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A typical session with a peer health educator will be a group of men watching intently as the educator rolls a condom over a wooden model. They ask relevant and serious questions, a major departure from the days when they would joke about sex, condoms and sexually transmitted diseases. Besides explanatory demonstration sessions, other gimmicks were used to pass messages — beer mats, key rings, posters, booklets, video and community theatre shows. Peer educators also provide counselling, home visits, accompany the very sick to health centres, distribute condoms or refer people to STD service points. Both men and women had high rates of sexually transmitted diseases and equally high levels of misinformation about treatment and prevention.
The majority of those who sought treatment preferred to go to private health clinics. The Amref projects included training of both public and private health care providers in not just service provision but in other issues that discourage those with sexually transmitted diseases from seeking treatment, such as lack of confidentiality, long waiting periods and insensitivity. Following awareness raising about STDs, truck drivers find it easier these days to seek treatment.
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