Journal of AIDS & Clinical Research

Compliance to Positive Health, Dignity and Prevention Services among HIV Infected Index Partners in HIV Sero-Discordant Relationships in Nairobi County, Kenya

Abstract

Akolo M, Gichuki R, Chitwa M, Kimani J and Osero J

Introduction: This study evaluated compliance to Positive Health, Dignity and Prevention [PHDP] practice among index partners in HIV sero-discordant relationships in Nairobi County, Kenya. PHDP involves a set of interventions that helps people living with HIV lead a complete and healthy life besides reducing risk of HIV transmission. These interventions were adopted in Kenya in 2013 by the National AIDS and STI Control Program [NASCOP], Ministry of Health and the United States Government [USG] funded affiliates. The evaluation focused on demographic factors, knowledge, perception and challenges encountered while adopting PHDP practices among index client. Methods: A cross sectional descriptive study design was used, 370 index partners in sero discordant relationship were recruited from three clinics within Nairobi County. The clinic’s patient registry was used to contact sequentially those who met the inclusion criteria. Standardized data collecting tools were administered. Data was cleaned and analyzed using SPSS VER 22.0. Results: Out of 370 respondents 19.7% were male. 40.1% had education level of primary school and below. The group exhibited high PHDP knowledge at 90.8% however, only 66.5% complied with PHDP practice. There was significant relationship between condom supply, condom demonstration and PHDP compliance at P values of 0.034 and 0.018 respectively. Odds ratio showed those index partners who had no challenge in accessing condom demonstration and supply complied more to PHDP practice. Consistence condom use was at 53.4%, while 28.2% had multiple sex partners. Conclusion: PHDP compliance is low which calls for improvement. There is significance relationship between condom supply/demonstration and PHDP compliance.