INTRODUCTION

1. KNOWLEDGE AND UTILIZATION OF HIV POST EXPOSURE PROPHYLAXIS AMONG UNIVERSITY OF NAIROBI STUDENTSNGOMBO BENSON KITHIU29/2010/2010SUPERVISOR: PROF. FN. KAMAUOCTOBER 2014

2. INTRODUCTION • Human Immunodeficiency Virus (HIV) has contributed to a high proportion of morbidity and mortality in the world • Post Exposure Prophylaxis is intended to prevent sero conversion after exposure to potential risk factors • Commonly accepted means of HIV prevention for healthcare personnel • Non-occupational HIV/PEP typically employed after: • Sexual assault, consensual sex, needle stick injuries to at-risk individuals who are not healthcare personnel

3. STUDY JUSTIFICATION • The extent and appropriateness of Non-occupational post exposure prophylaxis (NPEP) utilization in Kenya is not known • No specific guidelines in Kenya identified for non occupational exposure to HIV risk factors • There is need for these services to be extended to students • It is also hoped that information obtained from the study will be used by the university to improve on the strategies that will mitigate the impact of HIV/AIDS among students AIDS (Acquired Immune Deficiency Syndrome)

4. OBJECTIVES OF THE STUDY General objective • To determine HIV-PEP awareness and utilization among University of Nairobi students Specific objectives • To determine level of knowledge on HIV PEP among University of Nairobi students • Determine the level of utilization of PEP services by University of Nairobi students • Establish factors associated with utilization of PEP among students • Identify support measures offered to students seeking HIV PEP

5. METHODOLOGY • Study site: University of Nairobi • Sample size: 202 students • Data analysis: Microsoft Office Excel 2007 TABLE 1: NUMBER OF RESPONDENTS PER COLLEGE

6. METHODOLOGY CONT… • Students who had been in the university for six months and above, aged 18-38 years • Purposive sampling was used to select study units • A self-administered questionnaire containing open and closed ended questions was used • It contained three sections: • Section A with demographic information, Section B knowledge and Section C utilization • KNH/UON-Ethics & Research Committee was sought • Consent from respondent was obtained KNH-Kenyatta National Hospital UON-University of Nairobi

7. RESULTS SECTION A: • TABLE 2: SOCIO-DEMOGRAPHIC DATA

8. RESULTS CONT… SECTION B: KNOWLEDGE ABOUT POST EXPOSURE PROPHYLAXIS (PEP) • TABLE 3: HEARD ANY INFORMATION ABOUT HIV-PEP • TABLE 4: CORRECT MEANING OF HIV-PEP

9. RESULTS CONT… SECTION C: UTILIZATION OF POST EXPOSURE PROPHYLAXIS • FIGURE 1: EXPOSURE TO HIV RISK FACTORS • 21% (43) respondents had been exposed to risk factors for HIV infection

10. RESULTS CONT… • FIGURE 2: REPORTING OF EXPOSURES (N=43) • Only 19% (8) out of 43 exposures were reported

11. RESULTS CONT… • FIGURE 3: REASONS FOR NOT REPORTING THE ACCIDENTAL EXPOSURE TO PEP UNIT (N=35).

12. RESULTS CONT… • FIGURE 4: SUPPORTIVE MEASURES OFFERED TO STUDENTS EXPOSED TO HIV RISK FACTORS (N=202) Counseling and testing -main supportive measure offered;74%(149)

13. DISCUSSION • 65 (32.2%) out of the 202 respondents lacked information on PEP • 61 (44.5%) out of the 137 who had information on PEP did not know the correct meaning of PEP • This means there is lack of information regarding PEP protocol; including the correct time to obtain PEP • The reasons for not utilizing PEP services; respondent thought was not at risk of contracting HIV infection, no signs of HIV from source, did not want to do HIV test and did not know how and who to report to

14. CONCLUSION AND RECOMMENDETIONS Conclusion • Low level of knowledge on HIV-PEP • The level of utilization of PEP services was also low • Most students fail to report exposure to potential HIV risk factors Recommendations • Formulation of a clear PEP policy by the university • Offer peer counseling services to students • Creation of awareness on PEP • Provision of youth friendly services to students exposed to risk factors

15. THANK YOU