Sarah Hawi Ngere, Dickens Omondi Aduda, Charles Ongadi Nyambuga, Patience Aoko Oduor, Hellen Aoko Awuoche, Maryanne Akoth Nyanjom, George Omondi Otieno

PAMJ-One health

Introduction: pre-exposure Prophylaxis (PrEP), an effective user-dependent HIV prevention method is especially viable for adolescent girls and young women (AGYW). Behavioral interventions designed to enhance uptake of and adherence to PrEP among AGYW are few and their effectiveness unclear.

 

Methods: a descriptive cross-sectional study design was used to evaluate level of exposure to Jipende JiPrEP mass media campaign. It assessed intention to use PrEP amongst those exposed to the campaign of which 419 females aged 15-24 years participated. Linear framework and poisson regression analysis was performed to estimate prevalence ratios and show significant predictors of intention to use PrEP. Chi-square test for trend was used to test whether the proportion of intention to use PrEP increases or decreases across level of exposure.

 

Results: at least 67.1% (281/419) participants had low exposure to the campaign messages. More urbanites (7.2%) and those with higher education levels (9.2%) had higher exposure to the campaign messages. There was no change in intention to use PrEP with increased exposure (Chi-trend p-value = 0.403). Intention to use PrEP was higher with exposure to leaflets (aPR=1.51, 95% CI 1.01, 2.26, p = 0.043) and using radio almost every day (aPR =1.81, 95% CI 1.22, 2.69, p= 0.003). Those exposed to newspapers were 55% less likely to report intention to use PrEP (aPR=0.45, 95% CI 0.25, 0.81, p= 0.008).

 

Conclusion: Jipende JiPrEP campaign has low reach among AGYW while majority of them reported low intent to use PrEP even after exposure to the campaign. Therefore, innovative messaging approaches are needed to improve campaign effectiveness.

2021-01-11

Sarah Hawi Ngere , Victor Akelo , Ken Ondeng'e , Renee Ridzon , Peter Otieno , Maryanne Nyanjom , Richard Omore , Beth A Tippett Barr

Plos one

Background: Approximately 80% of the population residing in sub-Saharan Africa relies on Traditional Medicine (TM). However, literature on factors motivating the use of TM for children under the age of five in these settings is limited. Such information can guide policy formulation for integration of TM into mainstream health care services. This study aimed to describe the motivation on use of TM among caregivers of children residing in rural and urban communities in western Kenya.

Methods: The socio-behavioral sciences (SBS) arm of the Child Health and Mortality Prevention Surveillance (CHAMPS) program in western Kenya, conducted a cross-sectional qualitative study in Manyatta-an urban informal settlement located in Kisumu town and Karemo-a rural setting in Siaya County. We performed 29 in-depth interviews, 5 focus group discussions and 11 semi-structured interviews with community representatives (n = 53), health workers (n = 17), and community leaders (n = 18). All the participants were purposively sampled. We performed thematic analysis using both inductive and deductive approaches. Data management was completed on Nvivo 11.0 software (QSR International, Melbourne, Australia).

Results: Our findings reveal that some caregivers prefer TM to treat some childhood diseases. Use of TM was informed by illness beliefs about etiology of disease. We observed an appreciation from the study participants that malaria can effectively be treated by Conventional Medicine (CM) while TM was preferred to treat measles and diseases believed to be associated with supernatural etiology such as witchcraft, evil spirit or breaching cultural taboos. TM was also used in instances where CM failed to provide a diagnosis or when CM was 'slow'. TM in such cases was used as a last resort.

Conclusion: We observed varied beliefs that motivate caregivers' choice of TM use among children in western Kenya. It is therefore crucial to consider perceptions and socio-cultural beliefs about illnesses when formulating interventions that are geared towards child health.

2022-11-03