1) The OCaT program in Kenya provides combination HIV prevention interventions to sexually exploited children aged 10-17 in slums, in order to reduce their vulnerability to HIV and improve their sexual and reproductive health.
2) From 2014-2015, the program enrolled 1,121 children, 98% of whom received quarterly HIV testing and counseling. Twenty-two children tested positive for HIV and were enrolled in care. The program also provided condoms, health education, and support for school reintegration.
3) Preliminary results suggest the program is having a positive impact, demonstrating the effectiveness of a targeted, adolescent-focused HIV prevention approach in resource-limited settings. Scaling up such interventions is needed to further reduce new
This study examined the relationship between knowledge of HIV transmission and prevention and HIV counselling and testing uptake among young people in Nigeria. The study is a quantitative research guided by one research question and one hypothesis. The target population comprised young people in Nigeria ages 15 to 24 years because the focus of this study was to identify the factors affecting HCT uptake among young people in this age cohort. The representative sample was obtained from the updated master sample frame of rural and urban zones developed by the National Population Commission in Nigeria. This master sample frame was a national survey that comprises all 36 states in Nigeria [2]. Probability sampling technique was used to obtain a sample of 10091 respondents (ages 15 to 24 years) for the study. The multistage cluster sampling was used to select suitable young people with known probability. Data were collected throughout Nigeria between September and December 2012 from 32,543 households (rural = 22,192; urban = 10,351) using structured and semi-structured questionnaires. The individual questionnaires asked about household characteristics, background characteristics of the respondents. Data were analyzed by inputing them into SPSS v21.0 for analysis [4] and then coded them for each participant. The data were summed using descriptive statistics. Frequencies and percentages; measures of central tendencies were used to answer the research question while nonparametric test such as chi-square was used to analyze non-normally distributed data at 0.5 level of significance. Results of data analysis indicated that the cognitive factors of knowledge of HIV prevention and knowledge of HIV transmission were statistically significant predictors of the likelihood of having HCT uptake. It was among others recommended that stakeholders, authorities, and providers of health services in Nigeria should strive to increase the rate of HCT uptake among young people ages 15 to 24 years.
APCRSHR10 Virtual plenary presentation of Eamonn Murphy, Regional Director of...CNS www.citizen-news.org
This is the plenary presentation of Mr Eamonn Murphy, Regional Director, UNAIDS, Asia and the Pacific, on "Solidarity and Accountability: HIV, SRHR and the COVID response”, which was made as part of the 12th session of 10th Asia Pacific Conference on Reproductive and Sexual Health and Rights (#APCRSHR10) Virtual. This session was held in lead up to #WorldAIDSDay and #16DaysofActivism against sexual and other forms of gender-based violence, on the theme of "HIV/AIDS and sexual and reproductive health and rights (SRHR) in Asia and the Pacific".
Chair: Jennifer Butler, Director, UNFPA Pacific Sub Regional office based in Fiji
Plenary Speaker: Eamonn Murphy, Regional Director, UNAIDS, Asia and the Pacific | “Solidarity and Accountability: HIV, SRHR and the COVID response”
Abstract Presenters:
-------------------------
* Jude Tayaben | Successes, Pitfalls, and Moving Forward: Adivayan Youth Health Center- A school-based program addressing Adolescent Sexuality, and Reproductive Health Issues in Benguet, Philippines
* Samreen, Manisha Dhakal | Integrating transgender health into HIV and SRHR programming in Indonesia, Nepal, Thailand and Vietnam
* Harjyot Khosa | Stigma, sex work and non-disclosure to health care providers: Exploring dynamics of anal sex through community led monitoring to bridge gaps in HIV care continuum services
* Angela Kelly Hanku, Agnes K. Mek | I can, I want, I will and Young & Positive: Two visual method projects with young women living with HIV in Papua New Guinea
For more information on the session, please visit
www.bit.ly/apcrshr10virtual12
Official conference website: www.apcrshr10cambodia.org
Thanks
This study examined the relationship between knowledge of HIV transmission and prevention and HIV counselling and testing uptake among young people in Nigeria. The study is a quantitative research guided by one research question and one hypothesis. The target population comprised young people in Nigeria ages 15 to 24 years because the focus of this study was to identify the factors affecting HCT uptake among young people in this age cohort. The representative sample was obtained from the updated master sample frame of rural and urban zones developed by the National Population Commission in Nigeria. This master sample frame was a national survey that comprises all 36 states in Nigeria [2]. Probability sampling technique was used to obtain a sample of 10091 respondents (ages 15 to 24 years) for the study. The multistage cluster sampling was used to select suitable young people with known probability. Data were collected throughout Nigeria between September and December 2012 from 32,543 households (rural = 22,192; urban = 10,351) using structured and semi-structured questionnaires. The individual questionnaires asked about household characteristics, background characteristics of the respondents. Data were analyzed by inputing them into SPSS v21.0 for analysis [4] and then coded them for each participant. The data were summed using descriptive statistics. Frequencies and percentages; measures of central tendencies were used to answer the research question while nonparametric test such as chi-square was used to analyze non-normally distributed data at 0.5 level of significance. Results of data analysis indicated that the cognitive factors of knowledge of HIV prevention and knowledge of HIV transmission were statistically significant predictors of the likelihood of having HCT uptake. It was among others recommended that stakeholders, authorities, and providers of health services in Nigeria should strive to increase the rate of HCT uptake among young people ages 15 to 24 years.
