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

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Population estimates reported in this chapter were calculated based 2007 projected population byprovince, age group and sex reported in The Analytical Report on Population Projections, Volume II,Kenyan National Bureau of Statistics (2002). Weighted national estimates for selected indicators fromthe 2007 KAIS were used in these calculations. Detailed methods used for calculating populationestimates are described in Appendix A.2.3 HIV PREVALENCE BY AGE GROUP AND SEXAccording to the 2007 KAIS, 7.1% of Kenyan adults aged 15‐64 years were infected with HIV atthe time of the survey (Table 2.3). A significantly greater proportion of women (8.4%) than men(5.4%) were infected with HIV. There were an estimated 863,000 women and 519,000 men aged15‐64 years living with HIV at the time of the survey. Prevalence in all age groups was above1.0%.Table 2.3 HIV prevalence among women and men by five-year age group, Kenya 2007.Age group (years)HIVinfected(%)Women Men TotalTotalnumbertestedHIVinfected(%)TotalnumbertestedHIVinfected(%)Totalnumbertested15-19 3.5 1,328 1.0 1,175 2.3 2,50320-24 7.4 1,598 1.9 1,034 5.2 2,63225-29 10.2 1,345 7.3 874 9.1 2,21930-34 13.3 1,154 8.9 772 11.6 1,92635-39 11.2 950 9.3 678 10.5 1,62840-44 9.4 742 10.2 576 9.7 1,31845-49 8.8 732 5.6 549 7.5 1,28150-54 7.5 519 8.3 425 7.8 94455-59 4.7 425 2.3 380 3.6 80560-64 1.7 256 3.4 341 2.7 597Totals15-24 5.6 2,926 1.4 2,209 3.8 5,13515-49 8.8 7,849 5.5 5,658 7.4 13,50750-64 5.2 1200 4.7 1146 5.0 2346Total (15-64) 8.4 9,049 5.4 6,804 7.1 15,853Figure 2.3 HIV prevalence among women and men by five-year age group, Kenya 2007.KAIS 2007 32
1513.3WomenMen11.2HIV Prevalence (Weighted %)1053.57.410.27.38.99.39.410.28.85.67.58.34.73.48.45.41.01.92.31.7015-19 20-24 25-29 30-34 35-39 40-44 45-49 50-54 55-59 60-64 TotalAge Group (years)Figure 2.3 HIV prevalence peaked in women aged 30-34 years and in men aged 40-44years.HIV prevalence was significantly greater among women than men in the 15‐19 and 20‐24 year agegroups. The highest prevalence among women was among those 30‐34 years of age, compared to40‐44 years of age among men. In the 40‐44 and 50‐54 age groups, women and men had similarHIV prevalence rates. Starting with the 40‐44 age group, prevalence estimates declinedmonotonically among women, though this pattern was not observed among men.KAIS 2007 33
Page 1 and 2: KAIS 2007 1
Page 4 and 5: P.O. Box: 9361 Code: 00202 Nairobi,
Page 6: KEMRIKNASPKNBSKshLLITNMCHmlμLMOMSM
Page 10 and 11: KEY FINDINGS: HIV PREVENTION• Amo
Page 12 and 13: Among HIV‐uninfected women, 71.2%
Page 14 and 15: Men 5.4 26.3 1.9Total 7.1 35.1 1.8O
Page 17 and 18: Kenya is also committed to the “T
Page 19 and 20: Table 1.4 Distribution of sampled c
Page 22 and 23: 1.7 SURVEY IMPLEMENTATIONTrainingIn
Page 24 and 25: Data processing included a number o
Page 26 and 27: Characteristic 2003 KDHS 2007 KAISQ
Page 28 and 29: Figure 1.11 Sampled clusters and el
Page 30 and 31: Table 1.11c Survey response rates b
Page 34 and 35: 2.4 HIV PREVALENCE AMONG YOUTHFigur
Page 36 and 37: Figure 2.6b HIV prevalence among ru
Page 38 and 39: 2.7 HIV PREVALENCE BY PROVINCEFigur
Page 40 and 41: Figure 2.7c Estimated number of HIV
Page 42 and 43: 2.9 HIV PREVALENCE BY EDUCATION LEV
Page 44 and 45: Figure 2.10b HIV prevalence among r
Page 46 and 47: 2.11 HIV PREVALENCE BY TIME AWAY FR
Page 48 and 49: 2.13 MALE CIRCUMCISION AND ASSOCIAT
Page 50 and 51: Figure 2.13c HIV prevalence among c
Page 52 and 53: Comparison of HIV Prevalence in the
Page 54 and 55: 3.3 SEXFigure 3.3a HIV prevalence a
Page 56 and 57: Figure 3.4b. HIV prevalence among m
Page 58 and 59: 3.7 PROVINCEFigure 3.7a HIV prevale
Page 60 and 61: 2003 KDHS 1 2007 KAIS 2Marital stat
Page 62 and 63: 3.10 WEALTH INDEXFigure 3.10a HIV p
Page 64 and 65: DATA IN CONTEXT: APPROACHES TO HIV
Page 66 and 67: Population estimates reported in th
Page 68 and 69: Figure 4.3c Ever been tested for HI
Page 70 and 71: Figure 4.3e Ever been tested for HI
Page 72 and 73: Figure 4.3g Women aged 15-49 years
Page 74 and 75: Figure 4.4a Time since last HIV tes
Page 76 and 77: Figure 4.5a Reasons for not testing
Page 78 and 79: Increasing access to HIV testing wi
Page 80 and 81: 4.7. Gaps and unmet needs• Two‐
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Population estimates reported in th
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Figure 5.3b Self-reported HIV statu
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This section examines participants
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Figure 5.5a Knowledge of HIV status
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Figure 5.5c Percent of partnerships
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uninfected. A couple was considered
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Figure 5.6c Women and men aged 15-6
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Sexual Partners, Sexual DebutCircum
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Figure 6.3b. HIV prevalence among w
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Figure 6.3d. HIV prevalence among w
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Figure 6.3f. Men aged 15-64 years r
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In this section, “consistent cond
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Figure 6.4c. Marital or cohabiting
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Figure 6.5b. Young women and men ag
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Figure 6.5d. Young women and men ag
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Figure 6.6a. Male circumcision amon
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Figure 6.6d. HIV prevalence among m
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Knowledge, Attitudes and Beliefs ch
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Figure 7.3b. Most common source of
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Figure 7.3c Women and men aged 15-6
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Figure 7.3e Overall scores for 12 q
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Figure 7.3g Women and men aged 15-6
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Figure 7.3i Correct responses to se
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• If a female teacher has the AID
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7.5. Perceived risk of HIV infectio
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Figure 7.5c Reasons given for havin
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7.6. Attitudes toward women’s rol
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who had never been tested for HIV o
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8.2 INTRODUCTIONIn the absence of i
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8.3 ANTENATAL CLINIC ATTENDANCE, 20
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8.4 KNOWLEDGE OF MOTHER-TO-CHILD TR
