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Related Experiment Video

Updated: Dec 1, 2025

Comprehensive & Cost Effective Laboratory Monitoring of HIV/AIDS: an African Role Model
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Community-based HIV testing services in an urban setting in western Kenya: a programme implementation study.

Hong-Ha M Truong1, A Rain Mocello2, David Ouma3

  • 1Department of Medicine, University of California, San Francisco, CA, USA.

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Summary

A hybrid HIV testing approach in Kenya successfully identified individuals unaware of their HIV status, particularly men and youth. This strategy is key to achieving HIV testing saturation and meeting UNAIDS targets for ending AIDS.

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Area of Science:

  • Public Health
  • Infectious Disease Epidemiology
  • HIV/AIDS Research

Background:

  • Many countries struggle to meet the UNAIDS 90% HIV testing target, with significant gaps among men and youth.
  • Identifying individuals unaware of their HIV-positive status is crucial for effective HIV/AIDS control programs.

Purpose of the Study:

  • To describe the uptake of HIV testing and linkage to care within a hybrid HIV testing program in an urban informal settlement in Kenya.
  • To assess the effectiveness of a community-based hybrid approach in reaching key populations for HIV testing.

Main Methods:

  • A hybrid HIV testing strategy combining community health campaigns and home-based testing was implemented in Obunga, Kisumu, Kenya.
  • The program included community mapping, census, multidisease campaigns, and targeted tracking of individuals for HIV testing.
  • Eligibility criteria included individuals aged 15+, sexually active youth, and those with recent risk, with tailored services for men and youth.

Main Results:

  • The program reached 23,584 individuals, with 97.2% of eligible individuals accepting HIV testing.
  • 101 individuals were newly identified as HIV-positive, representing an 8.1% previously unidentified fraction.
  • The previously unidentified fraction was notably higher among men (9.8%) and young people aged 15-24 years (15.3%).

Conclusions:

  • Community-based hybrid HIV testing is an effective strategy for increasing HIV testing uptake in urban informal settlements.
  • Innovative, accessible, and acceptable HIV testing approaches are vital for reaching men and youth to achieve testing and treatment saturation.
  • Monitoring the previously unidentified fraction is essential for progress towards the UNAIDS Fast Track targets to end AIDS by 2030.