APCRSHR10 Virtual plenary presentation of Eamonn Murphy, Regional Director of...CNS www.citizen-news.org
This is the plenary presentation of Mr Eamonn Murphy, Regional Director, UNAIDS, Asia and the Pacific, on "Solidarity and Accountability: HIV, SRHR and the COVID response”, which was made as part of the 12th session of 10th Asia Pacific Conference on Reproductive and Sexual Health and Rights (#APCRSHR10) Virtual. This session was held in lead up to #WorldAIDSDay and #16DaysofActivism against sexual and other forms of gender-based violence, on the theme of "HIV/AIDS and sexual and reproductive health and rights (SRHR) in Asia and the Pacific".
Chair: Jennifer Butler, Director, UNFPA Pacific Sub Regional office based in Fiji
Plenary Speaker: Eamonn Murphy, Regional Director, UNAIDS, Asia and the Pacific | “Solidarity and Accountability: HIV, SRHR and the COVID response”
Abstract Presenters:
-------------------------
* Jude Tayaben | Successes, Pitfalls, and Moving Forward: Adivayan Youth Health Center- A school-based program addressing Adolescent Sexuality, and Reproductive Health Issues in Benguet, Philippines
* Samreen, Manisha Dhakal | Integrating transgender health into HIV and SRHR programming in Indonesia, Nepal, Thailand and Vietnam
* Harjyot Khosa | Stigma, sex work and non-disclosure to health care providers: Exploring dynamics of anal sex through community led monitoring to bridge gaps in HIV care continuum services
* Angela Kelly Hanku, Agnes K. Mek | I can, I want, I will and Young & Positive: Two visual method projects with young women living with HIV in Papua New Guinea
For more information on the session, please visit
www.bit.ly/apcrshr10virtual12
Official conference website: www.apcrshr10cambodia.org
Thanks
Poster: Determinants of Health Care Seeking for Childhood Illnesses and Vacc...JSI
In urban Ethiopia, there are substantial gaps in child health service utilization rates. Socio-demographic factors including maternal age, educational attainment, occupation, parity, household wealth, and religion all play a role in influencing access to services. At the Consortium of Universities in Global Health (CUGH) Conference in 2105, JSI staff presented findings from an investigation using data from the 2011 Ethiopian Demographic and Health Survey that explored associations between use of child health services and socio-demographic factors.
Group work, presented in the class of Global Health and Population at Harvard School of Public Health on 12/06/10 by Juveeza Chadda and Surendra Sharma, with background support of Brittany Seymour and Slawa Rokicki..
A presentation by Osman Sankoh as part of the Innovations in design and measurement panel discussion at the International Symposium on Cohort and Longitudinal Studies in Developing Contexts, UNICEF Office of Research - Innocenti, Florence, Italy 13-15 October 2014
Population in 2012- 41 million
No of people living with HIV 1.5 million
Kenya ranks no 4, among countries with highest burden of HIV globally
54 % of HIV infections are just in 9 counties
19th international conference on aids and st is in africa (icasa 2017) abst...Daniel Kasansula
The Youth Bash has been proven to be an effective strategy in mobilizing youth for Sexual Reproductive Health services as its youth focused, edutainment mix and integrated services giving service options.
Susan Hillis, PhD, MS, Senior Advisor for Global Health, Division of Violence Prevention, Ending Violence Against Children: Building Bridges to Link Evidence to Action for Impact. Presented at the CCIH 2018 Conference
Review the Effectiveness of Community-based Primary Health Care in Improving ...CORE Group
Review the Effectiveness of Community-based Primary Health Care in Improving Child and Maternal Health: Leveraging Results for Advocacy HENRY PERRY and PAUL FREEMAN
This is the abstract presentation of Dr Harjyot Khosa, which was made as part of the 12th session of 10th Asia Pacific Conference on Reproductive and Sexual Health and Rights (#APCRSHR10) Virtual. This session was held in lead up to #WorldAIDSDay and #16DaysofActivism against sexual and other forms of gender-based violence, on the theme of "HIV/AIDS and sexual and reproductive health and rights (SRHR) in Asia and the Pacific".
