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

XIV International AIDS Conference

Abstracts ThPeG8404-ThPeG8408 683

4. Partners should cater to other health-related need of migrants.
5. Monitoring system should be planned.
Presenting author: Arvind Patel, N-301, Shrinandnagar-3, Vejalpur, Ahmedabad 380051, Gujarat, India, Tel.: [phone], Fax: [phone], E-mail:
nice_arvind @ rediffmail.com
ThPeG8404 The impact of family housing on the HIV/AIDS
epidemic among migrants in South Africa
H.T. Gebrekristos', M. Lurie2. 1 Yale University 1999 Carhage Road, Tucker,
GA, United States; 2Brown University, United States
Background: Several studies have shown that the migrant labor system - marked
by the disruption of families and stable sexual relationships - increases the risk
of HIV transmission. This issue is especially significant in South Africa where
there are both high levels of movement and migration as well as high prevalence of HIV/AIDS. The mining communities in South Africa are some of the worst
HIV/AIDS affected areas in the world. Single-sex hostels, where miners live away
from their stable sex partners and family, are a critical feature of this migration.
Using a mathematical model, the epidemiological impact of changing single-sex
hostels into family housing is described.
Methods: Using a Bernoulli model of HIV transmission, the probability of HIV
transmission given family housing is estimated. Sensitivity and threshold analyses are conducted on key parameters in the model. Together these two analyses
indicate how the benefit of family housing may differ given alternate conditions.
Results: The analyses indicate that family housing could reduce HIV transmission among migrants and their partners in South Africa. The overall percent reduction in HIV transmission provided by family housing is estimated at 41%. Given
alternate conditions, family housing consistently yielded benefits.
Conclusions: The results indicate that family housing could significantly decrease HIV transmission among migrants and their partners. This policy alternative should be examined closely to assess its viability and use as a prevention
method.
Presenting author: Hirut Gebrekristos, 1999 Carhage Road, Tucker, GA, United
States, Tel.: [phone], E-mail: [email protected]
ThPeG8405 Migrant worker and mobility mapping in Dinazpur
for STD and HIV/AIDS prevention
A. Faruk, A. Ashrafuddin. Development and Humen Approach for Rural
Advancement (DHARA), section 10 block a avenue-1 house 10, mirpur dhaka
1216, Bangladesh
Issues: Short term internal migration for employment is one of the factor to
spread out the HIV/AIDS and other kind of Sexual Transmitted Disease (STD).
In Dinazpur northern side of Bangladesh which is famous e for growth of rice. Lot
of mobile population like seasonal agricultural, transport and rice mill worker, tuck
drivers are stay here for short time. In last few years, research reports are showing
that the STD like HIV/AIDS, Hepatitis B, Syphilis is increasing in Dinazpur. Development and Humane Approach for rural Advancement (DHARA) has conducted
a Mobility Mapping study among these migrant worker in June 2001.
Description: The main objective of this study is find out the reason of why and
how STD is increasing. DHARA has been arranged a participatory study among
the stakeholders, the method of this study was both qualitative and quantitative.
All data has been collected using Focus Group Discussion, in-depth interview,
spot mapping, structured and semi structure questionnaire interview, informal and
formal discussion.
Lessons Learned: It was found that most of the seasonal agricultural workers
have been come to Dinazpur for three or four months. Truck drivers are also stay
here in this peak season for carrying rice one part to another in Bangladesh. The
workers of rice mill are also stay here for short time. Near about 15%-20% of
these workers go to the brothel and 50% of them are not used to with condom.
Injecting drug users are also found in this area. after the peak season they are
return to their won village. So there have all type of risk to increase STD in both
way for this type of mobility.
Recommendations: Increase rate of STD should be arrive at vulnerable position
in next few year. So awareness raising program, Media advocacy about STD and
HIV/AIDS should be more justified and appropriate to change the situation.
Presenting author: akram faruk, section 10 block a avenue-1 house 10, mirpur
dhaka 1216, Bangladesh, Tel.: [phone], E-mail: [email protected]
ThPeG8406 Grounded HIV training: developing and
implementing an HIV training in partnership
C.C. Poindexter1, T.S. Lane2, N.C. Boyer3. 1Boston University, Boston
University School of Social Work, 264 Bay State Rd., Boston, MA 02215, United
States; 2Boston Foundation, Boston, MA, United States; 3Boston University

School of Social Work, Boston, MA, United States
Issues: The Massachusetts Department of Public Health HIV/AIDS Bureau
wished to fill in gaps in their statewide training continuum: (1) Supervision techniques and (2) Basic helping skills for direct care workers. The state agency contracted with Boston University School of Social Work to develop, test, implement,
and evaluate these new workshops.

