Conference abstract

The burden of HIV/AIDS and uptake of services among adolescents/youths in Kasensero fishing community, Rakai District

Pan African Medical Journal - Conference Proceedings. 2017:1(11).11 Dec 2017.
doi: 10.11604/pamj-cp.2017.1.11.17

Contact the corresponding author
Keywords: HIV, adolescents, Kasensero
Oral presentation

The burden of HIV/AIDS and uptake of services among adolescents/youths in Kasensero fishing community, Rakai District

Richardson Mafigiri1,&,Anthony Ndyanabo2, Fred Nalugoda2, Tom Lutalo3, Gertrude Nakigozi3, Robert Ssekubugu3, Godfrey Kigozi3, Alex Riolexus Ario1

1Uganda Public Health Fellowship Program, Kampala, Uganda, 2Rakai District Health Office, Rakai, Uganda, 3Rakai Health Sciences Program, Rakai, Uganda

&Corresponding author
Richardson Mafigiri, Uganda Public Health Fellowship Program, Kampala, Uganda

Abstract

Introduction: there is limited data on HIV burden and access to services among adolescents/youths in fishing communities in Uganda. Kasensero fishing community has an HIV prevalence of 41.0% and incidence of 3.9 per 100 person years. We assessed the burden of HIV and uptake of services among adolescents in Kasensero.

Methods: we analyzed data collected between 2013-2014 among youths aged 15-24 in the Rakai Community Cohort Study. Social demographic, behavioral and risk characteristics were collected and blood taken for HIV diagnosis using rapid and enzyme-immunoassay (EIA) tests. Adolescentsí characteristics in Kasensero were compared with those in two neighboring communities 4 and 12 kilometers apart. HIV prevalence and uptake of services was compared between communities using Chi square. Data was analyzed using Stata version 12.

Results: of the 789 youth interviewed 155 (19.7%) were HIV positive. HIV prevalence was higher among females than males 112/431(26.0%) vs 43/358(12.0%)) and was highest in Kasensero fishing community (25.1%) than neighboring communities (11.0% and 3.9%). HIV prevalence among females in Kasensero was 34.7% compared to 8.7% and 4.7% in the neighboring communities (P < 0.001). Youths in Kasensero were more likely to be married or separated, 81.5% compared to 75.2% and 52.0% for females, and 42.0% compared to 25.9% and 11.4% for males. HIV prevalence was highest among youths who were bar-workers (64.3%), do housework in own home (36.9%), and trading and vending (43.0%). Consistent condom use was practiced by only 3.4% of the youths (6.4% Male; 1.3% Female). Only 27.7% of HIV positive females and 7.0% of males were on ART, and 44.8% of non-Muslim males were circumcised.

Conclusion: HIV burden among youths in fishing communities is high especially among females yet uptake of prevention and care services is poor despite availability. There is need to provide youth friendly services in these MARPs.