0
1,000
2,000
3,000
4,000
5,000
6,000
7,000
8,000
9,000
1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004
As shown in Figure 5, data reported by Cheluget et al. (
20
) indicate that admissions in sampled
facilities in Kenya increased overall from 4379 in 1996 to 6450 in 1999 to 7545 in 2002. About 48%
of these were AIDS-related.
Figure 5. Caseload in Kenyan
facilities, 1996, 1999 and 2002
In addition to their existing duties, health workers are called upon to assist with recently introduced
HIV/AIDS services such as voluntary counselling an
d testing (VCT) and traini
ng family members for
home-based care. Their assessment results showed
an overload for the service providers for VCT and
prevention of mother-to-child-transmission (PMTCT)
programmes. Ideally, a counsellor was expected
to have an average of 160 clients per month. Thes
e data showed that they catered for about two to
three times this number.
“We no longer know what to do, as we are expected to be here and there. The Government
needs to guide us, especially those of us who are doubling as counselors.” Focus group
participant (
21
).
The complexity of services
needed for prevention, diagnostics, care and treatment of HIV/AIDS
disease with ARVs and the associated opportunistic infections means that systems will have to change
Admissions by Diagnosi
s, Kenya-1996, 1999 &
2002
(n=18,191)
1%
51%
48%
HIV/AIDS and
related illnesses
Other illnesses
Unknown
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