MSM/WSW and HIV Dr Mary Wangari Kuria Chairman Department of Psychiatry.

Slides:

Advertisements

Similar presentations

Involving Adolescent Boys and Young Men in Reproductive Health Richard Lord.

Advertisements

No one left behind: Increased coverage, better programmes and maximum impact for key populations WHO Consolidated Guidelines on HIV Prevention, Diagnosis,

GAP Report 2014 People with disabilities People left behind: People with disabilities Link with the pdf, People with disabilities.

STIGMA AND DISCRIMINATION REDUCTION AS AN ESSENTIAL PART OF COMBINATION PREVENTION Stefan Baral, MD MPH FRCPC Center for Public Health and Human Rights,

Linking Gender-based violence and HIV Nwabisa Jama Shai Senior Researcher, Gender & Health Research Unit, Medical Research Council, Pretoria.

Reducing inequalities: Enhancing young people’s access to SRHR Consultative meeting with African Parliamentarians on ICPD and MDGs September 2012 Sharon.

Outcomes Based on Family Structure –Married Mother/Father Family –Single –Cohabiting –Divorced –Same-sex Couples.

Why address gender-based violence in HIV response & what are effective strategies? Why address gender-based violence in HIV response & what are effective.

Six-Month Follow Up Data from RCT Testing Brief Alcohol Reduction Intervention with Female Sex Workers in Mombasa, Kenya Presenter: Peter Mwarogo FHI 360.

1 Global AIDS Epidemic The first AIDS case was diagnosed in years later, 20 million people are dead and 37.8 million people (range: 34.6–42.3 million)

GAP Report 2014 Sex workers People left behind: Sex workers Link with the pdf, Sex workers.

Ecological Model for HIV Risk in MSM Stage of Epidemic Individual Community Public Policy Network Level of Risks Source: Baral and Beyrer, 2006.

81 MSM-SW participated in the study. They recorded 1738 sexual encounters with 1212 different partners over 6 weeks follow up in Gender exclusivity.

Health Issues in Adolescence. Health Issues 20% have chronic health problems ▫Most common are ADHD or LD Try first substance abuse or sexual experience.

UNAIDS, Regional Support Team, Eastern and Southern Africa

The Dual Crisis: HIV and Human Rights: Journalism’s Role in the Fight Against Stigma and Discrimination Richard Burzynski, UNAIDS 20 th International AIDS.

Journal Club Alcohol, Other Drugs, and Health: Current Evidence January–February 2010.

Linda Chamberlain, PhD MPH IPV and Sexually Transmitted Infections/HIV MENU Overview Regional and Local Data The Impact of IPV on Women’s Health IPV and.

1 Adolescent Reproductive Health Presented by: Dr. Richard O. Muga (MBS) National Co-ordinating Agency for Population and Development, Nairobi- Kenya Seminar.

Women, Interpersonal Violence (IPV) & HIV Challenges and Opportunities.

Kenya’s Youth Today From the 2003 Kenya Demographic and Health Survey.

HIV&AIDS TRUE AND FALSE. The lack of information on these issues often leads to fear and rejection of infected individuals and may even put one in danger.

STIs/HIV/AIDS. ( 2 ) Sexually transmitted infections (STIs) are spread primarily through sexual contact and are among the most common diseases in the.

Bheki Sithole 30 Nov Sibayeni Lodge Most at Risk Behavior Populations (MSM): Feedback, Challenges and Experiences.

Perceived HIV risks, types of sexually transmitted diseases, and discordant infection status among low-tier female sex workers in China (Roundtable Presentation)

Alcohol harm reduction intervention among female sex workers in Mombasa, Kenya Preliminary 6-month follow-up data Presented by Peter Mwarogo FHI360 Meeting.

Gender and Health H.E. ADV Bience Gawanas Commissioner for Social Affairs, AUC.

Five gay men arrested in Mombasa, Kenya; Mobs call for death by fire Police drag gay man from KEMRI building and arrest him.

