       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).

