title: Utilization rates and perceptions of (VCT) services in Kisii Central District, Kenya.
abstract: Voluntary counseling and testing (VCT) services have been set up in most Districts in Kenya due to the rising surge of HIV/AIDS. However, the use of these services among married persons has not been fully explored. In Kissi, the issue of VCT is pressing as the rate of HIV prevalence is close to 3%. In 2006, about 20 000 clients came for VCT services in Kenya yet only 165 of these were married persons. In the Keumbu sub-district hospital, of the more than 1000 clients that came for VCT services, approximately 29% were married persons. This paper therefore aims at determining the utilization of VCT services by married persons in the study area. The qualitative data was obtained principally through two focus group discussions (FGDs) in which the respondents were asked to comment on their use of VCT services while the quantitative data was obtained from interviews with 245 respondents. The qualitative data was analyzed through verbatim transcription while for the quantitative data; the responses were coded and populated into SPSS from which the frequencies and percentages were calculated. The results show that actual use of the VCT services is low (28.1%) but slightly higher among female respondents than males. The low usage may be attributed to (a) fear of results, (b) death anxiety, (c) lack of confidentiality and lastly, (d) fear of stigmatization. Female respondents were found to have a greater awareness of VCT and thus its potential use.
authors.affiliation: University of Quebec, Quebec, Canada. epule.terence_epule@courrier.uqam.ca
authors.forename: Epule Terence
authors.initials: ET
authors.lastname: Epule
authors.forename: Moto Wase
authors.initials: MW
authors.lastname: Mirielle
authors.forename: Changhui
authors.initials: C
authors.lastname: Peng
authors.forename: Balgah Sounders
authors.initials: BS
authors.lastname: Nguh
authors.forename: Josephat M
authors.initials: JM
authors.lastname: Nyagero
authors.forename: Alice
authors.initials: A
authors.lastname: Lakati
authors.forename: Ndiva Mongoh
authors.initials: NM
authors.lastname: Mafany
mesh_terms: D015492:AIDS Serodiagnosis / Q000706:statistics & numerical data*; D003376:Counseling / Q000706:statistics & numerical data*; D003430:Cross-Sectional Studies; D005069:Evaluation Studies as Topic; D005260:Female; D017144:Focus Groups; D015658:HIV Infections / Q000175:diagnosis* / Q000523:psychology; D006801:Humans; D007407:Interviews as Topic; D007630:Kenya; D008297:Male; D008393:Marriage / Q000706:statistics & numerical data; D010342:Patient Acceptance of Health Care / Q000523:psychology*; D036301:Qualitative Research; D017678:Sex Distribution; D057545:Social Stigma