dc.contributor.author | Ochillo, Linet A | |
dc.date.accessioned | 2013-06-03T11:11:07Z | |
dc.date.available | 2013-06-03T11:11:07Z | |
dc.date.issued | 2007 | |
dc.identifier.citation | Postgraduate Diploma In Biomedical Research Methodology, Unitid, University Of Nairobi, 2007 | en |
dc.identifier.uri | http://erepository.uonbi.ac.ke:8080/xmlui/handle/11295/28700 | |
dc.description.abstract | Background: Acquire immune Deficiency Syndrome (AIDS) is one of the
most serious public health challenges facing Kenya today. Prevalence of
HIV-discordance among couples in sub-Saharan Africa is high. Discordant
couples represent a critical risk group and improved counseling protocols
that clearly explain discordance, emphasize high risk of transmission, and
support risk reduction are urgently needed. They also need special care and
psychosocial support. Prevention is one of the main activities of curbing this
scourge. Change in sexual behavior occupies a key-position in the fight
against AIDS in sub-Saharan Africa.
Objective: The main objective of this study was to determine the sexual
practices among HIV discordant couples attending the patient Support
Center, Nyanza provincial hospital, Kenya.
Design: Qualitative cross-sectional survey of couples attending Patient
Support Center (CCC), New Nyanza General Hospital, Kisumu.
Method: Interviewer administered questionnaires were used to collect
sociodemographic variables from all the participants.
In -depth and Focus Group Discussion (FGD) guides were used to collect
information from the participants. Transcriptions were coded to identify
common themes related to sexual practices.
l0 In-depth interviews (IDI) were conducted with 5 discordant couples to
identify sensitive information on their sexual practices. All the interviews
were tape recorded, transcribed and translated to English.
3 FGD were conducted to validate the responses in the in depth interview.
Results: Engaging in extra marital affairs was common despite being aware
of the consequences. None of those interviewed said they could make any
contractual agreement for outside sexual relationship. Not all the
respondents used condoms as a safer way of prevention of infection.
Although many participants cited need for children as a reason for not using
condoms during sexual intercourse, not many gave religion as a reason for
not using condom. Abstinence was common in couples who had low interest
in sex. The family income was impaired in HIV discordant relationships. «
Conclusion: The findings showed that most HIV discordant couples engage
in unsafe sexual practice such as not using condom although most of them
perceived that condoms could protect the negative partner from HIV
infection. VCT centers should" develop special counseling protocols for
prevention of HIV transmission within discordant couples. | en |
dc.language.iso | en | en |
dc.publisher | University of Nairobi | en |
dc.title | Sexual practices among HIV discordant couples attending the HIV/AIDS patient support center, Nyanza Provincial Hospital,Kenya. | en |
dc.type | Thesis | en |
dc.description.department | a
Department of Psychiatry, University of Nairobi, ; bDepartment of Mental Health, School of Medicine,
Moi University, Eldoret, Kenya | |
local.publisher | Department of Human Pathology, University of Nairobi. | en |