Description: Through "grounded" assessment [that is, starting with potential consumers of the training curricula], university-based social workers spent a year
developing and testing two new HIV-related workshops. After pilot testing and
receiving feedback on the workshops, they trained community-based trainers to
deliver the sessions across the state. The partnership between governmental,
university, and community-based organizations yielded an end result which was
relevant and useful. The evaluation revolved around participants' choosing their
own learning goals and reporting on progress three months after the workshop
had ended.
Lessons learned: The grounded method of developing training was a success. The workshops represent a participatory method for developing communitybased training. The evaluation process demonstrates the utility of asking learners
to develop their own goals.
The stakeholder method of determining workshop content has uses in other areas. Due to this project, the HIV/AIDS Bureau began requiring all training vendors
to evaluate the effectiveness of HIV workshops; they also re-examined previous
curricula to insure that the structure and content complimented the basic helping
workshop.
Recommendations: The authors highly recommend the involvement of stakeholders at every level of the development of HIV training for direct care workers
and supervisors, and the inclusion of a followup component in the evaluation. Limitations of this model include not including capacity-building material on systems
change.
Presenting author: Cynthia Poindexter, Boston University School of Social Work,
264 Bay State Rd., Boston, MA 02215, United States, Tel.: [phone], Fax:
[phone], E-mail: [email protected]
ThPeG8407 Seniors at risk: the need for effective, targeted hiv
prevention programs
M.A.B. Brennan, L.L.W. Williams. Health Watch, New York, United States
Issues: Discussed Findings from African American senior focus groups will assist
HIV prevention providers in reaching this population by: defining the needs; identifying appropriate intervention messages and messengers; presenting effective
outreach strategies; and, assessing sexual and drug using behaviors.
Descriptions: The focus groups assessed the HIV knowledge and risk behaviors
of African American seniors aged 50+ in 5 large cities.
Lessons learned: Seniors engage in sexual and drug use behaviors that put
them at risk for HIV infection. Seniors are unlikely to use condoms consistently
due to a lack of knowledge of HIV transmission and prevention methods and a
failure to identify as members of an at risk group. Medical providers misdiagnose
HIV-related symptoms in seniors as the normal process of aging. Seniors often do
not feel comfortable discussing sex and sexuality issues with a medical provider.
Senior women lack knowledge of biological aging processes that can elevate the
risk of HIV infection from unprotected sex.
Recommendations: Create HIV prevention programs for seniors that promote
respect and group validation. HIV prevention educational materials should be
language-appropriate. Develop educational materials for older women to explain
the interaction between the aging process and an elevated risk for HIV infection
from unprotected sex. Develop workshops and trainings for seniors on safer sexual and drug using practices, and developing and enhancing negotiation skills
around condom use. The programs should provide information on local HIV testing sites. Create educational programs for medical providers on recognizing seniors as an at-risk population and effectively engaging them in discussions around
HIV testing. Utilize senior peer educators in HIV prevention programs. Conduct
research on seniors' sexual and drug using behaviors, HIV progression and treatment in this population, and the needs of non-urban dwelling seniors.
Presenting author: Margaret Brennan, 589 Eighth Avenue, Sixth Floor, New
York, New York, 10018, United States, Tel.: [phone], Fax: [phone], E-mail: [email protected]
ThPeG8408 Training primary school teachers to become AIDS
educators: lessons from South Africa
T. Vergnani, B. Johnson, M. Chopra. University of the Western Cape, HIV/AIDS
Programmes, Bel/ville, South Africa
Issues: The rapidly spreading HIV/AIDS epidemic in South Africa has led to education being prioritised as a key prevention strategy. Lifeskills and HIV/AIDS
education is now a compulsory part of the school curriculum from grades 1 to 12.
In order to facilitate its implementation, the government has embarked on a three
year project to train all primary school teachers to become AIDS educators.
Description: This presentation focuses on lessons learnt from the evaluation of
the HIV/AIDS primary school teacher training programme in the Western Cape
Lessons learned: Some of the main lessons learned are: training needs to be
of adequate length and in a block format rather than on a weekly basis; follow-up
and support are crucial; teachers need to deal with their own person issues relat
ing to both sexuality and their personal vulnerability to HIV; they need to be taught
how to teach skills and values, how to deal with and teach about death and dying
and counsel about bereavement. Many primary school teachers also struggle to
deal with sexuality issues related to adolescence.
Recommendations: A basic core training programme of at least 21 hours is
necessary. Adequate time needs to be spent on facts as well as personal issues
relating to sexuality Teachers need to be taught how to teach life skills and teach