Chair: Jennifer Butler, Director, UNFPA Pacific Sub Regional office based in Fiji
Plenary Speaker: Eamonn Murphy, Regional Director, UNAIDS, Asia and the Pacific | “Solidarity and Accountability: HIV, SRHR and the COVID response”
Abstract Presenters:
-------------------------
* Jude Tayaben | Successes, Pitfalls, and Moving Forward: Adivayan Youth Health Center- A school-based program addressing Adolescent Sexuality, and Reproductive Health Issues in Benguet, Philippines
* Samreen, Manisha Dhakal | Integrating transgender health into HIV and SRHR programming in Indonesia, Nepal, Thailand and Vietnam
* Harjyot Khosa | Stigma, sex work and non-disclosure to health care providers: Exploring dynamics of anal sex through community led monitoring to bridge gaps in HIV care continuum services
* Angela Kelly Hanku, Agnes K. Mek | I can, I want, I will and Young & Positive: Two visual method projects with young women living with HIV in Papua New Guinea
For more information on the session, please visit
www.bit.ly/apcrshr10virtual12
Official conference website: www.apcrshr10cambodia.org
Thanks
FACTORS ASSOCIATED WITH HUMAN IMMUNODEFICIENCY VIRUS COUNSELLING AND TESTING ...Razak Mohammed Gyasi
Since 2003, the HIV Voluntary Counselling and Testing (VCT) has been identified as one of the key strategies in the HIV/AIDS prevention, control and care programmes in Ghana. However, utilization of this service is low among Ghanaian youth. This study examined predictors associated with VCT utilization among youth in Ghana. This study utilized quantitative and qualitative data in a cross-sectional survey in three sub-metropolitan areas in Kumasi. Using a multi-variate regression, evidence from 120 respondents showed potential factors associated with VCT utilization. The qualitative data were subjected to a content analysis through direct quotes. The results suggest that less than 30% of the youth had ever tested for HIV through VC. Women were more likely to avail themselves for counselling testing than men. Psychological and emotional trauma experienced by the seropositive, lack of confidentiality, proximity to VCT sites, HIV-related stigma inter alia, were found to be strongly associated with HIV VCT in the study prefecture. VCT utilization among the youth in Ghana was low and affected by HIV/AIDS-related stigma and residence. In order to increase VCT acceptability, HIV/AIDS prevention and control programs in the country should focus on reducing HIV/AIDS-related stigma.
FACTORS ASSOCIATED WITH HUMAN IMMUNODEFICIENCY VIRUS COUNSELLING AND TESTING ...Razak Mohammed Gyasi
Since 2003, the HIV Voluntary Counselling and Testing (VCT) has been identified as one of the key strategies in the HIV/AIDS prevention, control and care programmes in Ghana. However, utilization of this service is low among Ghanaian youth. This study examined predictors associated with VCT utilization among youth in Ghana. This study utilized quantitative and qualitative data in a cross-sectional survey in three sub-metropolitan areas in Kumasi. Using a multi-variate regression, evidence from 120 respondents showed potential factors associated with VCT utilization. The qualitative data were subjected to a content analysis through direct quotes. The results suggest that less than 30% of the youth had ever tested for HIV through VC. Women were more likely to avail themselves for counselling testing than men. Psychological and emotional trauma experienced by the seropositive, lack of confidentiality, proximity to VCT sites, HIV-related stigma inter alia, were found to be strongly associated with HIV VCT in the study prefecture. VCT utilization among the youth in Ghana was low and affected by HIV/AIDS-related stigma and residence. In order to increase VCT acceptability, HIV/AIDS prevention and control programs in the country should focus on reducing HIV/AIDS-related stigma.
APCRSHR10 Virtual abstract presentation of Samreen of Asia Pacific Transgende...CNS www.citizen-news.org
This is the abstract presentation of Samreen, Human Rights and Advocacy Officer of Asia Pacific Transgender Network (APTN), which was made as part of the 12th session of 10th Asia Pacific Conference on Reproductive and Sexual Health and Rights (#APCRSHR10) Virtual. This session was held in lead up to #WorldAIDSDay and #16DaysofActivism against sexual and other forms of gender-based violence, on the theme of "HIV/AIDS and sexual and reproductive health and rights (SRHR) in Asia and the Pacific".
