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HIV and AIDS in Nairobi Urban Informal Settlements

HIV and AIDS in Nairobi Urban Informal Settlements. Nyovani Madise, Matilu Mwau, John Kebaso, Abdallah Ziraba, Samoel Khamadi, Vincent Okoth. Objectives. To assess feasibility of conducting community-based HIV testing in informal urban settlements.

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HIV and AIDS in Nairobi Urban Informal Settlements

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  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 15-54 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

  8. Pilot Results: Characteristics of acceptors

  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

  11. HIV Prevalence (%) by Age

  12. HIV Prevalence (%) by Ethnicity

  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

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