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  • Title: Issues of social impact and response. Amsterdam report.
    Author: Bryce J.
    Journal: AIDS Soc; 1992; 3(4):5, 8. PubMed ID: 12317711.
    Abstract:
    The 1992 international AIDS conference in Amsterdam, the netherlands had 4 conference tracks 1 of which was entitled Social Impact and REsponse. In 1990-91, 38 countries disbursed US$7.62 billion dollars for AIDS programs and 87-94% remained within developed countries. Yet 60% of the people with AIDS lived in developing countries. Poverty is a main contributor to the sexually transmitted disease (STD)/HIV epidemic since it drives men to urban areas, women to become prostitutes, and limits access to treatment. The role and status of women was an important HIV prevention issue. Participants learned that differences between men and women in natural history of HIV infection may actually be due to different access to health care instead of biological differences. 1 researcher called for more attention to gynecologic symptoms of HIV infection and to ways in which poverty and lack of access to services impede HIV prevention and care. Relationships between public policy and AIDS were a theme at the conference and at the round table session called National Policies on International Mobility. Evidence emerged at the conference that many prisons violated prisoners' rights by not providing HIV-related education and segregating HIV-positive prisoners. Segregation becomes a further issue as more and more HIV-positive people acquire tuberculosis (TB) since TB patients tend to be segregated in hospitals anyhow. The conference expanded the prevention focus from individual behavioral change to social and political conditions that promote safe behavior. For example, we need to strengthen communities, change the economic environment, improve access to and provide health care, and change punitive laws. Another main issue was practical and effective program management especially as HIV/AIDS services integrate with STD, family planning, and primary health care services and for successful evaluation of HIV/AIDS programs. Participants agreed that more research on community-based programs was needed.
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