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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
The status of HIV testing and counseling in Kenya: Results from a nationally representative population-based survey
Journal of Acquired Immune Deficiency Syndromes, Volume 66, No. SUPPL. 1, Year 2014
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Description
Background: HIV testing and counseling (HTC) is essential for successful HIV prevention and treatment programs. The national target for HTC is 80% of the adult population in Kenya. Population-based data to measure progress towards this HTC target are needed to assess the country's changing needs for HIV prevention and treatment. Methods: In 2012-2013, we conducted a national HIV survey among Kenyans aged 18 months to 64 years. Respondents aged 15-64 years were administered a questionnaire that collected information on demographics, HIV testing behavior, and self-reported HIV status. Blood samples were collected for HIV testing in a central laboratory. Participants were offered home-based testing and counseling to learn their HIV status in the home and point-of-care CD4 testing if they tested HIV-positive. Results: Of 13,720 adults who were interviewed, 71.6% [95% confidence interval (CI): 70.2 to 73.1] had been tested for HIV. Among those, 56.1% (95% CI: 52.8 to 59.4) had been tested in the past year, 69.4% (95% CI: 68.0 to 70.8) had been tested more than once, and 37.2% (95% CI: 35.7 to 38.8) had been tested with a partner. Fifty-three percent (95% CI: 47.6 to 58.7) of HIV-infected persons were unaware of their infection. Overall 9874 (72.0%) of participants accepted home-based HIV testing and counseling; 4.1% (95% CI: 3.3 to 4.9) tested HIV-positive, and of those, 42.5% (95% CI 31.4 to 53.6) were in need of immediate treatment for their HIV infection but not receiving it. Conclusions: HIV testing rates have nearly reached the national target for HTC in Kenya. However, knowledge of HIV status among HIV-infected persons remains low. HTC needs to be expanded to reach more men and couples, and strategies are needed to increase repeat testing for persons at risk for HIV infection. Copyright © 2014 by Lippincott Williams & Wilkins.
Authors & Co-Authors
Ng'Ang'A, Anne
Kenya, Nairobi
Kenyatta National Hospital
Waruiru, Wanjiru
United States, San Francisco
University of California, San Francisco
Ngare, Carol W.
Kenya, Nairobi
Kenyatta National Hospital
Ssempijja, Victor
United States, Atlanta
Centers for Disease Control and Prevention
Gachuki, Thomas
Kenya, Nairobi
Ministry of Health Nairobi
Njoroge, Inviolata
Kenya, Nairobi
Liverpool Voluntary Counselling and Testing
Oluoch, Patricia R.
United States, Atlanta
Centers for Disease Control and Prevention
Kimanga, Davies O.
Kenya, Nairobi
Kenyatta National Hospital
Maina, William K.
Kenya, Nairobi
Kenyatta National Hospital
Mpazanje, Rex G.
Kenya, Nairobi
Ministry of Health Nairobi
Switzerland, Geneva
Organisation Mondiale de la Santé
Kim, Andrea A.
United States, Atlanta
Centers for Disease Control and Prevention
Statistics
Citations: 72
Authors: 11
Affiliations: 6
Identifiers
Doi:
10.1097/QAI.0000000000000102
ISSN:
15254135
Research Areas
Infectious Diseases
Study Design
Cross Sectional Study
Study Approach
Quantitative
Study Locations
Kenya
Participants Gender
Male