TITLE

Evidence for population level declines in adult HIV prevalence in Kenya

AUTHOR(S)
Cheluget, B.; Baltazar, G.; Orege, P.; Ibrahim, M.; Marum, L. H.; Stover, J.
PUB. DATE
April 2006
SOURCE
Sexually Transmitted Infections;Apr2006 Supplement 1, Vol. 82, pi21
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
The HIV/AIDS epidemic in Kenya has been tracked through annual sentinel surveillance in antenatal clinics since 1990. The system started with 13 sites and now has over 35. Behaviours have been measured through national Demographic and Health Surveys in 1993, 1998, and 2003. The surveillance data indicate that prevalence has declined substantially starting in 1998 in five of the original 13 sites and starting in 2000 in another four sites. No decline is evident in the other five original sites although the 2004 estimate is the lowest recorded. Nationally, adult prevalence has declined from 10% in the late 1990s to under 7% today. Surveys indicate that both age at first sex and use of condoms are rising and that the percentage of adults with multiple partners is falling. It is clear that HIV prevalence is now declining in Kenya in a pattern similar to that seen in Uganda but seven or eight years later. Although the coverage of preventive interventions has expanded rapidly since 2000 this expansion was too late to account for the beginnings of the decline in prevalence. More work is needed to understand fully the causes of this decline, but it is encouraging to see Kenya join the small list of countries experiencing significant declines in HIV prevalence.
ACCESSION #
20617120

 

Related Articles

  • Mistrust in marriage-Reasons why men do not accept couple HIV testing during antenatal care- a qualitative study in eastern Uganda. Larsson, Elin C.; Thorson, Anna; Nsabagasani, Xavier; Namusoko, Sarah; Popenoe, Rebecca; Ekström, Anna Mia // BMC Public Health;2010, Vol. 10 Issue 1, p769 

    Background: A policy for couple HIV counseling and testing was introduced in 2006 in Uganda, urging pregnant women and their spouses to be HIV tested together during antenatal care (ANC). The policy aims to identify HIVinfected pregnant women to prevent mother-to-child transmission of HIV...

  • HIV/AIDS in Ethiopia: where is the epidemic heading? Hladik, W.; Shabbir, I.; Jelaludin, A.; Woldu, A.; Tsehaynesh, M.; Tadesse, W. // Sexually Transmitted Infections;Apr2006 Supplement 1, Vol. 82, pi32 

    Objectives: A possible decline in prevalence of HIV in some sub-Saharan African countries has been reported recently. The present study aimed to evaluate the prevalence and incidence of HIV and behavioural data to investigate trends in HIV/AIDS in Ethiopia. Methods: A review was conducted of...

  • Trends in antenatal HIV prevalence in urban Uganda associated with uptake of preventive sexual behaviour. Kirungi, W. L.; Musinguzi, J.; Madraa, E.; Mulumba, N.; Callejja, T.; Ghys, P.; Bessinger, R. // Sexually Transmitted Infections;Apr2006 Supplement 1, Vol. 82, pi36 

    Background: Epidemiological surveillance in Uganda has consistently shown declining HIV prevalence particularly among young antenatal women since the early 1990s, correlated with increased uptake of protective sexual behaviour. Objective: To describe trends in sexual behaviour nationwide and...

  • HIV prevalence and trends from data in Zimbabwe, 1997 – 2004. Mahomva, A.; Greby, S.; Dube, S.; Mugurungi, O.; Hargrove, J.; Rosen, D.; Dehne, K.-L.; Gregson, S.; St Louis, M.; Hader, S. // Sexually Transmitted Infections;Apr2006 Supplement 1, Vol. 82, pi42 

    Background: This paper brings together data from a variety of reports to provide a basis for assessing future steps for responding to and monitoring the HIV epidemic in Zimbabwe. Method: Data reported from four antenatal clinic (ANC) surveys conducted between 2000 and 2004, two small local...

  • Infant HIV infection despite "universal" antenatal testing. Struik, S. S.; Tudor-Williams, G.; Taylor, G. P.; Portsmouth, S. D.; Foster, C. J.; Walsh, C.; Hanley, C.; Walters, S.; Smith, J. H.; Lyall, H. // Archives of Disease in Childhood;Jan2008, Vol. 93 Issue 1, p59 

    We reviewed the antenatal HIV testing history, clinical presentation and outcome of 25 infants diagnosed with HIV between 1 January 2001 and 31 December 2005 in a tertiary referral hospital in London. Of the 25 cases, 21 had received antenatal care in the UK. Twelve mothers had not had an...

  • Does uptake of antenatal HIV testing depend on the individual midwife? Cross sectional study. Jones, Simon; Sadler, Tonya; Low, Nicola; Blott, Maggie; Welch, Jan // BMJ: British Medical Journal (International Edition);01/24/98, Vol. 316 Issue 7127, p272 

    Examines the effect of midvives' characteristics and site and duration of antenal human immunodeficiency virus (HIV) infection testing in an area of high seroprevalence. Identification of the area; Subjects used in the study; Methodology; Circumstances under which HIV testing was twice as...

  • Current trends in Rwanda's HIV/AIDS epidemic. Kayirangwa, E.; Hanson, J.; Munyakazi, L.; Kabeja, A. // Sexually Transmitted Infections;Apr2006 Supplement 1, Vol. 82, pi27 

    Objective: To review the trajectory of Rwanda's HIV epidemic, including long term trends and more recent trends in HIV prevalence, markers of HIY incidence, and behavioural indicators. Methods: This paper reviews the history of HIV serological and behavioural surveillance efforts in Rwanda,...

  • Measuring trends in prevalence and incidence of HIV infection in countries with generalised epidemics. Ghys, P. D.; Kufa, E.; George, M. V. // Sexually Transmitted Infections;Apr2006 Supplement 1, Vol. 82, pi52 

    Objective: Review of recent data and practice to derive guidance on questions relating to the measurement and analysis of trends in HIV prevalence and incidence. Results: HIV prevalence among pregnant women attending antenatal clinics (ANCs) remains the principal data source to inform trends in...

  • Disclosure of HIV test results by women to their partners following antenatal HIV testing: a population-based cross-sectional survey among slum dwellers in Kampala Uganda. Batte, Anthony; Katahoire, Anne Ruhweza; Chimoyi, Anne; Ajambo, Susan; Tibingana, Brenda; Banura, Cecily // BMC Public Health;2015, Vol. 15 Issue 1, p1 

    Background: Disclosure of HIV status by women to their partners is the backbone for prevention of HIV transmission among couples as well as promotion of the prevention of mother to child transmission of HIV interventions. The aim of this study was to determine the prevalence and factors...

Share

Read the Article

Other Topics