Chair: Jennifer Butler, Director, UNFPA Pacific Sub Regional office based in Fiji
Plenary Speaker: Eamonn Murphy, Regional Director, UNAIDS, Asia and the Pacific | “Solidarity and Accountability: HIV, SRHR and the COVID response”
Abstract Presenters:
-------------------------
* Jude Tayaben | Successes, Pitfalls, and Moving Forward: Adivayan Youth Health Center- A school-based program addressing Adolescent Sexuality, and Reproductive Health Issues in Benguet, Philippines
* Samreen, Manisha Dhakal | Integrating transgender health into HIV and SRHR programming in Indonesia, Nepal, Thailand and Vietnam
* Harjyot Khosa | Stigma, sex work and non-disclosure to health care providers: Exploring dynamics of anal sex through community led monitoring to bridge gaps in HIV care continuum services
* Angela Kelly Hanku, Agnes K. Mek | I can, I want, I will and Young & Positive: Two visual method projects with young women living with HIV in Papua New Guinea
For more information on the session, please visit
www.bit.ly/apcrshr10virtual12
Official conference website: www.apcrshr10cambodia.org
Thanks
Poster: Determinants of Health Care Seeking for Childhood Illnesses and Vacc...JSI
In urban Ethiopia, there are substantial gaps in child health service utilization rates. Socio-demographic factors including maternal age, educational attainment, occupation, parity, household wealth, and religion all play a role in influencing access to services. At the Consortium of Universities in Global Health (CUGH) Conference in 2105, JSI staff presented findings from an investigation using data from the 2011 Ethiopian Demographic and Health Survey that explored associations between use of child health services and socio-demographic factors.
Group work, presented in the class of Global Health and Population at Harvard School of Public Health on 12/06/10 by Juveeza Chadda and Surendra Sharma, with background support of Brittany Seymour and Slawa Rokicki..
A presentation by Osman Sankoh as part of the Innovations in design and measurement panel discussion at the International Symposium on Cohort and Longitudinal Studies in Developing Contexts, UNICEF Office of Research - Innocenti, Florence, Italy 13-15 October 2014
Population in 2012- 41 million
No of people living with HIV 1.5 million
Kenya ranks no 4, among countries with highest burden of HIV globally
54 % of HIV infections are just in 9 counties
19th international conference on aids and st is in africa (icasa 2017) abst...Daniel Kasansula
The Youth Bash has been proven to be an effective strategy in mobilizing youth for Sexual Reproductive Health services as its youth focused, edutainment mix and integrated services giving service options.
Susan Hillis, PhD, MS, Senior Advisor for Global Health, Division of Violence Prevention, Ending Violence Against Children: Building Bridges to Link Evidence to Action for Impact. Presented at the CCIH 2018 Conference
Review the Effectiveness of Community-based Primary Health Care in Improving ...CORE Group
Review the Effectiveness of Community-based Primary Health Care in Improving Child and Maternal Health: Leveraging Results for Advocacy HENRY PERRY and PAUL FREEMAN
This is the abstract presentation of Dr Harjyot Khosa, which was made as part of the 12th session of 10th Asia Pacific Conference on Reproductive and Sexual Health and Rights (#APCRSHR10) Virtual. This session was held in lead up to #WorldAIDSDay and #16DaysofActivism against sexual and other forms of gender-based violence, on the theme of "HIV/AIDS and sexual and reproductive health and rights (SRHR) in Asia and the Pacific".
