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Anchoring Awareness in the Community - Handicap International

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SUCCESS STORY:<br />

BAR OWNERS ACT AS RELAYS<br />

At Jijiga (Ethiopia), bar owners were tra<strong>in</strong>ed about HIV/AIDS and its means of<br />

transmission and prevention. After this tra<strong>in</strong><strong>in</strong>g, one of <strong>the</strong> owners was particularly<br />

militant concern<strong>in</strong>g <strong>the</strong> prostitutes who worked <strong>in</strong> her bar. She obliged <strong>the</strong> prostitutes<br />

to systematically offer condoms and, above all, supported <strong>the</strong>m when customers<br />

were reluctant to cooperate.<br />

role <strong>in</strong> prevention. Us<strong>in</strong>g humor was important<br />

to show <strong>the</strong>ir friendl<strong>in</strong>ess before <strong>in</strong>troduc<strong>in</strong>g <strong>the</strong><br />

topic. Introduc<strong>in</strong>g <strong>the</strong> subject of HIV/AIDS too<br />

rapidly <strong>in</strong> <strong>the</strong> conversation risked anger<strong>in</strong>g<br />

<strong>the</strong> drivers, who would <strong>the</strong>n say th<strong>in</strong>gs like,<br />

“Who told you I was concerned by AIDS? Who<br />

are you to talk to me like that?”<br />

F<strong>in</strong>d <strong>the</strong> proper relays<br />

Sometimes, for mak<strong>in</strong>g some persons aware,<br />

it was useful to identify those who had an<br />

<strong>in</strong>fluence over <strong>the</strong>m, whe<strong>the</strong>r for f<strong>in</strong>ancial<br />

or social reasons. Thus, mak<strong>in</strong>g prostitutes<br />

aware of <strong>the</strong> usefulness of us<strong>in</strong>g condoms for<br />

protection risked be<strong>in</strong>g <strong>in</strong>effective if <strong>the</strong> owners<br />

of <strong>the</strong> bars where <strong>the</strong>y worked required <strong>the</strong>m<br />

to refuse noth<strong>in</strong>g to customers. These owners<br />

were thus <strong>in</strong>vited to tra<strong>in</strong><strong>in</strong>g sessions and made<br />

aware of <strong>the</strong> importance for prostitutes and<br />

<strong>the</strong>ir customers to use condoms to mitigate<br />

propagation of <strong>the</strong> disease.<br />

In a similar way, a workshop for community and<br />

religious leaders enabled rais<strong>in</strong>g awareness<br />

of <strong>the</strong> topic. Afterwards, <strong>the</strong>se leaders were<br />

very active with<strong>in</strong> <strong>the</strong>ir communities as relays<br />

for <strong>the</strong> prevention messages. For example,<br />

<strong>the</strong>y repeatedly <strong>in</strong>vited PLWHIV to present<br />

<strong>the</strong>ir testimony dur<strong>in</strong>g religious ceremonies.<br />

PROMOTING CONDOMS…WHERE IT IS ACCEPTABLE TO DO SO<br />

In most areas covered by <strong>the</strong> project, it was<br />

difficult to mention condoms and even more<br />

difficult to distribute <strong>the</strong>m. Therefore, condom<br />

promotion was done <strong>in</strong> Ethiopia <strong>in</strong> urban<br />

areas only or with populations at risk, such<br />

as prostitutes or truck drivers. In Somaliland,<br />

it was culturally not possible to talk abut<br />

condoms <strong>in</strong> public or to promote <strong>the</strong>m; it was<br />

also very difficult to f<strong>in</strong>d <strong>the</strong>m, except <strong>in</strong> some<br />

pharmacies.<br />

Locate <strong>the</strong> most pert<strong>in</strong>ent places<br />

To distribute condoms to truck drivers, towns<br />

on <strong>the</strong> routes where <strong>the</strong> drivers habitually<br />

stopped were chosen. In <strong>the</strong>se towns, <strong>the</strong><br />

places where drivers most frequently went<br />

to relax or see prostitutes were identified.<br />

Condoms were left next to a lavatory <strong>in</strong> one<br />

of <strong>the</strong> restaurants most appreciated by truck<br />

drivers <strong>in</strong> one of <strong>the</strong> towns. In ano<strong>the</strong>r town, a<br />

popular store was chosen, which was next to<br />

<strong>the</strong> places where drivers got toge<strong>the</strong>r to chew<br />

khat.<br />

Make condoms available daily<br />

At <strong>Handicap</strong> <strong>International</strong> and at partner<br />

locations, <strong>in</strong> offices and more <strong>in</strong>timate places<br />

such as restrooms, condoms are available for<br />

employees and for passers-by. In addition to<br />

be<strong>in</strong>g part of <strong>the</strong> project <strong>the</strong>me, this <strong>in</strong>itiative<br />

also followed <strong>the</strong> governmental policy of<br />

fight<strong>in</strong>g AIDS <strong>in</strong> <strong>the</strong> workplace.<br />

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