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    Family planning, sexual health and AIDS -- the second phase.

    Klouda T

    [Unpublished] 1992. 5 p.

    Workers concerned with family planning and the prevention of sexually transmitted disease (STD) are using community based mixed sex group meetings to reduce the number of unwanted pregnancies and induce risk reduction behavior. Increasing supplies and services is primary; however, some people (particularly, women) are unable to use them because of social, economic, or personal situations. Since the risk of human immunodeficiency virus (HIV) infection has increased for heterosexual women in stable relationships (The prevalence of HIV among married women in Dar es Salaam is 12%; it is 11% in Nairobi.), family planning agencies should target this group. Interaction in mixed sex groups is one approach to increasing communication and mutual respect between the sexes. Facilitators, who should be experienced, can be internal, neutral, or external. Meetings should be held at times convenient to the community. Goals should include improvement in community level recognition, diagnosis, and treatment of STDs and in community reaction to persons who are infected with HIV. Discussions should be held regularly for a period of time long enough to support change. Staff should determine the range of needs in the community and provide adequate resources, education, and support. Those in the community with the least access and support should be actively involved. Management would become less structured. One established program used by the Centre for African Family Studies employs the efforts of the "Du Nku" (traditional village elders) in Togo.
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