MAISHA FITI STUDY

This is a study with 1,000 women recruited from all seven SWOP clinics using an agreed sampling frame. The purpose of the study is to examine the associations between violence against women, mental health concerns, alcohol and drug use, biological changes to the immune system, and risk of HIV infection as demonstrated in the chart below.

Maisha Fiti study will address the associations across different levels that are generally studied separately:

  1. Biological factors (genital tract inflammation and immunological changes)
  2. Behavioral factors (drug and alcohol use, mental health, HIV prevention, and treatment adherence)
  3. Structural factors (poverty, violence)
    Phase 1 results will show the association of HIV acquisition with high rates of violence and mental health disorders as illustrated below.

The preliminary key findings show high rates of violence and mental health disorders amongst our sex workers. Both are associated with HIV acquisition.

 

Phase II

During phase II which has started another 40 IDIs with the same participants will be conducted.

 

With data from the first and second visit, we will be able to compare the changes/differences in and between participants’ profiles at baseline and at the second visit. This information will also be able to establish the interactions between biological, behavioral, and structural factors in HIV acquisition and adherence to ARVs. We hope the data will help inform on the type and level of interventions that would reduce HIV infections as well as improve ART adherence.

 

Principal Investigators:- Dr Joshua Kimani/Tara

Doris Kuzma

Member

Doris Kuzma is a seasoned Chartered Professional Accountant (CPA) with over 25 years of experience in financial management, administration, and project leadership. She has played a pivotal role in the strategic and financial oversight of major international projects, collaborating with universities, governments, NGOs, and global institutions. As the Director of Administration and Finance at the Institute for Global Public Health, University of Manitoba, Doris has overseen complex multi-location projects across Asia, Africa, and Europe. Her expertise spans financial reporting, strategic planning, contract negotiations, and budget management. In her extensive career, Doris has been instrumental in driving financial strategies, improving administrative systems, and ensuring compliance with international funding agencies. Doris is recognized for her leadership in financial governance, her ability to navigate complex financial landscapes, and her commitment to advancing public health through sound financial management.

Wanjiru Angela Nduati

Member

Wanjiru Angela Nduati is a qualified Advocate of the High Court of Kenya. She holds a Bachelor of Laws (LLB) Honours degree from the University of Leicester, UK, and has advanced certifications in trust creation law, company law, and trustee investment law. Wanjiru’s career includes pivotal roles in both legal practice and corporate governance. She is the Co-founder and managing partner of Havelock, Nduati & Company Advocates, she specializes in trusts, estate planning, and property structuring. With over two decades of experience, she held pivotal roles including Head of Governance & Control at Barclays Consumer Banking and Group Company Secretary & Legal Counsel at Barclays Bank of Kenya. Wanjiru is highly regarded for her expertise in legal practice and corporate governance, playing a pivotal role in shaping legal and financial strategies for individuals and institutions.