Population Council Research that makes a difference

Highlighting Marital HIV Risk and Promoting Premarital Voluntary Counseling and Testing in Nyanza

The Population Council mounted a large-scale educational campaign in Nyanza on the dangers of early marriage, establishing clubs for married girls, and promoting voluntary counseling and testing among newly married couples or those contemplating marriage.

Nyanza Province in Western Kenya has the highest rates of HIV in the country: 18 percent of women and 12 percent of men are infected with the virus. Child marriage is also relatively common in Nyanza: One-third of women aged 20–24 are married by age 18. The high prevalence of HIV combined with early marriage may render child brides particularly vulnerable to infection. Indeed, a study in Kisumu (the capital of Nyanza) found strikingly high HIV prevalence rates among married girls (33 percent) compared to rates among unmarried sexually active girls (22 percent) (abstract).

In collaboration with local partners and PATH, the Population Council mounted a large-scale educational campaign in Nyanza on the dangers of early marriage, establishing clubs for married girls, and promoted voluntary counseling and testing (VCT) for HIV among newly married couples or those contemplating marriage.

Few rural people in Kenya have access to television, but an estimated 70 percent of Nyanza households own radios. Because of this, radio is considered an excellent medium to reach a large segment of the population. Radio Ramogi and Radio Victoria, two of the province’s most popular local-language radio stations, are providing public service announcements about child marriage and promoting later, safer marriage as well as VCT for couples before marriage.

The Council also reached out to religious leaders in the community, equipping them with information to speak out about child marriage, and encouraging them to raise this topic in their congregations.

Addressing sexual violence and HIV risk among married adolescent girls in rural Nyanza, Kenya (PDF
Undie,Chi-Chi
Promoting Healthy, Safe, and Productive Transitions to Adulthood Brief (no. 19)
Publication date: 2011


Les programmes de lutte contre le mariage des enfants : cerner le problème (PDF
Amin,Sajeda
Promouvoir la santé, la sécurité et la productivité transitions vers l'âge adulte Bulletin (N 14)
Publication date: 2011


Programs to address child marriage: Framing the problem (PDF
Amin,Sajeda
Promoting Healthy, Safe, and Productive Transitions to Adulthood Brief (no. 14)
Publication date: 2011


Supporting married girls: Calling attention to a neglected group (PDF
Santhya,K.G.; Erulkar,Annabel S.
Promoting Healthy, Safe, and Productive Transitions to Adulthood Brief (no. 3)
Publication date: 2011


Feasibility, acceptability, effect, and cost of integrating counseling and testing for HIV within family planning services in Kenya (PDF
Liambila,Wilson; Warren,Charlotte; Mullick,Saiqa; Askew,Ian; Homan,Rick; Mohammed,Ibrahim; Ayisi,Robert; Gitau,Margaret; Kibaru,Josephine; Gathitu,Mary; Maua,Judith; Jilo,Helton; Mwangi,Juma; Njoroge,John; Wanyoro,Anthony K.; Njuguna,Peter Mohammed; Mboche,Andrew
FRONTIERS Final Report
Publication date: 2008


Highlighting marital HIV risk and promoting premarital VCT in Nyanza Province, Kenya (PDF
Ochieng,Ben; Erulkar,Annabel S.
FRONTIERS Final Report
Publication date: 2008


Kenya and Ethiopia: Community and religious leaders are effective advocates for HIV testing for young couples (PDF
FRONTIERS OR Summary (no. 80)
Publication date: 2008


Casamento infantil no contexto da epidemia do VIH (PDF
Bruce,Judith
Promover transições para a idade adulta saudáveis, seguras e produtivas Sumário (N 11)
Publication date: 2007


Child marriage in the context of the HIV epidemic (PDF
Bruce,Judith
Promoting Healthy, Safe, and Productive Transitions to Adulthood Brief (no. 11)
Publication date: 2007


Trends in the timing of first marriage among men and women in the developing world 
Mensch,Barbara S.; Singh,Susheela; Casterline,John B.; Lloyd,Cynthia B.; Behrman,Jere R.; Stromquist,Nelly P.; Cohen,Barney
from The Changing Transitions to Adulthood in Developing Countries: Selected Studies, pp. 118-171
Publication date: 2005


Trends in the timing of first marriage among men and women in the developing world (PDF
Mensch,Barbara S.; Singh,Susheela; Casterline,John B.
Policy Research Division Working Paper (no. 202)
Publication date: 2005


A world apart: The disadvantage and social isolation of married adolescent girls (PDF
Haberland,Nicole; Chong,Erica; Bracken,Hillary J.
Brief based on background paper prepared for the WHO/UNFPA/Population Council Technical Consultation on Married Adolescents
Publication date: 2004


Why do young women have a much higher prevalence of HIV than young men? A study in Kisumu, Kenya and Ndola, Zambia (abstract) (PDF
Glynn,J.R.; Carael,Michel; Auvert,Bertran; Kahindo,Maina; Chege,Jane; Musonda,R.; Kaona,Frederick A.D.; Buve,Anne
AIDS 15(suppl 4): S51-S60
Publication date: 2001


 

Project Stats

Location: Kenya (Nyanza Province) 

Program(s): Poverty, Gender, and Youth 

Topic(s): Adolescence/transitions to adulthood
Child marriage
HIV and children

Duration: 6/2005 - 3/2008

Population Council researchers:
Annabel Erulkar
Bentinck Ochieng

Non-Council collaborators:
Kendu Adventist Hospital Home-Based Care Program
Radio Victoria
Ramogi FM Radio
Rikka Trangsrud  (PATH Kenya)
UZIMA Foundation

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