Pascal Macharia
Dados Biográficos
| ID | 2108111 |
|---|---|
| NOME | Pascal Macharia |
| PRENOMES | Pascal |
| SOBRENOME | Macharia |
| ASSINATURA | MACHARIA P |
| AFILIAÇÕES | Family Health Options Kenya |
| VERIFICADO | Não |
| TOTAL DE OBRAS | 13 |
| TOTAL DE CITAÇÕES | 0 |
| TOTAL COMO AUTOR | 13 |
| TOTAL COMO EDITOR | 0 |
| PRIMEIRO ANO DE PUBLICAÇÃO | 2018 |
| ANO MAIS RECENTE DE PUBLICAÇÃO | 2025 |
| ÍNDICE H | 0 |
The consequences of dismantling community-led HIV programming in Kenya
box Community-led programmes offer vital spaces of social support and safety for gay, bisexual and other men who have sex with men
Integrating Anogenital Health Care Into HIV Programs for Queer Men in Kenya
Amid shifting political and funding landscapes for HIV prevention, how do we recognize the localized knowledges and skills accumulated at the grassroots, and which undergird community-led health service delivery for "key populations"? Lateralization advances an alternative implementation approach for a new generation of HIV programs that not only meets the global health policy direction of "integrative health" but also centres community insights …
Therapeutic Trajectories of Kenyan Queer Men with Anal Warts
Human papillomavirus (HPV)-related anal infection is high among African gay, bisexual, and other men who have sex with men (MSM). In Kenya, queer men living with HPV-related anal warts often avoid health facilities, fearing homophobic retaliation from providers. In this paper, we present data collected over 24 months of ethnographic research, foregrounding the therapeutic trajectories of 35 men with advanced cases of anal warts requiring surgical…
Toward improving anal health care among GBMSM in Kenya
We aimed to illuminate the challenges of treating anal diseases among gay, bisexual and other men who have sex with men (GBMSM) in a homophobic climate amid resource constraints. Building on a long-term Kenyan-Canadian collaboration, an anal healthcare intervention study, known as the WEMAH Project, was initiated in January 2022. The initial collaborative work strengthened existing anal health services provided at a community-based clinic serving…
Community Insights in Phylogenetic HIV Research
Inferring HIV transmission networks from HIV sequences is gaining popularity in the field of HIV molecular epidemiology. However, HIV sequences are often analyzed at distance from those affected by HIV epidemics, namely without the involvement of communities most affected by HIV. These remote analyses often mean that knowledge is generated in absence of lived experiences and socio-economic realities that could inform the ethical application of ne…
Political homophobia and the effect on GBMSM programmes in Kenya
A recent Supreme Court ruling that permitted LGBTQ + rights organisations to officially register as non-governmental organisations has led to rises in political homophobia in Kenya. Community leaders initiated and led a rapid agency assessment to examine the effects of this rising political homophobia on sexual health services access for gay, bisexual and other men who have sex with men (GBMSM). This survey assessment engaged directors and progra…
The precarity of mobile loan debt and repayment among female sex workers in Nairobi, Kenya
Financial technology tools have been utilised to create readily available mobile loan platforms for urban-based, daily-wage earners in Kenya. From a financial lending perspective, this development signals greater inclusion and equality in formal bank financing systems. In this paper, however, we examine mobile loans and their repayment from the perspective of women who sell sex in Nairobi, drawing upon the qualitative findings of two community-ba…
An urgent call to include men who have sex with men in the HPV immunisation programme in Kenya
Validity and reliability of the Neilands sexual stigma scale among Kenyan gay, bisexual, and other men who have sex with men
Our findings suggest enacted and perceived sexual stigma are distinct yet closely related constructs among GBMSM in Kenya and are associated with poor mental health and substance use
Sexual health among Kenyan male sex workers in a time of Covid-19
Objective: This report identifies the profound effects that the COVID-19 pandemic and the resultant government lockdown have had on sexual health services delivery to a community of marginalised male sex workers in Nairobi, Kenya. Methods: Based on the experiences shared during ongoing virtual conversations with peer health workers, a case study was developed to identify the challenges encountered by peer health workers. Findings: Peer health wor…
Beyond biomedical and comorbidity approaches
We explored general health and psychosocial characteristics among male sex workers and other men who have sex with men in Nairobi, Kenya. A total of 595 MSM/MSW were recruited into the study. We assessed group differences among those who self-reported HIV positive (SR-HIVP) and those who self-reported HIV negative (SR-HIVN) and by affinity group membership. Quality of life among SR-HIVP participants was significantly worse compared to SR-HIVN par…
The effects of Covid-19 on the health and socio-economic security of sex workers in Nairobi, Kenya
The COVID-19 pandemic, and its attendant responses, has led to massive health, social, and economic challenges on a global scale. While, so far, having a relatively low burden of COVID-19 infection, it is the response in lower- and middle- income countries that has had particularly dire consequences for impoverished populations such as sex workers, many of whom rely on regular income in the informal economic sector to survive. This commentary cap…
Ecologies of security
This paper highlights important environmental dimensions of HIV vulnerability by describing how the sex trade operates in Nairobi, Kenya. Although sex workers there encounter various forms of violence and harassment, as do sex workers globally, we highlight how they do not merely fall victim to a set of environmental risks but also act upon their social environment, thereby remaking it, as they strive to protect their health and financial interes…
