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<title xml:lang="en">Estimates of the size of key populations at risk for HIV infection: men who have sex with men, female sex workers and injecting drug users in Nairobi, Kenya</title>
<author>
<name sortKey="Okal, Jerry" sort="Okal, Jerry" uniqKey="Okal J" first="Jerry" last="Okal">Jerry Okal</name>
<affiliation>
<nlm:aff id="A1">Population Council, Nairobi, Kenya</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Geibel, Scott" sort="Geibel, Scott" uniqKey="Geibel S" first="Scott" last="Geibel">Scott Geibel</name>
<affiliation>
<nlm:aff id="A1">Population Council, Nairobi, Kenya</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Muraguri, Nicolas" sort="Muraguri, Nicolas" uniqKey="Muraguri N" first="Nicolas" last="Muraguri">Nicolas Muraguri</name>
<affiliation>
<nlm:aff id="A2">National AIDS and STD Control Programme, Nairobi, Kenya</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Musyoki, Helgar" sort="Musyoki, Helgar" uniqKey="Musyoki H" first="Helgar" last="Musyoki">Helgar Musyoki</name>
<affiliation>
<nlm:aff id="A2">National AIDS and STD Control Programme, Nairobi, Kenya</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Tun, Waimar" sort="Tun, Waimar" uniqKey="Tun W" first="Waimar" last="Tun">Waimar Tun</name>
<affiliation>
<nlm:aff id="A3">Population Council, Washington, DC, USA</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Broz, Dita" sort="Broz, Dita" uniqKey="Broz D" first="Dita" last="Broz">Dita Broz</name>
<affiliation>
<nlm:aff id="A4">Division of Global HIV/AIDS, Centers for Disease Control and Prevention, Atlanta, Georgia, USA</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Kuria, David" sort="Kuria, David" uniqKey="Kuria D" first="David" last="Kuria">David Kuria</name>
<affiliation>
<nlm:aff id="A5">Gay and Lesbian Coalition of Kenya, Nairobi, Kenya</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Kim, Andrea" sort="Kim, Andrea" uniqKey="Kim A" first="Andrea" last="Kim">Andrea Kim</name>
<affiliation>
<nlm:aff id="A6">Division of Global HIV/AIDS, Centers for Disease Control and Prevention, Nairobi, Kenya</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Oluoch, Tom" sort="Oluoch, Tom" uniqKey="Oluoch T" first="Tom" last="Oluoch">Tom Oluoch</name>
<affiliation>
<nlm:aff id="A6">Division of Global HIV/AIDS, Centers for Disease Control and Prevention, Nairobi, Kenya</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Raymond, H Fisher" sort="Raymond, H Fisher" uniqKey="Raymond H" first="H Fisher" last="Raymond">H Fisher Raymond</name>
<affiliation>
<nlm:aff id="A7">San Francisco Department of Public Health, HIV AIDS Statistics and Epidemiology, San Francisco, California, USA</nlm:aff>
</affiliation>
</author>
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<idno type="pmc">4784698</idno>
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<idno type="RBID">PMC:4784698</idno>
<idno type="doi">10.1136/sextrans-2013-051071</idno>
<date when="2013">2013</date>
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<title xml:lang="en" level="a" type="main">Estimates of the size of key populations at risk for HIV infection: men who have sex with men, female sex workers and injecting drug users in Nairobi, Kenya</title>
<author>
<name sortKey="Okal, Jerry" sort="Okal, Jerry" uniqKey="Okal J" first="Jerry" last="Okal">Jerry Okal</name>
<affiliation>
<nlm:aff id="A1">Population Council, Nairobi, Kenya</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Geibel, Scott" sort="Geibel, Scott" uniqKey="Geibel S" first="Scott" last="Geibel">Scott Geibel</name>
<affiliation>
<nlm:aff id="A1">Population Council, Nairobi, Kenya</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Muraguri, Nicolas" sort="Muraguri, Nicolas" uniqKey="Muraguri N" first="Nicolas" last="Muraguri">Nicolas Muraguri</name>
<affiliation>
<nlm:aff id="A2">National AIDS and STD Control Programme, Nairobi, Kenya</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Musyoki, Helgar" sort="Musyoki, Helgar" uniqKey="Musyoki H" first="Helgar" last="Musyoki">Helgar Musyoki</name>
<affiliation>
<nlm:aff id="A2">National AIDS and STD Control Programme, Nairobi, Kenya</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Tun, Waimar" sort="Tun, Waimar" uniqKey="Tun W" first="Waimar" last="Tun">Waimar Tun</name>
<affiliation>
<nlm:aff id="A3">Population Council, Washington, DC, USA</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Broz, Dita" sort="Broz, Dita" uniqKey="Broz D" first="Dita" last="Broz">Dita Broz</name>
<affiliation>
