tailieunhanh - Socio-demographic characteristics and sexual health related attitudes and practices of men having sex with men in central and southern Malawi

The details of the service depend entirely on the location and type of service offered as listed above. Services may, for example, be located within a primary, secondary or non-statutory service, be direct access or through appointment, targeted or universal, gender or sexual orientation specific. The service configuration will depend on the needs of the PCO and other local factors. In all GPwSI services the caseload should be sufficient such that the GPwSI is able to exercise their generic skills and deal with the physical, psychological and social aspects of disease. The GPwSI should be able to demonstrate that their skills are actively used and audited, including evidence of. | 124 Tanzania Journal of Health Research Volume 10 No. 3 July 2008 Socio-demographic characteristics and sexual health related attitudes and practices of men having sex with men in central and southern Malawi . NTATA1 . MUULA2 and S. SIZIYA3 Department of Sociology Chancellor College University of Malawi Zomba Malawi 2Department of Community Health College of Medicine University of Malawi Private Bag 360 Chichiri Blantyre 3 Malawi 3Department of Community Medicine School of Medicine University of Zambia Lusaka Zambia Abstract An exploratory study of men having sex with men MSM was conducted in central and southern Malawi in order to understand their socio-demographic characteristics sexual behaviours and perceptions about confidentiality and stigma. A total of 97 men participated in the study of whom 84 were in the age group 17-32 years. The majority 73 of MSM had never married 26 reported not always using condoms during sexual intercourse and 23 had ever received money or gifts in exchange of sex. Only 17 of the participants reported being exposed to HIV prevention messages targeted at MSM. Fear of sexual orientation disclosure and discrimination were reported by 27 of MSM. Many of the study participants reported that HIV intervention programmes are not accessible to them. In conclusion HIV intervention programmes may not be reaching out to the majority of MSM. We suggest an exploration of the feasibility of HIV prevention interventions targeting MSM in this country where the practice is illegal. Key words sexual orientation men attitudes practices HIV prevention Malawi Introduction Human immunodeficiency virus HIV infection is a major public health problem in Malawi where an estimated 12 of adults 15 to 49 years are infected NSO 2005 . HIV infection prevalence is much higher among women attending antenatal care where in urban areas prevalence estimates of 30 have been reported since the late 1990s Bello et al. 2006 Semba et .

• Y học thường thức
• prosperity seemed assured
• Professors Freeman
• Sanders withdrew
• Analysis Using
• Strategic Cost
• Management Practices
• devastating disease
• Alzheimers disease
• interventions providing
• straightforward financial
• non altruistic focused