A peer-led HIV counselling and testing programme for the deaf in Kenya

A peer-led HIV counselling and testing programme for the deaf in Kenya
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DOI:
10.1080/09638280802133115
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发表时间:
2009-01-01
影响因子:
2.2
通讯作者:
Marum, E.
Marum, E.
中科院分区:
医学3区
文献类型:
--
作者:
Taegtmeyer, M.;Hightower, A.;Marum, E.

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目的.描述和评价非洲第一个聋人自愿咨询和检测服务的建立。法业务研究方法被用来记录方案的建立。聋人VCT客户的人口统计数据进行了比较,听力客户在相同的网站,以及客户了解的服务,艾滋病毒的风险,艾滋病毒检测结果。采用单变量和多变量分析。结果在两年期间(2004年1月至2005年12月),在三个聋人自愿咨询和检测中心共接待了1 709名聋人和1 649名听力正常者。在这一样本中,大多数聋人客户通过同伴教育方案了解到这些服务。数据表明,聋人自愿咨询和检测服务对象与听力正常的人一样,面临着通过性传播感染艾滋病毒的风险,寻求自愿咨询和检测服务的聋人的艾滋病毒流行率为7%,与全国6.7%的流行率相似。结论.肯尼亚的聋人面临感染艾滋病毒的风险,迫切需要对聋人友好的艾滋病毒服务,并辅之以同伴教育方案。这是第一份公开发表的报告,描述了聋人在发展中国家为聋人提供的艾滋病毒服务。
Purpose. To describe and evaluate the establishment of the first VCT services for the Deaf in Africa. Method. Operational research methods were used to document programme establishment. The demographics of deaf VCT clients were compared with hearing clients at the same sites as well as where clients had learned of the service, HIV risks, and HIV test results. Univariate and multivariate analyses were used. Results. During the two year period (January 2004 to December 2005) 1709 Deaf and 1649 hearing clients were seen at three Deaf VCT sites. The majority of Deaf clients in this sample learned of the services through the peer education programme. Data indicate that Deaf VCT clients are as much at risk of HIV from sexual transmission as their hearing counterparts and that Deaf persons seeking VCT services have an HIV prevalence of 7%, similar to the national rate of 6.7%. Conclusions. The Deaf in Kenya are at risk of HIV and there is an urgent need for Deaf-friendly HIV services, supplemented by peer education programmes. This is the first published report describing HIV services run by the Deaf for the Deaf in the developing world.