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AFRICAN TREATMENT ISSUES AND LATE DIAGNOSIS .

Explore the perceptions and responses to HIV infection risk among African men, focusing on sexual behaviors, testing attitudes, access to prevention interventions, and the impact on treatment strategies. This analysis sheds light on the importance of targeting interventions towards men to enhance HIV prevention efforts.

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AFRICAN TREATMENT ISSUES AND LATE DIAGNOSIS .

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  1. UK CAB HIV treatment advocates network Jabulani Chwaula, AHPN-Programme manager AFRICAN TREATMENT ISSUES AND LATE DIAGNOSIS. ISSUES FOR AFRICAN SUB-GROUPS – MEN 19.03.2010

  2. What its all about: • Perception to risk of Infection • Response to risk of Infection • Uptake of response – prevention interventions • Impact on treatment

  3. Bass Line 2008-09 –Men • Overall, 82.4% (n=2580) of the returns were included in the final analysis. • Perception to risk of Infection • Overall, three quarters sexually active in the last year. • More than half with regular sexual partner, which • was more common among men than in women. • One-in-four had other sexual relationships -again more common in men than women. • One-in-ten –sex without a condom - someone of a different HIV status to themselves.

  4. Response to avert risk of Infection • Interventions to reduce potentially sero-discordant • unprotected intercourse should target those in multiple sexual relationships, particularly men-Bassline 08-09 • HOW MANY HIV PREVNTION INTERVENTIONS DO WE KNOW THAT SEEK TO EXCLUSIVELY MEET THE HIV PREVENTION NEEDS OF AFRICAN MEN AND MSM? • Men significantly more likely than women to have never tested for HIV -41.9% vs. 34.5%.

  5. GENDER ,SEXUALITY AND TESTING BEHAVIOURS

  6. GENDER ,SEXUALITY AND TESTING BEHAVIOURS

  7. Response to risk of Infection & prevention interventions.

  8. What does this mean for Treatment ? Testing Men less likely to have tested for HIV, have diagnosed HIV and know where to test for HIV. Sex Men more sexual intercourse partners, more extra-relational sex, and were more likely to have unprotected intercourse and HIV sero-discordant unprotected intercourse. Needs Men were less motivated to avoid sexual HIV exposure and had more problems accessing condoms.

  9. What does this mean for Treatment ? • Conclusion: • Bassline found no sexual risk behaviours or unmet HIV prevention need that was more common in women than men. • These findings suggest interventions and programmes should prioritise encountering men over women to maximise their impact on HIV transmissions. • (men who have sex with both men and women and those with limited schooling)

  10. THANK YOU: • Resources: • Bassline Survey reports - 2007 -2009 (2) • The Knowledge the Will and the Power-plan of action to meet the HIV prevention needs of African living in England. • AFRICAN HIV PREVNTION HANDBOOK – • putting KWP into practice • WWW.NAHIP.ORG.UK/WWW.AHPN.ORG

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