1 HIV and AIDS in Nairobi Urban Informal Settlements Nyovani Madise, Matilu Mwau, John Kebaso, Abdallah Ziraba, Samoel Khamadi, Vincent Okoth.

Slides:

Advertisements

Similar presentations

Exploring what works in Rwanda Dr Sabin NSANZIMANA Head of HIV&AIDS, STIs & OBBI Division Institute of HIV Disease Prevention and Control RWANDA BIOMEDICAL.

Advertisements

HIV infection among young people in northwest Tanzania: the role of biological, behavioural and socio-demographic risk factors : randomised controlled.

Trading sex and building Capital: Sexual Identity and the Programmatic Challenges of reaching young African MSM S. Leclerc-Madlala 1,

Experience under the TAP: Determinants and experience with adherence in Burkina Faso Hospital and Community Sites in Burkina Faso Pascal NIAMBA, Cecile.

Does religious affiliation moderate adolescent premarital sexual behavior in marginalized slum settlements in Nairobi City? 9 th INDEPTH AGM Pune, 26 th.

Presentation to: Abu Dhabi – NYU Workshop By: Nadereh Chamlou, Senior Advisor, MNA, The World Bank Silvia Muzi, The World Bank Hanane Ahmed, The World.

Poverty and Sexual Risk-taking in Africa Eliya Zulu and Nyovani Madise (African Population and Health Research Centre, Nairobi, Kenya)

Gender alcohol and culture The Belize chapter 1 st Pan American Conference on Alcohol Policies November 2005 Brasilia Dr. Claudina Cayetano.

High Sexual Risk But Low HIV Prevalence Among Asian And Pacific Islander (API) Men Who Have Sex With Men (MSM) Kyung-Hee Choi Center for AIDS Prevention.

PLACE Study in PLACE Overview for Interviewers. An Overview of PLACE: P riorities for L ocal A IDS C ontrol E fforts.

Senior Health Adviser, 56 Dean Street

1 Family context and dynamics of rural women’s sexual relationships : transactional sex and experience of sexual violence in relation to HIV/AIDS in North.

Circumcision in Zambia. Traditional MC –NW Province and small Muslim communities in E. Province & elsewhere NW Province (along with N. Province) has lowest.

1 Investing in the future: Addressing challenges faced by Africa's young population. 40 th Session of the Commission on Population and Development Nyovani.

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

Patterns of Age Mixing and Sexually Transmitted Infections Julie Kraut-Becher University of Pennsylvania Sevgi O. Aral Division of STD Prevention, CDC.

Caroline Kuo, Lucie Cluver, Marisa Casale, Tyler Lane, Lebo Sello AIDS 2012, Washington DC.

12th Global Conference on Aging

National Family Health Survey (NFHS-3), HIV Measurement Process and Prevalence.

Uptake of antiretrovirals in a cohort of women involved in high risk sexual behaviour in Kampala, Uganda J.Bukenya, M. Kwikiriza, O. Musana, J. Ssensamba,

Population-based estimates of prevalence of HIV, HBV and HCV and HIV-related risk behaviors among male injecting drug users in Lagos, Nigeria Waimar Tun.

Pre-presentation Question 31.9 million Africans are infected with this life threatening blood-borne virus, first identified in the 1980s*, and for which.

An Overview of the HIV/AIDS Situation in Tanzania

A random household survey of male circumcision and HIV in Kisumu, Kenya Circumcision Impact Study (CIRCIS) Matthew Westercamp University of Illinois at.

Gender equality at home and work:

MAKING A DIFFERENCE IN PEOPLE'S LIVES 16 th ICASA CONFERENCE 4-8 th December Millennium Hall, Addis Ababa- Ethiopia Attitudes and Acceptability of Male.

Background Objective Methods Results Discussion Assessing the Risk of Self- diagnosed Malaria in Urban Informal Settlements Yazoumé Yé Elizabeth Kimani.

Introduction Theoretical Perspectives Research.  Sampling : Identifying the appropriate population of people to be studied.  Random Sample : Each member.

Retention of HIV Positive Mothers and HIV Exposed Babies in the PMTCT Programme at Sites of Booking in Zimbabwe, April - Dec 2014 – A Dataset Analysis.

Impact of the Kenya Cash Transfer for Orphans and Vulnerable Children Program on HIV Risk Behavior Sudhanshu Handa, Carolyn Halpern, Audrey Pettifor, Harsha.

Sexually Transmitted Infections Mysheika Williams Roberts, MD, MPH Medical Director Assistant Health Commissioner Columbus.

1 HIV and AIDS Data Hub for Asia-Pacific Review in slides Sri Lanka.

HIV/AIDS among Women in Texas Enhanced Perinatal Surveillance May 30, 2007 Nita Ngo, MPH.

National Family Health Survey (NFHS-3) Key Findings.

HIV Declines in Young Adults in South India Rajesh Kumar, MD Prof. of Community Medicine School of Public Health Post Graduate Institute of Medical Education.

Factors influencing transition to marriage among females in the Kassena-Nankana District, Ghana University of Cape Coast – Navrongo DSS Collaborative Team.

Quarterly HIV/AIDS Analysis for Michigan January 1, 2008 Michigan Department of Community Health HIV/STD/Viral Hepatitis and TB Epidemiology Section Division.

FEMALE AND MALE MIGRATION PATTERNS INTO THE URBAN SLUMS OF NAIROBI, : EVIDENCE OF FEMINISATION OF MIGRATION? Ligaya Batten PhD Student Centre.

