Home-based HIV counselling and testing in western Kenya.

S. Kimaiyo, M. C. Were, C. Shen, S. Ndege, P. Braitstein, John Sidle, Joseph Mamlin

Research output: Contribution to journalArticle

32 Citations (Scopus)

Abstract

The World Health Organisation (WHO) estimates that only 12% of men and 10% of women in sub-Saharan Africa have been tested for HIV and know their test results. Home-based counselling and testing (HBCT) offers a novel approach to complement facility-based provider initiated testing and counselling (PITC) and voluntary counselling and testing (VCT) and could greatly increase HIV prevention opportunities. However, there is almost no evidence that large-scale, door-to-door testing is even feasible in settings with both limited resources and significant stigma around HIV and AIDS. To describe our experience with the feasibility and acceptance of home-based HIV counselling and testing (HBCT) in two large, rural, administrative divisions of western Kenya. The USAID-AMPATH Partnership conducted population-based, house-to-house HIV counselling and testing in western Kenya between June 2007 and June 2009. All individuals aged > or = 13 years and all eligible children were offered HBCT. Children were eligible if they were above 13 years of age, and their mother was either HIV-positive or had unknown HIV serostatus, or if their mother was deceased or whose vital status was unknown. Kosirai and Turbo Divisions, Rift Valley Province, Kenya. There were 47,066 households approached in 294 villages: 97% of households allowed entry. Of the 138,026 individuals captured, 101,167 individuals were eligible for testing: 89% of adults and 58% of children consented to HIV testing. The prevalence of HIVin these communities was 3.0%: 2.7% in adults and 3.7% among children. Prevalence was highest in the 36-45 year age group and was almost always higher among women and girls. All persons testing HIV-positive were referred to Academic Model Providing Access to Healthcare (AMPATH) for further assessment and care; all consenting persons were counselled on HIV risk-lowering behaviours. Home-based HIV counselling and testing was feasible among this rural population in western Kenya, with a majority of the population accepting to get tested. These data suggest that scaling-up of HBCT is possible and may enable large numbers of individuals to know their HIV serostatus in sub-Saharan Africa. More research is needed to describe the cost-effectiveness and clinical impact of this approach.

Original languageEnglish (US)
Pages (from-to)100-108
Number of pages9
JournalEast African Medical Journal
Volume87
Issue number3
StatePublished - Mar 2010

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Kenya
Counseling
HIV
Africa South of the Sahara
United States Agency for International Development
Mothers
Delivery of Health Care
Rural Population
Population
Cost-Benefit Analysis
Acquired Immunodeficiency Syndrome
Age Groups

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Kimaiyo, S., Were, M. C., Shen, C., Ndege, S., Braitstein, P., Sidle, J., & Mamlin, J. (2010). Home-based HIV counselling and testing in western Kenya. East African Medical Journal, 87(3), 100-108.

Home-based HIV counselling and testing in western Kenya. / Kimaiyo, S.; Were, M. C.; Shen, C.; Ndege, S.; Braitstein, P.; Sidle, John; Mamlin, Joseph.

In: East African Medical Journal, Vol. 87, No. 3, 03.2010, p. 100-108.

Research output: Contribution to journalArticle

Kimaiyo, S, Were, MC, Shen, C, Ndege, S, Braitstein, P, Sidle, J & Mamlin, J 2010, 'Home-based HIV counselling and testing in western Kenya.', East African Medical Journal, vol. 87, no. 3, pp. 100-108.
Kimaiyo S, Were MC, Shen C, Ndege S, Braitstein P, Sidle J et al. Home-based HIV counselling and testing in western Kenya. East African Medical Journal. 2010 Mar;87(3):100-108.
Kimaiyo, S. ; Were, M. C. ; Shen, C. ; Ndege, S. ; Braitstein, P. ; Sidle, John ; Mamlin, Joseph. / Home-based HIV counselling and testing in western Kenya. In: East African Medical Journal. 2010 ; Vol. 87, No. 3. pp. 100-108.
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