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HEALTH EDUCATION
INTERVENTION ON
HIV/AIDS AMONG
THE URBAN SLUM
DWELLERS OF
DIBRUGARH
ASSAM
- KARUNYA VINUKONDA
MSc NHC SY CMC DEPT SNDT
Health education
intervention on HIV/AIDS
among the urban slum
dwellers of Dibrugarh,
Assam
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Title: Health education
intervention on HIV/AIDS
among the urban slum
dwellers of Dibrugarh
Assam
• Authors: Forhad AkhtarZaman, Samuel Sheikh andGaffar Sarwar Zaman
• Source: Journal of Evolution
of Medical and DentalSciences. 2.16 (Apr. 22,2013): p2635.
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BACKGROUND
• HIV/AIDS:
• Challenging and dreadedphenomenon
• Universal threat tocivilisation
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INTRODUCTION
• 1st
case- 1986- Chennai.• Assam is among lowprevalence states of Indiawith 863 confirmed cases of
AIDS reported as per the HIVestimate of 2008-09.
• Geographical locationadjoining high prevalenceStates like Manipur andNagaland makes it a highrisk zone.
• Appropriate measures needed.
• Justification of the study.
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OBJECTIVES
• To evaluate impact of IEC onKAP on HIV/AIDS among slumdwellers of Dibrugarh usingthe standard package for
urban slums formulated bythe NACO.
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METHODS
• Quasi experimental study ofan intervention without acontrol group
• Age group: 15-49 years
• Sampling method: stratifiedsystematic random sampling.
• Sample size: 246
• Time period: August 2007 toJuly 2008
• Location: slum dwellers ofDibrugarh, Assam.
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METHODS
• Study was conducted in 3stages:
• Baseline KAP survey on
HIV/AIDS- Health educationintervention [IEC]-evaluation just afterintervention- After 3 monthsof intervention.
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DATA COLLECTION INSTRUMENT
• Questionnaire that waspredesigned and pretested.
• Translation, retranslation,pilot study.
• Custom-made
• Informed consent taken fromeach participant.
• All participants weremotivated, explained aboutpurpose of study.
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DATA COLLECTION PROCEDURE
• The study conformed to theHelsinki declaration &Institution ethicalcommittee (IEC)
• The principal investigatorcollected the information inthe standard questionnaireformat on HIV/AIDS from
people in the age group of15-49 years in thoseidentified slums.
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STATISTICAL ANALYSIS
• The results were expressedin percentages representedby tables and statistically
analyzed using chi-square
test.
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RESULTS
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RESULTS
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RESULTS
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DISCUSSION
• TI programmes are importantstrategies of NACP
• 87.7% of study subjects hadheard of HIV/AIDS.
• Orthodox population, lowfemale literacy, low sexratio and issues related tosexuality being a taboo.
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DISCUSSION
• The study reveals that IECintervention hassignificantly increased theKAP of study population but
this increase in knowledgecould not be sustained tothe same extent after 3months of the intervention.
• Bhatia et al-Chandigarh-various modes oftransmission [Vertical]
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DISCUSSION
• >2/3rds unaware ofneedles/syringes, safe blood.
• Momentum needs to be sustained.
• One time activity can enhance
knowledge but awarenesscampaign, IEC activities,camps, mass media andinvolvement of communityleaders must be consistently
implemented and theirachievements assessed byregular evaluation.
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DISCUSSION
• The Sonagachi InterventionProject increased theproportion that had anoptimistic attitude and
increased preventionand treatment-seekingbehavior.
• A study conducted by Raizada
N et al (2004) among theschool going teenagers inJamnagar city of Gujarat-HIV related stigma- IPC
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CONCLUSION
• Target specific interventionprogrammes need to be atcentre stage.
• The recent National AIDS
Control Policy of theGovernment of India aims atpreventing the spread of
AIDS by making people aware
of its implications andproviding them with thenecessary tools forprotecting themselves.
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CONCLUSION
• How much this favorable
improvement about awarenessand attitudes is going to bepermanent and translate into
behavior could not beascertained from the study.
• Ongoing behavior changecommunication and repeated
studies to assess the impactof such measures may resolvethese issues.
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REFERENCES
• Critically analysing aresearch paper by BACP
• Critical analysis byUniversity of Sussex
• How to critically appraisean article by Jane M Youngand Michael Solomon
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