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Disruptions in antiretroviral treatments have led to more HIV infections  
Disruptions in antiretroviral treatments have led to more HIV infections

Kenya's quest to eliminate new HIV infections falters

Many challenges to the health services in Kenya have derailed that country's plan to eradicate mother-to-child transmission of HIV.

In early January 2008, during the violence that rocked Kenya after disputed general elections, a man knocked at Lucia Wakonyo’s gate at Mathare Valley, in the sprawling Mathare slum. 

“He was calling out for my neighbour and I told him my neighbour was not in. He pleaded to give him refuge,” Wakonyo recalls.

When Wakonyo opened the gate, “he threw me to the ground and raped me,” she says. Two months later, she discovered she was pregnant and infected with HIV. Wakonyo never attended an antenatal clinic and delivered an HIV positive baby with a traditional birth attendant.

Wakonyo and her baby benefitted from Kenya’s successful drive to extend PMTCT, which nearly halved new infections among children between 2009 and 2011.Her next pregnancy was very different. In 2012, Wakonyo delivered an HIV negative baby, after attending antenatal care and being put on prevention of mother-to-child transmission treatment (PMTCT).

Losing momentum

But, worryingly, the drive is losing impetus. PMTCT coverage fell by 20 percent in 2011-2012, says the Progress Report 2013 of the Joint United Nations Programme on HIV/AIDS (UNAIDS).

“Five out of 10 pregnant women living with HIV do not receive antiretroviral medicines to prevent mother-to-child transmission,” says Zenawit Melesse, UNAIDS regional communications adviser.

Melesse explains that this figure excludes the 11 percent of HIV positive pregnant women on a regimen of a single dose of Nevirapine, which is not as effective as combination drug therapies.

The result is an estimated 13,000 children newly infected with HIV in 2012. Kenya’s seroprevalence rate is six percent and in moderate decline, according to UNAIDS.

Experts agree on the main reason behind the reduction in PMTCP – disruptions in the health services. In December 2011, doctors went on strike to pressure the government to put more money into health care. In March 2012, nurses staged a two-week long strike, and five months later doctors again went on strike for nearly three weeks. More strikes took place in 2013.

During the strikes, Wakonyo resorted to self-medication, taking any antiretrovirals that she could find as well as traditional medicines, although aware this could lead to resistance to ARVs.

“Indeed, PMTCT uptake may have reduced but only during the strikes of doctors and nurses, as well as due to test kits stockouts,” says Dr. Simon Mueke, acting senior director of Medical Services at the Ministry of Health. “But overall, PMTCT uptake has been on the rise.”

George Omondi, from the local advocacy group Women Fighting AIDS in Kenya (WOFAK), agrees. “The PMTCT programme has been so successful that the country has shifted from P to E. We no longer talk about prevention of mother to child transmission but elimination – eMTCT,” he says.

Still optimistic

UNAIDS points out that Kenya is taking steps to strengthen PMTCT, such as providing free maternity services, scaling up its Mentor Mother programme nationwide and boosting support for exclusive breastfeeding among HIV positive nursing mothers.

Reproductive health expert Dr. Joachim Osur observes that “you cannot improve PMTCT coverage if maternal health services are not improved. Nationwide, only about 41 percent of women deliver in hospital.”

In Nyanza and Western provinces, he adds, only a quarter of women deliver under the care of trained health attendants. “When a woman delivers at home, she cannot access the full PMTCT treatment,” he explains.

Another problem is getting all pregnant women tested for HIV. Out of the estimated 1.5 million pregnancies that occur every year in Kenya, between 87,000 and 100,000 test HIV positive

“Not every woman at antenatal care accepts to be tested for HIV. The reasons for avoiding the HIV test are multiple but stigma remains key,” Osur says. “Unfortunately, health workers cannot force the test on women, it is their right to accept or refuse.”

Some pregnant women visit the clinic only once. “They get tested for HIV but they do not go back for the results,” says Osur.

In spite of these challenges, WOFAK’s Omondi remains optimistic that a reduction of HIV transmission among breastfeeding mothers to less than five percent and a 90 percent reduction in mother to child HIV transmission rates by 2015 is a realistic goal.

“The waiver of maternity fees in all public hospitals since June [2013] will have a positive effect on maternal health in general,” he says. “But there is need for community awareness around HIV. Many women stay away from PMTCT services for fear of stigmatisation.”

AIDS experts remain concerned over the continued unrest in the health sector and have urged the government and health professionals to settle outstanding issues over remuneration, and thus ensure that doctors and nurses are at hand when needed and that fewer babies are born with the virus.

