HIV

follow on campaign was developed in 2010 that sought to show the costs associated with concurrent sexual relationships beyond the risk of HIV infection.  The campaign dubbed Fanya Hesabu aired on TV, radio and interpersonal community sessions throughout 2011.

An evaluation carried out in 2011, showed that the campaigns were very successful in increasing people’s awareness on the risks to HIV infection they faced due to the sexual networks as shown in the graph below.  This was more so among people in marital/ cohabiting relationships.  Risk perception among this group went up from 19% in 2001 to 57% in 2011

Graph

In addition those exposed to the 2 campaigns felt more confident that they could overcome social pressure to engage in concurrent sexual relationships.  However in the 3 years that the campaigns aired, they were not successful in reducing number of men and women reporting having multiple sexual partners.

The recommendations from the evaluation were to:

  • Continue to address partner reduction through multiple channels i.e. mass media, interpersonal communication etc
  • Incorporate other prevention messages including Voluntary Medical Male Circumcision, condom use, HIV counseling & Testing, Prevention of mother to child transmission and adherence to HIV care and treatment
  • Concurrent Sexual Relationships are unlikely to be eliminated completely so promote condom use with all non-marital partners
  • Continue with rigorous program evaluation

In 2012, NASCOP together with partners developed a third campaign geared towards reducing new infections in these concurrent relationships.  Based on the recommendations of the evaluation carried out in 2011 and appreciating the challenges and the motivations that lead to these complex relationships, it was felt that HIV infections would continue to happen unless other HIV prevention strategies were promoted alongside partner reduction.


Therefore a campaign dubbed Walinde Uwapendao was developed targeting primarily those people who despite knowing the risks of engaging in concurrent sexual relationships have made a decision to continue with them.

The behavioral objective is to promote partner reduction and also promote correct and consistent condom use among men and women aged 25-49 who have made a choice to continue in multiple and concurrent sexual relationships.

The campaign is airing on TV, radio and social media.  The objective of the campaign is to create discussions amongst the target population and get them to understand the risks of the side relationships and take up action of protecting their steady partners by dropping their side partners or using condoms.

 

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