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The analysis in this section consid
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Figure 8.5b Women aged 15-49 years
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• Incorrect communication or unde
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8.8 CURRENTLY PREGNANT WOMEN: HIV T
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Among currently pregnant women, 7.1
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Among pregnant, HIV‐uninfected wo
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Figure 8.11b Desire for a child in
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8.12 CONTRACEPTIVE USEThe next figu
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Figure 8.12c Contraceptive use* amo
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Blood and Injection Safety chapter
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D ATA IN C ONTEXT: N ATIONAL B LOOD
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Figure 9.3a Source of blood donatio
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Figure 9.3b Source of blood donatio
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Figure 9.3d Source of blood donatio
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9.4 Blood transfusionsAlthough the
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10080Injec tionsPillsNo preferenceW
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HIV prevalence among adults who rep
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9.6 Gaps and unmet needs• HIV pre
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The Ministry of Medical Services re
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10.3 COTRIMOXAZOLE PROPHYLAXIS FOR
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Coverage also varied significantly
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10.4 ARV ELIGIBILITY, COVERAGE AND
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ARV coverage was estimated by takin
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Figure 10.4b ARV coverage among HIV
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DATA IN CONTEXTEstimates of HIV-inf
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10.5 GAPS AND UNMET NEEDS• The es
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debilitating illness leading to hos
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Among HIV‐infected adults (83.6%
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Figure 11.3d HIV-infected adults ag
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Figure 11.4b HIV-infected adults ag
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Figure 11.4d HIV-infected adults ag
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DATA IN CONTEXTHIV Basic Care Packa
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Figure 11.5b HIV-infected adults ag
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Figure 11.6b Percent of HIV-infecte
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11.8 GAPS AND UNMET NEEDS• Counse
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12.3 HSV-2 prevalenceHSV‐2 preval
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807071.0WomenMen64.3HSV-2 Prevalenc
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Figure 12.3d HSV-2 prevalence among
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Figure 12.4b HSV-2 prevalence among
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Figure 12.5a HIV prevalence by HSV-
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Figure 12.6b Condom use during last
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12.7 Gaps and unmet needs• Increa
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also at substantially elevated risk
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Figure 13.3b Prevalence of syphilis
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Figure 13.3d Prevalence of syphilis
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Figure 13.3f Prevalence of syphilis
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Figure 13.4b Prevalence of syphilis
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13.6 GAPS AND UNMET NEEDS• Patien
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Household Characteristics andImpact
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Figure 14.3a Sex of head of househo
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Figure 14.3d Household population,
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14.5 PREVALENCE OF HIV-AFFECTED HOU
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Figure 14.5c HIV-affected household
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social and economic conditions of h
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households used chemical disinfecta
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14.7 HOUSEHOLD OWNERSHIP OF MOSQUIT
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Figure 14.7b HIV-affected and HIV-u
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Table 14.7b Source of bednets among
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Overall, 52.3% percent of children
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14.9 CARE AND SUPPORT FOR ORPHANS A
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For consistency with other populati
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Returning Test Results15.1 KEY FIND
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Figure 15.3b. Participants aged 15-
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Figure 15.3d. Participants aged 15-
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Figure 15.3f. Participants aged 15-
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15.4 RETURNING TO RECEIVE TEST RESU
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Figure 15.5 Women aged 15-64 years
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Methods of the 2007 KAISThis Append
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ClustersHouseholdsProvince Rural Ur
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and treatment services and other he
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The KEMRI Ethical Review Committee
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Red top (5 ml)Whole blood collected
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algorithm using two HIV EIAs (Viron
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Figure A5.a. Structure and flow of
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Recruitment and training of results
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observe confidentiality of particip
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Documentation. Results counsellors
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Normalisation of weightsNormalised
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This report presents the results of
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