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

502 Abstracts ThPeD7650-ThPeD7654

XIV International AIDS Conference

Pune-411037, India, Tel.: [phone], Fax: [phone], E-mail: drsnm
@vsnl.com
ThPeD7650 To encourage and help children affected by
HIV/AIDS to continue their studies
A. Hougbedii. AIDES MEDICALES & CHARITE (AMC), PO BOX 30284
CHU-CAMPUS, Togo
Issue: To negotiate a free medical consultation and regular home visits for these
affected children. Aides Medicales & Charite (AMC) has in all a total of 86 children affected by HIV/AIDS. We refer to children whose mothers are infected or
who are themselves infected with the HIV/AIDS as, affected children.
We accord these children a special attention since majority of them abandon their
studies as soon as their parents begin to use their monies for the treatment of their
opportunistic ailments, which of course, requires a large sum of money. AMC has
a special program for these children. The program includes, visiting these children at home, encouraging them to continue their studies, providing some funds
for their clothing and other school needs and also, regularly providing them with
food. We negotiate free medical consultation for children who report with sicknesses, from doctors at CHU-CAMPUS who are also members of AMC.
AMC has an office at CHU-CAMPUS for free consultation and provision of
medicaments as are available, free of charge.
Lessons learned: As over-seers of these program we can say this is a new
approach which enables us to sensitive these children on HIV/AIDS and other
sexually transmitted diseases (STDs) and also on the dangers of drug and substance abuse. Through our help, majority of these children are able to continue
their studies in peace.
Recommendations: We are glad, some of these children who have abandoned
their studies, are now back in the classroom by the grace of this program.
We then invite, non-governmental and other international organizations to encourage, more, this program to the advantage of these children.
Presenting author: Afi HOUGBEDJI, PO BOX 30284 CHU-CAMPUS, Togo, Tel.:
[phone], Fax: [phone], E-mail: [email protected]
ThPeD7651 Barrier method decision making for persons living
with AIDS
PY. Collins, PA. Zybert, E.S. Susser. Columbia University, 601 West 168th
Street, Suite 32, New York, New York, 10032, United States
Background: Women living with AIDS in U.S. inner-city settings continue to face
challenges associated with sexual risk reduction. This study explored the impact
of a behavioral intervention designed to 1)introduce men and women living with
AIDS to female-initiated methods and 2) enable men and women to develop skills
for negotiation around use of barrier methods for protection and avoidance of
violence in relationships.
Methods: 29 women participated in 10 sessions of a sexual risk reduction intervention focused on use of female-initiated methods. For 3 of these sessions,
men (N=21) joined women in learning about the female condom, rehearsing negotiation skills, and discussing violence reduction. Baseline and post-intervention
assessments measured attitudes toward decision-making and violence around
use of protection.
Results: Perceptions of expected violence around use of protection were significantly reduced from baseline at post intervention assessment (F= 5.57, p<.05)
for men and women. With respect to decision-making, women's attitudes showed
less support of women making decisions about protection at baseline and greater
support of women's decision-making power post-intervention. Men showed more
positive attitudes than the women in support of women making decisions at baseline and less support of women's decisions post-intervention (F=25.3, p<.001).
Conclusions: The results suggest that men's and women's attitudes more
closely approximated each other in support of women's decision-making power
around use of barrier methods post-intervention. Teaching men and women
about female-initiated methods, as well as facilitiating negotiation skills, may alter their attitudes toward decision-making. Factors that influence attitudes toward
decision-making around use of protection for men and women living with AIDS
need further exploration.
Presenting author: Pamela Collins, 601 West 168th Street, Suite 32, New York,
New York, 10032, United States, Tel.: [phone], Fax: [phone],
E-mail: pyci @columbia.edu
ThPeD7652 Home based care for persons living with HIV/AIDS
in Funyula beaches, Tapwak Ugunja
A.A. Odhiambo, M.A. Awuor, A.L. Omondi, L.L. Awuor. The Association of
People with AIDS in Kenya (TAPWAK), Nairobn Kenya
Issue: To document the advantages and constraints faced in Home based Care

for persons with AIDS (PLWHAs) and their clinical profile in Funyula, Kenya.
Description: Between Jan 1994 and Dec 1996, 24 PWA were provided with
home-based care. Patients were selected for home care if they are chronically
ill and not able to attend the clinic or being VIPs for complete confidentiality. The
Doctor visit the patients once in a week, nurses and TAPWAK counsellors once
in three days. Routine health check up, screening for opportunistic Infections and
treatment, IV medications, Iv nutritional supplements, hormone therapy, wound

