Home Based HIV Testing and Counseling in Suba District, Kenya Ulo Benson

1. MOPDD0203 Home Based HIV Testing and Counseling in Suba District, KenyaUlo Benson Suba District (2007) Hard to reach resource poor setting Population – 200,000 (33,000 households) Mainly fishing community Generalized epidemic; HIV prevalence – 30% (National 7.4%) HBCT done 2007 - 2009

2. METHODS - HBHCT Model Community Mobilization Volunteers Household Education Household Education Household Education Household Education Household Education Household Education Household Education Household Education Household Education Household Education Household Education Household Education Household Education Household Education Household Education Household Education Household Education Household Education Individual session Individual session Individual session Individual session Individual session Individual session Individual session Individual session Individual session Individual session Individual session Individual session Individual session Individual session Counseling session Individual session Individual session Individual session Individual session Individual session Individual session Individual session Individual session Individual session Individual session Individual session Individual session Individual session Individual session Individual session Individual session Individual session Individual session Individual session Individual session Individual session Individual session Individual session Individual session Individual session Decline Testing Decline Testing Decline Testing Decline Testing Decline Testing Decline Testing Decline Testing Decline Testing Decline Testing Decline Testing Decline Testing Decline Testing Decline Testing Decline Testing Decline Testing Decline Testing Decline Testing Accept Testing Accept Testing Accept Testing Accept Testing Accept Testing Accept Testing Accept Testing Accept Testing Accept Testing Accept Testing Accept Testing Accept Testing Accept Testing Accept Testing Accept Testing Accept Testing Accept Testing Accept Testing Accept Testing Accept Testing Accept Testing Accept Testing Accept Testing Accept Testing Accept Testing Accept Testing Accept Testing Accept Testing Accept Testing Accept Testing Accept Testing Accept Testing Accept Testing Accept Testing Accept Testing Accept Testing Negative Clients Negative Clients Negative Clients Negative Clients Negative Clients Negative Clients Negative Clients Negative Clients Negative Clients Negative Clients Negative Clients Negative Clients Negative Clients Negative Clients Negative Clients Negative Clients Negative Clients Negative Clients Negative Clients Positive Clients Positive Clients Positive Clients Positive Clients Positive Clients Positive Clients Positive Clients Positive Clients Positive Clients Positive Clients Positive Clients Positive Clients Positive Clients Positive Clients Referral Referral Referral Referral Referral Referral Referral Referral Referral Referral Referral Referral Referra Referral Referral Referral Referral Referral Referral Referral Referral Referral Referral Referral Referral Referral Referral Referral Referral Referral Referral Referral Referral Referral Referral Referral Referral Referral Referral Referral Referral Referral Referral Referral Referral Referral Referral Referral Referral Follow up Follow up Follow up Follow up Follow up Follow up Follow up Follow up Follow up Follow up Follow up Follow up Follow up Follow up Follow up Follow up Follow up Follow up Follow up Risk reduction VCT VMMC PMTCT Risk reduction VCT VMMC PMTCT Risk reduction VCT VMMC PMTCT Risk reduction VCT VMMC PMTCT Risk reduction VCT VMMC PMTCT Risk reduction VCT VMMC PMTCT Risk reduction VCT VMMC PMTCT Risk reduction VCT VMMC PMTCT Risk reduction VCT VMMC PMTCT Risk reduction VCT VMMC PMTCT Risk reduction VCT VMMC PMTCT Risk reduction VCT VMMC PMTCT Risk reduction VCT VMMC PMTCT Risk reduction VCT VMMC PMTCT Risk reduction VCT VMMC PMTCT Risk reduction VCT VMMC PMTCT Risk reduction VCT VMMC PMTCT Risk reduction Support groups VMMC PMTCT Risk reduction Support groups VMMC PMTCT Risk reduction Support groups VMMC PMTCT Risk reduction Support groups VMMC PMTCT Risk reduction Support groups VMMC PMTCT Risk reduction Support groups VMMC PMTCT Risk reduction Support groups VMMC PMTCT Risk reduction Support groups VMMC PMTCT Risk reduction Support groups VMMC PMTCT Risk reduction Support groups VMMC PMTCT Risk reduction Support groups VMMC PMTCT Risk reduction Support groups VMMC PMTCT Risk reduction Support groups VMMC PMTCT Risk reduction Support groups VMMC PMTCT Risk reduction Support groups VCT/VMMC PMTCT Risk reduction Support groups VMMC PMTCT Risk reduction Support groups VMMC PMTCT Risk reduction Support groups VMMC PMTCT CCC/PMTCT Support group

3. Results and Conclusion Results • 84% of targeted households accepted HBTC • 68,315 (10,790 couples), (57% F; 43% M) males tested • 60.3% – first time testers. • HIV prevalence was 10.5% (F - 12.3% ; M - 8.2%). • 9% of the 10,790 couples were discordant. Conclusion • Rapid HTC scale up for all age groups • Identification of discordant couples • Potential to increase enrollment into care early

4. Thank you Suba district – Vision 2030 Typical Island in Suba district (2011)