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AFRICAN TREATMENT ISSUES AND LATE DIAGNOSIS .

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. What its all about: Perception to risk of Infection Response to risk of Infection

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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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