TITLE

Understanding the socio-structural context of high HIV transmission in kasensero fishing community, South Western Uganda

AUTHOR(S)
Lubega, Muhamadi; Nakyaanjo, Neema; Nansubuga, Sumaya; Hiire, Edgar; Kigozi, Godfrey; Nakigozi, Gertrude; Lutalo, Tom; Nalugoda, Fred; Serwadda, David; Gray, Ronald; Wawer, Maria; Kennedy, Caitlin; Reynolds, Steven James
PUB. DATE
October 2015
SOURCE
BMC Public Health;10/9/2015, Vol. 15 Issue 1, p1
SOURCE TYPE
Academic Journal
DOC. TYPE
journal article
ABSTRACT
Background: In Kasensero fishing community, home of the first recorded case of HIV in Uganda, HIV transmission remains high with an incidence of 4.3 and 3.1 per 100 person-years in women and men, respectively, and an HIV prevalence of 44 %, reaching up to 74 % among female sex workers. We explored the social contextual factors for the high HIV transmission at Kasensero to inform future policy and preventive interventions.Methods: We conducted 20 in-depth interviews, including both HIV positive and HIV negative respondents, and 12 focus-group discussions involving a total of 92 respondents from the Kasensero fishing community from April-September 2014. Content analysis was performed to identify recurrent themes.Results: Our findings suggest that the high HIV transmission in Kasensero is a complex function of eight themes including; positive/negative attitudes about HIV and combination HIV prevention such as the demand for services versus ART/circumcision disinhibition; HIV depository; Multiple partners; Frequent unprotected sex; Clothing; Parental behaviors; Pressure within the sex industry; and Cross generational sex.Conclusions: The current combination HIV prevention services by the RHSP need to be enhanced with more government involvement including ensuring sustainable supply of ART and circumcision services since they are reportedly highly demanded. Community involvement through the engagement of popular peers could also help in the campaign to change the HIV predisposing culture, misconceptions and risky social norms of the population. Social Context HIV Transmission Fishing Community.
ACCESSION #
110235078

 

Related Articles

  • Same sex relationships and HIV/AIDS in Africa: Need for Research and programmatic focus. Okonofua, Friday // African Journal of Reproductive Health;Dec2012, Vol. 16 Issue 4, p9 

    The author reflects on the research conducted by researcher Adebajo and her colleagues regarding the same-sex relationships in Africa. The author states the research shows the possibility of opening up debate and conduct empirical research in less receptive communities. The author notes the high...

  • Weighing the Risk of Drug Resistance With the Benefits of HIV Preexposure Prophylaxis. Grant, Robert M.; Liegler, Teri // Journal of Infectious Diseases;4/15/2015, Vol. 211 Issue 8, p1202 

    The author reflects on the evaluation of risk of drug resistance associated with antiretroviral therapy to control the human immunodeficiency virus (HIV) epidemic with the benefits of preexposure prophylaxis (PrEP). It mentions advantages of antiretroviral therapy observed in African populations...

  • The Informal Norms of HIV Prevention: The Emergence and Erosion of the Condom Code. Carson, Byron // Journal of Law, Medicine & Ethics;Winter2017, Vol. 45 Issue 4, p518 

    The response many gay men took to the HIV epidemic in the United States was largely informal, especially given distant state and federal governments. The condom code, a set of informal norms that encouraged the use of condoms, is one instance of this informal response, which was wholly...

  • La Jeunesse et le VIH/SIDA en Afrique : Demande des politiques et de programmes efficaces. Odaga, Adhiambo // African Journal of Reproductive Health;Jun2012, Vol. 16 Issue 2, p20 

    The author reflects on the need for effective policies and programs to address HIV and AIDS in youth in Africa. The author suggests that African youth are vulnerable to acquiring HIV and AIDS and that the prevalence of the diseases among African youth is 2.3%. The author argues that there is a...

  • Youth and HIV/AIDS in Africa: A Call for Effective Policies and Programs. Odaga, Adhiambo // African Journal of Reproductive Health;Jun2012, Vol. 16 Issue 2, p17 

    The author reflects on the need for effective policies and programs to address HIV and AIDS in youth in Africa. The author suggests that African youth are vulnerable to acquiring HIV and AIDS and that the prevalence of the diseases among African youth is 2.3%. The author argues that there is a...

  • Epidemiology, evolution, and future of the HIV/AIDS pandemic. Levin, B R; Bull, J J; Stewart, F M // Emerging Infectious Diseases;May/Jun2001, Vol. 7 Issue 3, p505 

    We used mathematical models to address several questions concerning the epidemiologic and evolutionary future of HIV/AIDS in human populations. Our analysis suggests that 1) when HIV first enters a human population, and for many subsequent years, the epidemic is driven by early transmissions,...

  • HIV treatment as prevention among people who inject drugs - a re-evaluation of the evidence. Fraser, Hannah; Mukandavire, Christinah; Martin, Natasha K.; Hickman, Matthew; Cohen, Myron S.; Miller, William C.; Vickerman, Peter // International Journal of Epidemiology;Apr2017, Vol. 46 Issue 2, p466 

    Background: Population-level associations between community measures of HIV viral load and HIV incidence have been interpreted as evidence for HIV anti-retroviral treatment (ART) as prevention among people who inject drugs (PWID). However, investigation of concurrent HCV and HIV...

  • Treatment to Prevent HIV Transmission in Serodiscordant Couples in Henan, China, 2006 to 2012. Smith, M. Kumi; Westreich, Daniel; Huixin Liu; Lin Zhu; Lan Wang; Wensheng He; Jianping Zhou; Miller, William C.; Cohen, Myron S.; Ning Wang // Clinical Infectious Diseases;7/1/2015, Vol. 61 Issue 1, p111 

    Background. Antiretroviral therapy (ART) administered in clinical trial settings virtually eliminates the sexual transmission of human immunodeficiency virus (HIV) in serodiscordant couples, but effectiveness of treatment as prevention in the community is debated. Conflicting results from...

  • Neurocognitive functioning in a Romanian cohort of young adults with parenterally-acquired HIV-infection during childhood. Ene, Luminita; Franklin, Donald; Burlacu, Ruxandra; Luca, Anca; Blaglosov, Andreea; Ellis, Ronald; Alexander, Terry; Umlauf, Anya; Grant, Igor; Duiculescu, Dan; Achim, Cristian; Marcotte, Thomas // Journal of NeuroVirology;Oct2014, Vol. 20 Issue 5, p496 

    The Romanian cohort can provide valuable information about the effect of chronic HIV-infection and exposure to combined antiretroviral therapy (cART) on the developing brain, based on its unique characteristics: young adults infected parenterally with HIV clade F in the late 1980s and exposed to...

Share

Read the Article

Courtesy of THE LIBRARY OF VIRGINIA

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics