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GERMAN DEVELOPMENT COOPERATION (GDC) KAPB SURVEY REPORT September 2007

GERMAN DEVELOPMENT COOPERATION (GDC) KAPB SURVEY REPORT September 2007. Objectives of the survey. Fears and misconceptions of employees regarding HIV/AIDS; Employees perception of risk with regard to HIV/AIDS;

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GERMAN DEVELOPMENT COOPERATION (GDC) KAPB SURVEY REPORT September 2007

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  1. GERMAN DEVELOPMENT COOPERATION (GDC) KAPB SURVEY REPORTSeptember 2007

  2. Objectives of the survey • Fears and misconceptions of employees regarding HIV/AIDS; • Employees perception of risk with regard to HIV/AIDS; • Knowledge and attitudes that sustain the target groups’ behaviour (in particular issues of stigma, VCT uptake and condom use); • What information-seeking practices are most relevant;

  3. Objectives …2 • Employee’s knowledge of GDC’s workplace programme; • Approaches which could improve the currently existing workplace programme activities on HIV/AIDS. • Evaluate GDC workplace programme (benchmark impact of comprehensive interventions)

  4. Methodology • No sampling was made instead it was intended to cover the whole workforce. • In total 321 questionnaires were distributed and 246 questionnaires were completed (response rate of 77%) • Four focus group discussions were also carried out with men and women from different job categories at Nairobi.

  5. Data processing • The quantitative data was keyed in using EPI Data software and analyzed using the SPSS Computer Package (KHBC). • Both descriptive and inferential analyses were carried out and from the output; the data was interpreted and used as the benchmark for the report. • The data from the focus group discussion were merged and also used to complement the final report.

  6. Findings (summary) • Socio-demographic structure of employees • Information seeking behaviour + sources of information • Knowledge regarding HIV/AIDS and STIs • Perception of risk and HIV testing • Sexual behaviour + condom usage practice • Stigma and discrimination

  7. Socio-demographic structure • 49% male + 46% female (5% no answer) • 70,3% attended college or university • Age of respondents: - 18 - 24 = 7,7% - 25 – 29 = 17,9% - 30 - 39 = 44,7% - 40 - 49 = 17,9% - > 49 = 9,2%

  8. Socio-demographic structure Job Category • Management 15% • Programme Officers 21% • Administration Staff 22% • Support Staff 30% • Others 12%

  9. Socio-demographic structure

  10. Socio-demographic structure Time working for DED / GTZ / KfW: • Less than 1 year 20% • 1 – 2 years 18% • 3 – 4 years 21% • More than 4 years 26% • No response 15%

  11. Information seeking behaviour Knowledge perception for HIV/STI/TB (Young people / Support group)

  12. Information seeking behaviour Institution/person from which employees expect support • Medical doctor 82% • VCT 79% • Focal person 34% • Friend 29% • Traditional healer 2% • Witch doctor <1%

  13. Sources of information

  14. Sources of information

  15. Sources of information

  16. Sources of information

  17. Knowledge regarding HIV/AIDS • 15% - ‘HIV infected taking ARVs cannot pass the virus’ • 42% - can get infected by kissing HIV infected • 31% - can get infected by taking care of an AIDS patient • 16% - can get infected by using the same toilet like an infected person • 13% - can get infected by a mosquito bite • 14% - can get infected by sharing food (same plate) • 17% - did not know possibility of transmission from mother to child

  18. Knowledge regarding HIV/AIDS • 15% - some Traditional Healers can cure AIDS • 11% - sex with a virgin cures HIV/AIDS • 71% - douching or vagina cleansing do not increase the risk of STI infection (including HIV) • 8% - there is or could be a cure for HIV/AIDS

  19. Perception of risk + HIV testing Assessment of various options to prevent HIV/AIDS

  20. Perception of risk + HIV testing Assessment of various options to prevent HIV/AIDS

  21. Perception of risk + HIV testing • 92% - VCT accessible in the neighborhood • 54% - prefer mobile VCT • 27% - never went for VCT Differences in gender + job category: • Never tested: 24% of younger employees 27% of older employees 30% of support staff 39% of men / 19% of women • BUT 80% men + only 66% women knew their status

  22. HIV testing Reasons indicated for not being tested: • Have not seen the need • Sure of themselves • Spouse has been tested • There has been no exposure • Better of not knowing the status

  23. Sexual behaviour + condom use • 87% knew that condoms reduce infection risk • 48% never used a condom (18-29 years: 30% >30 years: 54% / less than 1 year at work: 52%) • 8% drink always alcohol when having sex

  24. Attitudes towards condoms • 16% have a faithful partner + do not need condoms • 17% - it is embarrassing to buy or ask for condoms • 36% - it is a sign of not trusting your partner • 33% - it reduces sexual pleasure • 41% - makes one appear to have planned to have sex

  25. Stigma + Discrimination • 83% - HIV test results are kept confidential BUT • 51% - it is not helpful to reveal HIV status at work • 44% - worried to be discriminated by colleagues • 35% - worried to be discriminated by management (in particular support staff – 39%) • 30% - worried to be excluded from community + family (in particular women – 38%)

  26. Stigma + Discrimination • 35% - not sure if HIV infected should marry • 50% - HIV infected should not have children • 39% - HIV infected should not have sex • 37% - see HIV/AIDS as a result of sexual misbehaviour

  27. Recommendations The KAPB survey aims to provide information for the further development of HIV/AIDS WPP components within GDC: • Expand the programme, add other relevant health related topics and integrate the HIV/AIDS workplace programme into a comprehensive Workplace Health Promotion Programme.

  28. Recommendations 2…….. • Review and define the tasks of a Focal Person, appoint interested and suitable people as Focal Person, add their tasks into their job description and appraisal, introduce them to the employees. • Develop plan of action regarding HIV/AIDS related activities and put a budget at the coordinating Focal Person’s disposal.

  29. Recommendations 3……… • Continue to distribute state of the art IEC materials on HIV/AIDS relevant topics to employees and their families. • Continue to guarantee provision of VCT and condoms as important HIV/AIDS preventive components of the workplace programme. • Continue to support HIV infected personnel and their families in order to mitigate impacts of HIV/AIDS. • Continue to focus on building up sustainable conditions of trust and non-discrimination • Continue to monitor and evaluate HIV/AIDS workplace programme activities.

  30. Recommendations 4……. Improve the quality of the HIV/AIDS workplace programme activities: • search for new options and methods on how to change peoples behaviour. • look for opportunities to reach those who did not receive information at all or who did not receive appropriate information. • develop and implement monitoring tools for all programme components.

  31. Recommendations 5……. • Include PLWHA into IEC activities on an institutionalised basis. • Invite employees to participate in workplace programme activities and to contribute to the programme. • Encourage KfW to endorse its HIV/AIDS policy and participate fully in the mainstreaming AIDS process.

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