LOW UPTAKE OF PREEXPOSURE PROPHYLAXIS AMONG KENYAN ADOLESCENT GIRLS AT RISK OF HIV
. Oluoch L. Mar 4, 2019; 259072; 964 Topic: Other
Dr. Lynda Oluoch
Dr. Lynda Oluoch
Login now to access Regular content available to all registered users.
Abstract
Rate & Comment (0)
LOW UPTAKE OF PRE-EXPOSURE PROPHYLAXIS AMONG KENYAN ADOLESCENTS GIRLS AT RISK OF HIV.
Lynda Oluoch2, Alison C. Roxby1 ,Stacy Selke1, Amalia Magaret1, Stephen Gakuo2, Murugi Micheni2, Bhavna Chohan1,2, Catherine Kiptinness2, Anna Wald1, Kenneth Ngure 3, Nelly R. Mugo1,2

1University of Washington, Seattle WA USA; 2Kenya Medical Research Institute, Nairobi, Kenya 3Jomo Kenyatta University of Agriculture and Technology, Nairobi, Kenya

Introduction
In Kenya a third of all new HIV infections occurred among adolescent girls and young women ages 15-24 years. HIV Pre exposure prophylaxis (PrEP) was rolled out nationally in May 2017.PrEP scale up programs continue to report low uptake of PrEP among AGYW. We examined whether availability of STI screening results would impact HIV Pre exposure prophylaxis (PrEP) acceptability and uptake in this population.

Method
We performed secondary data analysis from an on going cohort study of 400 girls enrolled at ages 16-20 years, Thika, Kenya
At enrollment (in 2014), girls were either sexually naïve or reported one lifetime sexual partner. The girls were followed up every 3 months with regular STI testing, consisting of nucleic acid testing(NAAT) of vaginal swabs for Neisseria gonorrhea, Chlamydia trachomatis, and Trichomonas vaginalis, and vaginal gram stains for bacterial vaginosis (BV). ELISA assay for HIV and HSV-2 was also done. As from January 2018, we commenced screening for HIV risk using the Kenya National guidelines
Oral PrEP and condoms were availed on site

Results
We evaluated 400 girls, with a median age of 18.6 years (IQR 16-21) for PrEP eligibility; the cohort started prior to PrEP rollout in Kenya that was initiated in May 2017. After PrEP rollout, we identified 168 girls (42%) eligible for PrEP: 26 (15%) had a current STI, 133 (79%) reported inconsistent or no condom use with sex, 56 (33%) reported sex partner of unknown HIV status, and 6 (4%) had other indications. Only 9 (5.4%) of the girls who were offered PrEP, accepted it. The PrEP acceptance rate appeared higher in those with current STI (15%, or 4 of 26 accepted PrEP) than in those eligible for other reasons (4%, or 5 of 142 accepted PrEP). Over 3/4 of the girls found to be at risk reported sex without condom use in their last sexual encounter.

Conclusions
AGYW assessed to be at high risk for HIV infection.In the context of laboratory confirmed STIs, experienced PrEP counsellors, girl friendly environment with easy access to oral PrEP; PrEP uptake and condom use remained low. The field needs to gain a better understanding of AGYW perspectives and factors that would support their uptake of HIV prevention interventions including oral PrEP

Key Words: PrEP, Adolescent girls and young women (AGYW)
References: National AIDS Control Council Kenya HIV Estimates 2018 Report (https://nacc.or.ke/wp-content/uploads/2018/11/HIV-estimates-report-Kenya-20182.pdf)
    This eLearning portal is powered by:
    This eLearning portal is powered by MULTIEPORTAL
Anonymous User Privacy Preferences

Strictly Necessary Cookies (Always Active)

MULTILEARNING platforms and tools hereinafter referred as “MLG SOFTWARE” are provided to you as pure educational platforms/services requiring cookies to operate. In the case of the MLG SOFTWARE, cookies are essential for the Platform to function properly for the provision of education. If these cookies are disabled, a large subset of the functionality provided by the Platform will either be unavailable or cease to work as expected. The MLG SOFTWARE do not capture non-essential activities such as menu items and listings you click on or pages viewed.


Performance Cookies

Performance cookies are used to analyse how visitors use a website in order to provide a better user experience.


Save Settings