<nlm:aff id="A4">Division of Global HIV/AIDS, Centers for Disease Control and Prevention, Atlanta, Georgia, USA</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Kuria, David" sort="Kuria, David" uniqKey="Kuria D" first="David" last="Kuria">David Kuria</name>
<affiliation>
<nlm:aff id="A5">Gay and Lesbian Coalition of Kenya, Nairobi, Kenya</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Kim, Andrea" sort="Kim, Andrea" uniqKey="Kim A" first="Andrea" last="Kim">Andrea Kim</name>
<affiliation>
<nlm:aff id="A6">Division of Global HIV/AIDS, Centers for Disease Control and Prevention, Nairobi, Kenya</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Oluoch, Tom" sort="Oluoch, Tom" uniqKey="Oluoch T" first="Tom" last="Oluoch">Tom Oluoch</name>
<affiliation>
<nlm:aff id="A6">Division of Global HIV/AIDS, Centers for Disease Control and Prevention, Nairobi, Kenya</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Raymond, H Fisher" sort="Raymond, H Fisher" uniqKey="Raymond H" first="H Fisher" last="Raymond">H Fisher Raymond</name>
<affiliation>
<nlm:aff id="A7">San Francisco Department of Public Health, HIV AIDS Statistics and Epidemiology, San Francisco, California, USA</nlm:aff>
</affiliation>
</author>
</analytic>
<series>
<title level="j">Sexually transmitted infections</title>
<idno type="ISSN">1368-4973</idno>
<idno type="eISSN">1472-3263</idno>
<imprint>
<date when="2013">2013</date>
</imprint>
</series>
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<front>
<div type="abstract" xml:lang="en">
<sec id="S1">
<title>Objectives</title>
<p id="P1">Size estimates of populations at higher risk for HIV infection are needed to help policy makers understand the scope of the epidemic and allocate appropriate resources. Population size estimates of men who have sex with men (MSM), female sex workers (FSW) and intravenous drug users (IDU) are few or non-existent in Nairobi, Kenya.</p>
</sec>
<sec id="S2">
<title>Methods</title>
<p id="P2">We integrated three population size estimation methods into a behavioural surveillance survey among MSM, FSW and IDU in Nairobi during 2010–2011. These methods included the multiplier method, ‘Wisdom of the Crowds’ and an approach that drew on published literature. The median of the three estimates was hypothesised to be the most plausible size estimate with the other results forming the upper and lower plausible bounds. Data were shared with community representatives and stakeholders to finalise ‘best’ point estimates and plausible bounds based on the data collected in Nairobi, a priori expectations from the global literature and stakeholder input.</p>
</sec>
<sec id="S3">
<title>Results</title>
<p id="P3">We estimate there are approximately 11 042 MSM with a plausible range of 10 000–22 222, 29 494 FSW with a plausible range of 10 000–54 467 FSW and approximately 6107 IDU and plausibly 5031–10 937 IDU living in Nairobi.</p>
</sec>
<sec id="S4">
<title>Conclusions</title>
<p id="P4">We employed multiple methods and used a wide range of data sources to estimate the size of three hidden populations in Nairobi, Kenya. These estimates may be useful to advocate for and to plan, implement and evaluate HIV prevention and care programmes for MSM, FSW and IDU. Surveillance activities should consider integrating population size estimation in their protocols.</p>
</sec>
</div>
</front>
</TEI>
<pmc article-type="research-article">
<pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<pmc-dir>properties manuscript</pmc-dir>
<front>
<journal-meta>
<journal-id journal-id-type="nlm-journal-id">9805554</journal-id>
<journal-id journal-id-type="pubmed-jr-id">21009</journal-id>
<journal-id journal-id-type="nlm-ta">Sex Transm Infect</journal-id>
<journal-id journal-id-type="iso-abbrev">Sex Transm Infect</journal-id>
<journal-title-group>
<journal-title>Sexually transmitted infections</journal-title>
</journal-title-group>
<issn pub-type="ppub">1368-4973</issn>
<issn pub-type="epub">1472-3263</issn>
</journal-meta>
<article-meta>
<article-id pub-id-type="pmid">23761166</article-id>
<article-id pub-id-type="pmc">4784698</article-id>
<article-id pub-id-type="doi">10.1136/sextrans-2013-051071</article-id>
<article-id pub-id-type="manuscript">HHSPA764971</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Article</subject>
</subj-group>
</article-categories>
<title-group>
<article-title>Estimates of the size of key populations at risk for HIV infection: men who have sex with men, female sex workers and injecting drug users in Nairobi, Kenya</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname>Okal</surname>
<given-names>Jerry</given-names>
</name>
<xref ref-type="aff" rid="A1">1</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Geibel</surname>
