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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



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.



BACKGROUND

• HIV/AIDS:

• Challenging and dreadedphenomenon

• Universal threat tocivilisation



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.



OBJECTIVES

• To evaluate impact of IEC onKAP on HIV/AIDS among slumdwellers of Dibrugarh usingthe standard package for

urban slums formulated bythe NACO.



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.



METHODS

• Study was conducted in 3stages:

• Baseline KAP survey on

HIV/AIDS- Health educationintervention [IEC]-evaluation just afterintervention- After 3 monthsof intervention.



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.



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.



STATISTICAL ANALYSIS

• The results were expressedin percentages representedby tables and statistically

analyzed using chi-square

test.



RESULTS



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.



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]



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.



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



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.



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.



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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