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Voluntary Counseling and Testing (VCT)<br />

Table 3.21 shows the availability of voluntary counseling and testing (VCT) for HIV.<br />

Among the facilities surveyed in the 14 regions, 82 percent reported having a testing<br />

system for HIV screening, including 61 percent of hospitals, 79 percent of health centers, and<br />

83 percent of health posts.<br />

Table 3.21 Availability of HIV testing and counseling services<br />

Among all facilities, the percentages that report having an HIV testing system and, among facilities with an HIV testing system, the percentages that have<br />

HIV testing capacity at the facility and other items to support the provision of quality HIV testing and counseling services by background characteristics,<br />

Senegal SCSPA 2012–2013<br />

Background<br />

characteristics<br />

Percentage of<br />

all facilities<br />

with HIV<br />

testing<br />

system 1<br />

Number of<br />

facilities<br />

HIV testing<br />

capacity 2<br />

Percentage of facilities with HIV testing<br />

system that have the following features<br />

HIV testing<br />

and counseling<br />

guidelines<br />

Trained<br />

provider 3<br />

Visual and<br />

auditory<br />

privacy 4 Condoms 5<br />

Number of<br />

facilities<br />

having HIV<br />

testing system<br />

Facility type<br />

Hospital 61 17 100 46 75 41 39 10<br />

Health center 79 30 98 64 76 42 67 24<br />

Health post 83 317 100 37 68 2 56 264<br />

Managing authority<br />

Public 91 302 100 39 70 6 59 274<br />

Private 39 62 100 46 56 6 28 24<br />

Region<br />

Dakar 62 71 99 26 64 19 44 44<br />

Diourbel 93 25 100 66 89 0 71 23<br />

Fatick 88 22 100 14 93 5 16 20<br />

Kaffrine 100 14 100 49 53 0 91 14<br />

Kaolack 83 23 100 93 78 2 64 19<br />

Kédougou 80 9 100 34 67 5 100 7<br />

Kolda 68 17 100 16 52 28 56 12<br />

Louga 80 23 100 75 69 14 69 18<br />

Matam 100 17 100 13 71 1 6 17<br />

Saint Louis 91 29 100 79 74 6 31 26<br />

Sédhiou 91 12 100 3 87 0 43 11<br />

Tambacounda 83 24 100 36 66 3 91 20<br />

Thiès 84 48 100 32 66 0 62 40<br />

Ziguinchor 91 29 100 12 41 3 80 27<br />

Total 82 364 100 40 69 6 56 298<br />

Health hut NA 74 NA NA NA NA NA NA<br />

NA = Not applicable<br />

Note: The guidelines and trained staff indicators presented in this table correspond to the staff and training domain for assessing readiness to provide<br />

HIV testing and testing services within the health facility assessment methodology proposed by WHO and USAID (2012). Similarly, the visual and<br />

auditory privacy items comprise the equipment domain; the HIV testing capacity comprises the diagnostic domain; and condoms comprise the<br />

medicines and commodities domain for assessing readiness to provide HIV testing and counseling services within the WHO-USAID framework.<br />

1<br />

Facility reports conducting HIV testing in the facility or else in an external testing site and having an agreement with that external site that test results<br />

will be returned to the facility.<br />

2<br />

Facility reports conducting HIV testing in the facility and had HIV rapid diagnostic test kits or ELISA testing capacity or other HIV testing capacity<br />

observed in the facility.<br />

3<br />

Facility had at least one interviewed staff member providing HIV testing services who reported receiving in-service training in some aspect of HIV/AIDS<br />

testing and counseling during the 24 months preceding the survey. The training must have involved structured sessions; it does not include individual<br />

instruction that a provider might have received during routine supervision.<br />

4<br />

Private room or screened-off space available in the HIV testing and counseling area that is a sufficient distance from sites where providers and/or other<br />

clients may be so that a normal conversation could not be overheard and the client could not be observed by others.<br />

5<br />

Condoms available at the HIV testing and counseling site on the day of the survey.<br />

39

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