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

338 Abstracts WePeG7043-WePeG7046

XIV International AIDS Conference

lance,LGU raised its concerned due to its strategic location as gateway to BIMPEAGA(brunie-indonesia-malaysia-philippines east asian growth area) and a fast
growing city. LGU initiates SHED Foundation an ngo working among freelance
sex workers and its customers to solicit its manpower expertise. Having a memorandum of agreement on networking with local health official agreed to provide
their trained CHOW(community health outreach worker) who is a nurse and midwife to work hand in hand at the social hygiene clinic to assist in the health
care service delivery like urethral/cervical examination,medication and encourage partner treatment, counselling,recording and through outreach intervention.
Lesson learned: LGU as lead agency should mobilize local resources through
partnership with NGO on the expansion of STD/HIV/AIDS care among hard to
reach risks groups. While NGO is working hand in hand at the social hygiene
clinic their skills were develop that provide more efficient STD/HIV/AIDS care and
Government widens its access on STD/HIV/AIDS care service delivery among
difficult to access risks groups thus increasing its casefinding and health seeking
behavior.Recommendation: LGU should recognize the NGOs existence as partner on the expansion of adequate and efficient STD/HIV/AIDS for the prevention
and control in reaching difficult risks groups.
Presenting author: Mely Lastimoso, Social Hygiene Clinic, City Health Office,
Lagao, General Santos City, Philippines, Tel.: [phone], Fax: +63 083
5527320, E-mail: [email protected]
WePeG7043 South -south cooperation over AIDS and its
geopolitical aspects - the experience of Latin
America and the Caribbean
P.R. Teixeira', PG. Meireles2, R.B. Costa Filho1, A.D. Grangeiro', R. Munhoz',
M.T. Figueiredo2. 'Brazilian Ministry of Health, Brasilia DF Brazil; 2Brazilian
Ministry of Health, Brasilia - Dl Brazil
Issues: South-South cooperation has become a powerful consolidating and
defining agent with respect to regional policies concerned with the Aids question. The experience of the Latin American and Caribbean region, simbolyzed by
the Horizontal Technical Cooperation Group (HTCG), has so far demonstrated
the importance of investing in building up close contact and undertaking joint activity at regional level, resulting in policies which can have a genuine impact on
the Aids situation.
Description: The experience of Latin America and the Caribbean in the building of a regional policy, accumulated over the last few years, has clearly led to
an enhanced ability to defend the region's common interests. In this regard, it is
worth mentioning the performance of the Latin American and Caribbean countries at the United Nations General Assembly Special Session on HIV and Aids
which took place in June. The fact that Latin America and the Caribbean was
able to speak with one voice on the Aids question was already in evidence at the
first preparatory meeting of UNGASS in February 2001. The region as a whole
presented a document through the good offices of the HTCG, which outlined the
major concerns and complaints of a significant number of countries. The political
weight of such a document, strongly influenced the international forum as far as
the final guidelines and results were concerned. It was presented as a consensual proposal of intent, and was definitely one more sign of empowerment of the
region as a whole.
Lessons learned: South-South Cooperation and joint regional political activity
bringing together governments and civil society contributes towards the establishment of integrated regional policies, reinforcing the construction of more effective
responses to the HIV epidemic.
Recommendation: International Organisations should be called upon to assist
in the dissemination of experiences of this type and to collaborate in the strengthening of such joint activities.
Presenting author: Rosemeire Munhoz, SEPN - 511 - BL.C, 10 andar, Brasilia
DF, Brazil, Tel.: [phone], Fax: [phone], E-mail: rosemeire
@aids.gov.br
WePeG7044 Social compromise and solidarity policy - an
experience in the municipality of Niteroi - State of
Rio de Janeiro - Brazil
M. Santana', F.M.G. Rocha', L. Semeghini1, M.J. Dutra', I. Araujo',
A.L.F Eppinghaus', E. Messas', M.C. Ferraz', M. Vaz', R. Savelli1, R. Lima',
T. Azeredo', M. Catarina1, D. Nicolau2, L. Matos3, A. Rosalen2, B. Rolim3,
J. Vieira2, A. Bastos2. 'Health Department Nitero, Brazil; 2Educational
Department, Niteroi Brazil; 3Health Department, Niteroi, Brazil
Issues: Brazilian Aids Policy has an important key: to develop and to strengthen
strategies based on the partnership amongst the different sectors involved in the
fight against Aids.
Description: Since the early 1980's Niteroi City has been among the top 30 counties nation-wide in the rank of Aids cumulative reported cases by June 2001.
Since the 90's many important prevention proposals were implemented involv
ing NGOs and the Municipal Health Department (MHD). The target groups were:
people living with HIV, sex workers, homosexuals and poor communities. Another
relevant initiative was performed by NGO and Educational Department (ED) setting up baselines for prevention actions in public schools. All projects were included in the Planning of Aids Program and has been supported by the Ministry
of Health and the MHD. To guarantee an effective and integrated response for the
epidemic, in 2001 a Network comprised of 14 health unity services, 4 NGO and

