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HIV and AIDS in Nairobi Urban Informal Settlements. Nyovani Madise, Matilu Mwau, John Kebaso, Abdallah Ziraba, Samoel Khamadi, Vincent Okoth. Objectives. To assess feasibility of conducting community-based HIV testing in informal urban settlements.
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HIV and AIDS in Nairobi Urban Informal Settlements Nyovani Madise, Matilu Mwau, John Kebaso, Abdallah Ziraba, Samoel Khamadi, Vincent Okoth
Objectives • To assess feasibility of conducting community-based HIV testing in informal urban settlements. • Magnitude of HIV problem in slums and how it varies by age, sex, sexual behaviour, socio-economic status etc
Process • Ethical clearance (January-May 06) • Community mobilization (April-August 06) • Drawing of random sample • Pilot (Sept - Dec 2006) • Main study (from January 07)
Methods • Simple random sample of 800 men and women for pilot • DSS framework, women 15-49; men 15-54 years • Additional 3,400 men and women (ratio of 40% men and 60% women) for main study. • Allowed for non-response & attrition (50% larger sample).
Results: Lessons from Pilot 66% of 800 were contacted 53% bled - 80% of those contacted 10% refused to give blood, but interviewed 10% refused both
Results: Lessons from Pilot 11% out of 800 not traced but believed to be in the area 15% had out-migrated 1.3% had died 4% temporarily away
Main Study- Preliminary Results Korogocho • 32% males bled (sampled has 36%) Viwandani 27% males bled (sample has 40%) Age differences between sample & those bled are small
Concluding Remarks • Male and female prevalence rates similar • Higher HIV prevalence among older people in Korogocho (especially men) • Ethnic differences; influence of other kin?
Acknowledgement • DSS Community members • Fieldworkers and Phlebotomists • The Rockefeller Foundation • Colleagues from Africa Centre and Kisumu DSS sites