Knowledge, attitude, and practice (KAP) of HIV prevention and HIV infection risks among Congolese refugees in Tanzania
Health & place, 14 (3):
434-452 (September 2008)M3: Article; Accession Number: 31562178; Tanaka, Yasuo 1; Email Address: ya-tanaka@jrc.or.jp Kunii, Osamu 2; Email Address: okunii@unicef.org Hatano, Tamaki 1; Email Address: poletama@gmail.com Wakai, Susumu 3; Affiliation: 1: Japanese Red Cross Society, 1-1-3 Shiba Daimon, Minato-ku, Tokyo 105-8521, Japan 2: Institute of Tropical Medicine, Nagasaki University, 1-12-4 Sakamoto, Nagasaki-shi, Nagasaki 852-8523, Japan 3: Motobu Noge Hospital, 880-1, Ohama Motobu-cho, Kunigami-gun, Okinawa 905-0205, Japan; Source Info: Sep2008, Vol. 14 Issue 3, p434; Subject Term: AIDS (Disease) -- Prevention; Subject Term: CONGOLESE (Brazzaville); Subject Term: REFUGEES; Subject Term: TANZANIA; Author-Supplied Keyword: and practice (KAP) ); Author-Supplied Keyword: Knowledge ( attitude; Number of Pages: 19p; Document Type: Article.Abstract
Abstract: Little is known about HIV infection risks and risk behaviours of refugees living in resource-scarce post-emergency phase camps in Africa. Our study at Nyarugusu Camp in Tanzania, covering systematically selected refugees (n=1140) and refugees living with HIV/AIDS (PLWHA) (n=182), revealed that the level of HIV risk of systematically selected refugees increased after displacement, particularly regarding the number having transactional sex for money or gifts, while radio broadcast messages are perceived to promote a base of risk awareness within the refugee community. While condoms are yet to be widely used in the camp, some refugees having transactional sex tended to undertake their own health initiatives such as using a condom, under the influence of peer refugee health workers, particularly health information team (HIT) members. Nevertheless, PLWHA were less faithful to one partner and had more non-regular sexual partners than the HIV-negative group. Our study revealed that community-based outreach by refugee health workers is conducive to risk behaviour prevention in the post-emergency camp setting. It is recommended to increase the optimal use of “radio broadcast messages” and “HIT,” which can act as agents to reach out to wider populations, and to strengthen the focus on safer sex education for PLWHA; the aim being to achieve dual risk reduction for both refugees living with and without HIV/AIDS. Copyright 2008 Elsevier; Copyright of Health & Place is the property of Elsevier Science Limited and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts)
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