moonlight vct job akuno- hope worldwide
TRANSCRIPT
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“MOONLIGHT VCT”: Reaching High Risk
Populations Along The Highway
AUTHORS: Job Akuno1Rayola Osanya-Nyynéque1,,,
Malinda Wheeler1, Andrew Ndunda1, Geraldine Musango1, Jonathan Musyoki1, Elizabeth Marum2
1HOPE worldwide Kenya, 2CDC Kenya
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VCT SERVICES
• HOPE worldwide Kenya (HWWK) provides VCT services along Nairobi – Mombasa Highway
• 5 permanent VCT sites• Makindu,along the highway, Kibwezi – just off the highway• Mukuru slums, Rongai and One Stop Youth Resource
Centre
• Mobile VCT to underserved peri-urban, rural communities and highway towns
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MOONLIGHT VCT SET UP
• Identified “convenient” space at truck stops• Modified semi-loaded container • Tents used as counseling rooms• Reception table• Video discussions – outreach/education• Posters and vehicle announcements
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Nairobi– Mombasa Highway
• Major transit route in East Africa• Over 1,000 trucks parked each evening• Hot spots of sex workers• Reported higher HIV prevalence among
truckers FSW than general population
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MONTHLY MOONLIGHT
Highway truck stops – 10 towns Night-time VCT services and STI treatment 1 week per month from December 2005 to May
2006
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MOONLIGHT METHODOLOGY
• Advance mobilization in each town• Condom promo and distribution• Musician and video through the night• One tent used for STI treatment• Generator for electricity• Services hours: 6pm to 2 am
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Results from Moonlight VCT
768
595
23
253195
49
0
100
200
300
400
500
600
700
800
900
Clients Seen Clients Tested HIV +ve
# C
lien
ts Male
Female
4% 25%
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LESSONS LEARNT
• Night time services are both convenient and private.
• “Moonlight VCT” is feasible and well accepted
• Effective both along and off the highway• More people than just truckers access the
services• Condom packaging determines demands
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CHALLENGES
• security for staff and equipment• lack of referral sites open at night• lack of appropriate accommodation for staff• highway noise• disruptions caused by drunk and disorderly bystanders.
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RECOMMENDATIONS
VCT sites should adjust service hours to promote VCT as entry into care.
• Moonlight VCT should be extended to many more towns and communities.
• Intensify work with sex workers and truckers to include other preventions.
• Need for “convenient” drop-in centers for comprehensive care.
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For further information
Job Odoyance Akuno
youth program Manager
HOPE worldwide Kenya
Box 11775
Nairobi [email protected]
+254-733-934-797
+254-723-850-599
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ACKNOWLEDGEMENTS
• “Strengthening STD/HIV Program” by Prof. Ngugi and Chester Morris• Ministry of Health, Makindu and Kibwezi• Provincial Administration in Makueni District• CDC Kenya Mobile VCT Department Special recognition:• Nicasius Kamani, HOPE worldwide Kenya
(HWWK)• VCT counselors at HWWK-Makindu and
Kibwezi