2 Municipality Secretaries was created. The groups' objective is to respond to
our present challenges: to decentralize and articulate proposals into our Official
Health System; to improve prevention actions and promote its sustainability, and
to integrate treatment and prevention policies.
Lessons learned: Sharing the responsibilities with partners, including the private
sector; a Conference on "Social Responsibility and Sustainability of STD/Aids
Prevention Policy", a Contract Agreement between the MHD and ED, which defined the institutional responsibilities to maintain the actions and to guarantee the
distribution of condoms inside the school system-an innovative strategy in the
Brazilian Policy.
Recommendations: The creation of a Committee of Health Promotion, to be
responsible for the Implementation of Programs addressed to vulnerable populations,in order to integrate prevention and assistance policies; and a Municipal
STD/Aids Policy Committee composed by governmental institutions, NGOs, Universities and private sector.
Presenting author: Fatima Rocha, Brazil, Tel.: [phone], Fax: +55
21253 34152, E-mail: [email protected]
WePeG7045 Establishing and maintaining a partnership
between a US AIDS service organization and an
AIDS NGO in Botswana, Africa
P.A.D. Daoust. AIDS Action Committee, AIDS Action Committee, 114 Farm
Street, Dover, Ma 02030, United States
Issues: There appears to be a consensus that US AIDS service organizations
can and should be involved in addressing the AIDS crisis in developing countries.
The AIDS Action Committee(AAC) of Mass. has been working with the Coping
Centre for PWAs(COCEPWA) in Botswana, Africa for two years. Although our
partnership is experiencing success on many fronts, the complexities of establishing and maintaining such a relationship were clearly underestimated by both
parties.
Description: COCEPWA, in collaboration with AAC, received funding to support
a capacity building and program development initiative. The idea behind the partnership was that COCEPWA could take advantage of AAC's 18 years of expertise
in program planning, community mobilizing and strong infrastructure. The staff of
COCEPWA would adapt programs, curricula, and trainings to meet the needs of
the local community and ensure cultural appropriateness. The project involves
traveling to and from the US and Africa by both organizations, use of the Internet
to maintain on going communication and the development of cultural educational
program to facitiate our working relationship. This paper describes our experiences, accomplishments and challenges.
Lessons learned: US AIDS Service organizations have an important role in addressing the internation AIDS epidemic. A two-way partnership can be an effective method of accomplishing this. However, roles must be clearly defined, long
term funding must be available, and a significant investment in understanding
cultural difference is essential.
Recommendations: A forum for established AIDS service organizations who are
or would like to become involved with ASOs/NGOs in developing countries should
be convened. This would providee an invaluable opportunity for expertise to be
shared, guidelines to be established,and evaluation of international work to occur.
Presenting author: Patricia Daoust, AIDS Action Committee, 114 Farm Street,
Dover, Ma 02030, United States, Tel.: [phone], Fax: [phone],
E-mail: [email protected]
WePeG7046 Creating a sustainable future for HIV prevention
and care: Locating HIV services in a broader
social, economic and health policy framework
S. Clayton. AIDS Council of NSW Acon, PO box 350, Darlinghurst NSW 1300,
Australia
Issues: When the HIV/AIDS epidemic first emerged in Australia it was
clear that a successful response would require a partnership of government,
medicine/research and affected communities. Each developed highly focussed
programs, services and policies encouraging people to think of HIV as one of the
most significant health threats of our time. Twenty years into the epidemic, HIV
has become less of a priority to many HIV positive people, affected communities
and policy makers. The challenge now is to locate HIV in a context that is relevant
to the lives and priorities of affected communities and at the same time affends
to the funding priorities of government. Different contexts will be appropriate in
different countries depending on social and economic factors and the profile of
the epidemic.
Description: This paper will discuss the process followed by the AIDS Council
of NSW, Australia to firstly locate HIV in the broader context of sexual health and
then to develop into a broader community health organisation. It will consider the
challenges of maintaining a focus on HIV while taking on other health issues and
of delivering services to all HIV positive people, sex workers and Indigenous peo
pie while claiming a gay and lesbian identity for the organisation. The paper will
also address relationships with government and factors to be considered when
attempting to locate HIV in a broader community health context.
Lessons learned: Maintaining the interest of affected communities and government in the longer term requires the location of HIV in a broader context. A change
of context that serves the needs of affected communities, however, may be ahead
of government thinking and funding priorities in the short term.