Determine Risks, Knowledge and Behaviors
Regarding HIV and AIDS Among Students Aged
9 – 18 in Nairobi County and Its Envir...
Presentation Outline
• Background
• Objectives
• Methods
• Results and Discussions
• Recommendations
• Conclusion
2
Background
• Healthy Outcome through Prevention Education (HOPE) is
a prevention program that seeks to improve HIV and AID...
Objective/Study
To determine the Knowledge, Attitude and Practices of
Primary School Pupils and Secondary School Students ...
Methods
• Program used cross-sectional, descriptive, quasi-
experimental survey design and stratified multi-stage for
samp...
Methods- Sampling
A total of 1791 students were surveyed of which 58% were
primary and 42% were in secondary
School Sample...
Methods-Sampling continued
• Schools selected considering:
– Primary and secondary at a ratio of 60:40
– Public or Private...
Results
• 93.6% have heard of HIV AIDS; 26.3% of all respondents
could correctly identify ways of preventing sexual
transm...
Methods-Selection Criteria
Inclusion Criteria
• Primary pupils in standard
5, 6 and 7
• Secondary Students in form
1, 2 an...
Results
Responses of those who had sex
• 62.9% of secondary school students who had sex did not
use condoms in first sexua...
11
27% 27%
10%
13%
23%24%
16%
10% 12%
39%
Primary Secondary
Results
Figure 1: Study subjects response on where they heard ...
12
Results
Figure 2: Distribution of subjects(secondary) based on their age at
first sexual intercourse (N=228)
7%
11%
14%...
Lessons Learnt
• Prior to the study, sensitization was done to schools
(teachers, HTs, students) – this was a success fact...
Recommendations
• Strengthen life skills education delivery in schools with a
focus on promotion of delayed sexual debut a...
Conclusions
• In-spite of the fact that many young people have heard of
HIV and AIDS, they need to be supported to adopt m...
16
Thank you
Upcoming SlideShare
Loading in …5
×

Determine Risks, Knowledge and Behaviors Regarding HIV and AIDS Among Students Aged 9 – 18 in Nairobi County and Its Environs

245 views

Published on

Published in: Healthcare
0 Comments
0 Likes
Statistics
Notes
  • Be the first to comment

  • Be the first to like this

No Downloads
Views
Total views
245
On SlideShare
0
From Embeds
0
Number of Embeds
1
Actions
Shares
0
Downloads
3
Comments
0
Likes
0
Embeds 0
No embeds

No notes for slide

Determine Risks, Knowledge and Behaviors Regarding HIV and AIDS Among Students Aged 9 – 18 in Nairobi County and Its Environs

