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HIV Prevention in MigrantPopulation

IRCs Experience

AIDS2012 IAS ConferenceWashington DC, July 2012

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Life in Turkana

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Life in Turkana

Kenyas HIV prevalence at 6.4% (KDHS, 2008/9)

Turkana hosting refugees from Somalia,

S/Sudan, Ethiopia and ALL Great Lakes countriesRefugee camps in existence since 1992

Estimated Turkana population: >850,000 (KNBS, 2009)

Refugee population > 85,000 (UNHCR PHHIV Report, 2011)

Community reliant on food aid, mostly byexternal donors

Community in denial HIV problem of theurban (2005)

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HIV Prevalence: Sentinel Surveillance

Turkana (Nascop, 2011). IRC started program in

2005

0

2

4

6

8

10

12

2006 2007 2008 2009 2010

11.3

7.4

9

5.14.8

4

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Through the Path

2004/5 HIV Program limitedto small part of Turkana, nopublic disclosure in the region,denial of HIV at community,first HIV sentinel surveillance

18% (Nascop)2006 HTC services throughmobile programs, massawareness in thecommunity/schools, HIV Careand Treatment at three facilities

2007 Decentralization of HIVcare, treatment more facilities,trainings of health care workersand community health workers,first public disclosure

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Targeted HIV Prevention Approaches

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Families Matter! Program: Targets

9-12 year-olds through

parent/child communication.

Healthy Choices: Targets 13-17year olds

Community HIV Testing: Home or

family-based HIV testing

Community Prevention with

Positives: From clinical settings to

the community

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Hard Lessons

Program priority not

community priority!

Very key: Program linkages,

active community

participation

Agreement on what

constitutes evidence since

many factors influence its

acceptance 9

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Taking services to the community

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Participation

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Anticipation, Emergency Preparedness

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Leadership

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Standards, Standards

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Acknowledgements

Centers for Disease Control and Prevention

(CDC)

Kenya Government through the Ministry ofPublic Health and Sanitation

Turkana Community and their leadership

Other donors for supporting other health

programs

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16Thank You