<given-names>Scott</given-names>
</name>
<xref ref-type="aff" rid="A1">1</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Muraguri</surname>
<given-names>Nicolas</given-names>
</name>
<xref ref-type="aff" rid="A2">2</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Musyoki</surname>
<given-names>Helgar</given-names>
</name>
<xref ref-type="aff" rid="A2">2</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Tun</surname>
<given-names>Waimar</given-names>
</name>
<xref ref-type="aff" rid="A3">3</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Broz</surname>
<given-names>Dita</given-names>
</name>
<xref ref-type="aff" rid="A4">4</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Kuria</surname>
<given-names>David</given-names>
</name>
<xref ref-type="aff" rid="A5">5</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Kim</surname>
<given-names>Andrea</given-names>
</name>
<xref ref-type="aff" rid="A6">6</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Oluoch</surname>
<given-names>Tom</given-names>
</name>
<xref ref-type="aff" rid="A6">6</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Raymond</surname>
<given-names>H Fisher</given-names>
</name>
<xref ref-type="aff" rid="A7">7</xref>
</contrib>
</contrib-group>
<aff id="A1">
<label>1</label>
Population Council, Nairobi, Kenya</aff>
<aff id="A2">
<label>2</label>
National AIDS and STD Control Programme, Nairobi, Kenya</aff>
<aff id="A3">
<label>3</label>
Population Council, Washington, DC, USA</aff>
<aff id="A4">
<label>4</label>
Division of Global HIV/AIDS, Centers for Disease Control and Prevention, Atlanta, Georgia, USA</aff>
<aff id="A5">
<label>5</label>
Gay and Lesbian Coalition of Kenya, Nairobi, Kenya</aff>
<aff id="A6">
<label>6</label>
Division of Global HIV/AIDS, Centers for Disease Control and Prevention, Nairobi, Kenya</aff>
<aff id="A7">
<label>7</label>
San Francisco Department of Public Health, HIV AIDS Statistics and Epidemiology, San Francisco, California, USA</aff>
<author-notes>
<corresp id="FN1">Correspondence to: H Fisher Raymond, San Francisco Department of Public Health, HIV AIDS Statistics and Epidemiology, San Francisco, CA 94102, USA;
<email>hfisher.raymond@sfdph.org</email>
</corresp>
</author-notes>
<pub-date pub-type="nihms-submitted">
<day>4</day>
<month>3</month>
<year>2016</year>
</pub-date>
<pub-date pub-type="ppub">
<month>8</month>
<year>2013</year>
</pub-date>
<pub-date pub-type="pmc-release">
<day>09</day>
<month>3</month>
<year>2016</year>
</pub-date>
<volume>89</volume>
<issue>5</issue>
<fpage>366</fpage>
<lpage>371</lpage>
<pmc-comment>elocation-id from pubmed: 10.1136/sextrans-2013-051071</pmc-comment>
<abstract>
<sec id="S1">
<title>Objectives</title>
<p id="P1">Size estimates of populations at higher risk for HIV infection are needed to help policy makers understand the scope of the epidemic and allocate appropriate resources. Population size estimates of men who have sex with men (MSM), female sex workers (FSW) and intravenous drug users (IDU) are few or non-existent in Nairobi, Kenya.</p>
</sec>
<sec id="S2">
<title>Methods</title>
<p id="P2">We integrated three population size estimation methods into a behavioural surveillance survey among MSM, FSW and IDU in Nairobi during 2010–2011. These methods included the multiplier method, ‘Wisdom of the Crowds’ and an approach that drew on published literature. The median of the three estimates was hypothesised to be the most plausible size estimate with the other results forming the upper and lower plausible bounds. Data were shared with community representatives and stakeholders to finalise ‘best’ point estimates and plausible bounds based on the data collected in Nairobi, a priori expectations from the global literature and stakeholder input.</p>
</sec>
<sec id="S3">
<title>Results</title>
<p id="P3">We estimate there are approximately 11 042 MSM with a plausible range of 10 000–22 222, 29 494 FSW with a plausible range of 10 000–54 467 FSW and approximately 6107 IDU and plausibly 5031–10 937 IDU living in Nairobi.</p>
</sec>
<sec id="S4">
<title>Conclusions</title>
<p id="P4">We employed multiple methods and used a wide range of data sources to estimate the size of three hidden populations in Nairobi, Kenya. These estimates may be useful to advocate for and to plan, implement and evaluate HIV prevention and care programmes for MSM, FSW and IDU. Surveillance activities should consider integrating population size estimation in their protocols.</p>
</sec>
</abstract>
</article-meta>
</front>
</pmc>
</record>

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