Mu rwego rwo kwizihiza umunsi mpuzamahanga wahariwe kurwanya SIDA ku ya 1 Ukuboza, muri Kenya, urugamba rwo kurwanya virusi itera SIDA rukomeje kuba ikibazo cy’ubuzima rusange, cyane cyane ku bagore.Minisiteri y’ubuzima ivuga ko Abanyakenya bagera kuri 1.377.784 bafite virusi itera SIDA, abagore bakaba benshi ari bo 880.000.
Kuri uyu ukora umwuga w’uburaya ukomoka i Dandora, i Nairobi, avuga ko kwandura virusi itera sida bibateye impungenge rwose. Umubyeyi ufite imyaka 50 y’amavuko ufite abana bane yerekeje ku mwuga w’uburaya kubera ikibazo cy’amafaranga kandi akora ibishoboka byose kugira ngo agabanye ingaruka yahuriramo nazo kuko imibereho itamworoheye.
Kugeza vuba, uyu mugore yafataga ibinini bya buri munsi byitwa Pre-Exposure Prophylaxis (PrEP) kugira ngo yirinde kwandura virusi itera sida, ariko ubu agiye guhindukirira impeta ya Dapivirine Vaginal (DPV-VR), nyuma yuko minisiteri y’ubuzima ya Kenya yemeye kuyikoresha.
Impeta ya Dapivirine ikora mu kurekura imiti igabanya ubukana bwa virusi itera sida mu gihe cy’ukwezi kumwe. Mu gusura ikigo nderabuzima cyaho, yahawe amakuru yose akeneye kugirango akoreshe neza impeta, ikiri mucyiciro cy’igeragezwa kugira ngo barebe umusaruro itanga.
Uyu mugore agira ati: “Nagize abafatanyabikorwa ntizeraga kandi bagiye bampara abana banjye umugati wa buri munsi kugira ngo babone icyo kurya. Nahuye n’incuti yanjye ambwira ibijyanye n’impeta zo mu gitsina ambwira aho nabikura.Mu gihe cy’imibonano mpuzabitsina itaraba icyaha muri Kenya, hirya no hino hari agasuzuguro ku bakora umwuga w’uburaya“.
Yongeraho ati: “Nakoresheje PrEP mu kanwa ariko ntibibura kugira ubuzima bwite kandi bitera ingaruka ariko igihe inshuti yanjye yambwiraga impeta zo mu gitsina, nahisemo kuba inzira nakoresha kugira ngo nirinde indwara.”
Impeta yo mu nda ibyara ya dapivirine yemejwe n’umuryango w’ubuzima ku isi (OMS) nk’inyongera yo gukumira abagore bafite ibyago byinshi byo kwandura virusi itera sida muri Mutarama 2021.
Nyuma y’iki cyemezo, guverinoma ya Kenya yemeye impeta izakoreshwa mu 2022, maze ubushakashatsi bwo kugerageza iyi mpeta butangira muri Kamena 2023 kugira ngo harebwe ishyirwa mu bikorwa n’ingirakamaro mu bagore bo mu gihugu.
Impeta ya dapivirine ishyirwa munda ibyara izashyirwa ahagaragara muri Kenya mu 2025, kandi abagore bazayigeraho nta kiguzi. Abagore bagize uruhare mu gutwara indege bashima ubushishozi bw’impeta kandi byoroshye gukoresha.
Undi mukozi ushinzwe abakora umwuga w’uburaya muri Nairobi wifuza kutamenyekana kubera agasuzuguro k’imirimo ye agira ati:”Nakoresheje ibinini bya PrEP buri munsi mbere kandi ntibibungabunga ubuzima bwawe kuko nk’urugero, ushobora kubona umushyitsi uza agutunguye, kandi ntabwo abantu bose bazi ibinini bya PrEP, bashobora gutekereza ko ari ARV (imiti igabanya ubukana bwa virusi) kandi nayo ishobora ku kugiraho ingaruka“.
Akomeza agira ati: “Ubu nkunda impeta kuko irihishe, Ninjye muntu wenyine uzi ko nyifite kandi sinshobora kwibagirwa gukoresha impeta nk’ukuntu nigeze nibagirwa gufata ibinini“.
Jennifer Gacheru ni umuyobozi ushinzwe ivuriro muri Bar Hostess Empowerment and Support Program (BHESP), umuryango utera inkunga abakora umwuga w’uburaya kandi wagize uruhare mu bushakashatsi bwa gateganyo kuri iyi mpeta.
Gacheru agira ati: “Benshi muri bo bakunda impeta zo mu gitsina bitewe n’ingaruka zizanwa na PrEP yo mu kanwa kandi bagomba no kwibuka buri munsi kugira ngo bamire.”
Nyamara, impeta yo mu gitsina ikorera mugace kayo kandi igira akamaro gusa mukurinda virusi itera SIDA mugihe cy’imibonano mpuzabitsina.
Gacheru yongeyeho ati: “Niba rero umukiriya akora imibonano mpuzabitsina mu kanwa cyangwa imibonano mpuzabitsina anal, ntibikwiye.”Impeta yo mu gitsina nayo ntishobora gutanga uburinzi ku zindi ndwara zandurira mu mibonano mpuzabitsina (STIs).
Jonah Onentiah, umuyobozi w’itsinda rishinzwe gukumira virusi itera SIDA muri gahunda y’igihugu ishinzwe kurwanya SIDA no kurwanya indwara zandurira mu mibonano mpuzabitsina (NASCOP) ashimangira ko hagomba gufatwa izindi ngamba.
Agira ati: “Impeta ni bumwe mu buryo bwo kwirinda virusi itera SIDA kandi turasaba cyane ko hakoreshwa agakingirizo iruhande rw’impeta mu rwego rwo kwirinda indwara zandurira mu mibonano mpuzabitsina no gutwita.”
Izindi nyungu z’impeta zirimo ubushishozi bwazo, kubera ko ku bagore badashoboye kuganira ku mibonano mpuzabitsina itekanye cyangwa gukoresha agakingirizo, ubu bashobora kuyikoresha mu gukumira ubwandu bwa virusi itera sida. Hamwe no kuyikoresha neza twabonye ko imikorere yavuye kuri 27% iragenda igera kuri 75%.
Abakoresha barasabwa kwirinda imibonano mpuzabitsina mu masaha 24 yambere nyuma yo gushyirwamo kugira ngo imiti irekurwe neza.
Impeta yemerewe gukoreshwa mu bihugu byinshi bya Afurika, harimo Botswana, Afurika y’Epfo, Lesotho, u Rwanda, Uganda, Zimbabwe na Eswatini. Ku bagore bo muri Kenya, bizatangira gukoreshwa muri 2025 ntibishobora kuza mbere yaho.
Mu 2023, abagore 9.100 banduye virusi itera SIDA ugereranije n’abagabo 4.100 muri Kenya. Ku isi hose, 44% by’abanduye virusi itera SIDA bose bari mu bagore n’abakobwa nk’uko UNAIDS ibitangaza.
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