Originally published by IPS

Comments

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solving all problems in nature of mankind, I AM BLESS With a very powerful gift to cure people, I use traditional medicine and Natural PRODUCT to cure HIV AND AIDS,
MADNESS, CANCER ETC, traditional herbal medicines are often used as primary treatment for HIV/AIDS and for HIV-related problems including dermatological disorders, nausea, depression, insomnia, and weakness. Herbal Medicines are often used as primary treatment for HIV/AIDS and for HIV-related problems. For more information contact my email: [email protected]

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THANKS TO DR BENEDICT FOR SOLVING MY PROBLEMS
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moore james

My names are moore james, I am from uk am here to give my testimony about
a doctor who help me in my life. I was infected with HIV virus in the
year of 2010,i went to many hospitals, churches for cure but there was
no solution out, so I was thinking how can I get a solution out so
that i cannot loose my life, I lost everything I have my husband run
away from me and also took my children along because of my sickness.
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is to jump into the river so that I can loose my life totally or just
think where I can go to get solution. so a lady walk to me telling me
why am I so sad and i open up all to her telling her my stories, she
told me that she can help me out that’s the reason she normally come
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this problem before, she introduce me to a doctor who cast spells for
people and gave me he number and email so i called him and also email
him.so i gather all my faiths and put in all interest to contact him
through his Email address at [email protected] , so after
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fast as possible that i should not be afraid, that he is a truthful
and powerful doctor which i firstly claimed him to be. So after all
set has been done, he promise me that i will be healed but on a
condition that i provide him some items and obeyed all his oracle
said. I did all by accepting his oracle fact and only to see that the
following week Great AGU mail me on my mail box that my work is
successfully done with his powers, i was first shocked and later arise
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on the hospital by my doctor that i am now HIV- Negative. My papers
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help, either for HIV cure or much more to contact him now at these
following email now,Email: [email protected] ” sir thank
you so much for your immediate cure of my disease, i must say for
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(9) Herbal care
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perpetual fidelis

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mccart

Am here to testify what this great spell caster done for me. i never believe in spell casting, until when i was was tempted to try it. i and my husband have been having a lot of problem living together, he will always not make me happy because he have fallen in love with another lady outside our relationship, i tried my best to make sure that my husband leave this woman but the more i talk to him the more he makes me fell sad, so my marriage is now leading to divorce because he no longer gives me attention. so with all this pain and agony, i decided to contact this spell caster to see if things can work out between me and my husband again. this spell caster who was a woman told me that my husband is really under a great spell that he have been charm by some magic, so she told me that she was going to make all things normal back. she did the spell on my husband and after 5 days my husband changed completely he even apologize with the way he treated me that he was not him self, i really thank this woman her name is Dr Aluta she have bring back my husband back to me i want you all to contact her who are having any problem related to marriage issue and relationship problem she will solve it for you. her email is [email protected] she is a woman and she is great. wish you good time.
He cast spells for different purposes

Tanya Albert

Dr. Ekpiku God will continue to bless you more abundantly, for the good works you are doing in peoples life, I will keep on writing and posting testimonies about you on the Internet, I’m Tanya Albert , I was a HIV patient, I saw a blog on how Dr. Ekpiku cured someone, I contacted him and also got my healing, kindly email him now on [email protected] or [email protected] email me on [email protected] ...

Tanya Albert

Dr. Ekpiku God will continue to bless you more abundantly, for the good works you are doing in peoples life, I will keep on writing and posting testimonies about you on the Internet, I’m Tanya Albert , I was a HIV patient, I saw a blog on how Dr. Ekpiku cured someone, I contacted him and also got my healing, kindly email him now on [email protected] or [email protected] email me on [email protected] ...

Marcus

I have been suffering hardship from HIV/AIDS since 7yrs now, and i happen to have 2 kids for my husband, and now we cannot proceed to have another kids all because of my disease and now i have do all what a human like i and my husband can do just to get my disease healed, i have went to several places to seek for help not even one person could ever help, until i melt a comment on the daily news paper that was commented by Desmond about how this powerful traditional doctor help him get cured of the disease (HIV-AIDS) " my fellow beloved" i firstly taught having a help from a spiritual traditional healer was a wrong idea, but i think of these, will i continue to stress on these disease all day when i have someone to help me save my life?" so i gather all my faiths and put in all interest to contact him through his Email address at [email protected] so after i have mailed him of helping get my disease cured, he respond to me fast as possible that i should not be afraid, that he is a truthful and powerful doctor which i firstly claimed him to be. So after all set has been done, he promise me that i will be healed but on a condition that i provide him some items and obeyed all his oracle said. I did all by accepting his oracles fact and only to see that after some weeks of taking his herbal medicine i notice some changes in my body system and i went for check up the day he ask me to go for check up to confirm if the sickness was still there,to my greatest surprise i could not find any sickness in my body i was first shocked and later arise to be the happiest woman on earth after i have concluded my final test on the hospital by my doctor that i am now HIV- Negative. My papers for check are with me and now i am happy and glad for his miraculous help and power. With these i must tell everyone who might seek for any help, either for HIV cure or much more to contact him now at these following email now, Email: [email protected]" sir thank you so much for your immediate cure of my disease, i must say a big thanks for curing my disease, i owe you in return. Thanks and be blessed sir. Sandy Fletcher