Chair: Jennifer Butler, Director, UNFPA Pacific Sub Regional office based in Fiji
Plenary Speaker: Eamonn Murphy, Regional Director, UNAIDS, Asia and the Pacific | “Solidarity and Accountability: HIV, SRHR and the COVID response”
Abstract Presenters:
-------------------------
* Jude Tayaben | Successes, Pitfalls, and Moving Forward: Adivayan Youth Health Center- A school-based program addressing Adolescent Sexuality, and Reproductive Health Issues in Benguet, Philippines
* Samreen, Manisha Dhakal | Integrating transgender health into HIV and SRHR programming in Indonesia, Nepal, Thailand and Vietnam
* Harjyot Khosa | Stigma, sex work and non-disclosure to health care providers: Exploring dynamics of anal sex through community led monitoring to bridge gaps in HIV care continuum services
* Angela Kelly Hanku, Agnes K. Mek | I can, I want, I will and Young & Positive: Two visual method projects with young women living with HIV in Papua New Guinea
For more information on the session, please visit
www.bit.ly/apcrshr10virtual12
Official conference website: www.apcrshr10cambodia.org
Thanks
FACTORS ASSOCIATED WITH HUMAN IMMUNODEFICIENCY VIRUS COUNSELLING AND TESTING ...Razak Mohammed Gyasi
Since 2003, the HIV Voluntary Counselling and Testing (VCT) has been identified as one of the key strategies in the HIV/AIDS prevention, control and care programmes in Ghana. However, utilization of this service is low among Ghanaian youth. This study examined predictors associated with VCT utilization among youth in Ghana. This study utilized quantitative and qualitative data in a cross-sectional survey in three sub-metropolitan areas in Kumasi. Using a multi-variate regression, evidence from 120 respondents showed potential factors associated with VCT utilization. The qualitative data were subjected to a content analysis through direct quotes. The results suggest that less than 30% of the youth had ever tested for HIV through VC. Women were more likely to avail themselves for counselling testing than men. Psychological and emotional trauma experienced by the seropositive, lack of confidentiality, proximity to VCT sites, HIV-related stigma inter alia, were found to be strongly associated with HIV VCT in the study prefecture. VCT utilization among the youth in Ghana was low and affected by HIV/AIDS-related stigma and residence. In order to increase VCT acceptability, HIV/AIDS prevention and control programs in the country should focus on reducing HIV/AIDS-related stigma.
FACTORS ASSOCIATED WITH HUMAN IMMUNODEFICIENCY VIRUS COUNSELLING AND TESTING ...Razak Mohammed Gyasi
Since 2003, the HIV Voluntary Counselling and Testing (VCT) has been identified as one of the key strategies in the HIV/AIDS prevention, control and care programmes in Ghana. However, utilization of this service is low among Ghanaian youth. This study examined predictors associated with VCT utilization among youth in Ghana. This study utilized quantitative and qualitative data in a cross-sectional survey in three sub-metropolitan areas in Kumasi. Using a multi-variate regression, evidence from 120 respondents showed potential factors associated with VCT utilization. The qualitative data were subjected to a content analysis through direct quotes. The results suggest that less than 30% of the youth had ever tested for HIV through VC. Women were more likely to avail themselves for counselling testing than men. Psychological and emotional trauma experienced by the seropositive, lack of confidentiality, proximity to VCT sites, HIV-related stigma inter alia, were found to be strongly associated with HIV VCT in the study prefecture. VCT utilization among the youth in Ghana was low and affected by HIV/AIDS-related stigma and residence. In order to increase VCT acceptability, HIV/AIDS prevention and control programs in the country should focus on reducing HIV/AIDS-related stigma.
APCRSHR10 Virtual abstract presentation of Samreen of Asia Pacific Transgende...CNS www.citizen-news.org
This is the abstract presentation of Samreen, Human Rights and Advocacy Officer of Asia Pacific Transgender Network (APTN), which was made as part of the 12th session of 10th Asia Pacific Conference on Reproductive and Sexual Health and Rights (#APCRSHR10) Virtual. This session was held in lead up to #WorldAIDSDay and #16DaysofActivism against sexual and other forms of gender-based violence, on the theme of "HIV/AIDS and sexual and reproductive health and rights (SRHR) in Asia and the Pacific".
Chair: Jennifer Butler, Director, UNFPA Pacific Sub Regional office based in Fiji
Plenary Speaker: Eamonn Murphy, Regional Director, UNAIDS, Asia and the Pacific | “Solidarity and Accountability: HIV, SRHR and the COVID response”
Abstract Presenters:
-------------------------
* Jude Tayaben | Successes, Pitfalls, and Moving Forward: Adivayan Youth Health Center- A school-based program addressing Adolescent Sexuality, and Reproductive Health Issues in Benguet, Philippines
* Samreen, Manisha Dhakal | Integrating transgender health into HIV and SRHR programming in Indonesia, Nepal, Thailand and Vietnam
* Harjyot Khosa | Stigma, sex work and non-disclosure to health care providers: Exploring dynamics of anal sex through community led monitoring to bridge gaps in HIV care continuum services
* Angela Kelly Hanku, Agnes K. Mek | I can, I want, I will and Young & Positive: Two visual method projects with young women living with HIV in Papua New Guinea
For more information on the session, please visit
www.bit.ly/apcrshr10virtual12
Official conference website: www.apcrshr10cambodia.org
Thanks
Background: Incidence and prevalence of reproductive health difficulties have been shown to be higher among younger people. In Ghana, youthfriendly sexual and reproductive health services and facilities are very limited. The study aimed at examining the friendliness of sexual and reproductive health service delivery and utilization.
