Determinants of provider-initiated HIV testing and counselling uptake at Jaramogi Oginga Odinga Teaching and Referral Hospital, Kisumu, Kenya

Abstract

INTRODUCTION
 The HIV/AIDS burden persists in sub-Saharan Africa despite preventive efforts. In Kenya, the HIV prevalence in Kisumu county (19.9%) is triple the national rate (5.9%). Provider-initiated testing and counselling (PITC) is among the best strategies for HIV prevention. The model entails HIV testing of individuals presenting themselves to health facilities for routine medical services. Though introduced in most healthcare facilities in Kenya, the uptake of PITC and determinants of uptake have not been established. The main objective of this study was to establish the determinants of PITC uptake by patients seeking healthcare services at the Jaramogi Oginga Teaching and Referral Hospital.
 METHODS
 This was a cross-sectional study involving a systematic random sample of patients seeking services at the hospital.
 RESULTS
 Of 291 participants, 53% were females and 70% were aged between 18 and 35 years. Participants aged 36-45 years were less likely to accept PITC services than those aged 18-25 years (unadjusted odds ratio (uOR)=0.28, 95% CI [0.14-0.59]). Employment (uOR=1.81, 95% CI [1.09-3.01]) and having a friendly relationship with the provider (uOR=3.35, 95% CI [1.41-7.92]) were significantly associated with PITC uptake. Patients who reported having a friendly relationship with the staff were more likely to report PITC uptake (adjusted odds ratio (aOR) = 4.75, 95% CI [1.58-14.31]).
 CONCLUSION
 Interventions should encourage facilities to improve staff-patient relationships to increase uptake of PITC services.