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

XIV International AIDS Conference

Abstracts ThPeF8077-ThPeF8081 607

Results: The program has trained 640 professionals since 1998 and with an estimated reach of 19,840 youths.
Recommendations: We understand the unquestionable utility of these contents
in the courses of prevention that are directed towards young people, since the Internet is considered to be a new source of risk of infection (JAMA. 2000;284:443 -446).
Presenting author: Carlos De Armas, C/ San Sebastian 75, 38005 Santa Cruz
de Tenerife, Canarias, Spain, Tel.: [phone], Fax: [phone], E-mail:
carmgon @ gobiernodecanarias.org
ThPeF8077 Insertion of people living with Aids to the labour
market Project Lusida- National Ministry of Health.
Argentina
E. Sacco1, M. Bianco2, A. Basombrio', R. Kaufmann'. 'Lusida Project, Buenos
Aires, Argentina; 2Ministry of Health, Buenos Aires, Argentina
The growth of unemployment and the increasingly precarious situation of labour in
Argentina during the last decade has expelled from the labour market a large percentage of the active population causing damage mainly to those sectors of the
population suffering of structural poverty. Among them a large number of PLWA
who see strongly menaced their access and stability in the labour market due to
their double condition of being a group affected by poverty and disease.
Description: The National Ministry of Health and Project LUSIDA ellaborated a
training program in prevention jointly with the beneficiaries to be. The program
aimed at training multipliers in prevention to strenghthen the network of PLWA.
The issues were counseling, adherence and communitary organization. The Programme of Labour Emergency provided financial support to four proyects of temporary employment destined to 55 members of a network of PLWA from Greater
Buenos Aires. Monthly grants of U$S120 were delivered to them for a period of
six months. Information leaflets, and condoms were provided. Activities were carried on in schools, hospitals, municipal social services, churches, private homes,
institutions and local information media.
Lessons learnt: Access to financial resources and the inclusion of activities
decreased the level of anxiety and personal anguish which improved daily life.
The network of PLWA strenghthened and consolidated itself. Some hospitals limited the implementation of activities. The beneficiaries considered the support of
Project LUSIDA to organize a project of social inclusion in a framework of discrimination and marginalization of the PLWA.
Reccommendations: To promote management projects in association with the
network of PLWA. Encourage the Human Rights of PLWA in the working sphere.
Introduce health care services when planning is in process.
Presenting author: Eleonora Sacco, Gamarra 1550, Buenos Aires, Argentina,
Tel.: [phone], E-mail: [email protected]
ThPeF8078 Social marketing campaign and educational
intervention aimed to workers and customers of the
tourist sector in Saint Andrew Island
A.C. Lacharme', R. Garcia Bernal2, J. Whitaker3, S. Franky2, M.M. Duenas2.
' Public Health Secretary of San Andres, Secretaria de Salud de San Andrds y
Providencia, Sari Bay Colombia; 2UNAIDS, Bogota, Colombia; 3Public Health
Secretary of San Andres, San Andres Islas, Colombia
Background: Tourism is the main income source for people living in Saint Andrew, the Colombian island in the Caribbean. Sexual tourism is a recognized issue, like in the Caribbean islands. An educational intervention aimed to tourist
sector workers, and a social marketing campaign designed with them, is described here.
Methods: After an initial three-days training of the replication process team,
tourist sector workers (working in hotels, travel agencies, restaurants, beaches,
bars, discos, boats and taxis), participated in interactive workshops (6 hrs. duration) focused on prevention of STD/HIV/AIDS, and prevention of psychoactive
substance abuse. A behavioral survey was administered, and free, voluntary HIV
testing was offered. Selected groups leaders participated in two additional workshops, during which social marketing messages were proposed, discussed and
consensus. The preliminary campaign design was tested through focal groups
composed of native and foreign youngsters and adults.
Results: A total of 240 workers of the tourist sector participated in 20 educational workshops, and 30 leaders in the social marketing design exercises. In
the behavioral survey, respondents reported frequent sex with tourists, predominance of unsafe sex practices, and frequent combination of unprotected sex and
substance abuse. Testing for HIV infection was performed to 113 people, none resulting positive. General slogans for social marketing campaign were "In real life,
don't expect to be told", and "AIDS is real, and does not respect sex, age, or race"
Advert fences, posters, stickers were produced and are currently being displayed
in strategic points of the island. Radio messages are being broadcaster.
Conclusion: With this social marketing campaign, designed in coordination with

local tourist workers, and properly validated with target population, we expect to
achieve a positive impact in reduction of behavior risk for STDs and substance
abuse.
Presenting author: Ana Cecilia Lacharme, Secretaria de Salud de San Andres y
Providencia, Sari Bay, Colombia, Tel.: [phone], Fax: [phone], E-mail:
[email protected]

