We describe the frequency of and factors associated with disclosure, knowledge of partner’s HIV status, and consistent condom use among HIV-positive patients attending eighteen HIV care and treatment clinics in Kenya, Namibia, and Tanzania. Compared to men, women were significantly less likely to report disclosing their HIV status to their sex partner s , to knowing their partner’s HIV status, and to using condoms consistently with HIV-negative partners. Other factors negatively associated with consistent condom use include nondisclosure, alcohol use, reporting a casual sex partner, and desiring a pregnancy. Health care providers should target additional risk reduction counseling and support services to patients who report these characteristics. T he global expansion of HIV prevention , care, and treatment efforts has contributed to declines in HIV incidence in 39 countries. Disclosure expands the awareness of HIV risk to both partners and allows the couple to make shared decisions on how to protect their health including consistently using condoms. Furthermore, disclosure often leads to support from partner s and family members, 8 which has been shown to improve the uptake of and adherence to HIV care and treatment programs. Alternatively, the partner may be HIV-positive and in need of HIV care and treatment services for their own health, highlighting the importance of knowing the HIV status of both partners. HIV serostatus disclosure and knowledge of partner’s HIV status have also been associated with consistent condom use, with couples unaware of their HIV status reporting the lowest rates of consistent condom use. This provides an opportunity to integrate HIV prevention services, including disclosure counseling and support, partner HIV testing services, and sexual risk reduction counseling into the routine care offered to PLHIV.
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Originally integrated within a community at a local tea plantation in Kericho, the MHRP Kenya program has developed expertise and infrastructure to support HIV vaccine, therapeutic and other infectious diseases research. The HIV research and care programs are mutually synergistic with long-term capacity building and sustainability. Ongoing studies include:.
The Kericho site has participated in studies focusing on HIV treatment and management of co-morbidities such as TB, fungal infections and Kaposi’s sarcoma. The focal location of operations is Nairobi at the Defense Forces Memorial Hospital, with services extended to 10 HIV comprehensive care centers and one community outreach clinic, located in Mtwonge, which serves surrounding civilian populations. The center offers a dynamic approach to behavior change and HIV prevention by combining recreational services with HIV counseling and testing.
Of key importance are KYC staff efforts to go beyond static voluntary counseling and testing VCT and reach out to the larger community via mobile and moonlight VCT initiatives. By working with and obtaining approval from key village elders, MHRP Kenya brought peer educators into villages, creating an opportunity to discuss HIV prevention and sexual and reproductive health. It is the engagement of the community that is key to determining the most appropriate and effective delivery of HIV prevention messages.
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Some 9, disabled and HIV positive persons in Coast want government to train health service providers on testing, treatment and care to offer quality services. Kenyans who park HIV-positive are likely to experience discrimination at their workplace due to their status, a positive has said. A report has shown that , the in Nairobi are living with HIV, with 8, aged the 15 years. Kenya joins the world in marking the International Aids Day on Thursday. AllAfrica publishes around reports a day from more than news organizations and over other institutions and individuals , representing a diversity of positions on every topic.
We publish news and views ranging from vigorous opponents of governments to positive publications and spokespersons.
(USAID) and the United States President’s Emergency Plan for AIDS Relief (PEPFAR), Linkage is expected to happen within two weeks of the date of testing.
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Although the continent is home to about Countries in North Africa and the Horn of Africa have significantly lower prevalence rates, as their populations typically engage in fewer high-risk cultural patterns that promote the virus’ spread in Sub-Saharan Africa. Among these are combination prevention programmes, considered to be the most effective initiative, such as the abstinence, be faithful, use a condom campaign and the Desmond Tutu HIV Foundation ‘s outreach programs.
The number of HIV positive people in Africa receiving anti-retroviral treatment in was over seven times the number receiving treatment in , with nearly 1 million added in the previous year. The most obvious effect
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AIDS. Oct 20;14(15) 35 Bailey R et al. Male circumcision for HIV prevention in young men in Kisumu, Kenya: a randomised controlled trial, Lancet.
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He provided me with a link to a very thoughtful article on the pros and cons of criminalisation HIV transmission from The Nairobi Standard , which I reproduce below. Deliberate transmission of HIV or any other life threatening sexually transmitted disease. That was a time when HIV-positive people were condemned to die.
The objective is to address harmful HIV-related behaviour. Though a legislative approach is essential, public health law should take effect instead of a criminal law. Kenya already has a Public Health Act. Maleche argues that imprisoning HIV-positive people will not necessarily translate to behaviour change.