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

684 Abstracts ThPeG8409-ThPeG8413

XIV International AIDS Conference

about values. They also need to be taught how to teach about death and dying in
an age appropriate way. Children need to be taught about AIDS from grade 1 as
many already have personal experience of AIDS in their families. Teachers also
need to be taught how to fulfil a new role, namely, that of counsellor, in dealing
with the AIDS epidemic. Appropriate materials, follow-up and support are crucial elements in sustaining such programmes in schools. Micro-teaching needs to
form part of training programmes and it is important to help teachers address the
fears and prejudices of the parents and community.
Presenting author: Tania Vergnani, HIV/AIDS Programmes, University of the
Western Cape, Private Bag X17, Bellville 7535, South Africa, Tel.: [phone]
2247, Fax: [phone], E-mail: [email protected]
ThPeG8409 Design is good for the health
L. Portella, D. Fernandes, L. Silva. Ostudio Health Design, R:Alm Alandrino
3780, BI E 1 Apto 102, Santa Teresa, Rio de Janeiro, Brazil
Issues: Advocacy and education related to prevention and care are crucial for
the struggle against AIDS epidemic. Expertise in this area combines an understanding of the technical aspects of the epidemic as well as ongoing proficiency
in communication. The goal of this work is to translate medical, epidemiological
and care information into an accessible language for different cultured groups of
Brazilian population.
Description: Through the combined experience of journalism and graphic design
the work is developed to create and produce information material for STD/HIV
prevention and care for different populations: sex workers, teenagers, health professionals and women. For 8 years several educational materials were produced
for Federal, State, and Municipal public heath programs and AIDS NGOs. The
material developed: posters, folders, books, booklets, tee shirts, buttons, banners, radio and TV spots have had a good understanding and assimilation among
target population. Several materials have been reprinted and circulate among different regions and social segments in Brazil, had become a National reference
for it's quality.
Lessons learned: Direct and culture sensitive communication tools free of distracters are important to achieve memorable clear and precise messages. These
materials could provide suggestions for congress participants working in the different areas of education in their own countries.
Recommendation: Special attention should be given to plan and design any
communication material considering format, message and picture to guarantee
acceptability, reproducibility and long life use.
Presenting author: Lys Portella, R:Alm Alandrino 3780, BI E 1 Apto 102, Santa
Teresa, Rio de Janeiro, Brazil, Tel.: [phone], Fax: [phone],
E-mail: [email protected]
ThPeG8410 The nutrition lifestreams approach to HIV/AIDS
education interventions
D.J. Burger', G. Jaros2, J.W. Herzig3. 'University, Physiological Sciences,
Private Bag Xl, Matieland, Stellenbosch, South Africa; 2 University, Sydney,
Australia; 3 University Cape Town, South Africa
Main aims: This paper will discuss the Nutrition Lifestreams Approach (NLA) to
HIV/AIDS education interventions. It aims to describe the approach fully, analyze
its ethos and structure in order to recognize new problem areas and as a result
identify novel therapeutic actions.
Introduction: Lifestreams, as a systematic approach, views life primarily as a
web of streams. Central to this framework is the concept of mei (pronounced
am-ee-aay) which stands for matter, energy and information. When applied to
the HIV/AIDS Education Intervention this is rephrased as: having (matter), doing
(energy), knowing (information) and also wanting.
Issue: The causal link between HIV and AIDS cannot be questioned. The disease
is however influenced by many "smaller streams" which ultimately could provide
valuable points of intervention. These include malnutrition, other sexually transmitted infections, tuberculosis, opportunistic infections and parasitic infections, all
of which drive the pandemic due to their negative impact on the immune system. Furthermore, there is strong synergism between malnutrition and immune
functioning which is important in the HIV/AIDS context.
Recommendation: The Lifestreams approach to HIV/AIDS education interventions presents a new way of looking at the pandemic. It may prove valuable in
designing strategies for alternative education and therapeutic interventions.
Presenting author: Dirk JG (Bertie) Burger, Physiological Sciences, Private Bag
Xl, Matieland, Stellenbosch, South Africa, Tel.: [phone], Fax: +27 21
8083145, E-mail: [email protected]
ThPeG8411 People and HIV - the first Ukrainian publication to
comprehensively cover the many aspects of the

