HIVAIDS in Guadeloupe FWI Popular knowledge

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HIV/AIDS in Guadeloupe (FWI)Popular knowledge

• A coherent cultural system
• Gaëlle BOMBEREAU

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OBJECTIVES

• Improving pre postvention
• Appropriate HIV communication
• Having a preventive ethic
• Respect of cultures, values, taboos...

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BETTER UNDERSTANDING FOR A BETTER RESPONSE

• Analyse
• Popular knowledge related to Hiv/aids PLWHA
• Social representations
• Believes
• Values, Etc
• Analyse
• Cultural, social and symbolic logics
• Local risk management

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A FRENCH REGION
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HIV/AIDS IN GUADELOUPE

• 2003
• Population ? 440 000
• PLWHA ? 2701
• AIDS cases ? 1092
• Half of PLWHA discover their status ? at
  AIDS stage

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EPIDEMIOLOGY ? CARIBBEAN PROFILE

• Transmission
• Heterosexual ? 62
• Unknown ? 26
• MSM ? 7,2
• IDU MTCT ? minor
• 60 of PLWHA ? 30-50 years

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BEHAVIOUR

• No safe sex
• Multi-partnership
• Frequent STIs (syphilis, )
• Abortions
• Teenager pregnancy
• Emergency contraception

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A KAP-GAP

• Good
• knowledge ?

• but
• No safe sex
• No hiv testing
• Stigma discrimination
• ? of PLWHA

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A KAP-G AP

• Explaining
• ? the consequences of acts
• or
• ? the medical gravity of certain behaviors
• is not enough to support behavioral change

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METHODOLOGY

• A Caribbean socio-anthropology
• ? about Fear, Suspicion, prevention
• Body, health, disease,
• religion, magic,
• family, gender, sexuality
• Aids

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METHODOLOGY

• An ethno-methodology
• Observation
• ? as Guadeloupean residente
• interviews
• ? semi-structured
• ? among physicians,
• psychologist,
• social worker, etc.

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METHODOLOGY
Survey among

• General population VS PLWHA

• Questionnaires
• Semi-structured interviews
• Focus group

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POPULAR KNOWLEDGE

• Related to AIDS
• ? A illness
• Serious
• who kill
• Incurable
• Additive

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POPULAR KNOWLEDGE

• Related to AIDS
• Visible on the body
• An animal, a monster
• ? that eat inside the body
• Contagious

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POPULAR KNOWLEDGE

• Related to PLWHA
• ? Actors
• Sexual
• Deviants
• Homosexual
• Sexual vagrants
• Sex Worker
• Unfaithful women

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POPULAR KNOWLEDGE

• AIDS
• ? Sexual deviance
• ? Contagious disease

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THE FEAR CREATES A MYTH THE MYTH CALMS DOWN
THE FEAR

• Myth construction
• AIDS ? is an illness that
• doesnt touch my sexual activities
• threat me daily
• ? allows a control about the disease

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PLWHA RECEPTION

• AIDS, SEXUAL DEVIANCE  
• Integration of guilty
• Victim status
• Out of any guilty

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PLWHA RECEPTION

• AIDS, CONTAGIOUS ILLNESS
• Need ritual protection, purification
• Transmission by contact
• Transmission by corporal liquids

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RECOMMANDATIONS

• Improving pre postvention
• Appropriate HIV communication
• ? Breaking with diffusion of the good words
• In learning cultural system
• ? before elaborating programs
• Having a preventive ethic
• ? to appreciate the popular logics

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RECOMMANDATIONS

• Breaking with medical messages
• ? Information must popularize
• ?No reduction of health messages

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RECOMMANDATIONS

• Breaking the usual AIDS moral reading
• ? Sex is licentious
• ? All sexual liberty
• sexual deviance

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RECOMMANDATIONS

• Breaking the usual AIDS moral reading
• ? sexuality-pleasure
• ? no reproductive sexuality
• ? sin divine punishment

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RECOMMANDATIONS

• No safe multi-partnership is the danger
• ? not the multi-partnership itself
• In general, no safe sex is the danger
• ? not a form a sexuality

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RECOMMANDATIONS

• Prevention ? social or moral reform
• To make aware of responsibilities
• ? ? to make feel guilty
• Prevention adopting or keeping
• ? new behaviors with clear information

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.

• léducation à la santé ne peut être une simple
  forme de missionnariat traditionnel visant à
  apporter la bonne nouvelle à des païens 
• (R.Massé, Cultures et santé publique, 1995)

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• Merci
• Gaëlle BOMBEREAU