Comprehensive HIV Prevention Strategies for Most at Risk Populations (MARPs) Anne Goldzier Thomas, Ph.D. US Department of Defense/PEPFAR Ethiopia National.

Owen Ryan, Deputy Director, Public Policy Demand for programs for key populations in Africa from countries receiving international donor assistance Owen.

Are drug use and situational characteristics at last sex associated with sexual outcomes? Initial findings from a national survey of MSM in England G.J.

How Big is the Alcohol Problem Locally? Jess Mookherjee Consultant in Public Health Kent.

Learning journey Part 1: Welcome and introduction Part 2: Concepts, evidence, and good practice: Addressing gender-based violence and engaging men and.

HIV Prevention and Treatment for Men who have sex with Men: Achievements and Challenges Ifeanyi Kelly Orazulike National Coordinator Sexual Minorities.

1 State of the State: HIV/STD in Texas Ann Robbins Texas Department of State Health Services June 2009.

Empowering Women as a Development Tool Empowering Women: Sexual and Reproductive Health and Female Condoms Lucie van Mens

GAP Report 2014 People left behind: People aged 50 years and older Link with the pdf, People aged 50 years and older.

Office of Global Health and HIV (OGHH) Office of Overseas Programming & Training Support (OPATS) HIV Prevention Training Package Session 3: Reducing Risk.

Crack Cocaine, HIV, and African American Women Alison Hamilton, Ph.D. UCLA Department of Psychiatry Integrated Substance Abuse Programs.

HIV Prevention among Men Who Have Sex With Men Greg Millett CDC IAC Sympsoium July 22, 2012.

Ami R. Moore, PhD Department of Sociology University of North Texas 12/01/2011.

HIV/AIDS epidemics among men who have sex with men (MSM) in Africa, Asia, Latin America and the Caribbean, and the CIS Full Enjoyment of Human Rights by.

BISEXUAL CONCURRENCY,BISEXUAL PARTNESHIPS,AND HIV AMONG SOUTHERN AFRICA MEN WHO HAVE SEX WITH MEN (MSM) Presenter: Gift Trapence Organisation: Centre for.

“AIDS has a woman’s face” -In Sub-Saharan Africa, nearly 60% of people living with HIV/AIDS are women -Teenage girls in parts of.

Epidemiology of addictive disorders: a brief review MRCPsych addiction psychiatry seminar series Dr Stuart McLaren 2 nd March 2012.

HIV vulnerabilities of sex workers in Europe

Allie Lyman.  Incidence and Prevalence  Risk Factors and Barriers to Prevention  Prevention  Conclusion.

Human rights violations, discrimination and homophobia in Kenya; The experience of a HIV positive Kenyan sex worker and the work of a community-based support.

Effective HIV & SRH Responses among Key Populations Module 2: The Comprehensive Package of Programmes and Services.

Collaborative Effort of HIV, Domestic Violence and Homeless Service Organizations to Develop Integrated Services as Strategy for HIV Risk Reduction for.

HIV in America What’s New in 2012 Christopher Hurt, MD Clinical Assistant Professor NC AIDS Education and Training Center 2012 HIV Update.

1 Machismo as a determinant for HIV/STD risk behavior among Latino MSM Jacqueline L. Sears, MPH.

Background  Substance abusers are at risk for HIV and other STIs.  Anal intercourse (AI) is riskier than vaginal intercourse.  Studies of AI have focused.

Results from the STEAM Survey Elizabeth Barash, MPH.

Jan Risser, Paige Padgett, Jane Richards (UT SPH) Hafeez Rehman, Marcia Wolverton (HDHHS)

00002-E-1 – 1 December 2001 THE HIV/AIDS PANDEMIC Focus on Africa By Dr. David Elkins HIV/AIDS Prevention and Care Project Nairobi, Kenya September 2002.

HIV Epidemic Status and Behavioral Surveillance among MSM in China Hua Xu, Chinese Preventive Medical Association Beichuan Zhang, Qingdao University Medical.

