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Regular sex partners to sex workers:- “a forgotten population" In STI/HIV Control

Regular sex partners to sex workers:- “a forgotten population" In STI/HIV Control.

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Regular sex partners to sex workers:- “a forgotten population" In STI/HIV Control

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  1. Regular sex partners to sex workers:- “a forgotten population" In STI/HIV Control Maureen Akolo1, Kimani J 1,2, Nyamiobo F1, Lipesa S1, Musyimi A1, Mbaji R1, Chemutai J1, Nadupoi J1 Weru V1, Njunguna R1 , Festus K1, Kariri T1, Kamau K1, Onyango R1, Magothe L1, Gelmon L1,2 1.University of Nairobi 2. University of Manitoba

  2. Background • University of Manitoba and Nairobi Collaborative HIV/STI research group has been involved with HIV prevention activities targeting sex workers since early 1980’s • With PEPFAR support additional clinics were opened in 2008 creating 7 sex workers dedicated facilities, while two were opened to take care of the children, clients and family members of the sex workers. • In Feb 2013 under the community positive health dignity and prevention (PHDP), “ushirikiano” (cooperation) intervention was initiated and targeted regular partners of the sex workers • Regular partners of sex workers are hard to reach besides being at high risk of HIV acquisition

  3. Methods • A cross sectional study was conducted between April and Sept 2013 • Prevention officers routinely visit sex workers at hotspot in Nairobi • Mobilized sex workers are offered a minimum prevention package at the hotspot- “ushirikiano” under the PHDP initiative • Issued referral cards for their regular partners • Clinic-baseline questionnaire administered to partners • Risk reduction counseling offered and routine HIV/STI screening • Treatment offered for those who tested postive

  4. Demographics

  5. Sexual Practices *Only 2.2% of the clients were able to properly demonstrate how to use a condom

  6. Sexual Practices 2

  7. HIV and STI Testing

  8. GC Infection by Age Group

  9. Sexual Practices of those with STI

  10. Conclusions / Recommendations • Majority of regular partners of sex workers are married • They also have multiple partners and therefore at high risk for STI acquisition and transmission • Have low rates of HIV testing and efforts to target them with prevention interventions needed • Also more work on condoms and social determinants of risks required as they serve as a bridging population • Ushirikiano as part of PHDP should be scaled up to help control STI/HIV among regular partners of sex workers

  11. Acknowledgement • University of Nairobi • University of Manitoba • NASCOP – MOH Kenya • CDC-Kenya • PEPFAR- Kenya • CAPT-N • All clinic staff and clients • AIDS 2014

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