Mary Robin

Am Mary Robin from USA... this is unbelievable i have be suffering for {Genital Herpes virus} how i get cure from my herpes virus with the help of Dr Suku is a great herbalist man from Africa in Nigeria,people do say Nigeria are all scam i believe and just give a try to him after i have been scam by 4 different people in that country,i meet Dr Suku email on website,though I went through different website I saw different testimonies about different spell casters and herbalist, I was like: 'Many people have the herpes simplex virus cure why are people still suffering from it?' I though of it, then I contact Dr SUKU via email, I didn't believe him that much,I just wanted to give him a try,he told me that he will prepare herbal cure that i will take in 2 week,so he can prepare a herbal cure on me from his temple.. after three days I started getting more stronger my blood started flowing normally i started experiencing changes all over me as the great Dr Suku assured me that i have been cured,after some time i went to the doctor to confirmed if i have be finally healed behold it was TRUE,and kind of spell you can think of or any illness i advice you all to contact him: [email protected] if you have hepatitis B herpes cancer Hiv/AIDS any kind of and he also do love spell,urgent cure to your disease and have a good health as he always want to be.his private email:[email protected] you can call for any information his Mobil number +234874839242

june scories

Hello everyone, I'm here to speak about the good work {Dr alayeoni} has done in my life, the man who cured me from HIV/ AIDS, I was infected by someone i loved and he didn't say it me he was HIV positive. i was searching through the internet for help when i saw a comment of people speaking on how {Dr alayeoni} has helped them cure their HIV disease and other diseases, i didn't believe but i just choose to give Him a try to {Dr alayeoni} and i contacted him through this e-mail (dr. [email protected] or [email protected] and i was told what to do and i did it. To my greatest surprise after patiently going according to instruction given to me by this man called {Dr alayeoni} and i went for a medical test and the result was negative. I want to say thanks to Dr hazzan and God will bless you for the good work you are doing. you also contact this great and powerful man if you have any problem on your body via his e-mail: [email protected] or [email protected] or call or what'sapp him on +2348160105606
he is for real a herbal doctor.

Malvina Alexei

Am Malvina Alexei. I feel so joyful today because of the help Doctor Okpamen has rendered to me for getting my Husband back with his spell. I have been married for 6 years and it has been so terrible because my husband was cheating on me and was seeking for a divorce. But when i came across Doctor Okpamen website on the internet posted by a lady and i decided to get in touch with him and i explained my situation to him and then seek his help but to my greatest surprise he told me that he will help me with my case for there is no problem without a solution. Here i am celebrating because my Husband is back home and am really enjoying my marriage, what a great celebration. i will keep on testifying on the internet because Doctor Okpamen is truly a real spell caster. Why not contact Doctor Okpamen now if you are facing any challenges in your relationship life. Website: http://doctorokpamenpowerfulspelltemple.webs.com OR by Email: ( [email protected] ).

Mabel Raymond

Im Mabel Raymond, Iam a USA citizen. You can also add me on Facebook by my name Mabel Raymond or send me an email [email protected] and i do not know why people are copying people's testimony for fake herbal Doctors and spell casters in Nigeria. And they will continue to share false and fake testimony. Trying to fraud innocent people of their money...
I am here to share a marvelous testimony, because i have being scam of $2,640USD by DR Odogu. Who so ever that claim such email is a scam. But i thank a kind Godsent man who cured my herpes. Dr. OSAS herbal medicine is a good remedy for Herpes. I was a carrier of Herpes and I saw a testimony on how Dr. OSAS cure Herpes, I decided to contact, I contacted him and he guided me. I asked him for solutions and he started the remedies for my health and sent the herbal medicine to me here in USA. Thank God, now everything is fine, I'm cured by Dr. OSAS herbal medicine, I'm very thankful to Dr. OSAS. Right now i can tell you that few months now i have not had any pain and outbreaks. And i have just went for test last week and the doctor confirmed that there is no trace of any herpes system in my body. Reach him on [email protected] Or contact his number via +2348112252378 or you can as well add him on whatsapp with same number Or better still, you can call my cell phone number on +12702545418 or you can also reach me on my blog wall on http://mabelraymond.blogspot.com/ and you will be free and free forever, Try it and you will not regret it because it truly works. One thing i have come to realize. ((((FACT)))

DOCTOR OSAS CAN AS WELL CURE THE FOLLOWING DISEASE:-

1. HIV/AIDS
2. HERPES
3. CANCER ALL KINDS
4. ALS
5. Hepatitis A,B,C
6. Diabetes
7. CHRONIC DISEASE
8. Coronary Artery Disease (Ischemic Heart Disease)

