COMMERCIAL SEX WORKERS IN MAJENGO SLUMS, NAIROBI.

Transcription

1 SOCIO-ECONOMIC EFFECTS OF HIV/AIDS AMONG COMMERCIAL SEX WORKERS IN MAJENGO SLUMS, NAIROBI. A PROPOSAL SUBMITTED IN PART FULFILLMENT OF THE REQUIREMENTS FOR THE AWARD OF THE DEGREE OF BACHELOR OF SCIENCE IN NURSING OF THE UNIVERSITY OF NAIROBI. BY JUNGA MAUREEN AMOLLO H32/9510/02 SCHOOL OF NURSING SCIENCES COLLEGE OF HEALTH SCIENCES UNIVERSITY OF NAIROBI SUPERVISOR MR JAMES MW AURA, BSc (N), MSc (CLIN Psyc) LECTURER, SCHOOL OF NURSING SCIENCES UNIVERSITY OF NAIROBI AUGUST 2006,

2 DECLARATION CANDrDATE This proposal is my original work and has not been presented for award of degree or diploma in any university. ~ &(Oq!Oh. Signed: ~... Date:. Name:.IUl IGA ~,[AUREEN A~[OLLO II

3 CERTIFICATE OF APPROVAL This Proposal has been submitted for examination for the degree of Bachelor of Science in Nursing with my approval as University supervisor. Sign.~;:p."... Date..(JI/of/4. Name: JAMES MWAURA. BSc (N). MSc (ClIN Psyc) LECTURER. SCHOOL OF NURSING SCIENCES UNIVERSITY OF NAIROBI III

4 ACKNOWLEDGEMENT First and foremost. I wish to thank my supervisor. Mr Mwaura for his continuous guidance and for thoroughly reading through the work and providing me this advice. I also wish to thank the Medical School library staff. Department of Community Health for letting me use their facilities. r one special thanks to my friends eville Okwiri and Jane Koll i for their tolerance and patience throughout this study. Above all. I cannot forget to thank our Dear Lord and Saviour for enabling me to write this research proposal. IV

5 DEDICATION This proposal is dedicated mostly to my dearest mum and my sister Joyce Atieno for their continous support in my education and my dad. My dearest friends Neville. Julia, Jane and Victor Ngany. v

6 TABLE OF CONTENTS DECLARATION... II CERTIFICATE OF APPROVAL III ACKNOWLEDGEMENT... IV DEDICATION.. V TABLE OF CONTENTS... VI LIST OF ABBREVIATIONS... VIII OPERATIONAL DEFINITION... IX EXECUTIVE SUMMARy... X CHAPTER ONE: INTRODUCTION. 1.0 INTRODLJCTIO. 1.1 BACKGROUNDINFORMATION STA TEME T OF THE PROBLEM... I 1.3 THEPRETICAL FRAMEWORK JllSIFIC A TION OF THE STUDy HyPOTHESIS SPECIFIC OBJECTIVE RESEARCH BENEFITS OF THE STUDy EXECTED '" CHAPTER II: LITERATURE REVIEW. SOCIO-ECONOMIC EFFECTS OF HIV/AIDS AfYlONG CSWS IN MAJE GO SLUMS. NAIROBI. SOCIAL EFFECTS OF HIV/AIDS AMONG CSWS. CONCLUSIO ,I J._.,.., J.J CHAPTER III: METHODOLOGy. STUDY DESIGN. STUDY AREA. STUDY VARIABLE. SAMPLING. INCLUSION AND EXCLUSION Vi

7 3.3.2 SAMPLING METHOD DATA COLLECTION DATA COLLECTION TOOL PRE-TESTING STUDY TOOL. " " '" IMPLEMENTATION OF STUDY TOOLS DATA CLEANING DATA ENTRy PRESENTATION OF RESULTS CONTROL OF BIASES AND ERROR ETHICAL CONSIDERATION STUDY LIMITATION GANTT CHART BUDGET REFERENCES... APPENDIX I.. QUESTIONNAIRE. APPENDIX 11.. CONSE T EXPLANATIO FORM. APPENDIX II PARTICIPANT CONSENT FORM. APPENDIX IV. 33 LETTER SEEKING AUTHORITY TO CONDUCT RESEARCH. Vll

8 LIST OF ABBREVIATIONS AIDS ARVs CEDAN Acquired Immunodeficiency Syndrome Anti -retroviral Committee on Elimination of All forms of Discrimination Against CSWs Women Commercial Sex Workers GDP HIV [GAs Gross Domestic Profit Human Immunodeticiency Virus Income Generating Activities MOH Ministry Of Health NASCOP UNAIDS UNICEF SPSS TB National AIDS and STDs Control Programme Joint United Nations Programme on HIV/AIDS United Nation International Children Education Fund Statistical Package for the Social Science Programmes Tuberculosis WHO World Health Organizations

9 OPERATIONAL DEFINITION CHILD MORTALITY RATE: Is the number of children who die before reaching the fifth birth-day per 100 live births. COMMERCIAL SEX WORKER- Is one exchanges sex for money INFANT MORTALITY RA TE- Is the number of infants who die during to first year of life per 1000 live births. ORPHAN- This refers to a child whose father has abandoned the mother and child at or prior to birth. the child is called an orphan when the mother dies or an orphan is a child whose both parents have died. POVERTY- As the econonuc of lacking both money and basic necessities needed to successfully live such as food. water education and shelter. PROSTITUTION- Is the sale of sex services LX

10 EXECUTIVE SUMMARY The survey is a cross-sectional descriptive study aimed at describing the socio-economic effects of HIV/AIDs among commercial sex workers (CSWs) in Majengo slums. Nairobi. The study aims at establishing the various socio-economic effects of H IVIAIDs among commercial sex workers (CSWs). Participants will comprise of CSWs from Majengo slums. Nairobi. Sample size will be determined by fishers formulas. A structured questionnaire will pre-tested in Mukuru kwa Njenga slums which has conditions similar to Majengo slums and then administered by.-- trained data. The study participants will be informed and consented to participate voluntarily. Data obtained will be cleared and entered into computer using statistical package for social science programmes (SPSS). Analysis will also be done. Various presentation techniques will be employed like pie charts and graphs. The results and findings of this study will be given back to the CS Ws to educate them about various of HIV IAIDs and if there is any funding from donors they can start small business. The ministry of science and technology and other stakeholders in the health sector will make recommendations on how better they can deal with the socio-economic effects of HIV IAIDs " among CSWS in Majengo slums. Nairobi. The study is expected to last fro 5 months at a cost of Ksh