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

XIV International AIDS Conference

Abstracts ThPeD7684-ThPeD7687 509

ideal requires a committed NGO and tremendous initiative from the CBO. The
challenge is to initiate and replicate such interventions.
Description: Hindustan Latex Limited set up a Technical Resource Unit under
agreement with the Andhra Pradesh State AIDS Control Society to manage Targeted Interventions. Female Commercial Sex Workers (CSWs) are a vulnerable
group identified under this.
The CSW Intervention was initiated in 1999 in 8 geographical areas of Andhra
Pradesh. A proposal development workshop was held with NGOs and proposals were finalised. Intervention was subsequently up-scaled to cover twelve more
areas.
The intervention focuses on Behaviour Change Communication, Peer Education,
STD Care & Counseling, Partner Treatment and Condom Distribution.
Minimum standards for the Intervention have been developed and the documentation is in place.
IRDS (an implementing NGO) facilitated the formation of a CBO, Chaitanya
Mahila Mandali (CMM) in Hyderabad. CMM's 150 plus membership acts as Peer
Educators that assist in STD identification, motivate for treatment, advocate 100%
condom usage and do Social Marketing of condoms. CMM members save regularly, with monthly thrift ranging from Rs. 30-100/- and take loans, based on need.
CMM initiated advocacy with state and local Government Authorities for the rights
of Sex Workers, such as housing. CMM expects to be a model for replication and
independently manage the TI in the near future.
Lessons learnt: Transparency, capacity building, treating the community as an
equal is essential. Mentoring, providing space for innovation and involvement of
primary stakeholders facilitated ownership among them.
Recommendations: Advocacy and sensitisation activities with all stakeholders.
Exposure visits for disseminating learning and best practices.
Presenting author: Nidhi Khosla, C-220, Anand Vihar, Vikas Marg Extension, Delhi-1 10092, India, Tel.: [phone], Fax: [phone], E-mail:
n [email protected]
ThPeD7684 A study of sexual risk behaviour: The migrant
workers in an industrial city in western India
B.T. Kazi. Centre for Social Studies, Research Associate, Centrte for Social
Studies, University Campus, Udhana Magadlia Road, Surat 395 007, India
Background: India is considered a prolific ground for spread of AIDS in the coming century. Unprotected sexual behaviour is a major mode of HIV transmission
in India accounting for 75% of the HIV infections. The focused interventions for
prevention and control of AIDS, rest on certain international model, which need
not necessarily be appropriate for societies like India. This study was about issues of i) knowledge of STD, AIDS and prevention measures, ii) nature of sexual
behaviour, multiple partnership and sexual illnesses, iii) consistency in the use
of condom for males among two types of migrant workers in an industrial city in
western India.
Methods: The objective of this research project is to conduct a study on HIV/AIDS
risk and prevention behaviour among two adult groups of migrant workers: homogenus highly paid single male migrant workers and heterogeneous lowly paid
male migrant workers with families in an industrial city in western India. The study
used qualitative and quantitative methods. The sample for both the groups was
drawn in two stages: sites and respondents.
Results: A large majority of the 400 male migrants had heard about AIDS but less
than half of these satisfy the indicative test. Group I consisting homogeneous migrant workers appeared to be less aware and was reportedly more involved in
risky sexual behaviour in comparison to Group II consisting heterogeneous migrant workers.
Conclusion: Irrespective of the knowledge about STDs/AIDS, people are worried about these diseases and can communicate about personal and sensitive
matters. There is an indication of confused awareness about HIV/AIDS. Almost
all were aware about HIV/AIDS. The homogeneity, solidarity and level of incomes
appears to have affected for more a casual attitude towards sex and AIDS. Despite efforts on creating awareness among these groups by NGOs with state support, deep rooted grave misconceptions about AIDS, its curability, causes are
observed.
Presenting author: Babasaheb Kazi, Research Associate, Centrte for Social
Studies, University Campus, Udhana Magadlla Road, Surat 395 007, India, Tel.:
[phone], Fax: [phone], E-mail: karimmominl @sify.com
ThPeD7685 Determinants of safe sex behaviour among low
educated boys (17-20) from ethnic minorities in
Antwerp
H. Philips, K.M.J. Hendrickx, D. Avonts. Opt of General Practice, University of
Ant werp, Antwerp, Belgium
Background: Low educated ethnic minority boys are considered at risk about
prevention of STD and HIV. Although, previous focus group research with young

immigrant Moroccans indicates a positive attitude towards condom use (Hendrickx and Lodewijkcx 1998). The possible non-accordance of actual prevention
programs towards the real world of these immigrants has to be considered. In
this research project we try to find determinants on condom use and prevention
among ethnic minority boys in Antwerp schools: determinants in the field of intention, attitude, social control and influence, and self-confidence in preventive
skills.