Methods: Across sectional design with both qualitative and quantitative methods was conducted to examine the friendliness and utilization of reproductive health services among youth in the Kwadaso Sub-Metro of Ashanti Region, Ghana. A multistage stratified sampling was used to enroll 170 youth (150 in-school and 20 out of school youth) aged 10 - 24years. Data analysis involved descriptive statistics using SPSS software version 20.
Results: Findings demonstrated that out of the 150 in-school youth sampled, 56% ever had a boyfriend or girlfriend, however, about one third(39.3%) did not recall the length of stay with partner, 58% have heard about sexual reproductive health services offered in the study area. A total of 55.8% of all categories of youth had used at least one or more reproductive health service before. Findings again revealed that 37.2% and 44% respectively of youth who had used sexual reproductive health considered the services received at a facility to be very friendly and friendly, yet, a few 18.6% indicated unfriendliness with services received at the facility.
Conclusion: An integrative and comprehensive approach is required to scale up youth utilization of sexual reproductive health services especially facility based. This requires baseline survey of youth users of reproductive health services and the quality of services offered.
Achievements and Implications of HIV Prevention of Mother-toChild Transmissio...QUESTJOURNAL
Background: Mother-to-child transmission is the predominant route through which children contract HIV and can be controlled through Prevention of Mother-to-Child Transmission (PMTCT) programme. This paper presents programme activities on PMTCT conducted among women of reproductive age in Plateau State, Nigeria. Methods: This intervention was carried out among women of reproductive age in eight local government areas of Plateau state. Seven civil society organizations were engaged and provided with funding by Plateau State Agency for the Control of AIDS under the HIV/AIDS fund (HAF) II. A total of 7460 women of reproductive age are the estimated sample size for this intervention and the minimum prevention package intervention was used for this project activities. Data were documented using various monitoring and evaluation tools and DHIS2 while analysis was carried out using Microsoft Excel. Results: The total number of community dialogues/advocacy held was 85 and a total of 1,437 people participated. Seventeen income generation activities were carried out in this intervention and 131 people benefitted from it. A total of 87,028 pieces of condom were distributed with majority (88.5%) being distributed in 2014. Only a total of 5606 women were counseled tested and received result and 44 (0.8%) were tested positive. A total of 3275 women were referred for antenatal care during this programme and more than half (52.0%) were referred in 2014. Conclusion: This intervention has been helpful in reducing the burden of HIV and AIDS among women of reproductive age in Plateau State. However, the coverage of minimum prevention package intervention was low. More needs to be done in terms of coverage in future programmes and the intervention should also be extended to other local government areas.
Ijsrp p8825 Caregiver factors influencing seeking of Early Infant Diagnosis (...Elizabeth kiilu
Caregiver factors influencing seeking of Early Infant Diagnosis (EID) of HIV services in selected hospitals in Nairobi County, Kenya:A qualitative Study
Impact of the Kenya Cash Transfer for Orphans and Vulnerable Children on safe...Michelle Mills
This presentation provides information about The Transfer Project and describes findings from a recent evaluation of the Kenya Cash Transfer Program for Orphans and Vulnerable Children.
Background: With the widespread use of highly active antiretroviral therapy, the epidemic of HIV has evolved into a chronic disease. HIV is extremely stigmatizing, resulting in highly emotionally charged responses to disclosure. World Health Organization (WHO) recommends that children should be informed of their HIV status at ages of 6 to 12 years and full disclosure at about 8 to 10 years. Disclosure process is much more difficult when the person being disclosed to is an adolescent. However, disclosure of HIV to a child should be an ongoing process that may last several years depending on the cognitive development of the child.
Methods: This study investigated the determinants of HIV status disclosure among HIV infected adolescents. A total of 209 HIV infected adolescents (10-19 years) who have been on treatment for at least six months, and are taking lifelong anti-retroviral therapy from Bondo County Hospital, Got Agulu and Uyawi Sub County Hospital in Bondo Sub County were enrolled. Simple random sampling was employed in selecting the adolescents. Data was collected using a structured questionnaire. Quantitative data was analysed using both descriptive and inferential statistics while statistical tests including Pearson Correlation analysis and multiple linear regression were used to test the hypotheses.
Results: Findings on the overall parental perceptions regarding risks and benefits of disclosure and disclosure of HIV status to adolescents show that 180 (86.12%) of the respondents had a negative attitude compared to 29 (13.88%) who held a positive attitude. 122 (58.37%) of the respondents believed that overall availability and quality of counselling was moderate. 10 (4.78%) of the respondents believed that the overall availability and quality of counselling was high. Quality services and perception of the parents have been found to be good predictors of disclosure of HIV status among the newly diagnosed adolescents in Bondo sub-County, p-value<0.05.