ThPeF8079I Working for prevention: aids in work place in Rio de
Janeiro/Brazil
M.S.V Lima, K.M.B. Edmundo, W.L.B. Guimaraes, D. Becker, L. Azevedo.
CEDAPS, Travessa do Ouvidor, 17, sala 402, Centro, Rio de Janeiro, Brazil
Issue: Large population segments with basic or mid-level education spend a great
part of their time in the work setting, submitted to extensive working hours and little preoccupation with aspects other than the financial return to employers. They
are sexually active but have little knowledge about the importance of safe sexual
practices.
Description: This project was implemented by a partnership of the Center for
Health Promotion, the British Embassy, and the Brazilian clothing chain store
"Leader Magazine", with 2,500 employees in Rio de Janeiro. Educational workshops were held with an interactive dynamics, using audiovisual resources to
increase motivation and learning. Strong messages about adhering to condoms
as a way of adhering to the company's ideals were handed, using institutional
marketing to aggregate value to the use of condoms.
Lessons learned: We established discussion cycles in small groups reaching a
total of 10% of the company's employees. About 18 workshops were held during
2001. A simple form was used to evaluate the project results, aiming at gathering
data on: impressions of the methodology, importance of the content in employee's
life and also an evaluation of the importance of using condoms before and after
the workshop (50% increase).
Recommendation: (i) before starting, it is important to understand the company's
context, history and operation; (ii) to set up partnerships with people and/or departments that help in the incorporation of the project to the institutional culture;
(iii) to stir the management to take over this work as an activity acknowledged
and valued by the company - an employee "who takes good care of himself and
practices safe sex" will be considered as dependable; (iv) a discussion on hiv/aids
enforces the consolidation of cooperative environment with collaboration and solidarity. HIV-positive employees shall have their labor rights guaranteed and a more
healthy and pleasant working environment in the company.
Presenting author: Maria do Socorro Lima, Travessa do Ouvidor, 17, sala 402,
Centro, Rio de Janeiro, Brazil, Tel.: [phone], Fax: [phone],
E-mail: [email protected]
ThPeF80801 Dial AIDS
B.M.C. Castro C.S. Fernandes, S.C. Ferrari, G.M.B. Rigotti, N.T. Barcellos,
S. D'Avila. Secretariat Health's State, Brazil
Issue: A service that aims to offer the state population, information about STD
and HIV/AIDS were reopened, now as a free line, after being out of work during 3 years. Social assistants, psychologists and even lawyers employee by the
Health State Secretariat answers the calls that provide a direct contact between
the client and the qualified information service. The approach is confidential and
ethic. They are able to inform about safe behavior, access to counseling and testing and health care, about social, legal and even human rights, about access to
CD4 and to viral load, they provide addresses of STDs clinics and give information
about antiretroviral (ARV) and other related drugs. The questions, after 18 years
of epidemic, became more complex, they are far from the simple information we
were used to listen in the early AIDS times.
Lessons learned: As the AIDS time changes, services offered to HIV/AIDS also
had to change. From the first 3 cases in 1981 we passed to more than 16 000
cases of AIDS in Rio Grande do Sul. From one ARV used in the end of 1980
we arrive to the new millennium with more than fifteen drugs. We have CD4 and
viral load. We can measure the viral sensibility to drugs. Services and health care
workers have to adapt themselves to a new reality but, although we are living new
AIDS times, a lot of new cases still occurring. Although the same vulnerable populations are suffering, new ones are becoming vulnerable. Although the doubts
expressed on DIAL AIDS are more complexes, we still have desperate persons
on the other side of the line.
Recommendations: Learn and answer about scientific progress is easy. Difficult
is to deal with feelings, difficult is to undress one day after the other our old and
our new prejudices. We need to try hardly to keep the sensitiveness that made us
people that listen to people.
Presenting author: Beatriz Castro, 1501, Borges de Medeiros 5th floor #1,
Brazil, Tel.: [phone], Fax: [phone], E-mail: [email protected].
gov.br
ThPeF8081 Pharmacy team as a key element for the successful
experience of prevention and pharmaceutical care
of STD and HIV patients in Sao Paulo city, Brazil
M.A.T. Verca, M.C. Greco1, C.M. Yokaichiya2, D.C. Marques3, S.A. Jeremias3.
'CEFOR Human Resource Training Center of Sao Paolo City Heath
Department, Prefeitura de Sao Paulo, Rua Maria Luiza Altenfelder da Silva 524,

Butanta, 05535-040 Sao Paulo, Brazil; 2Sao Paulo City Health Department,
Prefeitura de Sao Paulo, Sao Paulo, Brazil; 3Coordination of Sao Paulo City
Health Department, Prefeitura de Sao Paulo, Sao Paulo, Brazil
There have been reported around 215000 AIDS cases in Brazil until 2001, from
these cases one out of five was reported in Sao Paulo city.
In Sao Paulo city there are 15 Public Health Centers for people living with AIDS
and 345 Public Heath Centers for Basic Care Systems.