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

XIV International AIDS Conference

Abstracts ThPeD7769-ThPeD7772 527

would face little inhibition in revealing the ailment in order to get early treatment
and attention. 2.The needs would primarily relate to the material requirements
like medicines, blood or equipment. 3. In all cases the relatives and spouses
would accompany the patient throughout the treatment period. 4. There would be
greater financial and other support offered by friends & relatives. 5. Hospitals and
other such institutions were receptive of all kinds of patients. After HIV/AIDS epidemic 1. Persons in need exhibit restrain in openly revealing ailment hence delay
the treatment.2.The person with infection is lonely all through the treatment of
opportunistic infection.3.Hardly any emotional & moral support is given by friends
& relatives. 4. Hospitals show apathy for admission of persons with infection.
Lessons learnt: In addition to the fulfillment of financial and material requirements the skills to accomplish needs related to psychological and social want
needs to be improved by the health volunteers.
Recommendation: In order to face the emerging demands on health volunteers
who provide services to poor persons in need, the inputs for development of required positive attitude & skills should be made available. This would optimise the
volunteerism that is so much needed.
Presenting author: Gopal Gopalkrishnan, 8/203 Lilaya Nagar, S. V. Road, Near
Kamat Club, Goregoan (W), Mumbai 400062, India, Tel.: [phone], Fax:
[phone], E-mail: [email protected]
ThPeD7769 Reproductive Health Service Perspective of HIV
Screening in Japan: Health Promotion Strategy in
low HIV prevalence country
N. Hori1, M. Sayama2. 1Japan Association of Nurses in AIDS Care, #210, 5-3-31
Midori, Koganei, Tokyo, 1840003, Japan; 2Niigata University Niigata, Japan
Background: Despite of the high accessibility of prenatal care, HIV test is not provided systematically to pregnant women. The prevalence of HIV among women
is still low and awareness of health care provider is not high, This study examined the possibility of HIV testing at prenatal service setting as a standard care to
prevent mother to child transmission and also as prevention issue for women.
Methods: Women who has 0-5 year old child were recruited from daycare centers
in 3 prefectures and self-administered questionnaire was condected. 440 samples
were analysed. group-A:women has 4-6 year old child(delivered in 1995-1997)
group-B:women has 0-3 years old child(delivered in 1998-2000).
Results: 1)The HIV testing at prenatal service expanded from 52%(A) to 73%(B),
but 2) the women provied informed concent /choice about HIV test was 36.0%(A),
45%(B), testing without concent was 35.1%(A), 35.7%(B), ' not sure' 27.0%(A).
17.5%(B). And women who received positive message as you have choice to
have baby with medical management in case of HIV positive result': 3% (AB total), 'you can be refered to HIV expert providing best practice':0.6%(AB total). And
mothes who received prevention message as ' continue to use condom through
pregnancy and after pregnancy is important to prevent STDs':9%.
Conclusions: Overall goal of providing HIV testing at perinatal service setting
in low HIV prevenrence country is not only to to find out HIV positive mother,
but also a chance to discuss about future sexual health issues, Integrating HIV
testing and other reproductive health issues to improve providers' awareness and
skill training should be implemented.
Presenting author: Narumi Hori, #210, 5-3-31 Midori, Koganei, Tokyo, 1840003,
Japan, Tel.: [phone], Fax: [phone], E-mail: [email protected]
ThPeD7770 Infant and maternal nutrition education/counseling
and HIV risk reduction counseling at two integrated
PMTCT sites in rural Kenya
R.W. Nduati1, D.A. Mbori-Ngacha2, S. Kalibala3, N. Rutenberg3, L. Muthami4,
C. Mwai3, J. Oyieke 5. 1 University of Nairobi / Kenya PMTCT Project, Dept. of
Paediatrics, Nairobi: 2University of Nairobi! Kenya PMTCT Project, Nairobi;
3Horizons Project, Population Council, Nairobi; 4Kenya Medica Research
Institute, Nairobi; 5NARESA / Kenya PMTCT Project, Nairobi, Kenya
Background: As part of a monitoring and evaluation program we carried out a
study to determine the impact of implementation of a PMTCT training program on
infant and maternal nutrition education and HIV risk reduction counseling during
routine provision of maternal child health services.
Methods: Health workers from two rural hospitals, Karatina and Homa Bay District hospitals were observed while they provided routine maternal child health
services to consecutive clients at baseline before receiving a 2 week training
on PMTCT and 9 months later after the integration of PMTCT into the ongoing
services. The outcome measure for this analysis was whether the women were
provided with any health education or counseling on infant and maternal nutrition
education/counseling and HIV risk reduction counseling.
Results: There was significant increase in the proportion of women receiving
health education on maternal nutrition during an antenatal visit, 1% at baseline versus 46% (P < 0.0000) at follow-up in Karatina and 0% versus 24% (P

