MST-School of Public Health

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Browsing MST-School of Public Health by Author "Akolo, Maureen Musimbi"

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    Compliance to positive health, dignity and prevention services among HIV infected index partners in HIV sero-discordant relationships in Nairobi County, Kenya
    (Kenyatta University, 2015-12) Akolo, Maureen Musimbi
    The undertaken study evaluated compliance to Positive Health, Dignity and Prevention (PHDP) practice among index partners in HIV sero-discordant relationship in Nairobi County, Kenya. PHDP involves a set of interventions that helps people living with HIV lead a complete and healthy life besides reducing the risk of transmission of the virus to others. These interventions were adopted in Kenya in 2013 by the National AIDS and STI Control Program (NASCOP) and the United States Government (USG) affiliates that support HIV prevention programming by the Ministry of Health (MOH). The evaluation focused on demographic factors, knowledge, perception and challenges encountered while adopting PHDP practices among index client. A cross sectional descriptive study that utilized both quantitative and qualitative methods of data collection.370 index partners in sero discordant relationship were recruited from three clinics within Nairobi County. HIV infected clients in discordant relationships who were enrolled in the three clinics and had accessed services within the last 3 months were eligible for the study. The clinic's patient registry was used to contact sequentiaUy those who met the inclusion criteria. Standardized data collecting tools were administered. Data was cleaned and analyzed using SPSS version 22. The results showed that out of 370 respondents 19.7% were male. The mean age was 36.6 years and 40.1% had education level of primary school and below. The group exhibited high level of PHDP knowledge at 90.8% and above however, only 66.2% complied with PHDP practice. There was significant relationship between condom supply, condom demonstration and PHDP compliance at P values of 0.034 and 0.018 respectively. Further analysis showed those index partners who had no challenge in accessing condom demonstration and supply complied more to PHDP practice. Consistence condom use was at 53.4% and family planning uptake was at 83.8%.Twenty eight percent had multiple sex partners while 27.3% consumed alcohol. Compliance to PHDP among index partners in sero-discordant relationship is not well adopted. This calls for the policy makers and health care workers to evaluate PHDP services in order to scale it up. However, PHDP is a very core HIV intervention