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Ecologies of security
This paper highlights important environmental dimensions of HIV vulnerability by describing how the sex trade operates in Nairobi, Kenya. Although sex workers there encounter various forms of violence and harassment, as do sex workers globally, we highlight how they do not merely fall victim to a set of environmental risks but also act upon their social environment, thereby remaking it, as they strive to protect their health and financial interes…
Beyond biomedical and comorbidity approaches
We explored general health and psychosocial characteristics among male sex workers and other men who have sex with men in Nairobi, Kenya. A total of 595 MSM/MSW were recruited into the study. We assessed group differences among those who self-reported HIV positive (SR-HIVP) and those who self-reported HIV negative (SR-HIVN) and by affinity group membership. Quality of life among SR-HIVP participants was significantly worse compared to SR-HIVN par…
The effects of Covid-19 on the health and socio-economic security of sex workers in Nairobi, Kenya
The COVID-19 pandemic, and its attendant responses, has led to massive health, social, and economic challenges on a global scale. While, so far, having a relatively low burden of COVID-19 infection, it is the response in lower- and middle- income countries that has had particularly dire consequences for impoverished populations such as sex workers, many of whom rely on regular income in the informal economic sector to survive. This commentary cap…
Sexual health among Kenyan male sex workers in a time of Covid-19
Objective: This report identifies the profound effects that the COVID-19 pandemic and the resultant government lockdown have had on sexual health services delivery to a community of marginalised male sex workers in Nairobi, Kenya. Methods: Based on the experiences shared during ongoing virtual conversations with peer health workers, a case study was developed to identify the challenges encountered by peer health workers. Findings: Peer health wor…
An urgent call to include men who have sex with men in the HPV immunisation programme in Kenya
Validity and reliability of the Neilands sexual stigma scale among Kenyan gay, bisexual, and other men who have sex with men
Our findings suggest enacted and perceived sexual stigma are distinct yet closely related constructs among GBMSM in Kenya and are associated with poor mental health and substance use
Community Insights in Phylogenetic HIV Research
Inferring HIV transmission networks from HIV sequences is gaining popularity in the field of HIV molecular epidemiology. However, HIV sequences are often analyzed at distance from those affected by HIV epidemics, namely without the involvement of communities most affected by HIV. These remote analyses often mean that knowledge is generated in absence of lived experiences and socio-economic realities that could inform the ethical application of ne…
Political homophobia and the effect on GBMSM programmes in Kenya
A recent Supreme Court ruling that permitted LGBTQ + rights organisations to officially register as non-governmental organisations has led to rises in political homophobia in Kenya. Community leaders initiated and led a rapid agency assessment to examine the effects of this rising political homophobia on sexual health services access for gay, bisexual and other men who have sex with men (GBMSM). This survey assessment engaged directors and progra…
The precarity of mobile loan debt and repayment among female sex workers in Nairobi, Kenya
Financial technology tools have been utilised to create readily available mobile loan platforms for urban-based, daily-wage earners in Kenya. From a financial lending perspective, this development signals greater inclusion and equality in formal bank financing systems. In this paper, however, we examine mobile loans and their repayment from the perspective of women who sell sex in Nairobi, drawing upon the qualitative findings of two community-ba…
Toward improving anal health care among GBMSM in Kenya
We aimed to illuminate the challenges of treating anal diseases among gay, bisexual and other men who have sex with men (GBMSM) in a homophobic climate amid resource constraints. Building on a long-term Kenyan-Canadian collaboration, an anal healthcare intervention study, known as the WEMAH Project, was initiated in January 2022. The initial collaborative work strengthened existing anal health services provided at a community-based clinic serving…
The consequences of dismantling community-led HIV programming in Kenya
box Community-led programmes offer vital spaces of social support and safety for gay, bisexual and other men who have sex with men
Integrating Anogenital Health Care Into HIV Programs for Queer Men in Kenya
Amid shifting political and funding landscapes for HIV prevention, how do we recognize the localized knowledges and skills accumulated at the grassroots, and which undergird community-led health service delivery for "key populations"? Lateralization advances an alternative implementation approach for a new generation of HIV programs that not only meets the global health policy direction of "integrative health" but also centres community insights …
Therapeutic Trajectories of Kenyan Queer Men with Anal Warts
Human papillomavirus (HPV)-related anal infection is high among African gay, bisexual, and other men who have sex with men (MSM). In Kenya, queer men living with HPV-related anal warts often avoid health facilities, fearing homophobic retaliation from providers. In this paper, we present data collected over 24 months of ethnographic research, foregrounding the therapeutic trajectories of 35 men with advanced cases of anal warts requiring surgical…
Medicine (10 obras) · Environmental health (7 obras) · Sociology (7 obras) · HIV/AIDS Research and Interventions (6 obras) · Political science (6 obras) · Sex work and related issues (6 obras) · Economic growth (5 obras) · Family medicine (5 obras) · HIV, Drug Use, Sexual Risk (5 obras) · Human immunodeficiency virus (HIV (5 obras)