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Qualitative research on syphilis KAP among Nairobi City commission clinic users and staff.

Pido D, Jenniskens F, Ndinya-Achola J, Moore M; International Conference on AIDS.

Int Conf AIDS. 1993 Jun 6-11; 9: 953 (abstract no. PO-D38-4414).

Department of Medical Microbiology, University of Nairobi, Kenya.

OBJECTIVE: To study KAP on health seeking and providing behavior in pregnancy and factors that can influence it, with emphasis on syphilis management, antenatal care, condom use and interpartner communication. METHODS: Clinic based observation and semi-structured in-depth interviews with 44 clients and 24 clinic staff 48 partners. Literature survey. RESULTS: Most clients and partners do not know what syphilis is. The most important finding is similarity of men and women in denial and avoidance behavior, yet men are seen as responsible for syphilis. Other findings are: system-related barriers to provision of good health care, language barriers among official and vernacular languages, barriers related to power anomalies among men and women with occupation and class confounders. CONCLUSIONS: Barriers to male partner treatment include basic mind set of men, women and care givers which assumes that men are irresponsible with regard to syphilis and STD's in general. The cultural need for males to be perfect and more powerful than women interferes with their care seeking behavior. Message development addresses reduction of stress on male partners in order to facilitate treatment compliance and enhance male role in early antenatal clinic attendance.

Publication Types:
  • Meeting Abstracts
Keywords:
  • Ambulatory Care Facilities
  • Behavior
  • Cities
  • Delivery of Health Care
  • Female
  • Health
  • Health Behavior
  • Health Knowledge, Attitudes, Practice
  • Health Planning
  • Health Services Needs and Demand
  • Humans
  • Interviews as Topic
  • Kenya
  • Male
  • Maternal Health Services
  • Pregnancy
  • Prenatal Care
  • Qualitative Research
  • Syphilis
  • therapy
Other ID:
  • 93338335
UI: 102207715

From Meeting Abstracts




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