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

344 Abstracts WePeG7069-WePeG7073

XIV International AIDS Conference

WePeG7069I Strategies and policies to strengthen HIV/AIDS
prevention among migrants and ethnic minorities
in Spain
J. del Amol, M.J. Belza2, A. Llacer3, S. Castillo4, J. Castilla2, M. Suarez1,
A. Bolea', A. Rodes', M. Manzanera5, F. Parras1. 'Secretarfa del Plan Nacional
sobre el Sida, Madrid; 2Centro Nacional de Epidemiologia y Secretarfa del Plan
Nacional sobre el Sida, Madrid; 3Centro Nacional de Epidemiologfa (ISCIII),
Madrid; 4Departamento de Salud Internacional (ISCIII), Madrid; 5Fundacidn
para la investigaci6n y prevenci6n del Sida en Espaha, Madrid, Spain
Issues: Migration in Spain has taken place over the last 10 years although the
proportion of migrants (2.5%) is below the European Union's (4.8%). AIDS incidence in 2000 in Spain was 59 cases per million while migrants come from
countries with lower incidence. Until recently, HIV/AIDS incidence in migrants in
Spain was not estimated.
Description: This paper describes the strategies and policies developed over the
last 3 years by the National Plan on AIDS in Spain, a governmental department
within the Ministry of Health, to strengthen HIV prevention among migrants and
ethnic minorities:
1. Networking at national and international level
1.1. Meetings and training activities
1.2. Exchange of information
2. Policy changes.
2.1. Prevention of HIV in migrants and ethnic minorities was defined as a priority:
2.1.1. In the public call for grants targeted to nation-wide NGOs and
CBOs in 1999
2.1.2. For intervention at national and autonomic level through the Multisectorial AIDS Programme 2001-2005.
2.2. Projects on HIV/AIDS in migrants and ethnic minorities were defined in
2001 as a priority for research through the Spanish Foundation for AIDS
Research and Prevention.
3. Improvement in HIV/AIDS surveillance in migrants and ethnic minorities and
publication of data
4. Development of culturally adapted materials/tools
Lessons learned: A marked increase in the number of NGOs working in
HIV/AIDS prevention in migrants and in number and quality of programmes has
been observed. Sustainable strategies should involve both governmental and
non-governmental organisations. Although only 2% of cumulative cases of AIDS
in Spain occur in persons whose country of origin is not Spain, this proportion is
rising.
Recommendation: Strategies to improve HIV/AIDS prevention in migrants and
ethnic minorities should be maintained through both health authorities and NGOs
as well as being open to develop culturally adapted responses to forthcoming
challenges.
Presenting author: Julia del Amo, Bravo Murillo, 4, 28015 Madrid, Spain, Tel.:
[phone], Fax: [phone], E-mail: jamo @ msc.es
WePeG7070 Governmental and non-governmental
organizations partnership in developing a
comprehensive HIV/AIDS program in Nigeria
O. Oke1, O. Faweya1, K. Sklaw2. 1FHI/Nigeria, 2101 Wilson Blvd., Suite 700,
Arlington, VA 22201, Nigeria; 2FHI/DC, Arlington, VA, United States
Background: Nigeria's HIV prevalence rate is currently 5.8%, and Nigeria is now
faced with an epidemic at the "take-off" threshold. Previous public sector efforts at
controlling the epidemic have concentrated activities in the hands of government
offices, to the exclusion of NGOs. Public sector supported programs, therefore,
were restricted in how far they could reach. Further, since government was not
directly supporting NGOs, these NGOs did not feel committed or responsible to
the government, they related more to their funding agencies. This approach resulted in non-collaborative programs and duplication of effort, and increasing HIV
prevalence rates over the years.
Methods: This paper describes the efforts of Family Health International
(FHI)/Nigeria, and the Government of Nigeria in bringing governmental and
non-governmental organizations together to strengthen their response to the
HIV/AIDS epidemic in Nigeria. FHI worked with governmental and nongovernmental organizations in four states to develop comprehensive HIV/AIDS
programs in each state. The process included rapid and in-depth assessment
of HIV/AIDS activities and strategic planning meetings in each state. All activities were participatory and included representatives from national, state and local
government and NGOs, including the implementing partners in the states.
Results: In only six months, four state projects were developed and 48 subprojects, with local government and NGOs were launched. Two states and two local governments were assisted in the development of their state level HIV/AIDS
management structures. Even before the process was completed, the model had
attracted the attention of other donors in the country.

