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Document 2193
DOCN M94A2193
TI The multi-sectorial AIDS prevention strategy in NE Thailand.
DT 9412
AU Elkins DB; Rujkorakam D; Kuyyakanond T; Maticka-Tyndale E; Qld Inst of
Med Res, Australia.
SO Int Conf AIDS. 1994 Aug 7-12;10(1):36 (abstract no. 119D). Unique
Identifier : AIDSLINE ICA10/94370382
AB OBJECTIVES: 1) to increase access & utilization of existing govt.
programs operating in rural NE Thai communities and, 2) to develop
culturally-tailored education & training programs specific to target
populations in the community. METHODS: The Multi-sectorial AIDS
Prevention Strategy (MAPS) is an action-oriented prevention program
utilizing research-based media to raise awareness, promote evaluation of
personal risk and provide practical and culturally sensitive options to
reduce the risk of HIV to individuals and their community. Empowerment
and sustainability of the program is established through training and
coordinating the efforts of existing personnel and services from both
government and NGO sectors, in first stimulating and then responding to
requests for support for AIDS prevention activities from the communities
they serve. Strategy implementation focuses on prevention activities
identified during the MAPS process, all of which support existing
government programs and focus on risks of AIDS as identified by the
communities. RESULTS: After careful piloting of MAPS in 30 villages at
the community- and subdistrict-level, six high priority activities were
identified by communities in their fight against AIDS. However, although
the perceived sources of risk were similar, emphasis in each
sub-district differed. For example, in more urbanized sub-districts
needle sterilization was emphasized with regard to drug use by youth. In
contrast, a rural sub-district did not mentioned this, instead their
concern focused on the traveling local healers which regularly give
injections in the villages and don't properly sterilize their equipment.
Some of the high priority activities consistently raised in the
subdistricts are already part of government service, but the residents
were unaware of their availability. In these cases, an important role of
MAPS will be effective social marketing of already existing services and
increased accessibility. DISCUSSION AND CONCLUSIONS: Based on
preliminary results, MAPS balances the need for personalized messages
and participatory action with the potential for large-scale coverage.
Implementation at the district-level is currently underway in 4
provinces in over 350 communities with the aim of expanding the program
to over 1 million people in 1994.
DE Acquired Immunodeficiency Syndrome/*PREVENTION & CONTROL Health
Services Accessibility Human Marketing of Health Services Preventive
Health Services/ORGANIZATION & ADMIN/*SUPPLY & DISTRIBUTION Risk
Factors Thailand MEETING ABSTRACT
SOURCE: National Library of Medicine. NOTICE: This material may be
protected by Copyright Law (Title 17, U.S.Code).