American Dermatological Association September 16, 2011 Silverado Resort, Napa, California Pitfalls, Perils & Pearls.

Condom Use and Anal Intercourse in Heterosexual Men and Women Kimberly R. McBride, Ph.D. 1,2,3 Erick Janssen, Ph.D. 2,4 1 Department of Pediatrics, Section.

Post-traumatic stress, depression, alcohol use and HIV/AIDS risk among Angolan soldiers Charles R. Drew University of Medicine and Science & the Angolan.

Number of people receiving antiretroviral therapy in

R. Ross MacLean, Gabrielle E. Shishkoff & Stephen J. Wilson

Conclusions & Implications

Lysa Silveira Remy, BA, MSc.

Showing throughout the event

STIs among people who use drugs

Figure 2.1 Adolescent Population as a share of the population, by region, 2005, Page 17 The total global population ages 10–24—already the largest in history—is.

The Relationship between Recent Alcohol Use and Sexual Behaviors/STDs: Gender Differences among STD Clinic Patients Heidi E. Hutton PhD, Mary E. McCaul.

Health & Medicine Medical Sociology.

Secondary Prevention.

Presentation transcript:

MSM/WSW and HIV Dr Mary Wangari Kuria Chairman Department of Psychiatry

MSM/WSW MSM are men who have sex with men WSW are women who have sex with women – little is known about this population These are key population whose unique physical and mental health issues requires attention

Do they exist in Kenya? Data[1]: Nyanza has the highest number(2765 ) Nairobi (1702) Coast(775)

Characteristics of MSM 2/3 are single Mean age 26 years 67% have secondary or college level of education 67.8% are paid to have sex with men Payment for sex with women: 62.6% of MSW/MSM reported that they also had sex with women. Mean number of sex partners per week is 3.54

Challenges associated with MSM/WSM HIV/AIDS ADA(alcohol and drug addiction) Reproductive issues(human extintion) Rectal prolapse and stool incontinence Anxiety and depression? Is it act of terrorism? Should it be legalized or criminalized?

MSM & HIV Men who have sex with men (MSM) in sub- Saharan Africa experience a high burden of HIV infection [2]. an estimated 18.9% of MSM are HIV-positive [3]. 15% of the new prison infections in year 2012 is related to MSM

MSM & HIV A very significant % of the clients of the MSM are married men who keep their homosexual/bi-sexual actions secret from their heterosexual partners/wives. The possibility of HIV cross over infections can be very high if they engage in unprotected anal sex.

MSM/HIV/AUD TRIAD As defined by AUDIT (Alcohol Use Disorder Identification Test) 35% of participants who drink had hazardous drinking, 15% harmful drinking and 21% alcohol dependence. Total with Alcohol Use Disorder (AUD): 71%

continued Compared with those who are abstinent, alcohol dependence was associated with inconsistent condom use, penile or anal discharge, and two-fold higher odds of sexual violence. Frequent drinking was associated with inconsistent condom use and partner number, while binge drinking was only linked with inconsistent condom use.[4]

Role of mental health professionals Research (why? Involvement in policy formulation MSM often require psychotherapy but do not know who turn to Training of health professionals De-stigmatization ? De-criminalization? Which way

Why are MSM/ WSM? Parenting ignorance Childhood neglect(the presence of a man in bringing up a child though minimal is extremely important Poor socialization Cost of marriage initiation and maintenance

MSM/WSM Or Would this be just an insane world that is coming to an end? We need to address all these issues and offer leadership in providing solutions because we will be held accountable here on earth and in heaven

References 1. Geographic Mapping of Most at Risk Populations for HIV (MARPs) in Kenya, NACC and NASCOP, June 2012 ) 2. Zimitat C. Designing effective on-line continuing medical education. Med Teach. 2001;23: Beyrer C, Baral SD, van Griensven F, Goodreau SM, Chariyalertsak S, Wirtz AL, et al. Global epidemiology of HIV infection in men who have sex with men.Lancet Infect Dis. 2012;380(9839): Luchters et al. BMC, Public Health 2011, 11:384