dressing, symptoms relief, pain killers, nutritional and psychosocial counseling
were provided during home visits.
Learnt lessons: A total of 24 PLWHAs were provided home-based care. Out of
these 6 acquired HIV through blood transfusion, one vertical transmission and
the remaining through heterosexual contacts. All the persons have weight loss,
fever and diarrhoea. Oropharyngeal candidiasis was diagnosed in 21 (87.5%)persons, 70.8% had pulmonary Tuberculosis, 20.8% Herpes simplex, Herpes zoster
and 16.7% PCR Non-healing ulcer was noticed in 5 (20.8%) patients. 3 persons
had recurrent vaginal candidosis, 2 had Toxoplasmosis and person suffered from
PML.
Recommendations: As the number of patients with a diagnosis of HIV/AIDS increases in urban and rural areas, nurses and other health care providers must
prepare to care for this growing population requiring home care.
The advantages and the constraints faced home care will be discussed.
Presenting author: Anjeline Achieng Odhiambo, P.o. box 30583, 00100, Nairobi,
Kenya, Tel.: [phone], Fax: [phone], E-mail: tapwak@kenyaonline.
com
ThPeD7653I Interventions to integrate HIV counseling testing
and family planning (FP) and treatment to prevent
mother to child transmission
M.M. Deschamps1, R. Grand'Pierre1, R.I. Verdier', F. Noel', G. Bois',
M. Rakotomalala2, G. Conille2, J. Deas3, J.W. Pape1.I GHESKIO, 33, Blvd
Harry Truman, Port-au-Prince, Haiti, Haiti; 2UNFPA, Port-au-Prince, Haiti;
3MSPP Port-au-Prince, Haiti
Background: HIV seroprevalence among women visiting antenatal clinics in Hati
is high (4-13%), most of the women do not know they are HIV infected. Detection
of HIV, through voluntary counseling and testing (VCT) either before a woman
becomes pregnant or early in pregnancy is essential to achieve widespread prevention of mother to child transmission of HIV in Haiti. Therefore with UNFPA
support, our primary objective have been: 1) to provide adequate VCT services
2) to integrate family planning (FP) into the STD/HIV clinic 3) to offer antiretroviral
therapy to HIV infected pregnant women.
Methods: From March 1999 to November 2001, (FP) methods with counseling
particularly targeting the HIV (+) individuals, were made available at the STD/HIV
clinic. Artificial milk for up to 6 months of age, with oral AZT following recommended guidelines were offered to all HIV infected women at 36 weeks of pregnancy and their children for 7 days.
Results: During the follow up period, 24250 adults, 16571 females (65%),
7679 males received VCT At first evaluation, only 5% of individuals visiting the
STD/HIV clinic were using FP methods. Of the 16571 women, 3121 (19%) were
infected, 1267 (8%) were RPR positive. Outcomes showed that 514 (16%) of the
HIV infected women became FP users, condom use with or without other contraceptive measure was the most common method used, 18 of the 20 children of
over 18 months old and 29 of 31 children with NASBA test were uninfected. Five
of 48 infants less than 18 months of age were considered infected for an overall
HIV vertical transmission rate of 9.0%. Breastfeeding was avoided in all except 2
cases.
Conclusions: The results support that individuals who received VCT were more
likely to use FP methods to prevent unwanted pregnancy, and to reduce HIV
transmission. Information, counseling and treatment can prevent number of new
HIV infections in the population. This model program will soon be implemented
nation-wide.
Presenting author: Marie-Marcelle Deschamps, 33, Blvd Harry Truman, Portau-Prince, Haiti, Haiti, Tel.: [phone], Fax: [phone], E-mail:
mariehd @ gheskio.org
ThPeD7654 Prevention case management with individuals
living with HIV/AIDS: Lessons learned from the
PHIPP projects
D. German1, T. Mason2, C. Booker2, M. Gasiorowicz3, C. Crump4,
W. Senterfitt5, R. Conviser6. 1Rollins School of Public Health at Emory
University, Rollins School of Public Health, Emory University, 1518 Clifton Road,
Atlanta, GA 30322, United States; 2Abt Associates, Inc., Cambridge, MA, United
States; 3 Wisconsin AIDS/HI V Program, Madison, WI, United States; 4Office of
AIDS, California Office of Health Services, Sacramento, CA, United States;
5Centers for Disease Control and Prevention, Atlanta, GA, United States;
6Health Resources and Services Administration, Rockville, MD, United States
Background: The HIV epidemic has spurred interest in broadening primary
HIV prevention efforts to include persons living with HIV/AIDS (PLWHA). CDC's
Serostatus Approach to Fighting the Epidemic (SAFE)initiative includes Prevention Case Management (PCM) as a component for increasing the number of
PLWHA who adopt and maintain HIV-STD risk reduction behaviors. There is little
published research about implementing such services.

Methods: In 1999, CDC funded five health departments to conduct prevention
interventions for PLWHA as part of the PHIPP project. Four of these (CA, MD,
WI, and L.A.) are implementing PCM in settings (corrections, HIV care, CBOs,
STD clinics) for people in all HIV exposure categories. This presentation focuses
on findings from qualitative interviews conducted with grantees' administrative
and front line staff; and stakeholders. Transcribed interviews were analyzed for
recurring themes; N5 was used for data management.