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Research findings on the knowledge, attitude, practice and access ...

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Besides, <strong>the</strong>re is a gap in correct <strong>and</strong> c<strong>on</strong>sistent use of c<strong>on</strong>doms. Premarital sex am<strong>on</strong>g pers<strong>on</strong>s with disabilityis an area of c<strong>on</strong>cern. Knowledge <strong>on</strong> HIV has not translated to behaviour change particularly am<strong>on</strong>g <strong>the</strong> deaf.Pers<strong>on</strong>s with mental disability are <strong>the</strong> most challenged in <strong>access</strong>ing HIV preventi<strong>on</strong> <strong>and</strong> management programmes.Caregivers’ <strong>attitude</strong> towards HIV <strong>and</strong> pers<strong>on</strong>s with mental disability <strong>and</strong> lack of skills are <strong>the</strong> major barriers to<strong>access</strong>ing informati<strong>on</strong> <strong>on</strong> HIV <strong>and</strong> o<strong>the</strong>r HIV programs. While <strong>the</strong> physically challenged can <strong>access</strong> most of <strong>the</strong>programmes meant for <strong>the</strong> general community, <strong>the</strong>re is a gap am<strong>on</strong>g <strong>the</strong> visually impaired. <str<strong>on</strong>g>Research</str<strong>on</strong>g> fi ndingsshow clearly that pers<strong>on</strong>s with disability are engaged in substance abuse, which is closely related to risky sexualbehaviour. They are also vulnerable to be used as drug supply agents. Whereas male circumcisi<strong>on</strong> has beenac<strong>knowledge</strong>d as a HIV preventi<strong>on</strong> measure, it is yet to be taken up seriously am<strong>on</strong>g pers<strong>on</strong>s with disability. Malecircumcisi<strong>on</strong> is lower than in <strong>the</strong> general populati<strong>on</strong>.References1. Auvert B, Taljaard D, Lagarde E, et al. R<strong>and</strong>omized, c<strong>on</strong>trolled interventi<strong>on</strong> trial of male circumcisi<strong>on</strong> for reducti<strong>on</strong> of HIV infecti<strong>on</strong>risk: The ANRS 1265 Trial. Plos Med 2005; 2(11)e2982. Bailey C, Moses S, Parker CB, et al. Male circumcisi<strong>on</strong> for preventi<strong>on</strong> in Young Men in Kisumu, Kenya: a r<strong>and</strong>omized C<strong>on</strong>trolledtrial. Lancet 2007; 369:643-563. Central Bureau of Statistics (CBS) Kenya, Ministry of Health (MOH) Kenya, <strong>and</strong> ORC Macro.2004. Kenya Demographic <strong>and</strong>Health Survey 2003. Calvert<strong>on</strong>, Maryl<strong>and</strong>: CBS, MOH, <strong>and</strong> ORC Macro4. Ndetei, N. D.2004. Study <strong>on</strong> <strong>the</strong> Assessment of <strong>the</strong> Linkages Between Drug Abuse, Injecting Drug Abuse <strong>and</strong> HIV/AIDS in Kenya(unpublished)5. Government of Kenya, Pers<strong>on</strong>s with Disabilities Act (2003)6. Gray H, Kigozi G.Serwadda D, etal. Male circumcisi<strong>on</strong> for preventi<strong>on</strong> in Young Men in Kisumu, Kenya: a r<strong>and</strong>omized C<strong>on</strong>trolledtrial. Lancet 2007; 369:657-667. Groce, E N An article tilted: HIV <strong>and</strong> AIDS <strong>and</strong> People with Disability The Lancet, Vol 361, April 2003 (pp1401-1402)8. Groce, E N et al, HIV <strong>and</strong> AIDS <strong>and</strong> Disability: A pilot survey of HIV <strong>and</strong> AIDS Knowledge Am<strong>on</strong>g a Deaf populati<strong>on</strong> in Swazil<strong>and</strong>(Yale School of Public Health, 2003)9. Kelli I.S., Linda P. Elsie W., Chris P. A... D<strong>on</strong>ald S. <strong>and</strong> Michael R. 2004. Missed Opportunities: Injecting Drug Abuse <strong>and</strong> HIV/AIDS in Victoria, Canada. Internati<strong>on</strong>al Journal of Drug Policy Volume 15 (2004) PP 171-18110. ILO, Employment of People with Disabilities: The Impact of Legislati<strong>on</strong> (East Africa) ILO March, 200411. Mulindwa I.N. 2003. Study <strong>on</strong> Reproductive Health <strong>and</strong> HIV/AIDS am<strong>on</strong>g pers<strong>on</strong>s with disabilities in Kampala, katakwi <strong>and</strong> RakaiDistricts. Commisi<strong>on</strong>ed by Disabled Women’s Network <strong>and</strong> Resource Organisatai<strong>on</strong>.12. Munguti, K Assessment of Reproductive Health needs of Pers<strong>on</strong>s with Disabilities in Makueni District (Paper submitted to BelgiumTech Cooperati<strong>on</strong>/AMREF)13. Sexual Offenses Act, 200614. SHIA/SIDA/GOK, 2002. HIV <strong>and</strong> AIDS <strong>and</strong> Disability: Including Pers<strong>on</strong>s with Disabilities in HIV <strong>and</strong> AIDS Programmes AdvocacyBooklet Stims<strong>on</strong>s V. G., Fitch C., Jarlais D. D. et al. 2006. Rapid Assessment <strong>and</strong> Resp<strong>on</strong>se Studies of Injecting Drug Use:Knowledge Gain, Capacity Building, <strong>and</strong> Interventi<strong>on</strong> Development in a Multisite Study, American Journal of Public Health. Vol.96. No.2. (2006) PP 288-29515. The World Bank/ Yale University/ Groce, E. N. 2004. Global Survey <strong>on</strong> HIV <strong>and</strong> AIDS <strong>and</strong> Disability16. Thoms<strong>on</strong> S., Stalker M. <strong>and</strong> Toroitich R. Fifty Ways To Leave Your Rubber: How men in Mombasa rati<strong>on</strong>alize unsafe sex.Stijournal, 2004;80:430-43417. Weiss HA, Quigley M, Hayes R. Male circumcisi<strong>on</strong> <strong>and</strong> risk of HIV infecti<strong>on</strong> in Sub –Saharan Africa : a systematic review <strong>and</strong>meta-analysis. AIDS 200; 142361-7018. WHO/UNAIDS, Technical C<strong>on</strong>sultati<strong>on</strong>; Male Circumcisi<strong>on</strong> <strong>and</strong> HIV Preventi<strong>on</strong>: <str<strong>on</strong>g>Research</str<strong>on</strong>g> Implicati<strong>on</strong>s for Policy <strong>and</strong> ProgrammingM<strong>on</strong>treux,- C<strong>on</strong>clusi<strong>on</strong>s <strong>and</strong> Recommedati<strong>on</strong>s 6-8 March 200719. Yousafzi, A . <strong>and</strong> Edwards K. 2004. Double Burden: A situati<strong>on</strong> Analysis of HIV/AIDS <strong>and</strong> Young People with Disabilities inRw<strong>and</strong>a <strong>and</strong> Ug<strong>and</strong>a. Save The Children19

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