A Pilot Study of “Peer Navigators” to Promote Uptake of HIV Testing, Care and Treatment Among Street-Connected Children and Youth in Eldoret, Kenya

被引：0
作者：
Pooja Shah
Mia Kibel
David Ayuku
Regina Lobun
John Ayieko
Alfred Keter
Allan Kamanda
Dominic Makori
Collins Khaemba
Anthony Ngeresa
Lonnie Embleton
Katherine MacDonald
Edith Apondi
Paula Braitstein
机构：
[1] Academic Model Providing Access to Healthcare (AMPATH),Department of Epidemiology, Dalla Lana School of Public Health
[2] University of Toronto,Department of Behavioral Sciences, School of Medicine, College of Health Sciences
[3] Moi University,Faculty of Medicine, Institute of Medical Science
[4] Moi Teaching and Referral Hospital,Department of Pediatrics, School of Medicine
[5] University of Toronto,Department of Medicine, School of Medicine, College of Health Sciences
[6] Indiana University,undefined
[7] Moi University,undefined
来源：
AIDS and Behavior | 2019年 / 23卷
关键词：
Peer support; HIV; Youth; Homeless; Africa;
D O I：
暂无
中图分类号：
学科分类号：
摘要：
Research suggests a burden of HIV among street-connected youth (SCY) in Kenya. We piloted the use of peer navigators (PNs), individuals of mixed HIV serostatus and with direct experience of being street-connected, to link SCY to HIV testing and care. From January 2015 to October 2017, PNs engaged 781 SCY (585 male, 196 female), median age 16 (IQR 13–20). At initial encounter, 52 (6.6%) were known HIV-positive and 647 (88.8%) agreed to HIV testing. Overall, 63/781 (8.1%) SCY engaged in this program were HIV-positive; 4.6% males and 18.4% females (p < 0.001). Of those HIV-positive, 48 (82.8%) initiated ART. As of October 2017, 35 (60.3%) of the HIV-positive SCY were alive and in care. The pilot suggests that PNs were successful in promoting HIV testing, linkage to care and ART initiation. More research is needed to evaluate how to improve ART adherence, viral suppression and retention in care in this population.
引用
收藏
页码：908 / 919
页数：11
相关论文
共 161 条
  • [1] Mark D(2017)HIV treatment and care services for adolescents: a situational analysis of 218 facilities in 23 sub-Saharan African countries J Int AIDS Soc. 20 25-33
  • [2] Armstrong A(2017)Optimizing linkage to care and initiation and retention on treatment of adolescents with newly diagnosed HIV infection AIDS. 31 S253-S260
  • [3] Andrade C(2007)How effective are street youth peer educators? Lessons learned from an HIV/AIDS prevention programme in urban Uganda Health Educ. 107 364-376
  • [4] Penazzato M(2015)Prevalence and correlates of HIV infection among street boys in Kisumu, Kenya PLoS ONE 10 e0140005-359
  • [5] Hatane L(2015)Prevalence of sexually transmitted infections including HIV in street-connected adolescents in western Kenya Sex Transm Infect. 91 353-1733
  • [6] Taing L(2013)The epidemiology of substance use among street children in resource-constrained settings: a systematic review and meta-analysis Addiction 108 1722-348
  • [7] Ruria EC(2015)Eating sweets without the wrapper: perceptions of HIV and sexually transmitted infections among street youth in western Kenya Cult Health Sex 18 337-617
  • [8] Masaba R(2015)“Once you join the streets you will have to do it”: sexual practices of street children and youth in Uasin Gishu County, Kenya Reprod Health. 12 106-192
  • [9] Kose J(2014)Social and economic characteristics of street youth by gender and level of street involvement in Eldoret, Kenya PLoS ONE 9 e97587-311
  • [10] Woelk G(2016)‘Pregnancy has its advantages’: the voices of street connected children and youth in Eldoret, Kenya PLoS ONE 11 e0150814-4
12345678910