HIV pandemic
O.P. Purick, L.S. Hyde, N.V. Volkova, TV. Deshko. International HIV/AIDS
Alliance, 5 Dymytrova St, building 10A, 6th floor, 03150, Kiev, Ukraine
Issues: The HIV epidemic began over 15 years ago in Ukraine, yet until recently
there has been no attempt to produce an information product for the general public comprehensively covering all aspects of the epidemic. Social research carried

out in 2001 showed that the population (including PLWA, social workers, teachers and even medical professionals) are reliant on fragmented, often unreliable
information from occasional sources.
Description: In August 2001 the Information and Resource Center of the International HIV/AIDS Alliance in Ukraine published "People and HIV". This wideranging and comprehensive book was distributed among NGOs involved in HIV
prevention, government AIDS-service organizations, local authorities, the AllUkrainian Network of PLWA, healthcare and educational institutions, youth social
services, scientific and public libraries, military units and prisons. For the first time
representatives of different Ukrainian social groups gained access to a reliable
source of up-to-date information on HIV/AIDS.
Lessons learned: We can conclude from feedback from recipients that the publication serves not only as a tool for information delivery and education of different audiences, but also fulfils an advocacy function. Ukrainian NGOs, teachers,
healthcare and social workers are already using materials presented in the book
for implementing prevention activities locally.
Requests for copies are coming from all over Ukraine, especially from rural school
teachers and social workers. We have also received requests from CIS and Eastern European countries.
Recommendations: The publication will be substantially renewed and updated
annually. The All-Ukrainian Network of PLWA and national experts are involved in
the preparation of the second (2002) edition. The book will be distributed for free
among national and international recipients, thus contributing to HIV prevention
in Ukraine and neighboring countries.
Presenting author: Olena Purick, 5 Dymytrova St., building 10A, 6th floor, 3150,
Kiev, Ukraine, Tel.: [phone], Fax: [phone], E-mail: [email protected]
ThPeG8412 Teaching future physicians to care for patients with
HIVAIDS
N.R. Angoff. Yale Universtity School of Medicine, yale university school of
medicine, office of student affairs, 367 cedar st., new haven, ct 06510
Issue: People with HIV/AIDS in the US are living longer than ever on more complicated therapies and requiring more knowledgeable care with attention to a more
complex mix of medical, psychosocial, ethical problems. How do we interest and
train the next generation of physicians to treat patients with HIV/AIDS?
Description: At Yale University School of Medicine we designed a course to pair
students with an HIV/AIDS provider and patient. The student takes on increasing responsibility for the patient's care for 3.5 years attending clinic visits, making
home visits, and following the patient if hospitalized. The student carries a beeper
which the patient calls with after-clinic-hour questions. One morning a month students attend a seminar to hear an expert discuss issues related to HIV/AIDS and
his career path. In 3 years 28 students, 13 providers and 30 patients from diverse
backgrounds have participated in the course. Graduating students are declaring
their intention to continue to serve this population.
Lessons Learned: 1) There is substantial interest in HIV/AIDS among medical
students. 2) The traditional curriculum does not adequately address care of this
population. 3) On clinical rotations, students are still exposed to stigmatizing attitudes about HIV/AIDS. 4) Patients enjoy and benefit from students becoming
their advocates and enhancing their care by following up lab tests, making home
visits, encouraging adherence and getting involved with complex psychosocial,
ethical problems. 5) Providers for patients with HIV/AIDS need to be engaged as
mentors for students. 6) There is reason to be concerned about whether future
physicians are being adequately trained to care for this population.
Recommendations: 1) Expose medical students to HIV/AIDS medicine early
and throughout their training. 2) Integrate HIV care into the curriculum in an experiential and meaningful way.
Presenting author: Nancy Angoff, yale university school of medicine, office of
student affairs, 367 cedar st., new haven, ct 06510, United States, Tel.: +1 203
737-2169, Fax: [phone], E-mail: [email protected]
ThPeG8413 voices in connection: HIV+ women speak out to
women in prison! listen to the women speak! let
their stories and words resound in you!
S.J. Walker', M.J. Fink', PJ. Dole2, A. Lang3. 'Albany Medical College, Albany
Medical College, 47 New Scotland Avenue, Mail Code 158, Albany, NY 12208,
United States; 2Hunter College, New York, United States; 3New York State
Department of Correctional Services, Staten Island, United States
Issue: Women inmates are disproportionately infected with HIV compared to men
in many correctional systems worldwide, including the United States. Several
barriers prevent women inmates from seeking HIV testing/treatment, including
a history of abuse, mistrust of the medical system, fear and denial, substance
use and concerns of confidentiality and stigmatization. The alarming increase of
HIV+ women inmates calls for gender-specific approaches in education which are

unique to these backgrounds to encourage HIV testing and treatment adherence.
Description: Albany Medical Center's AIDS Program (AMCAP), one of the
largest providers of HIV correctional health care in the United States, identified
the need to encourage HIV testing and medication adherence in incarcerated
women. Separate focus groups were held with HIV+ women and providers to
assure the inclusion of varied relevant perspectives for the target audience and
inform AMCAP on the desired content. Five HIV+ women participated in the pro