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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