Conclusion and recommendation: This study identified quality of service and perception of the parents as the two factors determining the disclosure of HIV status. There is a correlation between the parental perceptions regarding risks and benefits of disclosure and the quality of counselling to parental disclosure of HIV status to adolescents. Therefore the study recommends deliberate efforts to ensure quality service delivery and age specific disclosure counselling to caregivers to equip them with adequate knowledge on disclosure.
October 7, 2019
On October 7, 2019, the Harvard Global Health Institute will host a one-day symposium to explore what enabled this visionary program, and to showcase how it has transformed not just the worldwide HIV/AIDS response but global health delivery more broadly.
There are many lessons learned in PEPFAR’s story - from what it took to build a supply chain where there was none, to establishing the use of generic antiretroviral therapies (ARTs) and leveraging human capacity. This event convened the early architects of PEPFAR as well as experts and implementers currently leading the charge. We took a historically informed look at what it will take to stop global transmission, and shared tools useful for others hoping to move the needle on vexing problems in global health.
For more information, visit our website at https://petrieflom.law.harvard.edu/events/details/15-years-of-pepfar
Introduction: Uganda has an estimated 95,000 children living with HIV and only 68% are currently in HIV care. Reaching the fi rst 90 in the UNAIDS 90-90-90 strategy for children is still a far off goal considering the national prevalence of 0.5%. In this study, we set out to determine the coverage and yield from HIV testing using different approaches both at the facility and the community.
This is technical writing Assignment, no emotions go straight to t.docxchristalgrieg
This is technical writing Assignment, no emotions go straight to the point.
Section 1: Introduction
The rise in the numbers of Human Immunodeficiency Virus (HIV) diagnoses is notable especially for racial and ethnic minority youth and adolescents aged 13 to 19 years (National Institute of Health, 2013). Approximately one half of all new HIV infections in the United States occur among person(s) younger than 25 years. Nearly 4 million new sexually transmitted infection (STI) cases each year occur among youth and adolescents (NIH, 2013). Reconciling data of 2015, 54.2% of high school students reported having sexual intercourse; of students reported sex during the previous months, 39% stated they didn’t use a condom during their last sexual encounter (United States Census Bureau, 2014). The number of sexually active among youth and adolescents, from 2001 to 2014, there’s been a significant increase in the percentage of youth and adolescents who were never taught about HIV/AIDS. Unified national HIV/AIDS surveillance system has enhanced the ability to monitor and characterize racial and ethnic minority youth populations affected by the HIV epidemic and provide information on the entire population of HIV infected persons who have been tested confidentially (NIH, 2014). Approximately 1.2 million people were living with HIV in the United States in 2014, 49% and 51% undiagnosed infections. Almost 50,000 people become newly infected each year, and in 2014, the estimated rate of diagnoses of HIV infection was 13.8 per 100,000 population (National Institute of Health, 2014). Social trust is associated with lowering the of course mortality rates and that associated HIV infection varied within racial and ethnic minority youth and adolescents. The risk factors that will be addressed in this paper are unprotected vaginal or anal sex, improving access to prevention and care services, inadequate sex education and drug use
Unprotected vaginal and anal sex
Participating in unprotected vaginal and anal sex, or sex without latex or polyurethane condoms is a major contributing factor of HIV rate in racial and ethnic minority youth and adolescents. In an infected youth or adolescents, the semen and blood contains high amount of HIV. During unprotected vaginal and anal sex HIV can easily pass from one person to another. Several studies link alcohol and drug use to higher rates of unprotected anal intercourse, higher numbers of sex partners, and inconsistent condom use (NIH, 2014). With these trends among racial and ethnic minority National HIV Behavioral Surveillance (2015) reported 21% minority youth and adolescent are infected with HIV while 79% youth and adolescent don’t know their status (National HIV Behavioral Surveillance, 2015).
Improving access to prevention and care services
Access to HIV prevention and treatment is an important step in helping achieve an HIV free generation, especially among racial and ethnic minority youth and adolescent. If someone ...
This is the abstract presentation of Jude Tayaben, which was made as part of the 12th session of 10th Asia Pacific Conference on Reproductive and Sexual Health and Rights (#APCRSHR10) Virtual. This session was held in lead up to #WorldAIDSDay and #16DaysofActivism against sexual and other forms of gender-based violence, on the theme of "HIV/AIDS and sexual and reproductive health and rights (SRHR) in Asia and the Pacific".