  1. 1. Determine Risks, Knowledge and Behaviors Regarding HIV and AIDS Among Students Aged 9 – 18 in Nairobi County and Its Environs NOPE BIANNUAL CONFERENCE 20th June 2014, NAIROBI Presented by: Lily Murei, Global Communities 1
  2. 2. Presentation Outline • Background • Objectives • Methods • Results and Discussions • Recommendations • Conclusion 2
  3. 3. Background • Healthy Outcome through Prevention Education (HOPE) is a prevention program that seeks to improve HIV and AIDS knowledge, attitudes and practices among primary and secondary-aged students through peer, school, and community-based interventions. • To ensure evidence based programming, a HIV and AIDS KAP baseline assessment among students was conducted between July and September 2012 • The program is implemented by Global Communities in partnership with USAID and Ministry of Education Science and Technology 3
  4. 4. Objective/Study To determine the Knowledge, Attitude and Practices of Primary School Pupils and Secondary School Students on HIV and AIDS Study area; The assessment was conducted in informal settlements in Nairobi in Langata, Westlands, Embakasi, Njiiru, Dagoretti, Starehe, Kamukuji, Kasarani, Makadara, Kiambu, Kikuyu, Kajiado North, Athi River and Isinya 4
  5. 5. Methods • Program used cross-sectional, descriptive, quasi- experimental survey design and stratified multi-stage for sampling. • Study subjects comprised of students (classes 5-7) and (forms 1-3) in formal and non-formal primary and secondary schools. • Interviews, focus group discussions, key informant interviews were used to collect data. • Secondary students used self administered questionnaires • Primary students used interviewer guided questionnaires5
  6. 6. Methods- Sampling A total of 1791 students were surveyed of which 58% were primary and 42% were in secondary School Sample Size Determination • Rule of thumb used to select 10-12% of schools due to constraints of time and finances • Thus 48 schools selected out of the 400 (upper limit of 12%) • Half of sample was intervention and half control. • Questions touching on sexual behavior were only administered to secondary students 6
  7. 7. Methods-Sampling continued • Schools selected considering: – Primary and secondary at a ratio of 60:40 – Public or Privately owned – Mixed or Non-Mixed schools – Formal or Non-formal – Geographical Locations • Stratification by sex from school class registers then • Systematic random sampling for the selection of 6 girls and 6 boys in each class stream to participate in the study 7
  8. 8. Results • 93.6% have heard of HIV AIDS; 26.3% of all respondents could correctly identify ways of preventing sexual transmission of HIV • 70.5% of all respondents have stigmatizing attitudes towards People Living with HIV (PLHIV) • On current risks of HIV infection; 30.3% of respondents aged 15-24 (secondary students) had had sex of which 70% had sex with three or fewer people • 13.7% of secondary students who reported to have had sex said that they had sexual intercourse before 15 years 8
  9. 9. Methods-Selection Criteria Inclusion Criteria • Primary pupils in standard 5, 6 and 7 • Secondary Students in form 1, 2 and 3 • Key Informants from the community (HTs, Teachers, PTA reps, BoG reps, DQASOs, Community Leaders ) who were willing to participate in the study Exclusion Criteria • Any pupils and students who are not in standards 5, 6 and 7 and forms 1, 2 and 3. • Any pupils/students and community members who were not willing to participate in the study 9
  10. 10. Results Responses of those who had sex • 62.9% of secondary school students who had sex did not use condoms in first sexual intercourse; • 24.2% had sex with a partner at least ≥10 years older. • 753 secondary students were asked how often they have had drugs other than those prescribed by the doctor and 2.8% responded they were influenced by friends, 1.6% it makes them feel better. 10
  11. 11. 11 27% 27% 10% 13% 23%24% 16% 10% 12% 39% Primary Secondary Results Figure 1: Study subjects response on where they heard about HIV and AIDS (n=1791)
  12. 12. 12 Results Figure 2: Distribution of subjects(secondary) based on their age at first sexual intercourse (N=228) 7% 11% 14% 1% 67% 0 10 20 30 40 50 60 70 80 Less than 11yrs 12 to 14 yrs 15 to 17 yrs 18 to 20yrs Did not indicate age
  13. 13. Lessons Learnt • Prior to the study, sensitization was done to schools (teachers, HTs, students) – this was a success factor • Interviewers needed to be young people who could speak the spoken language (sheng) in the informal settlements • Peers are more confident sharing information with other peers • Partnerships, networking and collaboration, is crucial for success not only in programming but also in research involving young people 13
  14. 14. Recommendations • Strengthen life skills education delivery in schools with a focus on promotion of delayed sexual debut and abstinence among the learners • Enhance students knowledge on prevention of alcohol and drug use/abuse • Enhance students capacity to make healthier sexual and reproductive health choices and adopt more positive attitudes towards PLHIV 14
  15. 15. Conclusions • In-spite of the fact that many young people have heard of HIV and AIDS, they need to be supported to adopt more positive attitudes towards PLHIV • Mothers appear to be key confidants of most children & need to be sensitized to better support young people • Need to incorporate fathers to support young people adopt healthier sexual lifestyles • Enabling environment within families, in schools & and among peers to support young people adopt and sustain healthier lifestyle 15
  16. 16. 16 Thank you

×