Harry Lura

"Good-day every one, my name is Harry Lura, i am from usa i want to share my experience with the general public on how i got my HIV aids cured, i have been reading so-many post of some people who were cured of HIV, but i never believed them, but one day bi wanted to tests the faith of the DR LUGARD then i contacted him on his email on [email protected], [email protected], when i contact him, he told me so many things about my life and so many thing about me which was 100% correct, then i pleaded with him to help me out, then to my greatest surprise he prepared some medicine and he asked me to take it, which i did exactly the way the asked me to take them, he told me that in two days time tat i should go and check on my HIV status, i was kind of been surprise, when i went to the hospital to check of my status, the doctor was so surprise when he saw that i was HIV negative, i did not know how i am going to thank DR LUGARD for his good work so i decided to share with the general public on what the great DR did for me, i am so thankful to GOD, for sending DR LUGARD to my rescue, of you are out there having same illness you can contact him so he can help you out on [email protected],/[email protected], you can also call HIM if you wish on+2347037098000, thanks for sharing from my experience........................."

1. GETTING YOUR EX LOVER BACK.
2. WINNING LOTTERIES.
3. CHILD BEARING.
4. BREAKING OF GENERATION COURSE.
5. GETTING OF JOB.
6. JOB PROMOTION.
7. MONEY SPELL.
8. SPIRITUAL PROTECTION.
9. HERBAL CARE.
10. BEAUTY SPELL.
11. HERPES SIMPLEX VIRUS

lucy anu

My name is Lucy ANU, I am here to give my testimony about a doctor who helped me in my life. I was infected with HIV VIRUS in 2006, i went to many hospitals for cure but there was no solution, so I was thinking how can I get a solution out so that my body can be okay. One day I was in the river side thinking where I can go to get solution. so a lady walked to me telling me why am I so sad and i open up all to her telling her my problem, she told me that she can help me out, she introduce me to a doctor who uses herbal medication to cure HIV VIRUS and gave me his email, so i email him. He told me all the things I need to do and also give me instructions to take, which I followed properly. Before I knew what is happening after four weeks the HIV VIRUS that was in my body got cured so if you are also heart broken and also need a help, you can also email him at [email protected] or call+2347064851317
DR OBHIOTOR CAN AS WELL CURE THE FOLLOWING DISEASE
1.HIV/AIDS
2.HERPES
3.ALS
4.STROKE
5.HEPATITIS B
6.GONORRHEA
7.SYPHILIS
8.PREGNANCY PROBLEM
9.ABORTION....

Kimberly Christopher

Greetings to everyone reading this testimony, I am Kimberly Christopher i am here to testify of a great man who was able to cure me permanently from Hiv Disease just with his herbal medicine,i have been HIV Positive for 5 years before i came across Dr Ijagba Email on the internet on how he has been using his herbal medicine to treat and cure patients from different virus, so i contacted him and i explain to him concerning my problem, i followed up with the instructions he gave me and he urge me to have faith in his words that he was going to restore my health back, after some couple of days Dr Ijagba sent me some medicine which he gave me prescription on how to take for 2 weeks, to make the long story short, I have been confirmed Negative from my recent test in the hospital, just within 2 weeks Dr Ijagba was able to make me healthy and see reasons to live again, though science says there is no cure, i believe God has sent this great man to save people, you can all contact him for his medicine, he has presently been treating diseases like, HERPES,CANCER,BLOOD DISEASE,DIABETES,HIV,TYPHOID, and many others, you can contact this man on ( [email protected] ) or you can call him on +2348143044267.
God Bless you sire!

Grace Davis

I have been suffering from HIV/AIDS disease for the last five years and had constant pain, especially in my body. During the first year,I had faith in God that i would be healed someday.This disease started circulate all over my body and i have been taking treatment from my doctor, few weeks ago i came on search on the internet if i could get any information concerning the prevention of this disease, on my search i saw a testimony of someone who has been healed from (Herpes virus and Cancer) by this Man Dr. SUKU and she also gave the email address of this man and advise we should contact him for any sickness that he would be of help, so i wrote to Dr SUKU telling him about my HIV/AIDS he told me not to worry that i was going to be cured!! hmm i never believed it,, well after all the procedures and remedy given to me by this man few weeks later i started experiencing changes all over me as the Dr SUKU assured me that i have cured,after some time i went to my doctor to confirmed if i have be finally healed behold it was true, So friends my advise is if you have such sickness disease, HERPES CURE OR CANCER OR HPV CURE,HIV&AIDS, or any other at all you can email Dr SUKU on:[email protected] you call him telephone:+2348074839242 get your healing now and be free from cancer Here is him email:[email protected]

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