Why prostitutes Kenya not to 'spoil' the condom?

Sheila, who served as prostitutes in Korogo slum in Nairobi, Kenya during 6 years explains: "Let me tell you the truth about why many of us don't use condoms. We don't have money and when encountering a customer promise to give you more money than is usually accepted, then you will agree to have sex without taking any protective measures, even when you do not know the HIV status of that person ".

Meanwhile, according to Sheila, she and the girls practice prostitution can go to a clinic the next morning and easily apply for emergency HIV antiviral drugs-drugs that prevent HIV virus that if been drinking within 72 hours since the infection can prevent any part the evolution of viruses. The main antiviral drugs as preventive drugs after exposure, or PEP.

"We use this drug as caosu"-Sheila says. PEP is produced to use in case of emergency. For example, to give the victims raped rape if the perpetrator they are said to be HIV positive, or for medical staff were needles may have been infected with HIV. However, none of these numbers certainly shows the effect to have PEP. Experts say that, in order to prevent virus infection then the first and much better is to use the shell caosu.

Therefore, a number of clinics in the current Kenyra will only provide the customer a PEP a year. They worry that if they provide drugs too freely, who practise prostitution will absolutely not use cover caosu. However, this still doesn't make Pamela-24 year old girls practice prostitution-can't find the PEP.

"I have sex not safe on a night when I was very drunk and the next morning I did not go to the clinic which I have please first PEP pills. I went to a different clinic where they had no record of me-and lie that I was forced to have sex unprotected. So I get the drugs "– Sheila revealed. But Sheila regularly emptied both waves of the drug because of side effects. "You feel very uncomfortable, suffered vomiting, dizzy, and generally feeling sick. So, I stopped not consume drugs, "Sheila said.

Peter Godfrey-Faussett-senior scientific advisor of UNAIDS-said that the need for antivirals for group practise prostitution but only when used in the right way. "We know that although condom use rate is quite high in the community who practice prostitution, but the HIV infection rate is still very high, so we need to add the additional tools with what was there," says Peter insists.

According to Peter, it would be better for those who practise prostitution if there is an antiviral drug is prepared for use before exposure to HIV-prevention is called before exposure (PrEP). This type is used daily and contain little more PEP drugs, so there are fewer side effects.

But Mr Godfrey-Faussett emphasized that the drug must be used as part of a broader remedies, including HIV test regularly to ensure patients use the drug properly. Kenya currently has plans to conduct a pilot program with those practising prostitution in Kenya to see whether there are actually not if they use to PrEP as a further layer of protection.

However, the ominous thing here is that this drug is not cheap. In the u.s., PrEP reviews about 14,000 per year calculate the full price, but low-income people can be bought much more cheaply, or even provided free of charge. In developing countries, where smoking in similar type is used, the cost could be about 150USD per year.

Mr. Godfrey-Faussett stressed that, cheap room escape type for which in this case has the most effect is how caosu. "How caosu is the most efficient way in the prevention of HIV, sexually transmitted diseases and contraception. Yes PrEP is not a silver bullet that can suddenly solve all other problems "-Peter insists. However, to change the way of thinking of the people practising prostitution in Kenya or not work easily, can be done in "an overnight".=

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