PARTNERSHIPS AND CHOICE OF MARKET OUTLETS AMONG BEANS FARMERS IN KENYA

Research background: Beans form a substantial part of the household diet in East and Central Africa and are consumed by most households. They are alternative low-cost proteins for less endowed people in a society and can contribute towards nutrition, food security, and employment. In Homa Bay County, beans are staple food grown by a vast majority of farmers. Choice of market outlet is the most significant decision for farm households to sell their produce to the different market outlets, which has a more substantial impact on household income. Purpose of the article: Factors influencing the choice of market outlets among smallholder bean farmers in Homa Bay County, Kenya Methods: Data collected were analyzed using a Multivariate Probit. Multi-stage sampling was used to collect data from 362 farmers, which constituted 181 participants and 181 non-participants of Public-private partnerships (PPPs); data was collected using a pretested semi-structured questionnaire. Findings & value added & novelty: The market outlet choices available in the study area for sales of beans included consumers, brokers, retailers, and wholesalers; however, retailers and wholesalers constituted more than half of the market outlets. Experience in bean farming, farm size, access to training, credit, and partnership participation positively and significantly influenced selling to these market outlets. Farmers who participated in PPP participated more in bean farming than non-participants; this might be attributed to the benefit acquired from partnerships, such as training farm inputs, among others. Thus, PPP could be an effective way of improving smallholder livelihood; policies that include mechanisms that create or secure markets for smallholder farmers will see to it that they get increased returns

Prevalence and correlates of violence among sexual and injecting partners of people who inject drugs living with HIV in Kenya: a cross-sectional study

Abstract Background In Kenya, violence is common among people who inject drugs (PWID) living with HIV and their sexual and injecting partners and may lead to decreased uptake of HIV services, increased HIV risk behaviors, and increased HIV transmission. Violence is defined as any physical harm, threatened harm, or forced sexual acts inflicted on a person in the past year. Understanding the nature of violence and its correlates among PWID and their partners will inform population-specific public health interventions and policy recommendations. Methods This is a cross-sectional study nested in a prospective cohort study conducted in eight public health centers, methadone clinics, and needle syringe programs in Nairobi, Kilifi, and Mombasa counties in Kenya. 3,302 sexual and/or injecting partners of PWID living with HIV were recruited through assisted partner services and participated in the study. Prevalence and correlates of violence were identified using the Wald test and negative binomial regression. Results Out of 3302 study participants, 1439 (44%) had experienced violence within the past year. Physical violence was the most common form of violence experienced (35%), followed by being threatened (23%) or subjected to sexual violence (7%). In an adjusted analysis, female participants reported higher experiences of sexual violence (prevalence ratio [PR] = 2.46; 95% confidence interval [CI] 1.62, 3.74; p < 0.001) compared to male participants. In adjusted analysis, coastal residents had a higher experience of overall violence (PR = 1.48; 95% CI 1.27, 1.72; p < 0.001) than those living in Nairobi. This regional effect was relatively stronger among the female respondents (p interaction = 0.025). Participants’ sex modified the association between region and experiencing violence after adjusting potential confounding factors. Conclusions The study reveals the prevalence of violence among PWID and identifies high-risk sub-groups, including women, specifically for sexual violence, and coastal residents. Tailored interventions addressing their unique needs are essential. A holistic approach that combines violence prevention and response, comprehensive harm reduction, healthcare access, and community support is crucial to address the complex issue of drug use and HIV burden among PWID in Kenya for improved health outcomes