< 0.0000) at Homa Bay. Similarly there was an increase in the number of clients
receiving health education on infant nutrition during a well baby clinic, 15% at
baseline versus 61% at 9 months (P < 0.0000) in Karatina and 23% versus 41%
(P < 0.0000) in Homa Bay. At baseline none of the clients in Karatina or Homa
Bay received any counseling or health education on Mother-to-child transmission of HIV or on HIV risk reduction. At the nine month follow-up observation in
Karatina, 81% of the 65 clients observed during a counseling session received

information on MTCT of HIV and 74% on HIV risk reduction. In Homa Bay 94% of
the 33 clients observed during counseling received information on MTCT of HIV
and 55% on HIV risk reduction.
Conclusions: Training on PMTCT led to improved provision of counseling/ health
education on maternal and infant nutrition, as well as information on MTCT transmission of HIV and HIV risk reduction.
Presenting author: Ruth Nduati, Dept. of Paediatrics, University of Nairobi, P.O.
Box 19676, Nairobi, Kenya, Kenya, Tel.: [phone], Fax: [phone],
E-mail: [email protected]
ThPeD7771 Controlling HIV/AIDS through training and
dissemination of scientific knowledge among
untrained service providers in rural and
underserved urban area
R.C. Patel. Prayosha Pratishthan Trust, Surat, India
Issue: Un trained and under trained medical service providers around rural pockets as well as poorly served slums in Indian cities are hardly aware of modes of
HIV/AIDS spread and sexual health of the populace. They are potential sources
of increasing the spread through practices like using one syringe for many and
prescribing unscientific treatment methods. If 'focused' training and relevant facilities are provided they can play an important role in controlling spread of the
disease.
Description: In villages and shanty colonies within India a large number of medical service providers lack modern scientific knowledge as well as attitudes towards dealing with diseases. During the last decade use and acceptance of injections in the towns and countryside has increased. And so has the risk of contracting HIV/AIDS through untreated syringes used in injecting a large number of
people especially by untrained practitioners. Their lack of knowledge about modern medicine and health system compounds this problem. In spite of this, they are
easily accepted by people for many of them are but an integral part of the society
that they serve. If such groups can be systematically trained on what to disseminate among people and how to treat HIV related symptoms and are backed by
sustained efforts of the government, they can from an important link in the HIV
spread control mechanism. If not focused, such a group of practitioners becomes
a potential agency for spreading the risks of HIV/AIDS transmission through their
unscientific knowledge base and practices.
Lessons learned: One year of field experience in educating such (25 untrained)
service providers suggest that it has proved useful towards controlling the spread
of HIV/AIDS.
Recommendation: Traditional, untrained and under training service providers be
included in the HIV/AIDS prevention programme with a short training.
Presenting author: Ranchhod Patel, 208, Takshashila Apartment, Majura Gate,
Surat 395001, India, Tel.: [phone], E-mail: [email protected]
ThPeD7772 A explorative strategy for HIV/AIDS prevention:
What role for training staff on STI service skills in
wuhan, China?
W. Zheng1, W. Zhou2, W.D. Shi2, S.B. Wei3, F.T. Chen4, J. Wei4, T. Liou4.
Wuhan Institute of Dermatology and Venerology Wuhan, Hubei Province,
China 2 Wuhan Public Health and Anti-epidemic Station, Wuhan; 3 Wuhan Health
Bureau, Wuhan; 4 Wuhan Institute of Dermatology and Venereology, Wuhan
430030, China
Background: In recent years, with the increasing of STI including HIV/AIDS epidemic in Wuhan, China, a variety of clinics provided care for person with STI
boomed. However, there were many problems existing in STI services in China,
such as qualification of doctors varied, poor level of heathy education provided,
etc. So it is necessary to train staff so as to improve their clinical techniques,
which relates STIs/AIDS prevention and control program in China.
Methods: To target trainees in the public and private sectors registered by local
Health Authorities. To draft the training plan and train trainers. All trainees were
trained with lecture, seminar and participatory education. The contents of training covers STI/AIDS prevention and control policy and strategy, health education
and counseling, epidemiological characteristics and trends, STI/AIDS diagnosis
and treatment, laboratory test and assessment, etc. The evaluation will be made
through questionnaire and the changing service skills.
Result: 589 staffs were enrolled and trained. Over 60% have never been systematically received training on STIs preventinn in last 5 years. The average of
87scores after training showed a significent higher than that of 53 scores before
training(p<0.01). About 60% think it necessary to change the simple-model of
diagnosis-treatment in the past into the multiply-model including case reports,
taking history and physical examination in privacy,health-education, etc. 87 and
138 patients were interviewed before and after training respectively to obtain their
service satisfaction.
Conclusions: The public and private sectors in Wuhan had different levels of

service skill. Training staff can improve their service skills, which not only bring
correctly and timely diagnosis and treatment, but change high-risk behaviors of
sex workers and their clients. It is a key to prevention and control HIV program.
Presenting author: Wei Zheng, 64# Wusheng Road, Qiaokou District, Wuhan,
Hubei Province, china, China, Tel.: [phone], Fax: [phone],
E-mail: zhengwei3721 @yahoo.com