KAIS 2007 1 - Kenya National AIDS & STI Control Programme ...

The next figure focuses on HIV‐infected women who had their last live birth between 2003 and 2007and attended ANC.Figure 8.5c HIV-infected women aged 15-54 years with last live birth between 2003 and2007 by whether they received an HIV test at an ANC*, Kenya 2007.Did not previouslytest at ANC52.8%Previously testedat ANC47.2%Figure 8.5c More than half of HIV-infected women who attended ANC for their lastlive birth between 2003 and 2007 had not previously tested at an ANC.* Analysis limited to those who attended an ANC at least once for their last live birth between 2003 and 2007; HIV infection is basedon laboratory confirmed test results from the 2007 KAIS.Overall, of women aged 15‐54 years who were found to be HIV‐infected in KAIS, whose last live birthwas between 2003 and 2007 and who attended ANC at least once, 47.2% had previously had an HIVtest at an ANC and 52.8% had not. Of those who had received a previous HIV test at an ANC, 13.1%self‐reported their previous ANC test result as positive and 86.9% as self‐reported as negative, that is,these participants believed themselves to be HIV‐uninfected based on the results of their previousANC test (data not shown). Significantly more women receiving an HIV test at ANC in 2007 selfreporteda positive ANC HIV test result when compared to women tested in earlier years at an ANC;however, the sample size was too small to allow conclusions to be drawn about reported ANC testresults.Possible explanations for this difference between the KAIS HIV test result and a self‐reported testresult from the ANC testing include:• Seroconversion or HIV infection since the previous test• Unreliability of self‐reporting of the test results• Quality assurance/quality control issues related to HIV testing and counseling in the ANCtesting program which resulted in an incorrect resultKAIS 2007 147