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ACHIEVING OPTIMAL USE OF RECTAL MICROBICIDE – THE AFRICAN MSM PERSPECTIVE. BY SEKONI ADEKEMI (DR) College of Medicine, University of Lagos KADIRI AUDU (MR) – International Centre for Advocacy on Right to Health. Introduction. The HIV pandemic has made African MSM
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ACHIEVING OPTIMAL USE OF RECTAL MICROBICIDE – THE AFRICAN MSM PERSPECTIVE BY SEKONI ADEKEMI (DR) College of Medicine, University of Lagos KADIRI AUDU (MR) – International Centre for Advocacy on Right to Health
Introduction • The HIV pandemic has made African MSM participation crucial, HIV prevalence among African MSM is higher than among adult males in the general population. • This study was carried out to assess perceived potential barriers which could negatively affect the use of rectal microbicides by African MSM.
Method • Cross sectional descriptive study with a qualitative and quantitative component • Quantitative information was collected with the use of a structured standardized questionnaire with closed ended questions • Qualitative information was collected during a focused group discussion with 8 participants.
Result • Mean age was 22.45 +3.11yrs, 55% had secondary school education. 90% were single, not in a steady relationship. • Only 40% of the respondents were openly living gay persons, 64% described themselves as being bisexual while the remaining 36% said they were homosexual. • All have had multiple sexual partners in the past twelve months with 60% of the bisexuals haven had a male & female sexual partner. • 90% were currently sexually active with the last sexual partner being a male, all use lubricants with 80% using all the time, the most commonly used lubricants were body cream and vaseline
Result Contd. • Potential barriers - lack of knowledge about microbicides - for the bisexuals, cost of 2 different types of microbicides (vaginal & rectal), carrying around 2 different types of microbicides Use of Rectal Microbicide Vaginally & Vice Versa • Majority were not living openly having a rectal microbicidein their possession will be tantamount to disclosure which will attract stigma