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.
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Kenya has a severe, generalized HIV epidemic , but in recent years, the country has experienced a notable decline in HIV prevalence, attributed in part to significant behavioral change and increased access to ART antiretroviral drugs. Adult HIV prevalence is estimated to have fallen from 10 percent in the late s to about 4. Populations in Kenya that are especially at risk include injecting drug users and people in prostitution , whose prevalence rates are estimated at 53 percent and 27 percent, respectively.
Men who have sex with men MSM are also at risk at a prevalence of Other groups at risk are prison communities, uniformed forces, and truck drivers. Homosexuality is currently illegal in Kenya, allowing the government to cases of homosexuality from
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Although policies and programs exist to promote safe motherhood in sub-Saharan Africa, maternal health has not improved and may be deteriorating in some countries. In-depth qualitative interviews with 17 maternity workers, 14 pregnant or postpartum women, four male partners and two traditional birth attendants; as well as structured observations of 22 births; were conducted at four health facilities. Maternity workers now have to take into account the HIV status of the women they serve as well as their own fears of becoming infected and stigmatized but do not seem to be adequately prepared to handle issues related to consent, confidentiality and disclosure.
Importantly, it appeared that women of unknown HIV status during labor and delivery were likely to be targets of stigma and discriminatory practices and that these women were not receiving needed counseling services. The findings suggest that increasing infection control precautions will not be enough to address the challenges faced by maternity care providers in caring for women in high-HIV-prevalence settings.
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We analyzed questionnaire and blood testing data to identify significant correlates of HIV infection among sexually active adults. We collected blood specimens from 9, women and 6, men of which 6, women and 5, men were sexually active during the 12 months prior to the survey. HIV prevalence among sexually active adults was 7. Lack of a comprehensive understanding of national HIV epidemics remains a major challenge for targeting effective HIV programs.
Antenatal clinic ANC sentinel surveillance has been useful to document trends of generalized epidemics but lacks adequate sexual-behavioral and other associated risk factors for HIV infection, and is not generalizable to men and non-pregnant women [ 1 ]. Studies conducted in a number of sub-Saharan African countries showed that ANC data over-estimated prevalence in year olds and underestimated prevalence in older ANC clinic attendees [ 2 , 3 ]. Hospital-based studies have also been conducted in low prevalence areas to understand risk factors [ 4 ], but the findings are not easily generalizable to populations living in countries with high HIV prevalence.
HIV/AIDS in Kenya
Providing targeted, effective HIV treatment, care, and support is a global priority, but questions about the best way to do this remain unanswered. Many patients do not receive the recommended standard of care because health systems are not equipped to provide it, or because stigma and discrimination or the cost of care prevents individuals from seeking it.
Council research is identifying populations most in need of services, determining which services are most useful, and developing cost-effective means to ensure that these services reach those who need them. The Council is using operations research to evaluate the efficiency and effectiveness of HIV care and support programs in more than 10 countries to identify the most cost-effective ways to provide high-quality care on a large scale. Past Council research has assessed the feasibility of free, home-based HIV self-testing for health workers in Kenya, for whom HIV is an occupational risk but who often do not seek HIV services because of fear of stigma and lack of confidentiality.
As a Link Up consortium partner, the Council conducted research on HIV and sexual and reproductive health of young key populations.
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Kenyan Cupid is the OG of online dating in Kenya. This is an online dating service in Kenya with international affiliation. It operates in the United States Canada, U. Afro Std is a dating site for African Hiv around the world. This is a free dating site in Kenya. The herpes offers both local and international dating services.
This site features Kenyan single women. See the screenshot below: Dating services are more popular than you think. No shame in getting a little help. Most of these online dating sites in Kenya are free to join but subscription fees apply to those who upgrade their membership status. Most offer new users a free trial period of paid services and they users can opt out or downgrade to free services after the expiry of the trial.
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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 In many cases, AIDS causes the household to dissolve, as parents die and children are sent to relatives for care and upbringing. Much happens before this dissolution takes place: AIDS strips families of their assets and income earners, further impoverishing the poor.
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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.
The government of Kenya has not introduced any restrictive law regarding people with HIV or affected by AIDS. (Source: 2) Yellow fever vaccination is.
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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.
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