Background: Since 2000, peer-mediated interventions among female sex workers (FSW) in Mombasa Kenya have promoted behavioural change through improving knowledge, attitudes and awareness of HIV serostatus, and aimed to prevent HIV and other sexually transmitted infection (STI) by facilitating early STI treatment. Impact of these interventions was evaluated among those who attended peer education and at the FSW population level.
A benefit-cost analysis of vaccination for foot-and-mouth disease (FMD) was conducted in an area of South Sudan, which due to chronic conflict, had been subject to large-scale humanitarian assistance for many years. The study used participatory epidemiology (PE) methods to estimate the prevalence and mortality of acute and chronic FMD in different age groups of cattle, and the reduction in milk off-take in cows affected by FMD. The benefit-cost of FMD vaccination was 11.5. Losses due to the chronic form of FMD accounted for 28.2% of total FMD losses, indicating that future benefit-cost analyses for FMD control in pastoral and agropastoral areas of Africa need to consider losses caused by chronic disease. Participatory epidemiological methods were also used to assess the importance of milk in the diet of Nuer agropastoralists, and seasonal variations in diet in relation to cattle movements and FMD outbreaks. Marked seasonal variation in diet included a 'hunger gap' period during which households were highly dependent on milk as their main source of food. Outbreaks of FMD occurred immediately before this period of milk dependency, with chronic losses extending through this period and affecting human food security. The paper discusses the need and feasibility of mass vaccination and strategic vaccination for FMD in South Sudan. The paper also discusses the value of combining conventional benefit-cost analysis with livelihoods analysis to inform disease control efforts and funding commitments in humanitarian contexts.
BackgroundSchistosomiasis remains a major public health problem in Kenya. Inadequate knowledge, attitudes and practices (KAP) on causative factors are some of the critical factors for the increased prevalence. The study assessed KAP on the control and prevention of schistosomiasis infection in Mwea division, Kirinyaga County-Kenya. Four hundred and sixty five house-hold heads were enrolled in this study by use of simple random sampling technique.MethodsThe study employed an analytical descriptive cross sectional design utilizing both quantitative and qualitative data collection methods. A pretested structured questionnaire, Focus Group Discusions (FGDs) and Key Informant Interviews (KII) guides were used for data collection. Descriptive statistics and Chi square tests and Fisher’s exact tests were computed where applicable. Data from the FGDs and KIIs were analyzed using NUID.IST NUIRO.6 software.ResultsSignificant associations between knowledge and demographic factors i.e. age (p = 0.011), education level (p = 0.046), were reported. Handwashing after visiting the toilet (p = 0.001), having a toilet facility at home (p = 0.014); raring animals at home (p = 0.031), households being affected by floods (p = 0.005) and frequency of visits to the paddies (p = 0.037) had a significant association with respondents practices and schistosomiasis infection. Further significance was reported on households being affected by floods during the rainy season (p < 0.001), sources of water in a household (p < 0.047) and having a temporary water body in the area (p = 0.024) with increase in schistosomiasis infection. Results revealed that respondents practices were not significantly associated with gender (p = 0.060), marital status (p = 0.71), wearing of protective gear (p = 0.142) and working on the paddies (p = 0.144).ConclusionsThis study reveals that knowledge about the cause, transmission, symptoms and prevention of schistosomiasis among the Mwea population was inadequate, and that this could be a challenging obstacle to the elimination of schistosomiasis in these communities. Due to various dominant risk factors, different control strategies should be designed. Therefore, there is a need for integrated control programme to have a lasting impact on transmission of schistosomiasis infection. Control programs like mass drug administration need to go beyond anti-helminthic treatment and that there is a need of a more comprehensive approach including access to clean water, sanitation and hygiene. School and community-based health education is also imperative among these communities to significantly reduce the transmission and morbidity from schistosomiasis.
While many studies confirm the association between HIV, alcohol and injecting drug use by female sex workers (FSWs), little is known about their use of marijuana, khat and other substances and the association of these substances with HIV, risky sexual behaviour, and sexual violence. To better understand this association, data were analysed from a cross-sectional, behavioural survey of 297 FSWs in Mombasa, a well-known tourist destination and the second largest port in Africa and capital city of the Coast Province in Kenya.Among the FSWs, lifetime use of different substances was reported by 91% for alcohol, 71% for khat, 34% for marijuana, and 6% for heroin, cocaine, glue or petrol. The majority (79%) used more than one substance, and multiple-substance use was reported by all respondents who ever used marijuana, heroin, cocaine, glue and petrol. The risk of HIV acquisition was perceived as medium to high by 41% of respondents, 75% of whom attributed this risk to multiple partners. Sexual violence was reported by 48% of respondents, and 30% indicated that this happened several times. Despite HIV prevention programmes targeting FSWs in Mombasa, most of them continue to engage in risky sexual behaviours. This suggests that harm reduction strategies for substance use should be coupled with efforts to promote consistent condom use and partner reduction. Keywords RésuméBien que de nombreuses études confirment l'association entre le VIH, l'alcool et l'utilisation de drogues injectables par les travailleuses du sexe, la littérature est quasiment muette sur leur utilisation de la marijuana, du khat, et autres substances, et sur l'association de celles-ci avec le VIH, les comportements sexuels à risques et la violence sexuelle. Pour mieux comprendre cette association, des données ont été analysées à partir d'une étude comportementale transversale ciblant 297 travailleuses du sexe de Mombasa. Cette ville est une destination touristique réputée, le deuxième plus grand port d' Afrique et la capitale de la Province côtière du Kenya.Parmi ces travailleuses du sexe, 91% d' entre elles ont déjà consommé au moins une fois dans leur vie de l'alcool, 71% du khat, 34% de la marijuana, et 6% de l'héroïne, de la cocaïne, de la colle, ou de l' essence. La majorité d' entre elles (79%) a déjà consommé plus d'une substance, et toutes celles ayant déclaré avoir déjà consommé de la marijuana, de l'héroïne, de la cocaïne, de la colle, ou de l' essence ont consommé plusieurs substances. Le risque de contracter le VIH a été estimé de moyen à fort par 41% des sujets, et 75% d' entre eux attribuait ce risque au multi-partenariat sexuel. La violence sexuelle a été signalée par 48% des personnes interrogées, et 30% ont indiqué que cela était arrivé plusieurs fois. Malgré les programmes de prévention du VIH ciblant les travailleuses du sexe à Mombasa, la plupart d' entre elles continuent de se livrer à des comportements sexuels à risques. Ceci suggère que les stratégies de lutte contre les méfaits liés à la consommation de ces substances ...
This article has been retracted. Please see the Retraction Notice for more detail: https://doi.org/10.1186/s12889-016-3494-y.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.