In the past, HIV prevention efforts have focused primarily on developing risk-reduction interventions for those presumed to be HIV-negative and therefore at risk of becoming infected with HIV. In recognition of the need for prevention among people living with HIV (PLHIV), programs have been initiated in Africa, but primarily in clinical settings for those who are on antiretroviral therapy (ART). There is little knowledge about how to reach those PLHIV not on ART, and therefore not in regular contact with the health system or with effective prevention messages. This diagnostic study aimed to address the gap in information on how to identify and access HIV-positive persons who are not accessing care and treatment services as a first step in designing and implementing a community-based project in Mombasa, Kenya. The study found gaps in HIV knowledge, high levels of sexual risk behaviors, and unmet need for HIV-related information and education. Recommendations aim to improve the reach and content of HIV-prevention programs.
Sarna, Avina, Jerry Okal, Stanley Luchters, Nzioki King'ola, and Scott Geibel. 2010. "Prevention with positives: How do we reach them in the community?" Horizons Final Report. Washington, DC: Population Council.
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