Conclusion: While collaboration between governmental and non-governmental
organizations will ensure necessary project impact, it will also enhance effective
coordination and sustainability. In addition it will create at conducive atmosphere
for program implementation.
Presenting author: Kenneth Sklaw, 2101 Wilson Blvd., Suite 700, Arlington,
VA 22201, United States, Tel.: [phone], Fax: [phone], E-mail:
[email protected]

WePeG7071I The national forum for HIV/AIDS in Honduras
J.R.G. Ramirez Guzman1, J. Avina2. 1 Unaids, Casa de /as Naciones Unidas,
Colonia Palmira, Tegucigalpa honduras, Honduras; 2Unaids, Honduras,
Tegucigalpa, Honduras
Issues: The National Forum for HIV /AIDS, is an instance of multi sectional participation as a response and support to the national answer. It's main purpose is
to promote the coordination between all the entities involved directly or indirectly
in the prevention of HIV/AIDS and provide an integral attention to people infected
or affected by HIV/AIDS.
Description: The National Forum will work to promote the effective information
flow between all the sectors involved and look for the support of the Government
and State of Honduras and their partners in the planification, execution and monitoring of all initiatives to the response at HIV/AIDS, whether they are national,
regional, or local.
This Forum is constituted by a General Assembly, conformed until the moment
by 135 representative of institutions and organizations who have accepted to be
member of the Forum, also Executive Committee, local and regional chapters
and several technical comities. The Forum's General Assembly is composed by
four (4) sectors: The Government Sector, Civil Society, The United Nations System International Community and the Regional Chapters to give participation to
other regions of the country affected by the epidemic. The members of the Executive Committee and the Board of Directors of the Chapters is equal among the
Sectors.
Lessons learned: There is an acceptance and identification with the initiative
among the different national sectors, especially with groups and organizations
that have not had the opportunity to participate in an instance of such high level
to analyze and give a coordinated response to the HIV/AIDS epidemic.
The participation of different sectors allows an integral boarding to the epidemic
of the AIDS
Recomendation: This structure of multisectorial participation can be a support
to the implementation of the national estrategicos plans
Presenting author: Juan Ramon Gradelhy Ramirez Guzman, Casa de las Naclones Unidas, Colonia Palmira, Tegucigalpa honduras, Honduras, Tel.: +504
5578202, Fax: [phone], E-mail: [email protected]
WePeG7072I Sustainability and the increase of the coverage of
prevention actions: institutional strategies to
implement prevention programs
D.A. Gonfalves, M.A. Bersani, L.R. Puppo, V.C. Costa. SDT/AIDS State
Programme of Sao Paulo, S~o Paulo, Brazil
Issues: The STD/AIDS epidemics is reaching a growing number of social groups
of higher vulnerability. Prevention actions aimed at priority populations impose
the challenge to implement sustainable activities whose purpose is to enhance
the coverage of such actions.
Description: The Sao Paulo State STD/AIDS- CE DST/AIDS - SP conducted
until 1999, prevention activities with populations of higher vulnerability, at first
through experts of each area who carried out the social projects financed in partnership with the federal government but they used actions with low coverage
which did not focus on sustainable strategies adequate to the institutional reality of each population. From 2000 on, new intervention strategies were intended
to implement sustainable prevention actions based on populational coverage and
institutional ties. In this context, technical staff started to work together with different populations.
Lessons learned: Prevention actions gathered under the institutional viewpoint
allow to define prevention strategies such as the penitentiary system, by articulating the state-level managers, setting a technical and political connection for
actions for the entire penitentiary system. Population such as truck drivers and
workers are now seen with an institutional standpoint, allowing CE DST/AIDS -
SP to establish an institutional link with the civil society, starting with institutional
representatives who provide health and education services for these populations
but who are deprived of technical and scientific contents on STD/AIDS.
Recommendation: Institutional interventions allow program managers to perform programmatic actions, aimed at more vulnerable populations with more coverage and sustainability.
Presenting author: Dreyf de Assis Gongalves, Rua Santa Cruz, 81, Vila Mariana, S.o Paulo, 5112010, Brazil, Tel.: [phone], Fax: [phone],
E-mail: [email protected]
WePeG7073 Effective implementation of an Inter-sectoral AIDS
programme (Gauteng Province, South Africa)
L. Floyd. Gauteng Provincial Health Department - AIDS Programme (South
Africa), Marshalltown, 2107, Johannesburg, South Africa

Issues: The presentation addresses effective implementation of an inter-sectoral
AIDS strategy in a province. It analyses barriers to implementation and key success factors.
Description: A comprehensive intersectoral AIDS programme involving 20 governmental departments and 15 non-governmental sectors in a common strategy
and plan. It is now entering its fourth year of implementation. Progress is analysed based on key success factors outlined in the Durban AIDS Conference 2000
and drawing on 2 programme reviews and available research.