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Titre du document / Document title

Engendering health sector responses to sexual violence and HIV in Kenya : Results of a qualitative study

Auteur(s) / Author(s)

KILONZO N. (1) ; TAEGTMEYER M. (1 2) ; MOLYNEUX C. (3) ; KIBARU J. (4) ; KIMONJI V. (1) ; THEOBALD S. (5) ;

Affiliation(s) du ou des auteurs / Author(s) Affiliation(s)

(1) Liverpool VCT, Treatment and Care, Nairobi, KENYA
(2) Liverpool School Tropical Medicine, HIVIAIDS Programme, Liverpool, ROYAUME-UNI
(3) KEMRI/Wellcome, Kilifi, KENYA
(4) Ministry of Health, Nairobi, KENYA
(5) Liverpool School of Tropical Medicine, International Health, Liverpool, ROYAUME-UNI

Résumé / Abstract

In Kenya many people who have been affected by sexual violence turn to the health sector for clinical treatment and preventive therapies. This interface provides a vital opportunity to impact on the dual epidemics of HIV and sexual violence. Despite this, the uptake of post-rape care services in health facilities as low and health care providers felt ill-prepared to deal with the consequences of sexual violence. A qualitative study was conducted to better understand the reasons for the low uptake of services and to establish perceptions of sexual violence in Kenya. Thirty-four key informants were interviewed and sixteen focus group discussions with women and men were held in three districts in Kenya. Blurred boundaries between forced and consensual sex emerged. Important implications for the delivery of HIV post exposure prophylaxis (PEP) after sexual violence include the need for gender-aware patient-centred training for health providers and for HIV PEP interventions to strengthen on-going HIV-prevention counselling efforts. Further research needs to determine the feasibility of on-going risk reduction measures in the context of PEP delivery.

Revue / Journal Title

AIDS Care    ISSN  0954-0121 

Source / Source

2008, vol. 20, no2, pp. 188-190 [3 page(s) (article)] (1/2 p.)

Langue / Language

Anglais

Editeur / Publisher

Taylor & Francis, Abingdon, ROYAUME-UNI  (1989) (Revue)

Mots-clés anglais / English Keywords

Public health

;

Immunopathology

;

Immune deficiency

;

Sexual behavior disorder

;

Social behavior disorder

;

Africa

;

Virus

;

Retroviridae

;

Lentivirus

;

Infection

;

Viral disease

;

Human

;

Social environment

;

Mental health

;

Prevention

;

Sanitary program

;

Feasibility

;

Sex

;

Sexual intercourse

;

Violence

;

Criterion

;

Qualitative analysis

;

Kenya

;

Human immunodeficiency virus

;

AIDS

;

Sex offense

;

Social perception

;

Mots-clés français / French Keywords

Santé publique

;

Immunopathologie

;

Immunodéficit

;

Trouble du comportement sexuel

;

Trouble du comportement social

;

Afrique

;

Virus

;

Retroviridae

;

Lentivirus

;

Infection

;

Virose

;

Homme

;

Environnement social

;

Santé mentale

;

Prévention

;

Programme sanitaire

;

Faisabilité

;

Sexe

;

Relation sexuelle

;

Violence

;

Critère

;

Analyse qualitative

;

Kenya

;

Virus immunodéficience humaine

;

SIDA

;

Délinquance sexuelle

;

Perception sociale

;

Mots-clés espagnols / Spanish Keywords

Salud pública

;

Inmunopatología

;

Inmunodeficiencia

;

Trastorno conducta sexual

;

Trastorno comportamiento social

;

Africa

;

Virus

;

Retroviridae

;

Lentivirus

;

Infección

;

Virosis

;

Hombre

;

Contexto social

;

Salud mental

;

Prevención

;

Programa sanitario

;

Practicabilidad

;

Sexo

;

Relación sexual

;

Violencia

;

Criterio

;

Análisis cualitativo

;

Kenya

;

Human immunodeficiency virus

;

SIDA

;

Crimen sexual

;

Percepción social

;

Localisation / Location

INIST-CNRS, Cote INIST : 22096, 35400018360488.0070

Nº notice refdoc (ud4) : 20158477



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