"Poverty and lack of economic opportunity are commonly cited as important contributors to the AIDS epidemic. Thus recent findings from the Tanzania 2003–04 HIV/AIDS indicator survey may come as a surprise. The evidence is just the opposite. This nationally representative survey measured wealth in terms of physical characteristics of the household and household possessions. Household wealth is strongly positively related to HIV prevalence." (Requires registration)
Equity and HIV/AIDS
Is poverty or wealth at the root of HIV?
The Lancet 2005
Is Socio-Economic Status a Determinant of HIV-Related Stigma Attitudes in Zimbabwe? Findings from Project Accept
Mateveke K; Singh B; Chingono A; et al.: Journal of Public Health in Africa 7(1), 2016, doi: http://dx.doi.org/10.4081/jphia.2016.533
HIV related stigma and discrimination is a known barrier for HIV prevention and care. The authors aimed to assess the relationship between socio-economic status (SES) and HIV related stigma in Zimbabwe, using data from a project that examined the impact of community-based voluntary counselling and testing intervention on HIV incidence and stigma. A total of 2522 eligible participants responded to a psychometric assessment tool, which assessed HIV related stigma and discrimination attitudes on 4 point Likert scale. The tool measured three components of HIV related stigma: shame, blame and social isolation, perceived discrimination, and equity. Participants’ ownership of basic assets was used to assess the socio-economic status. Shame, blame and social isolation component of HIV related stigma was found to be significantly associated with medium and low SES indicating more stigmatising attitudes by participants belonging to medium and low SES in comparison to high SES.
Is Uganda's HIV prevention success story 'unravelling'?
Marco M, Bernard EJ: AIDSmap, 22 August 2006
Warning signs that Uganda's HIV prevalence may be on the rise again were presented to the Sixteenth International AIDS Conference in Toronto. Data on both HIV prevalence and incidence show rising trends since 2000, which the investigators attribute to increased sexual risk behaviour, the natural epidemiological cycle, and "other factors". These may include a chronic condom shortage and the hotly debated 'ABC' policy which appears to focus on abstinence and faithfulness rather than condom use.
It’s a secret between us: a qualitative study on children and care-giver experiences of HIV disclosure in Kinshasa, Democratic Republic of Congo
Sumbi E; Venables E; Harrison R; Garcia M: et al: BMC Public Health 21(313), 1-9, 2021
This paper explored child and care-giver experiences of the process of disclosing HIV statuses to children, including reasons for delay, through 22 in-depth interviews with care-givers and 11 in-depth interviews with HIV positive children in Kinshasa. Care-givers included biological parents, grandmothers, siblings and community members and 86% of them were female. Many care-givers had lost family members due to HIV and several were HIV positive themselves. Reasons for non-disclosure included fear of stigmatisation; wanting to protect the child and not having enough knowledge about HIV or the status of the child to disclose. Several children had multiple care-givers, which also delayed disclosure, as responsibility for the child was shared. In addition, some care-givers were struggling to accept their own HIV status and did not want their child to blame them for their own positive status by disclosing to them. The authors identify that child disclosure is a complex process for care-givers, health-care workers and the children themselves.
Joining hands: Integrating gender and HIV/AIDS in Angola, Tanzania and Uganda
Hadjipateras A, Akullu H, Owero J: Agency for Research and Cooperation in Development (ACORD), July 2006
ACORD, an Africa-led international alliance working for social justice and equality, aims to prevent the further spread and mitigate the impact of HIV/AIDS through community-based research and advocacy and working in alliance and partnership with others. This publication is documents and disseminates the lessons from research carried out by ACORD in Angola, Uganda and Tanzania.
