1.  Being 24 years old
 On the streets
 Living in Poverty
 Living with no support from family & friends
 Stigmatized by teachers and Healthcare Workers
 Discriminated against because you have a disease

2. Christine Beach

3.  Leading cause of death among youth 15-24
years in developing world
 Youth represents 40% of new HIV infections
worldwide
 60% of which are in sub Saharan Africa
(Wolf, Halpern-Felsher, Bukusi, Agot, Cohen & Auerswald, 2014).

4. Kisumu

5.  https://www.youtube.com/watch?v=q1-pDkljaZ0

6.  Kenya’s poorest area
 63% population living on less than $1 a day
 Majority of youth lack money for basic needs
 Lack of transportation to clinics
 Money and food (known barriers to obtaining
care)
(Wolf et al., 2014).

7. 0 0
3.6
2.2
8.68.3
17.9
29.4
22
33.3
0
5
10
15
20
25
30
35
15 16 17 18 19
HIVPrevalencein%
Age in Years
Male
Female
Kisumu 12, 645 new cases in 2013 (AVERT, 2011)

8. People
living with
HIV/AIDS
Adults (15-49)
prevalence %
Women
with
HIV/AIDS
Children
with
HIV/AIDS
AIDS
deaths
Orphans
due to
AIDS
1,600,000 6.2 800,000 220,000 62,000 1,100,000
In 2011 there were an estimated 23.5 million people living with HIV in sub-
Saharan Africa. This has increased since 2009, when an estimated 22.5 million
people were living with HIV, including 2.3 million children.
The increase in people living with HIV could be partly due to a decrease in
AIDS-related deaths in the region. There were 1.2 million deaths due to AIDS in
2011 compared to 1.8 million in 2005. Almost 70% of people living with HIV
worldwide live in sub-Saharan Africa.
USA new cases 42,181 infections in 2011
(AVERT, 2011)

9.  Fear of disclosure
 HIV-related stigma
 Poverty
 Mental Health
 Insufficient support networks
(Wolf et al., 2014)

10. STIGMA LTFU
School
Home
Disclosure Clinic
Dependent Relationships (Wolf et al., 2014)
(Lost-to-follow-up)

11.  “You will become lonely because (your family)
will reject you”
 “Some of the fathers… will mishandle
you….This will drive a patient into suicide”
 “They are aware of my status but instead of
telling you that you should go to the clinic,
they forget it”

12.  “Teacher will look down upon the child
instead of helping them”
 “They can call such students prostitutes”
 “Teacher used to send them away from school
claiming that they might infect the others”

13.  “In schools, many children
don’t understand HIV well.
People will fear you. Once
everyone fears you, you will
have no option but to die.
You will think of eliminating
yourself”

14.  Healthcare workers are not sensitive to
confidentiality
 “Those who are her to pick the drugs should sit on
that side”
 “I will have to come to this clinic yet I might not
have bus fare”
 “As soon as I got to the clinic, I saw many of our
school mates…I thought that they knew I was going
to take drugs there…Since then I haven’t gone to the
clinic”

15.  Besides education and awareness,
 What can individuals do to stop this pandemic?
 Should we care what is happening in Kenya?
 Do you think it affects Canadians? How?
 This leaves the country with a lot of unskilled
workers causing fewer individuals to work on
farms and produce goods. Who will be the
politicians or parents or teachers be if this
population is dying?

17. AVERT (2011). Retrieved September 27, 2015 from, http://www.avert.org/africa-
hiv-aids-statistics.htm#sthash.wIyUhNjI.dpuf
Kisumu Statistics (1999). Retrieved September 27, 2015 from,
http://www.bing.com/images/search?q=Kisumu+Statistics+on+HIV%2fAIDS&
view=detailv2&&id=36E245BE9A992F3AED1D08C3B75D13DF3E72FBD2&selecte
dIndex=0&ccid=81QI%2fgYB&simid=608008374446917133&thid=JN.XEa5OmdiQ
R50bgNKPb7FEQ&ajaxhist=0
Wolf, H. T., Halpern-Felsher, B. L., Bukusi, E. A., Agot, K. E., Cohen, C. R., &
Auerswald, C. L. (2014). " It is all about the fear of being discriminated
[against]... the person suffering from HIV will not be accepted": a qualitative
study exploring the reasons for loss to follow-up among HIV-positive youth in
Kisumu, Kenya. BMC public health, 14(1), 1-11.