Factors associated with uptake of HIV/AIDS prevention services among men who have sex with men in Nairobi County.

Otambo P.C.N., Mathu D., Mutai J., Agure S., Ongadi B., Makokha A., Karama M.


Otambo P.C.N.1, Mathu D.,1 Mutai J.,1 Agure S.1, Ongadi B.1 Makokha A.,2  Karama M.1

  1. Kenya Medical Research Institute
  2. Jomo Kenyatta University of Agriculture and Technology

Corresponding Author: Priscah C.N. Otambo, Box 54840, Nairobi.Email: priotambo@gmail.com; potambo@kemri.org


  Summary

Background: Globally various preventive measures to minimize the effects of HIV/AIDS have been put in place. In Kenya   HIV/AIDS   preventive strategies have been in existence for several years now however the prevalence of HIV and AIDS among Men who have sex with men (MSM)   in Nairobi is reported to be 16.4%. This study sought to determine and explore factors that are associated with uptake of HIV/AIDS prevention services among MSM.

Methods: The study used a mixed method design, applying both quantitative and qualitative methods. A sample size of 380 MSM was recruited through snowballing. For the qualitative study, six key informants who were in-charge of HIV/AIDS programmes in health facilities and directors of 3 non-governmental organizations that supported MSM health needs were purposively selected. Quantitative data was collected through a self-administered questionnaire while qualitative data was collected through in-depth interviews.

Results: A significantly higher proportion of respondents with uptake of HIV/AIDS prevention services was among students (70.8%), sex workers (40.2%), MSM who never used alcohol (60.4%), MSM who never used drugs (62.7%) and among those who were willing to use preventive measures during intercourse (53.0%). Uptake was also associated with   being MSM, bisexual, gay and those who had multiple partners. There were no HIV/AIDS specific programmes for MSM.

Conclusion: The uptake of HIV/AIDS prevention services was associated with being a student, a sex worker, not using alcohol and not using drugs. However use of condom always during sex debut was very low. Different categories of MSM exhibited different sexual engagement

Behaviors that could increase the risk of HIV/AIDS. Lack of specific health package for MSM could significantly increase the risk of HIV/AIDS among MSM.

KEY WORDS: Uptake, Men who have sex with men, HIV/AIDS Prevention Services, healthcare.

[Afr J Health Sci. 2016; 29(4):249-266]


One Response to Factors associated with uptake of HIV/AIDS prevention services among men who have sex with men in Nairobi County.

  1. faith77 says:

    would like to read the full text.

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