Joint tuberculosis/HIV services in Malawi: Progress, challenges and the way forward
Chimzizi R, Harries A: International Journal of Public Health, 2007
This review of progress made on a three-year tuberculosis TB/HIV plan implemented in Malawi between 2003 and 2005 found that barriers to testing TB patients for HIV include: irregular supplies of HIV-testing reagents, staff forgetting to refer patients or patients themselves not undergoing HIV testing and counselling after being registered and placed on anti-TB treatment. The authors recommend that ways to improve HIV-testing uptake need to be found, including the integration of HIV testing with the TB registration process itself. The monitoring systems for HIV and TB need to explicitly include the relevant parameters, for example, TB monitoring tools which include data on numbers of TB patients who have been tested for HIV, who are HIV-positive, and who have started antiretroviral therapy.
Kenya AIDS indicator survey
Government of Kenya: September 2009
The 2007 Kenya AIDS indicator survey is the first of its type in Kenya and provides data on HIV and other sexually transmitted infections (STIs), which may be used for advocacy and planning appropriate interventions for HIV prevention, treatment and care. It found that, of adults aged 15-64 years, an estimated 7.1%, or 1.42 million people, were living with HIV infection in 2007. Prevalence among adults aged 15-49 years was 7.4%, and was not statistically different from an earlier estimate of 6.7%. Women were more likely to be infected (8.4%) than men (5.4%). In particular, young women aged 15-24 years were four times more likely to be infected (5.6%) than young men of the same age group (1.4%). Knowledge of HIV status was low (16.4% of HIV-infected respondents), likewise with knowledge of partner’s HIV status. Co-infection with STIs and HIV was common: 16.9% of persons with syphilis were infected with HIV, as were 16.4% of persons with HSV-2 infection. At the time of the survey, an estimated 344,000 HIV-discordant couples needed targeted HIV testing and prevention. Overall, 57.5% of women and 56.4% of men reported having had unprotected sex with at least one partner of HIV-discordant or unknown HIV status in the twelve months prior to the survey.
Kenya launches National Strategy on HIV and AIDS and STI Programming along the Transport Corridors
International Organisation for Migration, Kenya: 4 June 2013
Kenya’s National AIDS Control Council (NACC) and the National AIDS and STI Control Programme (NASCOP) have launched an HIV and AIDS strategy for transport corridors that aims to reach out to high-risk mobile populations along transport corridors. It will help ensure provision of effective HIV and sexually transmitted infection (STI) prevention, treatment, care and support programmes for truckers, female sex workers, and men who have sex with men along with the communities they interact with such as border officials, police officers and the general population. The strategy will further provide a national framework within which HIV programming can be realised by various stakeholders providing HIV services along the transport corridors in Kenya.
Kenya to implement new survey to inform HIV programming for MSM
Plus News: 9 November 2009
A planned national survey of men who have sex with men (MSM) will be the first step in the government's plan to incorporate this high-risk group into the country's HIV programme, a senior government official has said. There have been few studies on HIV among MSM in Kenya. A survey of 285 men in Mombasa in 2007 found an HIV prevalence of 43% among men who had sex with men exclusively, compared with 12.3% among men who had sex with both men and women. Kenya's national HIV prevalence is 7.4%. The survey – due to start in December and last six months – will attempt to discover information such as the specific sexual health risks and needs of MSM, and identify MSM ‘hot spots’ around the country and the number of MSM-friendly health facilities available. It will use respondent-driven sampling, recruiting openly gay men to reach out to other MSM who may not be out of the closet, and using existing MSM-friendly facilities to help conduct the research.
Kenya: Better care could be taken of AIDS orphans
IRIN Plusnews, 21 September 2006
Being an orphan is tough enough at the best of times, but in the working class district of Dagoretti Corner in the Kenyan capital, Nairobi, it often means going without food as well as love. Felista Kibe tries to make sure that doesn't happen. She and a handful of volunteers have been providing food and comfort to children orphaned by AIDS in Dagoretti since 1996. Eighty kids depend on her for a daily meal, 30 of whom are HIV positive, but when word gets out that a donation has been received as many as 200 children can show up.