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STI rate in women on birth control high: Study

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Kenyan women on long-acting contraceptives recorded higher rates of sexually transmitted infections, compared to the general population, a new study reveals.

The study done in four African countries, Kenya included, showed that a high number of women in the study who went for modern family planning methods, had gonorrhoea and chlamydia.

Most affected are girls aged 16 to 24 years.

The reason, the study states, is that long-acting contraceptives do not require repeated healthcare visits and are probably the most convenient preventive modalities.

The trial released last month was conducted over three years in Kenya, eSwatini, Zambia and South Africa.

The highly publicised Evidence for Contraceptive Options and HIV Outcomes (Echo) trial, confirmed hormonal contraceptives do not increase women’s risk of becoming infected with HIV.

The Echo study began in December 2015, enrolling and following 7,829 sexually active, HIV-negative women aged 16 to 35 years across 12 clinical trial sites in the four countries.

In Kenya, 900 women in Kisumu took part in the study, locally coordinated by the Kenya Medical Research Institute.

It was meant to establish whether the use of hormonal contraception, particularly Depo, may increase women’s risk of HIV acquisition.

The Echo trial included sexually active, HIV-negative women aged 16-35 years, seeking effective contraceptives and willing to be randomly assigned one of the three hormonal contraceptive methods.

READ ALSO:   VIDEO: Magufuli calls for end to birth control

Women were followed for 12-18 months across nine sites in SA, three in Kenya, eSwatini and Zambia.

“Few studies had examined whether hormonal implants or IUDs affected users’ risk of HIV acquisition,” said Nelly Mugo, head of the sexual, reproductive, adolescent and child health research programme at Kemri.

The randomised, open-label clinical trial conducted compared HIV risk women on the three most commonly used methods of hormonal contraception: the DMPA-IM shot, a copper intrauterine device (IUD) and a levonorgestrel (LNG) implant.

According to the findings, chlamydia infection was 18 per cent at baseline (start of the study) and 15 per cent at last visit. Overall, gonorrhoea stood at five per cent; this is despite treatment during follow-up visits.

“There is lack of progress in stopping the spread of STIs worldwide. This is a wake-up call for those concerned. We should ensure everyone, everywhere can access the services needed to prevent and treat these debilitating diseases,” Dr Peter Salama, the executive director for Universal Health Coverage and the Life-Course at WHO, said.

Experts also recommended STI testing should now be offered at family planning clinics. Dr James Kiarie, coordinator of WHO’s human reproduction team, said the number is huge and a wake-up call to provide a way forward.

“We need a truly integrated and comprehensive care, this means that every woman should be able to receive effective and quality contraceptive counselling, STI and TB screening and HIV care under one roof,” Lucy Stackpool-Moore, International AIDS Society Director of HIV Programmes and Advocacy, said during the release of the results.

READ ALSO:   VIDEO: Magufuli calls for end to birth control

Experts also recommended STI testing should now be offered at family planning clinics.

Dr James Kiarie, coordinator of WHO’s human reproduction team, said the number is huge and a wake-up call to provide a way forward.

“Women seeking family planning had high rates of gonorrhoea and chlamydia. Chlamydia infection was 18 per cent at baseline (start of the study) and 15 per cent at last visit. Overall gonorrhoea was five per cent,” said Jen Dees, an epidemiologist with FHI 360.

More than a million people around the world would have acquire a sexually transmitted infection daily, the World Health Organisation says, expressing concern over lack of progress in stopping their spread among 15-49 year olds.

In a report, WHO said chlamydia, gonorrhoea, trichomoniasis and syphilis four of the most common venereal infections account for more than a million new cases of curable STIs daily.

The agency said more than 376 million new infections are recorded every year despite cures.

“There is lack of progress in stopping the spread of STIs worldwide. This is a wake-up call those concerned. We should ensure everyone, everywhere can access the services needed to prevent and treat these debilitating diseases. ”Dr Peter Salama, the executive director for Universal Health Coverage and the Life-Course at WHO said.

READ ALSO:   VIDEO: Magufuli calls for end to birth control

“We need a truly integrated and comprehensive care, this means that that every woman should be able to receive effective and quality contraceptive counselling, STI and TB screening and HIV care under one roof,” Lucy Stackpool-Moore, International AIDS Society Director of HIV Programmes and Advocacy, said during the release of the results.

Experts also recommended STI testing should now be offered at family planning clinics.

Dr James Kiarie, coordinator of WHO’s human reproduction team, said the number is huge and a wake-up call to provide a way forward.

“STIs have been forgotten. These were women participating in a clinical trial and had access to treatment, yet STI prevalence was still high,” he said.

“We must be careful we don’t turn family planning solely into HIV prevention services. WHO is looking at the evidence and synthesising it and on July 29 we will come with guidelines on the use of contraceptives for women with a high risk of HIV,” he said.

He also called for an integrated family planning approach.

by nation.co.ke

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GOFUNDME: Kindly help Jackie Koli bury her mom and get justice

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Jackie Koli’s mom, Beatrice Wanjiku Gitura (pictured above), was murdered in cold blood after she went missing on Friday, May 22, 2020.
On Saturday May 23rd, her body was found in her car a few Kilometers from Embu Town.  Her throat had been slit, hands tied with a rope and a piece of cloth tied across her mouth. It was double tragedy since the sister to her mom (Jackie’s auntie) passed on the same day- Friday morning after battling with cancer.Jackie, an only child, needs our financial support as she prepares to bury her mom and seek justice. Any help will be highly appreciated.