Method: In secondary technical and vocational training schools in Antwerp 125
boys from ethnic minorities were asked to answer a questionnaire.
Results: The average age was 18 years. 73% had an Islamic background, the
others were from a different origin. From the whole group 10% was married, 82
% was sexually active, with first sexual contact at the age of 15-16 years.
In the sexually active group, 82% had at least once used a condom: 66 % at
the first contact. 30% had at least once refused sexual contact because no protection could be used. The most relevant determinant of safe sex behaviour was
the effectiveness of the communication skill of proposing a condom in a sexual
relationship.
Two remarkable issues raised. When boys considered their mother would have a
positive attitude towards safe sex (and ready to talk about sexuality), they used
condoms better. Four on ten boys chose the family doctor as counselling partner.
Conclusions: There is a positive attitude towards condom use among ethnic minority boys. When an opportunity is created to talk about sexual items, automatically talking about safe sex will follow. Clinical consequences: "talking" is enough,
the message is secondary. For these immigrant adolescents communication skills
are more important then knowledge about safe sex.
Presenting author: Kristin Hendrickx, Dpt of General Practice, University of
Antwerp, Universiteitsplein 1, 2610 Wilrijk, Belgium, E-mail: kristin.hendrickx
@ pandora.be
ThPeD7686 Influence of Long Distance Truck Drivers (LDTD's)
HIV/AIDS Knowledge and Attitude on the use of
Condoms
M. Oduwole1, O.A. Jeminusi2, 0.1. Aderogba3, O.B. Okuboyejo3. 'Sagamu
Community Centre, Sagamu, Nigeria; 2Community Health Physician, Sagamu,
Nigeria; 3Senior Community Health Officer, Sagamu, Nigeria
Background: The objective of this study is to assess the level of condom use
among LDTD's in Kara Sagamu, Nigeria.
Method: The Sagamu Community Centre, a DFID Supported non-governmental
organization in Sagamu has implemented an HIV/AIDS prevention program with
LDTD's in the last 4 years.
A semi structured interview schedule (incorporating 36 questions) was designed
and LDTD's were interviewed over a period of 2 weeks in November 2001 by
two trained interviewers. Data analysis was done using the SPSS 9 statistical
package.
Results: Ninety-five (95) males LDTD's were interviewed. Majority of them, 65%,
were within the age group 20-39 years and were married. About 68% of LDTD's
believed that HIV/AIDS was real and 61% that it was caused by an infective agent.
Despite this however and the fact that nearly half (44%) of drivers believed that
HIV infection could be prevented by the use of condoms, over two-thirds (67%)
of drivers never used or occasionally used condoms. The drivers also identified
themselves as being at risk (71%) and the fact that they had multiple sexual partners (60%).
Conclusion: Most drivers were within the most vulnerable age group for
HIV/AIDS. It is thus important to continue targeting this group especially within
this small community Despite a high knowledge on HIV/AIDS transmission and
prevention, few drivers use condoms regularly, if at all. The resistance to the use
of condoms in this predominantly young Muslim male group is still strong after 4
years of an HIV/AIDS prevention programme amongst LDTD's.
Presenting author: Modupe Oduwole, Sagamu Community Centre, P.O.Box 913,
Sagamu, Ogun State, Nigeria, Nigeria, Tel.: [phone], Fax: [phone]
368, E-mail: [email protected]
ThPeD7687 Towards an effective and sustainable programs for
migrant population groups: strategies and lessons
learned
J. Abraham, J. Anna. Center For Development Initiatives, B-307, Nirmal Park
No.3, S. VRoad, Navghar Road, Bhayandar East, Dist. Thane, Maharashtra, PIN
401 105, India
Issues: Existing programs and strategies are inadequate to address the various
sexual health needs of migrant population groups in residential and industrial areas around major cities. This is resulting in continued spread of HIV not only
among themselves, but their spouses or sexual partners in villages.
Description: An urban area with almost 80% migrant population, was chosen for
an HIV/AIDS prevention and care project titled 'HIV/AIDS Counseling and Sexuality Education to the Unreached: A Community Based Initiative'. Prevention
programs on HIV/AIDS and STIs covered large number of industrial workers and
people living in slum areas. Medical, Counseling, Help line and Referral services
were offered to various groups of people. Simultaneously, successful efforts were
made in i.) Building the capacities of the private medical practitioners, ii.) Collaborating and Lobbying with associations of industries and iii.) Involving other key
actors like local politicians, media, cable network and community based organi
zations.
Lessons Learned: Programs conducted in collaboration with various groups and
agencies resulted in better participation and larger coverage. Capacity Building,
Collaborations, Networking and Referrals strengthened the programs and helped
different target groups in receiving maximum services locally.
Recommendations: For prevention of HIV among migrant populations programs
need to be started in residential and industrial areas around major cities espe