Document 1915 DOCN M94A1915 TI AIDS program design for behavior change--a participatory approach in Bangladesh. DT 9412 AU D'Rozario JM; Thompson HC; Thompson PG; Salvation Army House, Dharunondi. Dhaka, Bangladesh. SO Int Conf AIDS. 1994 Aug 7-12;10(1):422 (abstract no. PD0297). Unique Identifier : AIDSLINE ICA10/94370660 AB OBJECTIVES: a. to develop an appropriate AIDS program design contextually appropriate for low prevalence seropositive communities in Bangladesh. b. to develop a strategy to engage communities with beliefs and cultural norms unfavorable to facing the issue openly, and to facilitate the behavior change process of individuals and communities. METHODS: A program development process was initiated through pre-existing Salvation Army health, education and community development programs. Volunteers from respective community entry points were involved through a participatory approach to AIDS program design. A Resource Team facilitated the process, providing technical assistance to enhance the development process of the programmes. RESULTS: Four AIDS teams developed. Training and education provided. Program design process facilitated. Attitude and behavior change has been identified in competencies of individuals, teams and the organization. Teams have identified a variety of approaches to engaging their communities and a sense of cohesiveness and empowerment has resulted. DISCUSSION AND CONCLUSION: Change is possible. Teams have this vision. A shift in perception of individual and team capacities has moved members from dependence to independence, and empowered them to confidently engage communities to bring about behavior change within the constraints of religion and culture. A structured participatory program design approach has been found effective in addressing the AIDS issue in low prevalence culturally sensitive communities. DE Acquired Immunodeficiency Syndrome/EPIDEMIOLOGY/*PREVENTION & CONTROL Bangladesh/EPIDEMIOLOGY Culture Health Behavior Human HIV Seropositivity/EPIDEMIOLOGY *HIV Seroprevalence *Social Change MEETING ABSTRACT SOURCE: National Library of Medicine. NOTICE: This material may be protected by Copyright Law (Title 17, U.S.Code).