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At present,the AIDS epidemic situation in college students is becoming more and more serious.In view of the particularity of colleges students and the lack of professional team for AIDS prevention and control in colleges and universities,there exists ethical issues when carry out the prevention and control for AIDS in colleges and universities such as the ethical issue in publicity and education,the ethical issue in AIDS behavioral intervention,the ethical issue in the consultation and detection for AIDS.This paper suggests that it should confront the current situation of AIDS prevention and control,improve the professional level of carrying out AIDS prevention and control,adhere to the necessary principles of AIDS prevention and control,and explore a new mode to construct AIDS prevention and control in colleges and universities.
RESUMEN
O presente relato de experiência visa a refletir sobre um trabalho realizado com jovens homens em conflito com a lei privados de liberdade e que teve inicialmente seus objetivos voltados para a prevenção às DST/aids, mas que, a partir das primeiras experiências, precisou ser reorientado para que fosse possível trabalhar com temas emergentes dessa população. Foi necessário trabalhar com o jovem e sua relação com a própria vida e a vida de terceiros para que fosse possível realizar trabalhos de prevenção mais específicos. Este trabalho só foi possível a partir do momento em que a realidade desses jovens pôde ser ouvida e as atividades propostas puderam levar em consideração a subjetividade deles e a sua condição de alto nível de vulnerabilidade individual, social e programática. O trabalho sempre envolveu além dos jovens, os diversos agentes institucionais responsáveis pela execução da medida sócio-educativa de internação. Em muitos casos, estes que deveriam ser responsáveis pela diminuição da vulnerabilidade dos jovens acabam por aumentá-la quando não realizam suas atribuições de agentes sócio-educativos.
This experience report aims to relate a work with male incarcerated adolescents. The objectives had initially focused on STD /AIDS prevention, but the work needed to be reoriented to discuss the life of adolescents living in poverty and the relationship they have with life: their own life and the lives of others. This was the basis to work with more specific prevention efforts. This work was only possible from the moment the reality of these young people could be heard and the proposed activities could take into account the subjectivity of their condition and their high level of individual, social, and programmatic vulnerability. The work has always involved beyond the young, the various institutional actors involved in socio-educational work. In many cases, those who should be responsible for reducing the vulnerability of young people end up increasing it when they don't perform their tasks.
Este relato de experiencia tiene como objetivo reflexionar sobre un trabajo con jóvenes hombres en conflicto con la ley privados de libertad. Sus objetivos se centraron inicialmente en las ITS/sida. A partir de las primeras experiencias, fuera reorientado para que trabajar con las nuevas cuestiones en esta población. Trabajamos con los jóvenes y su relación con su propia vida y las vidas de los demás para, después, hacer los esfuerzos de prevención más específicos. Este tipo de trabajo sólo puede lograr éxito cuando las actividades propuestas pueden tener en cuenta la subjetividad del joven y su alto nivel de vulnerabilidad individual, social y programática. El trabajo siempre se ha desplegado más allá de los jóvenes, envolviendo los diversos actores institucionales responsables. En muchos casos, los que deberían ser responsables por la reducción de la vulnerabilidad acaban por aumentar-la cuando no cumplen sus tareas.
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Objective To summarize the practice of AIDS prevention and treatment in rural areas of Henan province and to explore a community-based integrated AIDS prevention and treatment model.Methods In the context of the existing 3 tier(county-township-village)rural health care systems,several approaches were adopted including scientific management of HIV-infected persons,patient tracking,laboratory testing,maternal-to-child transmission block,high-risk intervention,health education and medical treatment.Results By the end of 2008,AIDS mortality rate dropped to 4.57 %,the rate of mother-to-child transmission reduced to 4.16%,and the sero-conversion rate among HIV positive single spouses was 1.13/100 person per year;the proportion of persons who continued to receive medical care after 12 month therapy was 85.2%;the rate of HIV related knowledge among the public was 82.3%;the coverage of HIV preventive service among CSWs was as high as 96.98%;the rate of condom use among institution-based CSWs in the last sex trade was 89.54%;the proportion of CSWs who had correct understanding of sex route of HIV transmission was 81.17%,and the rate of persistent use of condom among HIV infected persons and AIDS patients reached 92.57%.Conclusion The community-based integrated AIDS prevention and control model in rural areas of Henan province has achieved remarkable outcomes and it is suggested that such a model should be employed in areas where HIV/AIDS is relatively prevalent.
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Objective To identify factors influencing behavioral changes among injection drug users(IDUs)by assessing the outcome of the Kunming Sunshine Homeland Project(SHP)in 2007,so as to design more effective and relevant interventions for HIV/AIDS prevention and control in China.Method Data obtained from SHP were analyzed by Logistic regression,in which the relationship between related factors and effectiveness of the interventions were examined.Results Based on Fishbein and Guinan’s hypothesis(1996),among the three factors,i.e.attitude,perceived behavioral norm and self-efficacy,the perceived behavioral norm was the most effective one to change IDUs’ behaviors.Conclusions In designing HIV/AIDS prevention and control projects targeted to IDUs,perceived behavioral norms should be given high priority in combination with other 2 factors,and the approaches applied should match with the objective of the designed project.
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Objective To identify main problems and related factors existing in monitoring and evaluation(M&E)of HIV/AIDS prevention and control in China through status quo investigation and problem analysis.Methods Data collected from the existing information and field investigations were analyzed with horizontal,longitudinal comparison and GAP analysis to identify current situation and problems.Results 1)Basic situation in the seven aspects,including;institution,staff,funding,use of indicators,data management,result feedback and operation of M&E was defined;2)Problems in the five aspects,including coordination mechanism,staff ability,use of indicator system,data analysis and use and level of M&E were identified.Conclusions In order to improve the overall quality of M&E of HIV/AIDS prevention and control in this country,a unified nationwide M&E system of HIV/AIDS prevention and control should be established.