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Archive for January, 2016


Law Enforcement Training

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World AIDS Day Report

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EXECUTIVE SUMMARY

While progress is being made towards Universal Access of Health in Kenya, the services to our prison setting especial HIV have left behind. According to KAIS, KDHS and UNODC 2009 & 2102, the prevalence of HIV among the prison inmates was found to be 8.2%: Highest in Nyanza (28%), then Central (13%), Nairobi (11%), Eastern (8%), Coast (6%), Rift Valley (4%), Western (4%), and lastly North Eastern (0%). Across most provinces, prevalence was significantly higher than in the general population as recorded in the KAIS 2007 and KDHS 2009. Prevalence among female inmates was high (19%) compared to male inmates (6%).

Prevalence high for maximum security prisons (16%), then Women (13%), Medium

(8%), Main (7%), Remand (5%), Short Sentence (3%), Borstals (2%) and Youth (0%).

77% of inmates reported ever testing for HIV with tuberculosis second at 23%. Testing for both types of hepatitis was almost nonexistent recording less than 2%.

General awareness of HIV transmission/prevention is high among inmates and prison staff– 97% cited vaginal sex, 88% anal sex without a condom. However, misconceptions of HIV transmission via oral sex, sitting on toilet seat, sharing glass, etc. persist.

The most common risk behaviors predisposing inmates to HIV infection include; MSM activity (both consensual and coerced) and sharing of sharps (razors). 9% of inmates have been forced into sex, particularly those aged below 24 years. 13% of interviewed inmates reporting to have had consensual sex with their colleagues. A large proportion of inmates, 38% reported ever sharing razor-blades.

Drug abuse exists in prisons – 13% of all inmate respondents have ever used cannabis inside prison. Drug trafficking and trading in prison is common – often brought in by inmates attending court dates or by corrupt security officers who either supply drugs or facilitate entry. 86% of prison institutions had at least one health care provider; 77% of facilities offer HIV care.

INTRODUCTION

 Kwale medium prison is one the main correction centers in the Coastal region situated in Kwale County which mainly serving the petty offenders, capital and remands. It has both male and women inmates but in different settings and location. Currently it has a population of 515 inmates both male and female in which 500 are male and 15 female. The number for female is low due to the crime rate of female in Kwale County is a bit low compared to male.

Reachout Centre Trust (RCT) is a non-profit making organization founded in 2003 and registered as a trust in the same year. The organization provides HIV risk reduction education to drug users through outreaches, outpatient drug detoxification, ongoing drug addictions counseling, HIV Counseling & testing and Advocating for the rights of drug users among other essential services.  Reachout Centre Trust has well established Drop in Centre at Kibokoni, Mombasa and Ukunda in Kwale Counties initiated in 2005 and 2008 respectively.

 

World AIDS Day is held on the 1st December each year and is an opportunity for people worldwide to unite in the fight against HIV, show their support for people living with HIV and to commemorate people who have died.

World AIDS Day was the first ever global health day, held for the first time in 1988.Despite the virus only being identified in 1984, more than 35 million people have died of HIV or AIDS, making it one of the most destructive pandemics in history.

 

Today, scientific advances have been made in HIV treatment, there are laws to protect people living with HIV and we understand so much more about the condition. Despite this, this year in Kenya around 2 million people are diagnosed with HIV, people do not know the facts about how to protect themselves and others, and stigma and discrimination remain a reality for many people living with the condition. World AIDS Day is important because it reminds the public and Government that HIV has not gone away – there is still a vital need to raise money, increase awareness, fight prejudice and improve education.

 

With funding from UNODC, Reachout was able to implement the HIV in prison setting activity in Kwale Medium Prison with the overall objective of improving access to HIV services for PWU/IDs and prisoners in the Prison. We intended to reach 500 (50 females and 450 males) inmates in the Kwale Medium Prison with a blended of activities conducted prior and during the material day.

 SUMMARY OF THE ACTIVITIES

WORLD AIDS DAY 2015 ACTIVITY

FOCUS AREA: HIV IN PRISON SETTING

DATE: 18TH, 19TH DECEMBER 2015

VENUE: KWALE PRISON {MALE & FEMALE}

DATE TIME ACTIVITY TARGET VENUE R. PERSON
18/12/015 9:30am – 1pm Ø  HIV Testing & Counseling

Addiction Counseling Sessions

300

 

100

Men and Female prison o   O/C Prison

 

o   REACHOUT

 

o   DASCO – Kwale

 

19/12/015

 

8:30am

 

– 1pm

Ø  HIV Testing & Counseling

 

Ø  Addiction Counseling Sessions

Ø  Arrival

 

Ø  Football match: Male Inmates Vs Prison Wardens.

 

Ø  Welcoming Remarks.

 

Ø  Edutainment; Skits, modeling, songs, dances and poems.

 

Ø  Speeches; Testimonials, Motivational and Inspiration talks.

 

Ø  Awards

 

Ø  Closing Remarks

100

 

50

 

 

500 inmates

 

50 Prison wardens

 

Men and Female prison

 

 

 

Men Prison premises

o   O/C Prison

 

 

 

o   REACHOUT

 

 

 

o   DASCO -Kwale

 

 

 

 

 

ACHIEVEMENTS

  • WAD ACHIEVEMENTS

 

KWALE MEDIUM PRISON ACTIVITIES

DATE ACTIVITY OUTCOME COMMENTS

 

 

18/12/015

 

 

HIV TESTING & COUNSELING

 

244 inmates; 233 male and 11 female.

A total of 244 inmates received the HTC services at the medium prison both male and female.
 

 

 

 

ADDICTION COUNSELING SESSIONS AND OTHER HEALTH SEVICES SESSIONS

 

 

 

356 inmates; 340 male and 16 female.

The inmates received addiction counselling sessions from the addiction counselors after referrals from the mobilizers and HTC counselors. The sessions were done both on one on one and group counselling sessions. The sessions were blended with other health services, e.g. TB, Hepatitis B & C, HIV/AIDS and Reproductive health.
 

19/12/015

 

HIV TESTING & COUNSELING

 

80 male inmates

This service was conducted the male prison only.
 

 

ADDICTION COUNSELING SESSIONS AND OTHER HEALTH SEVICES SESSIONS

420 male inmates This activity was conducted in group session where the addiction counselors gave some speeches geared to the message of hope in addiction and other health issues. Among the speeches there were testimonials and motivational speeches.

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Clean Up Sessions

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Mission Itinerary

A team of peer educators accompanied by outreach workers organised clean up sessions in the above mentioned sites, the clean up sessions were planned after peer educators reported to outreach workers that there was a rampant unsafe disposal of injecting equipments as observed during previous outreach visits, that could expose the people who inject drugs, peers educators and the public to risks of HIV infection and other diseases.With the lead of outreach workers, an action plan to do the clean up was developed, we managed to assess the needs and requirements in terms of safety equipments for effective clean up exercise. All peer educators were provided with safety equipments such as; leather gloves, dust masks, forceps, safety boots and tongs. These equipments made the clean up sessions conducted effectively and in a safer way free from risks of sticky injuries.

 

Factors necessitating visit:

The clean up exercise was necessary to be carried out in order to reduce the health risk towards the entire drug using population, peer educators/outreach workers and the general public

Objective of the visit:

  • To conduct clean up at the sites for safety of all individuals.
  • To sensitize the PWID on safer injecting practices and safer disposal of injecting equipments. Outreach workers/ peer educatorsOutreach workers /peer educators/ data officers/ project coordinator/village elder, community and people who inject drugs. The visits for clean up sessions will be scheduled after every two weeks .