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

XIV International AIDS Conference

Abstracts ThPeF8021-ThPeF8024 595

Nevertheless only specialized magazines that are inaccessible to the majority of
person deals with HIV/AIDS subjects. Aware of that, the communication commission of RUBAN ROUGE since its creation in 1994 decided to animate each
Friday in a well-known newspaper of Cote d'lvoire a column entitled "Info Sida"
that becomes later "Vivre avec le Sida" (live with HIV/AIDS).
Description: A shift composed of doctors; students and women animated "Sida
info" from 1996 to 1998. This shift wrote about the contamination ways and the
prevention means. But since 1999 PLWHAs supervised by affected person suggested information about new molecules, new therapies, vaccine investigations
and PLWHAs' rights.
Lessons learned: - The denial of HIV/AIDS of the previous years is being abandoned to the profit of an awareness
- The PLWHAs are getting more responsible as their sexuality is concerned
- The increasing number of the voluntary tests (more than 500 persons in 1999
recognized having been encouraged by "vivre avec le HIV/AIDS")
Conclusion: This approach, which consists in utilizing the press to bring messages to a great number of people, has reached good results at individual level,
for the society and for the national policy. Other daily newspapers are following
this step.
Presenting author: Sangahi Lezou Jean Lefftry, 22 bp 1291 Abidjan 22, Cote
d'lvoire, Tel.: [phone], Fax: [phone], E-mail: rubanrouge@ci.
cf
ThPeF8021 ]Singing the Prevention - Social and Educational
Department for detained Adolescents (DEGASE -
Rio de Janeiro - Brazil)
E.J. Biondi, L.PR Veiga, O.N. Santos, A. Caputo, B. Quitete, P.G.B. Bauer,
H.R.A. Mattos. Superintendencia de Saude - SEDHUSP, Rua BardAo de Itambi,
60 G. 2, Botafogo, Rio de Janeiro, CEP: 22231-000, Brazil
Issue: Adolescents "in conflict with the law" must deal with different types of problems, like social-familiar, educational, economic ones, development crisis, abuse
of psychoactive substances, prostitution etc. Most of them live in social exclusion, abandonment and stigmatization. The objective of this work was to create a
music competition to develop preventive actions for HIV/AIDS, STDs, drugs and
discrimination, stimulate the artistic potential of the inmates, recover their sense
of citizenship and improve the educational/cultural adaptation of staff and adolescents.
Description: The whole population of adolescents in the different confinement
units (648 boys and 39 girls) and the education and security staff of DEGASE received information lectures with video films, information material, notebooks and
pens. The subjects were HIV/AIDS, hepatitis, syphilis, drugs, violence and discrimination. Of the 62 registered songs, 30 were selected and from them 12 were
classified and recorded on a CD produced by the Superintendencia de Saude
(Prison Health Department) of the State Secretary of Human Rights and Penitentiary System (SEDHUSP) of Rio de Janeiro. 58 of the 62 songs were composed
by adolescents, only 3 by staff and 1 by staff in association with adolescents. Several meetings were necessary, for the sensibilization lectures, to remove doubts,
to assist adolescents which cannot read and write and to record the selected music contributions. The songs in Portuguese on the CD are about HIV/AIDS and
drug prevention. An adapted English text is also available. The authors of the best
songs received a CD-radio as award.
Lessons learned: Use of art is very efficient in prevention programs. Our music composition improved the integration and mobilization of the adolescents and
helped them and the staff to rethink attitudes and actions in relation to the AIDS
epidemic.
Recommendations: To maintain and dynamize prevention programs, the inclusion of art is highly recommended.
Presenting author: Edison Biondi, Rua Bardo de Itambi, 60 G. 2, Botafogo,
Rio de Janeiro, CEP: 22231-000, Brazil, Tel.: [phone], Fax: +55 21
33997339, E-mail: [email protected]
ThPeF8022 Harm reduction: health and citizenship
M.H. Siqueira, E. Izolan, D. Doneda, D. Gandolfi, M. Ohashy, D. Noleto. National
STD/AIDS Programme Office, Brasilia - DFE Brazil
Issue: HIV infection arising from the shared use of needles and syringes is responsible for 19% of Aids cases in Brazil. The actions of harm reduction which
emphasize the exchange of needles still find resistance among government and
civil society sectors, because of the stigma of IDU and the belief that it would
stimulate drug use. In order to change this situation, the Ministry of Health - with
the collaboration of organised society -carried out a targeted campaign dealing
with the subject in an ethical and humane way.
Description: A campaign set out to disseminate the principles and guidelines of
the harm reduction projects, responding 3 issues: (a) the difficulty of acceptance
of the strategy of drugs harm reduction by society, (b) the need to inform ID users

of the least harmful ways of dealing with it and c) stimulate them to get counseling
at health centres. A range of different material was produced (folders, brochures,
videos), for use by workers in the social and health care areas, for consultation
by opinion formers in general (legislators, journalists, legal practitioners) and for
the reducers involved in the carrying out of the activities. It was innovative in dealing with the question of prevention by adopting the paradigm of citizenship rather
than by concentrating on the morality of the issue.

