Home Health River Road Casino Turned Clinic Where Men,Women Sneak In For STIs Treatment

River Road Casino Turned Clinic Where Men,Women Sneak In For STIs Treatment

KEY POINTS:

  • The facility was dubbed ‘casino’ after one around the area closed. Ndumberi Road that leads to the right turn from River Road where the Special Treatment Centre is located, is a ‘sin city’ of its kind.
  • The good news is treatment for STIs is free at the Level II facility under Nairobi Metropolitan Services.

- Advertisement -

Have you ever asked yourself where people who get Sexually Transmitted Infections(STIs) rush to get treatments.

Of course most people who get infected with STIs are usually ashamed of disclosing it hence resolve to seeking medical attention incognito.

But, as the famous River Road Nairobi is known to have almost everything, STIs treatment is not an exclusion.

The facility was dubbed ‘casino’ after one around the area closed. Ndumberi Road that leads to the right turn from River Road where the Special Treatment Centre is located, is a ‘sin city’ of its kind.

This is despite the string of churches in the buildings along the road – House of Judah Ministries, Victors Assembly Church, Healing Revival Centre and Redeemed Gospel Church – booming worship songs while on the staircase on the ground floor, skimpily dressed sex workers parade themselves, some taking alcohol while others puff cigarettes.

“Do not even attempt to take photos of us! We have children and they are on social media too,” one of them shouted according to The Standard.

The good news is treatment is free at the Level II facility under Nairobi Metropolitan Services. Someone familiar with the phrase ‘my engine has knocked’ as the street lingo referring to an STI, would be amused that the casino is right opposite garages.

Rosemary Muraya, the nurse in charge, explains that the facility, set up in the 1960s to mainly treat STIs, has become a health centre tackling all ailments including skin diseases.

However, the hospital has not shed the old tag hospitali ya kaswende (hospital that treats syphilis). “Of the 3,000 patients we receive in a month, about 30 per cent present with STIs, 60 per cent with skin diseases and the rest general illnesses,” says Ms Muraya.

Most patients seeking treatment for STIs are aged between 15 and 49, majority women.

“Men generally have poor health-seeking behaviour. By the time they come they will be in really deep pain,” she notes.

Chlamydia, pelvic inflammatory disease, candidiasis (yeast infection), gonorrhoea and syphilis are the common infections the facility handles. The latter two, however, are the common STIs treated at the facility.

“Gonorrhoea is hard to treat as we have witnessed a lot of resistance unlike syphilis,” says Muraya. Gonorrhoea has been highlighted by the Centre for Disease Control and Prevention as a public health issue in an update reviewed in March because of resistance.

“The emergence of cephalosporin-resistant gonorrhoea would significantly complicate the ability of providers to treat gonorrhoea successfully since we have few antibiotic options left that are simple, well-studied, well-tolerated and highly effective,” reads the update.

In the 90s, Muraya says, the facility started handling skin diseases before HIV and tuberculosis services were incorporated in the early 2000s.

“Given our location, we have a lot of people coming in for Prep. We have 960 ladies now on prep. In a day, we get about 10 patients who walk in for prep. Of the 10, maybe one or two are men,” she discloses.

Pre-exposure prophylaxis (prep) is a daily dosage for persons at risk of getting infected with HIV, among them sex workers. The medication prevents the virus from replicating in the body if one is exposed.

However, the clinic does not just give medicine to everyone who requests.

Peninah Sammy, who handles testing and counselling in the facility says while those who pick prep are supposed to be tested every three months, they are reviewed every month when they come back for refills.

READ MORE:

“Prescription of prep has to be followed with adherence. There also has to be the reason for you to be put on prep,” she says. “If after three months you are tested and you are HIV positive, then we have to discontinue you and put you instead on anti-retroviral treatment (ART) since it means you started prep when you were already exposed to the virus,” she adds.

Nickson Apamba, in charge of adherence programme in the hospital, notes they have 1,703 HIV patients on ART.

The facility offers other 13 services, including nutrition, maternal and child health care (which includes antenatal clinics, family planning and cervical cancer screening), voluntary male circumcision, non-communicable disease clinics (hypertension and diabetes), gender-based violence cases (like rape), and harm reduction.

Muraya reveals that harm reduction is a public health intervention targeting drug users to prevent HIV or STIs transmission through injectable substances.

“We are surrounded by drug dens, so we do have peer educators who assist us in harm reduction. We help them by exchanging their syringes so that they don’t share,” she says.

The additional services are to some extent meant to shed off the association of the facility to STIs. Walking in with a skin infection, however, may still give an impression that one has an STI infection, said Daniel Kutere, a clinician.

“At some stage, syphilis does affect the brain and other organs like the skin,” he said.

Eczema, dermatitis, psoriasis and acne are common skin infections treated at the facility.

- Advertisement -
- Advertisement -

Stay Connected

16,985FansLike
2,458FollowersFollow
61,453SubscribersSubscribe

Must Read

China Breaks US Monotony On The Moon As It Becomes Second Country To Plant Flag On Lunar Surface

China has become the second country in the world, after only United States, to plant its national flag on the moon.The pictures from China's...
- Advertisement -

Trump Raised Ksh 23 Billion To Challenge Biden’s Win in Court, And He’s Still Losing

President Donald Trump managed to raise $207.5 million to fund legal challenges to Democrat Joe Biden's victory.The money was raised by Trump’s campaign and...

D

Machakos Senator Boniface Kabaka In ICU After Spending A Night With A Woman

Machakos senator Boniface Mutinda Kabaka is fighting his life in the Intensive Care Unit (ICU) after spending a night with a woman identified as...

Related News

Trump Raised Ksh 23 Billion To Challenge Biden’s Win in Court, And He’s Still Losing

President Donald Trump managed to raise $207.5 million to fund legal challenges to Democrat Joe Biden's victory.The money was raised by Trump’s campaign and...

D

Machakos Senator Boniface Kabaka In ICU After Spending A Night With A Woman

Machakos senator Boniface Mutinda Kabaka is fighting his life in the Intensive Care Unit (ICU) after spending a night with a woman identified as...

Top Expert Fauci Praises Biden’s 100-Day Mask Wearing Directive, Accepts Job Offer

Dr. Anthony Fauci, US top infectious disease expert, on Friday praised President-elect Joe Biden’s proposal for all Americans to wear face masks for the...

SportPesa Comeback Hits A Snag As CS Matiang’i Strikes Again

SportPesa grand comeback has hit yet another dead end as the betting regulator annulled the license for Milestone Gaming Limited.Milestone, a new betting company...