3195.0: Monday, November 13, 2000 - 4:45 PM

Abstract #13053

Preventing STD/HIV Transmission in the Philippines through a Collaborative Approach

Donald E. Morisky, ScD1, Teodora V. Tiglao, PhD2, Carl Sneed, PhD3, and Kenn Y. Liu, MPH1. (1) Community Health Sciences, UCLA School of PUblic Health, Box 951772, Los Angeles, CA 90095-1772, 310-825-8508, dmorisky@ucla.edu, (2) University of the Philippines, College of Public Health, Manila, Philippines, (3) CHIPTS, UCLA, Los Angeles, CA 90095

BACKGROUND/OBJECTIVES: STD/HIV is a priority health concern throughout the world. This research program expands upon targeted educational interventions among female bar workers and their managers/supervisors in the Philippines, and now targets high-risk, heterosexual male populations. METHODS: A cross-lagged panel study design in four sites in the southern Philippines, comprised of military/policemen, firemen, factory workers, drivers associations (taxi and tricycle drivers) and high-risk communities. Approximately 200 males from each of five study groups (total of 2500 males) have provided baseline information on their knowledge, attitudes and practices concerning STD/HIV risk factors. From this group, 20 individuals are being trained as peer counselors to educate and reinforce safe sexual practices.RESULTS: Knowledge concerning STD transmission and prevention of STD was significantly higher among military/police compared to taxi and tricycle drivers (85% correct knowledge vs. 60% correct knowledge; p < .01). Attitudes towards condom use were generally negative among all study groups and were identified as the most important area to address in the development of educational materials. Peer counselors from each study group are trained in STD/AIDS prevention and develope specific educational materials based on the findings within their target group. Intervention and control study sites are followed for a 12-month period, then a post-test assessment, followed by intervention in the previous control site and monitoring in the previous study site. A final follow-up assessment is conducted at the end of the 24-month period. CONCLUSIONS: The concept of training peer counselors in targeted study groups has been well supported by various program managers.

Learning Objectives: To identify two innovative procedures to recruit and maintain active participation among community-based orgainzations. To identify procedures to maximize diffusion of innovation and stages of change techniques among male, client-centered populations in the Philippines. To identify the effectiveness of two innovative educational approaches (peer counseling and photo- novella) on risk-taking behaviors among heterosexual males

Keywords: STD Prevention, Community Participation

Presenting author's disclosure statement:
Organization/institution whose products or services will be discussed: None
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.

The 128th Annual Meeting of APHA