Lessons learned: The campaign was the result of the social recognition and the
institutionalisation of this strategy, following recommendations carrying the scientific and political authority of the Ministry of Health. It also systematized the experience acquired from Brazilian projects in the field of harm reduction accumulated
over the past twenty years. It has also made information available to institutions
that were anxious to implant, improve or evaluate actions in this field.
Recommendations: It would be a good moment to invest in a campaign directed
to the population as a whole, in an effort to try to demystify this topic once and for
all.
Presenting author: Mauro Henrique Siqueira, SEPN 511 bloco C, ASCOM- 10
andar, 70750-543, Brasilia-DF, Brazil, Tel.: [phone], Fax: [phone], E-mail: [email protected]
ThPeF8023_ Reinforcing HIV/AIDS/STI prevention through
community radios in a resource poor setting in Sao
Paulo city, Brazil
M. Kretzer', M.E.L. Fernandes2, I.M.F Abrantes', A.M.S. Prince',
T.S. Fantinatti1, D.C. Costa Filho(in memorium)3. 'Zerbini Foundation, Rua
Francisco lasi, 94, SAO PAULO, SP, Brazil; 2Association for Family Health, Sao
Paulo, Brazil; 3State Department of Health, Sao Paulo, Brazil
Issues: Over the last 14 years working on HIV/AIDS/STI prevention programmes
and projects in Brazil, we have extensively documented the need to have access
to proven interactive methodologies for HIV/AIDS/STI prevention. Furthermore
concrete, state of the art educational materials that can be used on the frontline
with low-income populations need to be accessible on a large scale in Brazil and
in other countries. This paper reports on an experience in which resources were
properly allocated to implement a major HIV/AIDS/STI prevention project for a
poor under served population in Sao Paulo, Brazil.
Description: During 2000 and 2001 with funds from the Elton John AIDS Foundation, the State Department of Health and the Zerbini Foundation in close collaboration with Family Health International implemented a project for a population of
250.000 people. To educate this population, health care providers (HCP's) were
trained in interactive methodologies, supervised and evaluated weekly. Each HCP
trained received an educational kit comprised of one male and one female display
to discuss reproductive health and human sexuality; one male and one female
anatomic model a contraceptive demonstration bag; guidelines and a backpack
to carry the materials. Nine information centers were created to receive educational videos, books, guidelines, manuals and research reports on HIV/AIDS/STI,
reproductive health and rights, violence and human rights to serve as support
materials for continuing education.
Lessons learned: 1) Universal access to educational pedagogic materials by
health care providers after training was key to legitimizing HIV/AIDS/STI and reproductive health work with the community
Presenting author: Marcia Kretzer, Rua Francisco lasi, 94, SAO PAULO, SP,
Brazil, Tel.: [phone], Fax: [phone], E-mail: asfsp@terra.
com.br
ThPeF8024I A coordianted national approach to HIV and AIDS
intervention
R. Selle. Ministry of Foreign Affairs, Information and Broadcasting, Print Media
and Regional Offices, Ministry of Foreign Affairs, Information and Broadcasting,
Private Bag 13344, Windhoek, Namibia
Issues: Namibia used a national multimedia approach under the slogan take control to empower those at risk with skills to prevent HIV infection, to negotiate safe
sex and to destigmatise AIDS to promote acceptance of all affected by HIV/AIDS.
Description: The first phase aimed at sexually active youth as most at risk. The
slogan take control combined with messages such as Safe sex saves lives on
billboards, posters, stickers, newspaper, radio and television.
Events targeted specific days, eg on Valentine's Day Parliamentarians received
heart-shaped envelopes with information and condoms. Activities included student nights at discos promoted, songs, fashion show, advertisements, school
visits, panel discussions, soccer games and a Miss HIV Positive competition,
Speak out videos of young people speaking about HIV/AIDS. It targeted the youth
through a biweekly Open Talk in newspapers.
Videos gave people living with AIDS a voice to share how they lived with AIDS.
Phase 2 focussed on parents, nurses and teachers talking to children about HIV
and AIDS. The third phase will target mother to child transmission.
Rapid assessments assesses increase in knowledge every six months. A coordinated approach gave the campaign a stronger base from which to operate and to
approach influential role players, also corporate clients.
The April 2001 rapid assessment showed knowledge of the campaign and its
messages increased from 72% of respondents in 2000 to 91% with the Namibian
Broadcasting Corporation as most important media for the dissemination. More
people are willing to talk about sex and AIDS, more than 120 people came out in

public about their status in September 2001.
Recommendations: To concretise outreach with regional AIDS coordinators.
Communication equipment at regional information offices needs to be upgraded.
Evaluation of behaviour change patterns to be undertaken.
Dissemination of material needs improvement. Mobile video shows to be increased and scheduled to ensue wider outreach.