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 By John Mathenge.

Introduction. HIV/AIDS has caused over 25 million deaths with 70% in sub-Sahara Africa. The role of most at risk populations (MARPS) is coming to the forefront in HIV prevention. MARPS in Kenya include; Men who have Sex with Men, Sex Workers, Fishermen, Truck drivers, Prisoners and Security personnel. MSM account for 15% of new HIV infections in Kenya according to a study Done in 2008 (modes of transmission study)

Challenges facing MSM in accessing HIV prevention in Kenya. Being gay is illegal and punishable by imprisonment hence gay people cant come out in the open. Being gay is culturally unacceptable and stigmatised by the Kenyan society. Cases of physical attacks on gay men have been reported. Stigma from health care providers is also rampant. Strong religions inclinations among Kenyans also stigmatises gay people. Few HIV prevention programs target gays and none is exclusive for gay people. Gay people have little information on risks of multiple partners and need for STI treatment e.g through IEC or regular media.

Intervention Estimates show that between 13-45% of MSM IN Kenya are HIV positive. NASCOP has recognised the role of MSM in HIV transmission and has started intervention activities. A few clinics offer gay friendly HIV prevention services. Most are research clinics. HOYMAS started in 2009 to address the above scenario. HOYMAS has about 250 members and 170 are HIV positive, 270 workers,10peer leaders to provide information on dangers of oral sex, proper and consistent condom use, reduction in substance abuse and reducing number of partners. Gives moral support and encouragement to those HIV positive. Works with other organisations to try and address the legal challenges.

Conclusion Huge gap between need and access to HIV prevention among gays in Kenya. Legal obstacles need to be overcome with time. Socio-cultural acceptability remains a challenge. More gay friendly interventions needed. There are some in Kenya but more is needed.

Acknowledgement NASCOP SWOP CDC