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Sunday, October 21, 2012

Kenya's HIV/AIDS infection rate declines to 6.3% in 2012


The number of Kenyans living with HIV/AIDS dropped from 13 percent in 2000 to 6.3 percent in 2012 with the number of new infections remaining high at about 100,000 people, a government official said on Friday. Permanent Secretary in charge of Public Health and Sanitation Mark Bor said the figure must be checked in the continuing efforts to find solutions to eliminate the problem, which he described as one that continues to have a widespread impact in the lives of Kenyans. "The remarkable drop in HIV prevalence noted in the last decade has come as a result of concerted effort by all stakeholders in the fight against HIV, with nearly 6 million people taking HIV testing and counseling each year," the PS said during the launch of the second Kenya Aids Indicator Survey (KAIS II) in Nairobi.


To track the trend of HIV and monitor its success, Bor said it required accurate and information of the situation of the diseases, a factor he alluded to have contributed to the launch of the first survey in 2007, which he concurred provided very important information that has since been used for planning, program implementation and monitoring.
"Additionally, nearly 600,000 people living with HIV are on anti-retroviral drugs and 82 percent of all pregnant mothers are accessing Prevention of Mother to Child Transmission services countrywide HIV testing centers having risen from eight in 2000 to 5,200 today," he said.
The PS said the survey, which will run from Oct. 22 to end of January 2013, will shed light into how to make interventions more targeted and localized, while understanding the drivers of the epidemic and HIV transmission will inform design, implementation and evaluation of more effective national response.
The theme of the survey, dubbed "Get tested with your family today", it is anticipated will provide crucial information about incidence and prevalence of HIV and related sexually transmitted infections, risk practices and service uptake and delivery. The information will help guide the HIV prevention and treatment efforts coordinated through the government and supported by international partner governments and organizations.
Kenya has been home to one of the world's harshest HIV and AIDS epidemics with about 1.2 million children having been orphaned by the scourge. Between 1983 and 1985, only 26 cases of AIDS were reported in Kenya and towards the end of 1986, an average of four new AIDS cases were being reported to the World Health Organization each month.
During the survey, 40 field teams each consisting of eight members will sample over 10,000 around the country during which approximately 24,000 adults between 15-64 years and 8,000 children between 18 months to 14 years will be sampled to determine the prevalence of HIV infection and the rate of new infections among the above named age groups.
The launch of the final report will take place in September 2013 after going through the stages of data merging and weighting, preliminary analysis, final report analysis and printing. The first survey was conducted in 2007 during which it emerged that more than one third of all new infections occurred among the most at risk populations with men who have sex with fellow men in prison populations leading at 15.2 percent followed by sex workers and their clients at 14.2 percent.
"Our survey teams comprising of 40 field teams will sample over 10,000 households around the country to determine prevalence of HIV infection in Kenya and establish whether we are winning in the fight against HIV/AIDS," Patrick Muriithi, the Head of Monitoring and Evaluation Division at the National Aids Control Council said during the survey launch on Friday in Nairobi.
"We intend to sample approximately 24,000 adults between 15-64 years and 8,000 children between 18 months to 14 years to determine the prevalence of HIV infection and the rate of new infections among the above named age groups and to also describe the socio-economic and behavioral risk factors associated with HIV infections." Other objectives of the survey are to determine the need and coverage of HIV care and treatment services among the infected and establish how to prevent them.
Muriithi said all women, men and children falling between the described ages are eligible to take part in the survey but ruled out the participation of prisoners due to their controlled confinement. According to the figures for 2011, the number of Kenyans living with HIV stood at 1.6 million people with new adult and child infections recorded at 104,000. Annual AIDS deaths were reportedly 62,000.
Davies Kimanga of the National AIDS and STI Control Program said the information will be provided to the survey teams on voluntary basis and stressed that the wishes of the respondents will be respected. "No one will be coerced into participating in the exercise and in the event that the respondent will be unwilling to participate, their wishes will be respected in accordance with the Bill of Rights."
Data collection methods will involve survey questionnaire and drawing of blood for in household and a central laboratory in Nairobi for storage for future testing. Kimanga said the field teams will use the latest technology to enter and transmit survey data to the central server in Nairobi each night and added that once central testing is complete, survey data from all teams will be emerged with lab results to create the final dataset.
The central laboratory testing will include HIV testing using enzyme immunoassays, CD4 cell count, viral load, recent infection and ARV detection for HIV positive samples. Household results will be returned with counseling and referrals for linkage to care and treatment services.

Xinhua.net
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