HIV Status in Zanzibar - Page 3
High Risk behaviors (sexual and drug related behaviours) among MARPs
There is high HIV and other STI prevalence among MARPs (MSMs, FSWs and IDUs) because of their higher risk behaviour (including unsafe sex and drug abuse practices) compared to the general population. Various studies conducted among MARPs in Zanzibar have documented high sexual and drug related risk behavior. These include the following in the recognized sub-groups:
According to the 2007 IBBS survey the HIV prevalence among people who inject drugs in Zanzibar is 16.0%. The prevalence of Hepatitis B virus is 6.5 percent; Hepatitis C virus - 26.9 percent; and Syphilis – 0.3 percent. Among PWIDs who tested positive for HIV, 45.1% also tested positive for HCV infection.
The behaviour of sex between males is present in all societies. In Zanzibar the behaviour of male-male sex is highly stigmatised in line with cultural and religious beliefs. While some men who have sex with men do so because it aligns with their sexual preference, others have sex with men for financial reasons although they are primarily attracted to women. This includes transactional sex for money or goods or opportunity. As reported in the 2007 IBBS the median age of sexual debut for men who have sex with men in Zanzibar was 18 years and the majority of MSM (59.5%) reported their first sexual partner was a man.