HIV testing practices and outcomes for IDUs in Nairobi and Coast, Kenya

MOPE149 – Poster Exhibition

HIV testing practices and outcomes for IDUs in Nairobi and Coast, Kenya

B. Mundia1, A. Orago1, P. Mureithi1, P. Kenya2, F. Oguya2, F. Ongecha2, N. Muraguri3, H. Musyoki3, C. Angira4, T. Abdulrahman5, A. Badhrus6, D. Mohamed7, R. Abdool8, S. Abdallah8

1National AIDS Control Council, Nairobi, Kenya, 2International Centre for Health Interventions and Research in Africa, Nairobi, Kenya, 3National AIDS and STI Control Programme (NASCOP), Nairobi, Kenya, 4Nairobi Outreach Services Trust (NOSET), Nairobi, Kenya, 5Reachout Centre Trust, Mombasa, Kenya, 6Muslim Education and Welfare Association, Mombasa, Kenya, 7The Omari Project (TOP), Malindi, Kenya, 8United Nations Office on Drugs and Crime (UNODC), Nairobi, Kenya

Background: Drug use is an emerging concern and evidence shows that 4% of new HIV infections in Kenya may be attributable to injecting drug use. Injecting drug Use is a risk factor for HIV transmission. This study sought out to determine the HIV testing practices and outcomes among injecting drug users, we conducted a rapid situation assessment in IDU-prevalent areas within Nairobi and Coast provinces. Methods: A cross-sectional survey was conducted using respondent driven sampling methodology. A modified WHO Injecting Study II Questionnaire was administered and HIV counseling and testing was offered to all consenting persons aged 18 years or older who had been injecting drugs in the last twelve months. Results: 646 IDUs were interviewed: 9% females (56/646). 98%, (631/646) of respondents consented for HIV testing. 82% had previously tested for HIV prior to the study. More IDUs from Nairobi had ever tested for HIV compared to those from Coast.
Among IDUs previously tested for HIV, 81% received pre-test counseling, and 93% received test results Majority (82%) received a negative result, 13% had ever received an HIV positive test result. The reported HIV positivity rate was higher for Coast(16%) IDUs compared to Nairobi ( 9%).
22% of the IDUs were HIV positive (Nairobi 24%; Coast 19%). HIV prevalence was significantly associated with gender (47% females compared to 17% males), and ever having received HIV positive results (about 60% who previously received positive results confirmed HIV positive in study and almost 90% who previously received HIV negative results confirmed HIV negative). Conclusions: This study has revealed that most IDUs in Kenya are accessing VCT services in order to know their HIV status.Majority of IDUs testing HIV positive are not immediately initiated on treatment for various reasons.There is need to scale up comprehensive HIV prevention, care and treatment for IDUs.

Advertisements

Posted on July 23, 2012, in IDU. Bookmark the permalink. Comments Off on HIV testing practices and outcomes for IDUs in Nairobi and Coast, Kenya.

Comments are closed.

%d bloggers like this: