Provider-Initiated Counselling and Testing Approach: 90-90-90 Goal Achievement. Kenya Referral General Hospital Assessment

摘要

Introduction: Despite the prevention efforts of past decades, the prevalence of HIV infection continues to grow. An estimated 46 million people were living with HIV/AIDS worldwide by the end of 2005. The HIV pandemic has become a major public health and development problem around the world. Our goal is to contribute to the knowledge of serology status and early care. Methodology: We conducted a cross-sectional study on the PITC approach. Our study covered 1140 cases detected at HGR Kenya from 01 January to 31 December 2018. The data were collected on the basis of the PITC register. SPSS software version 23 was used for data analysis. Results: The male sex was more associated with positive serology (P-value: 0.0007), single men and married men were more likely to be infected than others. September had more new cases tested than the other months. The proportion of tested positive (141 peresonnes) is 12.3%. Of the 141 HIV positives, 100% were put on ART and among them 72.9% achieved suppression of viral charge (less than 1000 copies/ml of blood). Conclusion: PITC is necessary and should be systematically, at all gateways offered to all patients with an HIV risk factor, to boost testing and knowledge of HIV status, by combining Communication for behaviour change and Information Education and Communication through the communication channels adapted to the en-vironment, we mention churches, political mornings, youth movements, community relays.