order to
get proper access to the community of IDUs in the study areas we established
cooperation with the outreach workers of the NGO "Returning to Life". They successfully provided the primary contacts with the drug users not registered by the
Government facilities and assured the implementation of the snow-ball method
for reaching the rest of the community.
Lessons learned: The outreach workers who have been working with the community of IDUs for several years have a good rapport and trust of the people
they serve. They can easily provide access to the population in the community,
that allows building up a planned research sample and making the study more
representative.
Recommendations: The outreach workers of the local NGOs serve a good media for the access to the drug users in the community for the social and behavioral
research. Working in cooperation with them provides a comprehensive coverage
of the target population and allows avoiding the sampling bias that would occur if
the people are enrolled from the government service providers.
Presenting author: Dmitry Blagovo, NGO " Vozvrascheniye k zhizni" (Returning
to Life), 2/1, corp. 4, Suvorovskaya Street, Moscow, 105023, Russian Federation,
Tel.: [phone], Fax: [phone], E-mail: [email protected]
WePeG7035 Stakeholder relations and programme
management - experiences from a state level
HIV/AIDS prevention programme
R. Chandran. Partners Forum Kerala, Trivandrum, Kerala, India
HIV/AIDS, which came into our midst as a medical issue is now increasingly seen
as a social issue. This is because of a twin phenomenon. The first phenomenon
is that developmental backwardness fuels the spread of the disease. The second phenomenon is that the spread of HIV/AIDS slows, halts and eventually reverses development achievements in a country. The learning from two decades
of HIV/AIDS epidemic shows us convincingly that these statements are not speculative theories but stark realities.
PSH (Partners in Sexual Health) programme in Kerala, India has been initiated on
the basis of these basic realities. PSH is a Targeted Intervention (TI) programme
funded by DFID, Supported by Kerala State AIDS control society and facilitated
by State Management Agency and implemented by the NGO partners for the last
4 years. Currently 43 projects are running in 14 districts of Kerala addressing the
sexual health needs of the various High Risk Behaviour groups.

An analysis of the programme has been done by the Partners Forum (an NGO
networking body of all the partners) to assess the functioning of the programme.
The major focus of the study was on Programme management aspects, Technical
input sand Stakeholder relations.
All the 43 partners and other stakeholders were included in the study. The tools
used for the study are Interview schedule, in-depth interviews and focus group
discussions.

The major findings of the study are, stakeholder relation has direct impact on the
programme management. The major identified determinants of stakeholder relation are individual and organizational benefits rather than the issue. Need based
and relation based facilitation enhances the project process and activities.
The adopted three ways approach (single group interventions, multi group interventions and community-based interventions), though it is a novel approach, is
effective and increases the reach of the programme. This approach is suitable for
replication also.
Presenting author: Chandran Satheesh, H.no.26, Ambalanagar, Trivandrum,
Kerala 695003, India, Tel.: +91471 - 430978, 434149, Fax: +91471 - 432297,
E-mail: [email protected]
WePeG7036 The AIDS Lanka Project - A collaborative approach
to increasing access to HIV/AIDS treatment in Sri
Lanka
N.A. Ozer1, M.H. Kappagoda2, D.K. Mulligan3, J.L. Selbin2, L.E. Fletcher4.
I University of California, Berkeley, University of California. Berkeley, Boalt Hall
School of Law, Berkeley, California, 94720-7200, United States; 2East Bay
Community Law Center - HIV/AIDS Project, Berkeley United States;
3Samuelson Law, Technology and Public Policy Clinic, Berkeley, United States;
4 International Human Rights Clinic, Berkeley, United States
Issues: Lack of awareness on the part of governmental agencies and lack of
access to affordable medicines are two significant barriers to implementing effective treatment programs for citizens living with HIV/AIDS in many of the world's
developing nations.
Description: This paper will describe work of the AIDS Lanka Project, a collaborative project of HIV/AIDS activists in Sri Lanka and the United States as well
as legal clinics affiliated with the University of California, Berkeley. The project
defines its mission as one of increasing access to Antiretroviral (ARV) medications in Sri Lanka. The three legal clinics - the HIV/AIDS Law Project of the East
Bay Community Law Center, and the International Human Rights Law Clinic and
Samuelson Law, Technology Clinic of U.C. Berkeley's School of Law (Boalt Hall),
have been working with A.C.C.E.S.S., a Sri Lankan NGO and AIDS Lanka, a USbased working group of legal and health professionals and HIV/AIDS activists.
The clinics have assisted AIDS Lanka and A.C.C.E.S.S. in developing a model
program for ARV distribution and treatment in Sri Lanka by employing a human
rights model as a tool for policy development, and by providing practical advice
on importing affordable ARVs in compliance with international intellectual property treaties.
Lessons learned: The AIDS Lanka project is currently in a dynamic phase. We
intend to submit a policy brief to the Sri Lankan Ministry of Health outlining the
government's human rights obligations to provide medicines as well as alternatives for importing ARVs. By the time of the conference, we will be able to report
about the effectiveness of this approach as a tool.
Recommendations: This paper recommends a client-centered, collaborative approach to the problem of lack of access to ARVs. The approach is one that enables NGOs to employ a human rights framework to policy development and to
provide practical advice on importing and distributing affordable medicines.
Presenting author: Nicole Ozer, University of California. Berkeley, Boalt Hall
School of Law, Berkeley, California, 94720-7200, United States, Tel.: [phone], Fax: [phone], E-mail: [email protected]
WePeG7037 A collaborative model for HIV/AIDS education and
training for Native American healthcare providers
B. Blake1, V. Franklin2, W. McGuckin3, R. Greenfield3, A.I. Ribol, L. Machado3,
R. Jones1, S.A. Moreno4. 1 Texas/Oklahoma AIDS Education & Training Center,
3309 Ricci Lane, Irving, Texas, 75062, United States; 2Ahalaya Native Care
Center, Oklahoma City, United States; 3University of Oklahoma Health Science
Center, Oklahoma City United States; 4Parkland Health & Hospital System,
Dallas, United States
Issues: Native Americans in the U.S. are disproportionately represented in virtually every risk associated with AIDS, including sexually transmitted infections, intravenous drug abuse, alcohol abuse, and domestic and sexual violence. Despite
this, Native Americans have been largely ignored in efforts to educate communities about AIDS. Two decades of the pandemic have confirmed that collaborations
and interdisciplinary educational efforts can improve access to care, however, the
precise manner for orchestrating these collaborations remains elusive and poorly
documented, particularly in reference to indigenous communities.
Description: this paper focuses on the collaborative process that ensued between a Native American community agency, and a federally sponsored AIDS
training program, through an initiative funded by the U.S. Health Resources and
Services Administration. The planning issues, training needs, curricula, and pedagogy used to implement a culturally appropriate "Train the Trainer" program are
described. The model includes: 1) training 14 "Champions" from Native American

communities; 2) didactic and preceptor clinical training; 3) presentation of crosscultural aspects of the disease, imparted by an anthropologist, Native American
agency staff, and traditional healers; 4) follow up "Teach Back" sessions for the
Champions to train community members; and 5) an interdisciplinary team, representing 5 disciplines.
Lessons learned: Native American community agencies are invaluable partners
in the development of AIDS training for Native American healthcare providers. In