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Mohammad Ziaul Ahsan
Joined: May 6, 2002
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Country: Bangladesh
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HIV and STD education for all
June 19, 2003 - 10:52 AM
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Now more than ever it is important to explore the strategies for prevention of STD's with the AIDS pandemic, a patient with and STD may have acquired HIV infection or may get HIV infection in the future. Therefore, treatment alone is not sufficient and health education to prevent sexually transmitted diseases is of paramount importance. This will entail discussion on sex and sexuality from doctor to patients, from parent to child and from teacher to students.
Communicating about STD's is extremely difficult as it is necessary to discuss sexual practices, a topic may people in our culture rather be left alone, and bring communication to a very personnel less to be effective. In order to prevent STD and the spread of HIV infection, it is mandated for individuals to change entail choosing not to have many partners or as to use condoms.
SOCIAL ASPECTS
STD's are with us for long. The risk factor for contracting a STD is having many sexual partners, or to have a partner who has many sexual partners. Although anyone can get a STD, certain groups of individuals are more prone due to their life style and social or economic and environmental circumstances. This may include:
Migrant workers who live away from their families;
Men who travel as a part of their job;
Those who resort to sell sex for financial reasons;
Armed force personnel who are posted away from their families.
The clients of CSW coming from the society from among about 20 categories of population of reproductive age can be mapped as follows.
The CSW themselves women and virgins & children trafficked.
ROUTE & RANGE OF TRANMISSION OF STD/HIV/AIDS IN BANGLADESH
CSW at located places
CSW at Hotel & Residential place, Rest houses, Bungalow etc., floating on Road side/High ways etc.
Clients- Identifiable : Truckers, Drivers, Long Distant workers etc.
Unidentifiable : A Numbers of population from about 20 categories of the society.
Wives and other : Infected by the husbands or irregular partner irregular partners who happen to receive transmission
Children : Infected by mothers during pregnancy, after pregnancy during breast feeding.
A good number of such women & children are vulnerable due to being infected without being a party to the sex working and in addressing them. The whole population need be covered in message giving.
The clients receiving infection from CSW or other irregular partners transmit it to the wives & from wives to children. This vicious circle is causing infection on daily basis until they are not equipped with prevention practices.
Beyond the CSW at located places, a large number CSW disguised in sex trade are also living around the society with the risk behavior and vulnerability. This group can hardly be identified. So, mass thrust of message giving is essential for which the OSDUY is distributing AIDS-Okal Mrityu. The infected wives and children have to bear the risk to STD and HIV both without a party to the sex net working. Absistance or a mutually faithful relationship with one life long partner are very effective in preventing STD and AIDS. For health education approaches to work grow addiction to sex networking and the approach must be more practical. There is proven evidence that those who have STD will not easily change behavior and they shall have to be convinced to have the condom and to seek proper treatment for their STD's. In an era of HIV/AIDS practical messages and approaches are essential. If everybody from everywhere is not self-prevented and self guarded, it may not be possible to prevent anywhere and it will continue to spread endlessly. So practical message on STD/HIV and AIDS should be brought home to everyone of reproductive age and everyone shall have to be convinced that it is in their own interest that they should follow the safe practices to save himself, his wife and to protect the child and everyone should be in search of a decent and STD free reproductive track body.
If we are really aware of our job, our task will be to communicate the practical messages of STD/AIDS prevention for self-prevention of them for ends of nationwide safety. A thrust of message therapy should be delivered at every nook and corner of the society with counseling & feed-back so as to make the whole nation stand safe guarded against STD and AIDS and to prove that man is not powerless against these pandemic.
The main problem is this that the government departments of medical services are inadequate to meet the needs of the time in the context of effective treatment, care and control of STD/HIV/AIDS. About 4 million people including adolescents, adults and people of reproductive age are infected with STD and the number is increasing by days as there is no vision or mission of any agency to help ensure effective and complete treatment.
That the reproductive track requires being ill free for the upcoming generation is mandatory for any society. In the context, a policy on no further infection of STD and clean reproductive track is to attained for a next generation. But the people attached are neither aware of the effective treatment nor any agency remain active for the achieve of this.
It is a continuous process of education information and communication to all of everywhere.
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Elizabeth
Joined: Jul 1, 2003
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Right, but how................
July 7, 2003 - 01:58 AM
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are we to get the information out there to educate children and adults about STD's, HIV, and AIDS? Many people are becoming aware of the lethal virus, but the populations that are infected the most are either buried in poverty or don't have the technology to deal with the viruses.
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Faddy
Joined: Jun 9, 2003
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need specification is required
July 28, 2003 - 08:46 AM
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It is very right that all the people should know about the STIs, RTIs, HIV/AIDS. The education should be provided on all of these. All of these are more or less interlinked. But, who requires what is necessary to know. In schools we can not talk about STIs, RTIs, as there issues are different. Again if you plan to work with the truckers then the issues of MSM, will have to be considered. If you are working with eunch community then the stategies would be different as the issues associated with them are different. The intervention in each area will require a seperate strategy as simply becuase of the sector of the society, believes, culture are different.
So awareness is a right word in place of education. Because not everyone is ready to get education.
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Faddy
Joined: Jun 9, 2003
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Re: Right, but how................
July 28, 2003 - 09:00 AM
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Originally posted by opinionram14
are we to get the information out there to educate children and adults about STD's, HIV, and AIDS? Many people are becoming aware of the lethal virus, but the populations that are infected the most are either buried in poverty or don't have the technology to deal with the viruses.
See its not like to stop them what they are doing say a sex worker is not going to leave her work. What we can offer them is facilities, access to education, treatment and equity. Try to address other issues of these people at the same time provide them information related to their sufferings.
Again we do not need to have any technology to deal with the virus, the job required to promot safer and responsible sexual behavior.
farhad
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