Accessibility to, Acceptability of, and Adherence to HIV/AIDS Prevention Services by Men Who Have Sex with Men: Challenges Encountered at Facility Level

The prevalence of HIV/AIDS among men who have sex with men (MSM) in Nairobi has been reported to be 16.4% which is a public health concern. The aim of this study was to determine factors that affected accessibility to, acceptability of, and adherence to HIV/AIDS prevention services by men who have s...

Full description

Saved in:
Bibliographic Details
Main Authors: P. C. N. Otambo, A. Makokha, M. Karama, M. Mwangi
Format: Article
Language:English
Published: Wiley 2016-01-01
Series:Advances in Public Health
Online Access:http://dx.doi.org/10.1155/2016/5157984
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1832553500576317440
author P. C. N. Otambo
A. Makokha
M. Karama
M. Mwangi
author_facet P. C. N. Otambo
A. Makokha
M. Karama
M. Mwangi
author_sort P. C. N. Otambo
collection DOAJ
description The prevalence of HIV/AIDS among men who have sex with men (MSM) in Nairobi has been reported to be 16.4% which is a public health concern. The aim of this study was to determine factors that affected accessibility to, acceptability of, and adherence to HIV/AIDS prevention services by men who have sex with men in Nairobi County, Kenya. Methods. The study used a mixed methods design, applying both quantitative and qualitative methods. Results. Over 70% of MSM reported that TB drugs, antiretroviral drugs, lubricants, condoms, and other STI treatment services were accessible. However, 31.6% of MSM reported that discrimination at the health facility level was a hindrance to accessing HIV/AIDS prevention services while 26.3% reported encountering stigma. 48.4% of MSM consumed alcohol while taking of drugs was reported, at 36.1%. Conclusion. Discrimination and stigma adversely affected MSM seeking HIV/AIDS prevention services in health facilities. MSM engaged in alcohol and substance abuse that likely affected their health seeking behavior. Although most prevention services are reported as accessible, uptake of the same needs to be considered.
format Article
id doaj-art-d0d66fd59b1e42b8802647d232e25f37
institution Kabale University
issn 2356-6868
2314-7784
language English
publishDate 2016-01-01
publisher Wiley
record_format Article
series Advances in Public Health
spelling doaj-art-d0d66fd59b1e42b8802647d232e25f372025-02-03T05:53:56ZengWileyAdvances in Public Health2356-68682314-77842016-01-01201610.1155/2016/51579845157984Accessibility to, Acceptability of, and Adherence to HIV/AIDS Prevention Services by Men Who Have Sex with Men: Challenges Encountered at Facility LevelP. C. N. Otambo0A. Makokha1M. Karama2M. Mwangi3Kenya Medical Research Institute, P.O. Box 54840, Nairobi 00200, KenyaJomo Kenyatta University of Agriculture and Technology, P.O. Box 62000, Nairobi 00200, KenyaKenya Medical Research Institute, P.O. Box 54840, Nairobi 00200, KenyaKenya Medical Research Institute, P.O. Box 54840, Nairobi 00200, KenyaThe prevalence of HIV/AIDS among men who have sex with men (MSM) in Nairobi has been reported to be 16.4% which is a public health concern. The aim of this study was to determine factors that affected accessibility to, acceptability of, and adherence to HIV/AIDS prevention services by men who have sex with men in Nairobi County, Kenya. Methods. The study used a mixed methods design, applying both quantitative and qualitative methods. Results. Over 70% of MSM reported that TB drugs, antiretroviral drugs, lubricants, condoms, and other STI treatment services were accessible. However, 31.6% of MSM reported that discrimination at the health facility level was a hindrance to accessing HIV/AIDS prevention services while 26.3% reported encountering stigma. 48.4% of MSM consumed alcohol while taking of drugs was reported, at 36.1%. Conclusion. Discrimination and stigma adversely affected MSM seeking HIV/AIDS prevention services in health facilities. MSM engaged in alcohol and substance abuse that likely affected their health seeking behavior. Although most prevention services are reported as accessible, uptake of the same needs to be considered.http://dx.doi.org/10.1155/2016/5157984
spellingShingle P. C. N. Otambo
A. Makokha
M. Karama
M. Mwangi
Accessibility to, Acceptability of, and Adherence to HIV/AIDS Prevention Services by Men Who Have Sex with Men: Challenges Encountered at Facility Level
Advances in Public Health
title Accessibility to, Acceptability of, and Adherence to HIV/AIDS Prevention Services by Men Who Have Sex with Men: Challenges Encountered at Facility Level
title_full Accessibility to, Acceptability of, and Adherence to HIV/AIDS Prevention Services by Men Who Have Sex with Men: Challenges Encountered at Facility Level
title_fullStr Accessibility to, Acceptability of, and Adherence to HIV/AIDS Prevention Services by Men Who Have Sex with Men: Challenges Encountered at Facility Level
title_full_unstemmed Accessibility to, Acceptability of, and Adherence to HIV/AIDS Prevention Services by Men Who Have Sex with Men: Challenges Encountered at Facility Level
title_short Accessibility to, Acceptability of, and Adherence to HIV/AIDS Prevention Services by Men Who Have Sex with Men: Challenges Encountered at Facility Level
title_sort accessibility to acceptability of and adherence to hiv aids prevention services by men who have sex with men challenges encountered at facility level
url http://dx.doi.org/10.1155/2016/5157984
work_keys_str_mv AT pcnotambo accessibilitytoacceptabilityofandadherencetohivaidspreventionservicesbymenwhohavesexwithmenchallengesencounteredatfacilitylevel
AT amakokha accessibilitytoacceptabilityofandadherencetohivaidspreventionservicesbymenwhohavesexwithmenchallengesencounteredatfacilitylevel
AT mkarama accessibilitytoacceptabilityofandadherencetohivaidspreventionservicesbymenwhohavesexwithmenchallengesencounteredatfacilitylevel
AT mmwangi accessibilitytoacceptabilityofandadherencetohivaidspreventionservicesbymenwhohavesexwithmenchallengesencounteredatfacilitylevel