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Isaiah Oloo , E Odhiambo, M Nyikuri, E McLellan-Lemal, W Chege, T Thomas

Luo Cultural Practices and HIV Transmission in Rural Western Kenya: Summary of Key Focus Group Discussion (FGD) Findings and Conclusions. Isaiah Oloo , E Odhiambo, M Nyikuri, E McLellan-Lemal, W Chege, T Thomas

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Isaiah Oloo , E Odhiambo, M Nyikuri, E McLellan-Lemal, W Chege, T Thomas

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  1. Luo Cultural Practices and HIV Transmission in Rural Western Kenya:Summary of Key Focus Group Discussion (FGD) Findings and Conclusions Isaiah Oloo, E Odhiambo, M Nyikuri, E McLellan-Lemal, W Chege, T Thomas Kenya Medical Research Institute (KEMRI)/ Centers for Disease Control and Prevention (CDC) Kisumu, Kenya

  2. Scarification“Saro” 23 (40%) Protection from bewitchment Tattooing for beatification HIV Risk: Use of unsterilized instruments, shared needle and blades Ritual cleansing 15 (26%) Unprotected sexual intercourse during key events Marriage, setting up a new homestead, ploughing Failure to perform results in “chira” HIV Risk: Unprotected sex, non- use of condoms FGD findings (n=58)

  3. FGD findings (n=58) [2] • Wife inheritance “Tero” 14 (24%) • Widows are required to be cleansed • Through sexual intercourse • Uncleansed woman not permitted to take part in communal activities • Condom use prevents completion of the ritual • ‘Professional inheritors’ • Men marrying widows for profit • HIV Risk: • Unprotected sex with sex partner of unknown or HIV positive status • Polygamy 7(12%) • Marrying of multiple wives • HIV Risk • Lack or inconsistent use of condoms

  4. Conclusion • Certain Luo cultural practices were cited as being associated with increased risk of HIV infection • Better understanding of these cultural practices is important in designing HIV prevention and intervention programs, especially where strong cultural practices abound • It is important to maintain vital components of Luo cultural practices and to seek creative ideas on how to reduce the risk of HIV infection

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