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Strategies for greater impact in developing countries
Authors:Bailey C
Abstract:Effective AIDS education programs are needed to prevent AIDS. They must integrate HIV/AIDS messages into basic health care services and adapted them to cultural norms and values. They should eliminate the mystery surrounding human sexuality. Effective AIDS education programs must examine control of communicable diseases and the relationship between gender issues and effective health care treatment. The infrastructure and resources to direct vertical HIV/AIDS programs generally do not exist in developing countries. All too often senior professionals accept positions in these vertical programs, which limits their ability to lobby for integrated HIV/AIDS programs. Donor organizations should make sure that all projects which they support have an AIDS component and work with other organizations to ensure that prevention and control of sexually transmitted diseases (STD)/HIV/AIDS is completely integrated into health care delivery services. All health workers should undergo AIDS prevention and control training. Supervisors should make sure that subordinates practice AIDS control. Benefit packages should not be offered to attract health workers. Just because nationals may make up an information, education, and communication (IEC) program does not mean that they will adapt the program to cultural values. Donors must provide appropriate educational strategies and programs to developing countries. Social change evolves from the culture. Health care workers must help find culturally appropriate education strategies. IEC has not reached its objectives in prevention and control of STDs. Communication mechanisms that allow human sexuality to be a subject of every day discussion without causing embarrassment, uneasiness, and outrage are needed.
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