Kenya is one of the few countries that has succeeded in changing the course of the HIV/AIDS epidemic, and there is strong evidence of a decline in incidence. However, AIDS-related deaths now exceed new infections, and almost nine out of ten Kenyan adults do not know their HIV status. The expansion of HIV services in Kenya, including voluntary counseling and training and prevention of mother-to-child transmission programs, has enabled more Kenyans to learn their status. However, this leaves out many individuals who could benefit from HIV testing and counseling, such as hospital patients. Patients who present to a health-care facility could learn their status as part of a diagnostic assessment, accelerating access to treatment and care. In 2004, the Ministry of Health launched “Guidelines for HIV Testing in Clinical Settings” to assist health workers in providing high-quality HIV testing and counseling in clinical settings and increase opportunities for individuals to learn their HIV status. To assess the preparedness of health workers to provide diagnostic testing and counseling, a national survey in public and private health-care facilities was conducted; findings are detailed in this report.
National AIDS and STD Control Programme and Ministry of Health Kenya. 2006. "Preparedness for HIV/AIDS service delivery: The 2005 Kenya health workers survey." Nairobi: NASCOP.