1 / 11

Mobilising Social Capital in a World with AIDS

Mobilising Social Capital in a World with AIDS. AIDS2031 Conference 30 March to April 1, 2009 Salzburg, Austria. Effects of micro-enterprise services on HIV risk behaviour among female sex workers in Kenya's urban slums . Willis Odek Doctoral Student University of Aberdeen, UK. Background .

anaya
Télécharger la présentation

Mobilising Social Capital in a World with AIDS

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Mobilising Social Capital in a World with AIDS AIDS2031 Conference 30 March to April 1, 2009 Salzburg, Austria

  2. Effects of micro-enterprise services on HIV risk behaviour among female sex workers in Kenya's urban slums Willis Odek Doctoral Student University of Aberdeen, UK

  3. Background Gender (regular partnerships) Individual-focused targeted intervention among FSWs • Peer STI/HIV/AIDS education • Condom promotion Risk/vulnerability reduction outcomes Economic deprivation Fear of health services

  4. Intervention strategies • STI/HIV/AIDS Education • Safer sex negotiation • STI counselling • Proper & consistent condom use (in both vaginal and anal sex) • Reduction of number of partners • Increased use of non-penetrative sex • Sex avoidance in menses • Health provider training • STI counselling • STI syndromic management • Referrals – STI/HIV care and support Micro-enterprise support services • Credit finance • Business training • Savings • Control • Self-esteem • Assertiveness • Increase or stabilise income • Social capital –credit groups, education & training

  5. Methods • Pre-post survey of sexual behaviour among 227 FSWs (18-23 months) • Condom use • Number of sexual partners • Continued involvement in sex work

  6. Findings – participant characteristics • Generally older – mean age 41 years • Average 4 dependents • Education – illiterate (17.3%); primary (55.1%); and secondary (27.6%). • Majority have ever been married – 62.6%.

  7. Main outcomes • Business survival – 65% • Substantial self-reported exit from sex work – (45.4%) • Significant reductions in regular partnerships (mean 1.96 B/L to 0.73 E/L); average 1 casual partner. • Sustained consistent condom use with casual partners (>90%) and ≈20% improvement within regular partnerships

  8. Main outcomes contd. • Business operational status or loan amount received not significantly correlated with sexual behaviour change

  9. Key messages • Microfinance for micro-enterprise economic activities appears more appropriate for older women seeking to exit sex work; • Younger women (at peak age of HIV vulnerability 15-24 years) may require a different economic empowerment strategy.

  10. Making a difference by 2031 • Promote formal education for girls emphasising progression beyond basic to secondary and tertiary education • Continue targeted interventions (HIV and livelihoods) among marginalised women emphasising greater integration with society • Move economic support programmes from petty commerce to skills-based, better-paying enterprises for young and older women • Strengthen programmes for youth employment both nationally and regionally

  11. Acknowledgements • University of Nairobi • University of Manitoba • Programme participants • Wellcome Trust, UK • London School of Hygiene and Tropical Medicine

More Related