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Gisore A.W, Ngugi E.N, Nderitu M, Kageni L, Pere M et al.

A Comparative Study of Integrated vis -a- vis Stand –Alone Health service centres for Key Populations in Central and Eastern Provinces. Gisore A.W, Ngugi E.N, Nderitu M, Kageni L, Pere M et al. University of Nairobi-Centre for HIV Prevention and Research, MARPS Project.

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Gisore A.W, Ngugi E.N, Nderitu M, Kageni L, Pere M et al.

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  1. A Comparative Study of Integrated vis-a-vis Stand –Alone Health service centres for Key Populations in Central and Eastern Provinces Gisore A.W, Ngugi E.N, Nderitu M, Kageni L, Pere M et al. University of Nairobi-Centre for HIV Prevention and Research, MARPS Project

  2. INTRODUCTION • UoN-CHIVPR MARPs project offers comprehensive HIV prevention, treatment and care services to KPs in Eastern & Central Kenya • Two Drop in Centres (DICE) Models operational- Integrated in government facility and Stand-alone in commercial area • Ten DICES currently operational

  3. STUDY SITES

  4. Study Objective • To explore Key Population clients’ and health care providers’ : • perceptions, • views and • preferences on the two DICE models; • and subsequently compare and contrast their acceptability, utilization, ownership and sustainability

  5. METHODS • Cross sectional study carried out in nine project DICEs. • Study participants (n=491) interrogated through interviewer administered questionnaires and FGDs(n=112) • KPs randomly sampled , HCWs purposively selected • KPs typology :357 FSWs, 46 MSM, 23 MSW, 29 TRKs and 5 IDUs; while healthcare workers were 25 project staff and 9 government personnel.

  6. RESULTS • Qualitative data from FGDs transcribed and analyzed thematically. Main themes: • Familiarity • Anonymity “I could be visiting any clinic or ward in the hospital” • Safety • Linkage with main hospital for referrals • Availability of supplies and commodities • Additional services-e.g. nutritional support • Stigma • Privacy from public scrutiny

  7. RESULTS • Preliminary quantitative data analysis indicates: • 53.5% reported standalone as more stigmatizing and 44.9% for integrated • 87.4% Health service utilization better in stand-alone sites • Integrated sites- better service provision, more health personnel and extra services • HCWs-integrated offers more services and long term sustainability

  8. CONCLUSION • Overall responses varied with KPs indicating a slight preference for Integrated DICES over the stand-alone but familiarity and anonymity appears to be a main factor in utilization and acceptability • HCWs indicate a preference for the integrated DICEs • Building on the integrated model offers sustainability and enhanced services for long term health service provision for KPs

  9. DISCLAIMER • "The findings and conclusions in this are those of the author(s) and do not necessarily represent the official position of the funding agencies PEPAFAR /U.S. Centers for Disease Control and Prevention/ Government of Kenya.”

  10. ACKNOWLEDGEMENTS • We acknowledge the support of the study participants and the KPs community, project staff. • PEPFAR and CDC, the Government of Kenya - Ministry of Health and NASCOP; and the University of Nairobi administration

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