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

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Figure 4.5a Reasons for not testing for HIV among adults aged 15-64 years who had neverbeen tested for HIV, Kenya 2007.Low Risk43.351.2No Reason GivenDon't Want to KnowDo Not Know About TestLack of Access to TestingAfraid Others Will KnowAbout Test ResultDon't Know WhereLack of Access to Treatment9.28.78.66.36.57.45.28.06.64.90.70.825.219.6WomenMen0 20 40 60 80 100Weighted (%) of Non-TestersFigure 4.5a Perception of low risk was the most common reason among women and men fornot having been tested for HIV.Among all adults aged 15‐64 years who had never been tested for HIV, 43.3% of women and 51.2% ofmen reported they had not been tested because they perceived themselves to be at low risk for HIVinfection; 25.2% of women and 19.6% of men provided no reason for not testing. Less than 10% ofrespondents reported lack of access to testing, fear of others knowing about the test result, notknowing where to go to get tested and lack of access to treatment as the reasons for not getting tested.Men were significantly more likely than women to report low risk for HIV (51.2% and 43.3%,respectively) and fear that others would find out about the test results (8.0% and 5.2%, respectively) asreasons for not testing. Women were significantly more likely than men to report not knowing aboutthe test (8.6% and 6.3%, respectively), lack of knowledge about where to get tested (6.6% and 4.9%,respectively) or no reason (25.2% and 19.6%, respectively) as their barriers to getting tested.Respondents could provide more than one reason for not testing; reasons for not testing were notmutually exclusive.KAIS 2007 76
Figure 4.5b HIV prevalence among women and men aged 15-64 years who had never beentested for HIV by reason for not testing, Kenya 2007.15WomenMen11.3HIV Prevalence (Weighted %)1055.94.97.18.0 8.04.75.30Low risk No reason given Other reason(s) TotalReason for not testingFigure 4.5b Among women who had never been tested but had ever had sex, those whoreported no reason for not being tested were significantly more likely to be infected with HIVthan those that provided other reasons.Significant differences in HIV prevalence were observed among both women and men who had neverbeen tested for HIV by different reported reasons for not being tested. Among both women and men,those who provided no reason for not testing for HIV had higher prevalence (11.3% and 7.1%,respectively) than those who said they were at low risk for HIV (5.9% and 4.9%, respectively) andthose who gave other reasons for not testing (8.0% and 4.7%, respectively).4.6. Attitudes toward home testingKAIS 2007 77
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KAIS 2007 1
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P.O. Box: 9361 Code: 00202 Nairobi,
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KEMRIKNASPKNBSKshLLITNMCHmlμLMOMSM
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KEY FINDINGS: HIV PREVENTION• Amo
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Among HIV‐uninfected women, 71.2%
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Men 5.4 26.3 1.9Total 7.1 35.1 1.8O
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Kenya is also committed to the “T
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Table 1.4 Distribution of sampled c
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1.7 SURVEY IMPLEMENTATIONTrainingIn
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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 32 and 33: Population estimates reported in th
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 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 78 and 79: Increasing access to HIV testing wi
Page 80 and 81: 4.7. Gaps and unmet needs• Two‐
Page 84 and 85: Figure 5.3b Self-reported HIV statu
Page 86 and 87: This section examines participants
Page 88 and 89: Figure 5.5a Knowledge of HIV status
Page 90 and 91: Figure 5.5c Percent of partnerships
Page 92 and 93: uninfected. A couple was considered
Page 94 and 95: Figure 5.6c Women and men aged 15-6
Page 96 and 97: Sexual Partners, Sexual DebutCircum
Page 98 and 99: Figure 6.3b. HIV prevalence among w
Page 100 and 101: Figure 6.3d. HIV prevalence among w
Page 102 and 103: Figure 6.3f. Men aged 15-64 years r
Page 104 and 105: In this section, “consistent cond
Page 106 and 107: Figure 6.4c. Marital or cohabiting
Page 108 and 109: Figure 6.5b. Young women and men ag
Page 110 and 111: Figure 6.5d. Young women and men ag
Page 112 and 113: Figure 6.6a. Male circumcision amon
Page 114 and 115: Figure 6.6d. HIV prevalence among m
Page 116 and 117: Knowledge, Attitudes and Beliefs ch
Page 118 and 119: Figure 7.3b. Most common source of
Page 120 and 121: Figure 7.3c Women and men aged 15-6
Page 122 and 123: Figure 7.3e Overall scores for 12 q
Page 124 and 125: 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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KAIS 2007 1 - Kenya National AIDS & STI Control Programme ...

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