HIV and AIDS Epidemic: Potential Contribution from DSS sites Nyovani Madise, PhD Centre for Global Health, Population, Poverty & Policy.

ACT on Alzheimer’s Disease Curriculum Module II: Demographics.

FBO Engagement in Male Circumcision May 25, 2009 CCIH Annual Conference.

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

Research.  Random Sample : Each member of the population has an equal chance of being included in the sample.  Problem of Refusal (or nonresponse) :

1 What does access to health care among the urban poor mean? Factors associated with use of “appropriate” maternal health services in the slum settlements.

Resiliency among Urban Youth Newly Diagnosed with HIV in Kenya: Sources of Social Support and Active Coping Strategies Gary W. Harper 1,2, Elizabeth Ngugi.

Prevalence and risk factors for self-reported sexually transmitted infections among adults in the Diepsloot informal settlement, Johannesburg, South Africa.

Cynthia l. Ogden, Ph.D. Molly M. Lamb, Ph.D.; Margaret D. Carroll, M.S.P.H.; Katherine M. Flegal, Ph.D.

State of Alaska Section of Epidemiology HIV Epidemiologic Profile Published: March 27,

Does Food Assistance Lessen the Adverse Impacts of Adult Morbidity and Mortality on Household Welfare in Zambia? Gelson Tembo University of Zambia Department.

The Impact of Brothers for Life on the uptake of Medical Male Circumcision Lusanda N Mahlasela Centre for Communication Impact.

Cynthia Gomez, Olga Grinstead, Dellanira Valencia-Garcia, Debra Allen, Dina Hondrogen, Angelica Martinez, Kathleen Erwin University of California San Francisco,

Quarterly HIV/AIDS Analysis for Michigan January 1, 2007 Michigan Department of Community Health HIV/STD & Other Bloodborne Infections Surveillance Section.

HIV and AIDS Data Hub for Asia-Pacific 1 HIV and AIDS Data Hub for Asia-Pacific Review in slides Hong Kong, SAR.

Status of HIV in Kenya DR Nicholas Muraguri MBChB, MPH, PGC epidemiology Head, National Aids and STI Control Program.

2014 Kenya Demographic and Health Survey (KDHS) Key Indicators Report.

Results from the STEAM Survey Elizabeth Barash, MPH.

Broadening the Study of Risk & Protective Factors for Depression, Drug Use, and HIV Risk among YMSM Healthy Young Men’s Study (HYM) Community, Health Outcomes,

Integrating Reproductive Health and Family Planning into HIV Care in African Urban Slums JANE OTAI PROGRAM ADVISOR JHPIEGO/Kenya.

2014 Kenya Demographic and Health Survey (KDHS) Survey Methodology Follow along on

Correlates of HIV testing among youth in three high prevalence Caribbean Countries Beverly E. Andrews, Doctoral Candidate University.

HIV Epidemic in Malaysia. HIV BY AGE GROUPS - MALAYSIA.

Elijah Odoyo-June 1,3, John Rogers 2, Walter Jaoko 1,3, Robert C. Bailey 1, 2 1 Nyanza Reproductive Health Society 2 University of Illinois at Chicago.

Cultural Beliefs and Practices Around Maternal and Child Nutrition Among the Urban Poor in Nairobi Milka Wanjohi1*, Paula Griffiths2, 3, Frederick Wekesah1,

J. Mossong1, N. Majéry2, C. Mardaga3 , M. Muller4, F. Schneider1

Men are absent across the HIV continuum of care in a rural area of southern Mozambique Laura Fuente-Soro, Elisa Lopez-Varela, Orvalho Augusto , Charfudin.

Key Indicators Report.

Data Hub for Asia-Pacific Review in slides Pakistan

K Babineau, S O’Dea, S Keogan, G Courtney, L Clancy

Mission: To reduce morbidity associated with the prevalence of TB and HIV among at-risk drug users and their contacts.

Peter Godfrey-Faussett for Charlotte Watts

Presentation transcript:

1 HIV and AIDS in Nairobi Urban Informal Settlements Nyovani Madise, Matilu Mwau, John Kebaso, Abdallah Ziraba, Samoel Khamadi, Vincent Okoth

2 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

3 Process  Ethical clearance (January-May 06)  Community mobilization (April- August 06)  Drawing of random sample  Pilot (Sept - Dec 2006)  Main study (from January 07)

4 Methods  Simple random sample of 800 men and women for pilot DSS framework, women 15-49; men 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).

5 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

6 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

7 Pilot Results: Characteristics of acceptors Age Sampled % (N=800) Contacted % (N=529) Bled % (N=423)

8 Pilot Results: Characteristics of acceptors Sex % Sampled (N=800) % Contacte d (N=529) % Bled (N=423) Male Female Total100

9 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

10 HIV Prevalence (%) by Sex Korogocho Slum, (N=1304) Viwandani Slum, 2007 (N=620) Both slums Nairobi, 2003 KDHS N=667 Males Femal es Total

11 HIV Prevalence (%) by Age

12 HIV Prevalence (%) by Ethnicity Ethnicity KorogochoViwandaniNairobi Kamba16812 Kikuyu10117 Luhya1587 Luo Other11106

13 Concluding Remarks  Male and female prevalence rates similar  Higher HIV prevalence among older people in Korogocho (especially men)  Ethnic differences; influence of other kin?

14 Acknowledgement  DSS Community members  Fieldworkers and Phlebotomists  The Rockefeller Foundation  Colleagues from Africa Centre and Kisumu DSS sites