Mombasa County has a population of 1,145,259, comprising of 593,411 males (52%) and 551,848 females (48%). Children below 15 years constitute 32% of the population, while youth aged 15-24 years constitute 22% of the population (2015 KNBS Population Projections).. HIV prevalence in Mombasa is 1.2 times higher than the national prevalence at 7.5% (Kenya HIV Estimates 2015). The HIV prevalence among women in the county is higher (10.7%) than that of men (4.6%), indicating women are more vulnerable to HIV infection than men in the County. (Figure 2). Mombasa County contributed to 3.6% of the total number of people living with HIV in Kenya, and is ranked the seventh nationally. By the end of 2015 a total of 54,310 people were living with HIV in the County, with 19% being young people aged 15-24 years and 7% being children under the age of 15 years. Approximately 253 children and 1,199 adults died of AIDS-related conditions in 2015. There was a decrease of 28% of HIV-related deaths among the children aged below 15 years and a decrease of 40% among adults aged 15 years and above since 2013 in the County

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In 2015, Mombasa County contributed to 5% and 3% of the new HIV infections in Kenya among children and adults respectively. Adolescents aged 10-19 years and young people aged 15-24 years contributed to 25% and 47% of all new HIV infections in the County respectively. Compared to 2013, the County recorded a substantive increase of 87% in the number of new HIV infections among children aged below 15 years and an increase of 51% among adults aged 15 years and above. (Table 2).

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According to KDHS, comprehensive knowledge about HIV is a composite measure defined as knowing that consistent use of condoms during sexual intercourse and having just one uninfected faithful partner can reduce the chance of contracting HIV, knowing that a healthy-looking person can have HIV, knowing that HIV cannot be transmitted by mosquito bites, and knowing that HIV cannot be contracted by sharing food with a person who has AIDS.The survey revealed that 62% of women and 75% of men had a comprehensive knowledge of HIV and AIDS.Consistent and proper use of condoms can reduce the risk of HIV and other sexually transmitted infections by more than 90%. In Mombasa County about 27% of women and 32% of men who had reported two or more sexual partners did not use condom during their last sexual intercourse (KDHS, 2014). With the high probability of acquiring new HIV infection per sexual contact, condom use needs to be promoted and CWID has been engaged in awareness creation on HIV/AIDs as well as distribution of Condoms to sex workers in order to prevention spread.

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