AEGiS-14IAC: Introduction of voluntary counseling and testing services in a refugee camp in Kenya.

14th International AIDS Conference

Barcelona, Spain - July 7-12, 2002

Introduction of voluntary counseling and testing services in a refugee camp in Kenya.

Int Conf AIDS 2002 Jul 7-12; 14:(abstract no. LbOr05)

Jagwer G, Murethi G, Mwanyika E, Nekesa F, Marum E
International Rescue Committee, Kakuma, Kenya

ISSUES: Despite their vulnerability to HIV infection, refugee populations in Africa generally do not have access to specific HIV prevention services such as voluntary counseling and testing (VCT). There are concerns that refugees may refuse VCT due to fear of discrimination.

DESCRIPTION: The International Rescue Committee (IRC) provides medical services to 65,000 refugees from 8 countries living in Kakuma refugee camp in northwestern Kenya. The 'Lost Boys of Sudan' were processed for resettlement here, and there are still many single young men in the camp, unlike the more typical higher concentration of women and children in refugee situations. AIDS awareness campaigns have been conducted in Kakuma and knowledge of AIDS is high. In April, 2002, IRC opened a VCT site, with technical support from the CDC. Health workers publicized the program in marketplaces, schools, women's groups, and through community leaders. Two different, rapid, whole blood tests are used simultaneously in order for clients to receive confirmed results within one hour.

ISSUES: Kakuma's refugee population has been receptive to VCT. Between April 2 and May 24, a total of 318 clients were seen, of whom 82% were male, reflecting the preponderance of males in the camp; 90% of clients were aged 30 or younger. Eight clients (2.5%) were found HIV+; 6 male and 2 female, all aged under 40. Two of the HIV+ clients have been young males living alone without their families; the support systems in the camp are inadequate for these young men. IRC has started a Post- Test Club and offers on-going counseling and medical care to address this gap.

RECOMMENDATIONS: The acceptance of VCT services in Kakuma suggests that it is important to offer this service to refugee populations, especially those who have sought refuge in or from high prevalence regions. Special services are needed for HIV+ refugees, especially those separated from their families.

Keywords: AEGIS, Counseling, HIV Infections, Camping, Refugees, Acquired Immunodeficiency Syndrome, Research Design, Prevalence, Kenya, Africa, Sudan, Human, Male, Female, Child

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