Expanded eligibility for HIV testing increases HIV diagnoses-A cross-sectional study in seven health facilities in western Kenya

Homa Bay, Siaya, and Kisumu counties in western Kenya have the highest estimated HIV prevalence (16.3-21.0%) in the country, and struggle to meet program targets for HIV testing services (HTS). The Kenya Ministry of Health (MOH) recommends annual HIV testing for the general population. We assessed t...

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Bibliographic Details
Published in:PloS one 2019-12, Vol.14 (12), p.e0225877
Main Authors: Joseph, Rachael H, Musingila, Paul, Miruka, Fredrick, Wanjohi, Stella, Dande, Caroline, Musee, Polycarp, Lugalia, Fillet, Onyango, Dickens, Kinywa, Eunice, Okomo, Gordon, Moth, Iscah, Omondi, Samuel, Ayieko, Caren, Nganga, Lucy, Zielinski-Gutierrez, Emily, Muttai, Hellen, De Cock, Kevin M
Format: Article
Language:English
Subjects:
Acquired immune deficiency syndrome
Adolescent
Adult
Age
AIDS
Antiretroviral drugs
Biology and Life Sciences
Bivariate analysis
Clients
Counseling services
Counties
Criteria
Cross-Sectional Studies
Diagnosis
Disease control
Disease prevention
Eligibility Determination
Epidemics
Health care facilities
Health Facilities
Health risks
Health services
HIV
HIV Infections - diagnosis
HIV Infections - epidemiology
HIV-1
Human immunodeficiency virus
Humans
Infections
Kenya - epidemiology
Local government
Medical diagnosis
Medical tests
Medicine and health sciences
Middle Aged
Patients
People and Places
Retrospective Studies
Tuberculosis
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Summary:Homa Bay, Siaya, and Kisumu counties in western Kenya have the highest estimated HIV prevalence (16.3-21.0%) in the country, and struggle to meet program targets for HIV testing services (HTS). The Kenya Ministry of Health (MOH) recommends annual HIV testing for the general population. We assessed the degree to which reducing the interval for retesting to less than 12 months increased diagnosis of HIV in outpatient departments (OPD) in western Kenya. We conducted a retrospective analysis of routinely collected program data from seven high-volume (>800 monthlyOPD visits) health facilities in March-December, 2017. Data from persons ≥15 years of age seeking medical care (patients) in the OPD and non-care-seekers (non-patients) accompanying patients to the OPD were included. Outcomes were meeting MOH (routine) criteria versus criteria for a reduced retesting interval (RRI) of 12 months, and 5% (4,832) met other criteria. The remaining 80% (74,033) met criteria for a RRI of < 12 months. In total 1.3% (1,185) of clients had a positive test. Although the percent yield was over 2-fold higher among those meeting routine criteria (2.4% vs. 1.0%; p
ISSN:1932-6203
1932-6203
DOI:10.1371/journal.pone.0225877