Document 1920
 DOCN  M94A1920
 TI    Contextual AIDS-awareness work in south-west India.
 DT    9412
 AU    Schumann U; Centre for Development Initiative, New Delhi, India.
 SO    Int Conf AIDS. 1994 Aug 7-12;10(1):421 (abstract no. PD0291). Unique
       Identifier : AIDSLINE ICA10/94370655
 AB    OBJECTIVES: AIDS-awareness needs introduction on a broad scale in
       south-western India where about 80% of Kerala's households in-/directly
       depend on external income raised in labor migration. Local variations of
       health cultural attitudes and socio-economic conditions demand built-in
       evaluation into educational approaches to allow micro adjustments to the
       local context. METHODS: Increased dynamics of migration resulted in
       split of families but maintenance of roots and home-visits. Working
       partners are released into social isolation and cosmopolitan
       promiscuity. Risk of HIV-infection and heterosexually spread of the
       virus in rural Kerala is high. Within a framework of health education on
       symptomatology and prevention of predominant diseases, the peoples
       health culture is being explored and monitored. On a basis of ongoing
       evaluations, IEC-materials on HIV-epidemic are developed and
       disseminated. RESULTS: The method allows adaptive measures in IEC in
       correlation to attitudes and behaviours rooted in local health culture.
       It can be utilised as supportive mechanism for behavioural changes in
       respect to unsafe promiscuity. Emphasis on socio-economic constraints
       such as migration helps establish acceptance against social stigma
       towards the carriers of HIV. Computerized evaluation documents
       utilisation patterns for health service and improves public health
       planning. CONCLUSIONS: This scientific basis within public health
       approaches is a tool for popularisation of social-/scientific
       instruments. It dissolves culturally conditioned denial mechanisms or
       outcasting sanctions of the target population and facilitates acceptance
       and coping of the HIV/AIDS-epidemic.
 DE    Acquired Immunodeficiency Syndrome/EPIDEMIOLOGY/*PREVENTION &
       CONTROL/TRANSMISSION  Female  Human  HIV
       Infections/EPIDEMIOLOGY/*PREVENTION & CONTROL/TRANSMISSION  HIV
       Seropositivity  India/EPIDEMIOLOGY  Male  Prejudice  Risk Factors  Rural
       Population  Sex Behavior  *Sex Education  MEETING ABSTRACT

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