In 2009, Government of Kenya with key stakeholders implemented an integrated multi-disease prevention campaign for waterborne\r\ndiseases, malaria and HIV in Kisii District,Nyanza Province. The three day campaign, targeting 5000 people, included testing\r\nand counseling (HTC), condoms, long-lasting insecticide-treated bednets, and water filters. People with HIV were offered on-site\r\nCD4 cell counts, condoms, co-trimoxazole, and HIV clinic referral. We analysed the CD4 distributions from a district hospital\r\ncohort, campaign participants and from the 2007 Kenya Aids Indicator Survey (KAIS). Of the 5198 individuals participating in the\r\ncampaign, all received HTC, 329 (6.3%) tested positive, and 255 (5%) were newly diagnosed (median CD4 cell count 536 cells/�µL).\r\nThe hospital cohort and KAIS results included 1,284 initial CD4 counts (median 348/L) and 306 initial CD4 counts (median\r\n550/�µL), respectively (campaign and KAIS CD4 distributions P = 0.346; hospital cohort distribution was lower P < 0.001 and\r\nP < 0.001). A Nyanza Province campaign strategy including ART <350 CD4 cell count could avert approximately 35,000 HIV\r\ninfections and 1,240 TB cases annually. Community-based integrated public health campaigns could be a potential solution to\r\nreach universal access and Millennium Development Goals.
Loading....