Kindly donate here via Gofundme

READ ALSO:   VIDEO: Magufuli calls for end to birth control
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Becoming a single father in my teens

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Their daily routine entails doing homework and studying, cooking various cuisines ranging from African to Italian, playing jenga [a building blocks game) and also, going for evening walks around the neighbourhood. Looking back, Kennedy Osano, wouldn’t wish for any other gift than that of watching his teenage girl grow into a responsible and humble girl. To him, fatherhood is a lifetime responsibility with its challenges, sweetness and bitterness and he is glad to walk through it as a single parent.

He had met the mother of his daughter in 2006 when they were both in secondary school. He lived in Naivasha, she was in Nairobi. But during the holidays, he would visit his uncle in Nairobi and often would spend time with her.

But it wasn’t long before she showed up in his school with a bulging stomach. He was in Form Three. He had nothing. But he decided he

wasn’t going to deny his blood. Though it was challenging, he proved to be tough and resilient. He adjusted to his new fate and became a paragon of docility and diligence.

A few months later, a princess was born and they named her Mellisa Levian Lanaya. At first, she stayed with her mother. After his secondary education, things changed for the better when he got a job as a messenger at a local bank. He was paid enough for him to save and enroll at a university to pursue an undergraduate degree, which propelled him to move up his career ladder.

READ ALSO:   VIDEO: Magufuli calls for end to birth control

Full custody

“I was there by my baby mama’s side all along both physically and emotionally, but when I got a stable job, I could afford to lead a decent life without struggling. I also longed to be closer to my little princess and spend more time with her,” he says.

During school holidays, Mellisa would often visit her father and spend several days before leaving for her mum’s place. At first Osano didn’t know how Mellissa’s mum would react to having him take full custody over their daughter, but he decided to do it anyway. Also, Mellisa’s mother had already moved on and married someone else.

“I was determined to get her to stay with me, so I talked to her mother and we came to an agreement that Mellisa would visit her during the holidays. It wasn’t hard since I had always stepped in and played my part even while my daughter was with her,” he says.

Though he was not a stranger to his daughter, when he started living with her in 2018, they had to start learning each other — learning what his daughter liked and vice versa.

The 31-year-old father says raising her became easy with the support of his friends and family. Also, his baby mama is supportive and is always a phone call away when her attention or guidance is needed. Osano is determined to raise his girl into a disciplined and responsible individual.

READ ALSO:   VIDEO: Magufuli calls for end to birth control

But despite the merits that fatherhood has to offer, their biggest challenge is the 18 years age difference, between them. Often, especially when in public, people eye the duo suspiciously.

“She has grown so fast. Sometimes when people see a young girl in the

backseat and no adult woman in the passenger seat, they raise eyebrows. At times I have been questioned and even forced to pull out her birth certificate just to prove my point,” he says.

He makes sure he is in the house in time to have dinner with her and limit the number of guests that come to the house. “Sometimes, a man just needs a quiet place, a beer on his hand; watch his favourite football team play [Arsenal], eating whatever he decides or not eating at all, and spending the night anywhere. However, all this drastically changed,” he says “My biggest challenge is having the sex talk with Melissa— talking to her about boys, her body changes and why she has to shuttle between her mum’s place to my place. But I take her through this, helping her understand we both love her and wish the best for her,” he says.

Fatherly advice

As his only child, Osano has made sure that her interests come first. His parting shot to fathers is to instill the desire for success in their daughters. “I make sure she grows up knowing that her success is solely in her hand and the world will only elevate her to her platform of success, discipline, empathy, modesty, self-belief and respect for authority and those who are older than her will keep her on that right path,” he says.

READ ALSO:   VIDEO: Magufuli calls for end to birth control

SINGLE FATHERHOOD

• Your parenting success hinges on having a reliable support system in place. As single parents, dads more often than mums, tend to hold back when seeking out help.

• Many single fathers do not want to get on their children’s bad side. Fathers are often seen as the disciplinarians of the family, and many who find themselves parenting alone attempt to drop that label.

• Single fathers often try really hard to protect their children. Making room for a few limited risks will be hard, but it can increase both your confidence and your child’s.

By PD

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285 killed by floods since April – CS Wamalwa

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Lusaka deny claims of involvement in Wamalwa’s imminent sacking

The Government has warned people who have encroached the riparian land to move to other grounds as floods continue to wreak havoc in different regions of the country.

Environment CS Keriako Tobiko on Wednesday urged Kenyans to take responsibility and respect laws regarding the riparian reserve.

So far, 285 people have lost their lives and 810,655 others affected by floods, mudslides and landslides occasioned by heavy rains in most regions. While giving the weekly update on floods in the country, Devolution CS Eugene Wamalwa said a more comprehensive report that will factor in the crop loss in acreage will be confirmed next week.

“We also have acreage, in terms of crop loss in many parts of the country that our colleagues in Agriculture will be confirming by next week. As the rains subside, we will be able to establish the exact acreage in terms of crop loss that we have suffered, in terms of the irrigation, land and infrastructure,” the CS said.

He warned the Coast, Western and Nyanza regions will continue to bear the brunt of the floods as the rains are expected to continue into the month of June.

However, in Northern Kenya, Garissa and Mandera, which were among the worst hit, the rains were subsiding while most dams across the country were still full but had stabilized. At the same time, the CS urged county governments to work with the Meteorological Department by utilising the information given in a better way to caution those at risk.

READ ALSO:   VIDEO: Magufuli calls for end to birth control

“We take this opportunity to thank the Meteorological Department that has been of great help in terms of giving us very accurate information and reliable data. The accuracy tells us going into the future when we get alerts, please let us not take them lightly,” he warned.

CS Wamalwa assured those that had been affected with the heavy rains that the Government will them to rebuild homes after the month of June.

By Standard.co.ke

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