Chair: Jennifer Butler, Director, UNFPA Pacific Sub Regional office based in Fiji
Plenary Speaker: Eamonn Murphy, Regional Director, UNAIDS, Asia and the Pacific | “Solidarity and Accountability: HIV, SRHR and the COVID response”
Abstract Presenters:
-------------------------
* Jude Tayaben | Successes, Pitfalls, and Moving Forward: Adivayan Youth Health Center- A school-based program addressing Adolescent Sexuality, and Reproductive Health Issues in Benguet, Philippines
* Samreen, Manisha Dhakal | Integrating transgender health into HIV and SRHR programming in Indonesia, Nepal, Thailand and Vietnam
* Harjyot Khosa | Stigma, sex work and non-disclosure to health care providers: Exploring dynamics of anal sex through community led monitoring to bridge gaps in HIV care continuum services
* Angela Kelly Hanku, Agnes K. Mek | I can, I want, I will and Young & Positive: Two visual method projects with young women living with HIV in Papua New Guinea
For more information on the session, please visit
www.bit.ly/apcrshr10virtual12
Official conference website: www.apcrshr10cambodia.org
Thanks
Attitudes towards Premarital Testing on Human Immunodeficiency Virus Infectio...
Abstract
1. Track name: Track 1: Prevention of New HIV Infections
Category name: Adolescents and youth
Title of abstract: Utilizing HIV combination prevention interventions in reaching sexually
exploited children in slums in Kenya.
Authors: H.Karoki1
, J.Thiomi1
, P.Jeckonia1
.
Affiliations: 1
LVCT Health
Corresponding author and contact: hkaroki@lvcthealth.org
Background
Kenya’s HIV prevalence has reduced from 7.2 % to 5.6% in the last 4 years. Despite reduced
prevalence, girls and women continue to be disproportionately affected by the epidemic. The
2014 Kenya HIV estimate showed that women contributed to 49% of new HIV infections, with
those aged 15 to 24 contributing upto 21%. Nearly 14% of women reported sexual debut before
15 years (KMOT 2009). Findings from a qualitative cross sectional study showed increased
sexual exploitation, vulnerability to HIV infection and negative Sexual Reproductive Health
(SRH) outcomes among girls and young women aged 10 to 24 years in Korogocho slums,
Kenya. In 2013 LVCT Health established a program known as One Child at a Time (OCaT) to
respond to the HIV risk and the negative SRH outcomes among children aged 10 to 17.
Objective(s)
The purpose of OCaT program is to provide combination prevention interventions aimed at
reducing vulnerability to HIV infection, sexual exploitation and negative SRH outcomes.
Methodology
Korogocho, Kibera and Kibagare slums in Nairobi were purposively selected. Community
Health Workers (CHWs) and HIV testing and counselling service providers were identified and
sensitized on program objectives and criteria for selecting participants. A risk screening tool was
developed and is applied to recruit participants who report sexual exploitation. Consent is
obtained from participants, their parents or guardians. Combination prevention interventions that
include quarterly HIV testing and counselling, condoms, SRH information and services, family
planning and cervical cancer screening are offered. Participants are then enrolled in OCAT
groups where they receive evidence based interventions (Sister to Sister, Respect-K and Healthy
Choices II) and health education. A sub population is selected and trained on delivering
knowledge and skills to their peers for program continuity. Financial and material support for
those out of school and need reintegration is provided.
Results
From February 2014 to January 2015, 201 boys and 920 girls have been enrolled in OCaT. All
children have been tested for HIV, with 98% (1099) receiving quarterly HIV testing and
counselling. Twenty two children (2%) tested positive for HIV and were successfully enrolled to
care and treatment. Eighty percent (896) children have been trained on Healthy Choices II, 38%
(348) girls have undergone Sister to Sister, and 70% (786) Respect-K. Thirteen peer educators
were trained to facilitate five OCaT clubs consisting of 30 members each. Nineteen boys and 82
girls have been re - integrated into school (61 primary, 27 secondary and 13 tertiary). In
collaboration with the children’s offices at sub county level, 20 orphaned children experiencing
sexual violence have been supported with legal aid and 6 of those rescued and placed in
shelters/orphanages.
2. Conclusion and recommendations
OCaT program demonstrates positive effects of an adolescent tailored HIV combination
prevention approach in resource-limited settings. There is need to invest and scale up targeted
interventions that respond to HIV prevention and SRH needs of adolescents in order to reduce
new HIV infections. Community inclusivity is key for success in programming and continuity of
HIV community focused interventions.