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HIV Voluntary Counseling and Testing Among Youth Results from an exploratory study in Nairobi, Kenya, and Kampala and Masaka, Uganda Horizons Program Kenya Project Partners Uganda Project Partners

HIV Voluntary Counseling and Testing Among Youth Ages 14 to 21 Results from an Exploratory Study in Nairobi, Kenya, and Kampala and Masaka, Uganda

Horizons Program International Center for Research on Women Population Council Kenya Project Partners Adolescent Counseling Clinic in Kenyatta National Hospital (ACC) Kenya Association of Professional Counselors (KAPC) Kibera Community Self-Help Programme (KICOSHEP) Riruta City Council Clinic St. John’s Community Center University of Nairobi Wazu Dance Troupe Uganda Project Partners AIDS Information Center (AIC) Buganda Kingdom Youth Project Center Kitovu Hospital Mobile Home Care Programme Makerere University Naguru Teenage Information and Health Center The AIDS Support Organization (TASO)

Many people and institutions have contributed their time and creativeness to this study and report. Julie Denison, Johns Hopkins University, and Sam Kalibala, Horizons Program/Population Council, guided the survey for the Horizons Project. Dr. Edward Kirumira of Makerere University, Dr. Charles Nzioka of the University of Nairobi, Jane Harriet Namwebya, Dr. Josephine Kalule, and Daniel Lukenge of the AIDS Information Center in Kampala, Edith Mukisa of the Naguru Teenage Information and Health Center in Kampala, Ann Owiti of the Kibera Community SelfHelp Program, and Dr. R. Koigi Kamau of the Adolescent Counseling Clinic in Nairobi all participated in part of the design or implementation of the survey research. Dr. Naomi Rutenberg, Horizons Program/Population Council, Dr. Ann McCauley, Horizons Program/International Center for Research on Women (ICRW), and Scott Geibel, Horizons Program/Population Council assisted with the research component. Kerry MacQuarrie, ICRW, and Ann McCauley prepared this final report. Dr. Kirumira, Dr. Josephine Kalule, Julie Denison, and Horizons Program members Milka Juma, Karungari Kiragu, Laelia Gilborn, Naomi Rutenberg, Sam Kalibala, Ellen Weiss and Margaret Dadian reviewed the report before publication.

This study was supported by the Horizons Program. Horizons is funded by the U.S. Agency for International Development, under the terms of HRN-A-00-97-00012-00. The opinions expressed herein are those of the authors and do not necessarily reflect the views of the U.S. Agency for International Development. Published in October 2001.

The Population Council is an international, nonprofit, nongovernmental institution that seeks to improve the wellbeing and reproductive health of current and future generations around the world and to help achieve a humane, equitable, and sustainable balance between people and resources. The Council conducts biomedical, social science, and public health research and helps build research capacities in developing countries. Established in 1952, the Council is governed by an international board of trustees. Its New York headquarters supports a global network of regional and country offices. Copyright © 2001 The Population Council Inc.

Table of Contents
Executive Summary Methods Key findings Building on research Introduction Background Methods Study site and population Findings Youth testing experiences do not always match VCT model Most tested youth intend to practice safer sex Young people want to know their HIV status Youth appreciate counseling Several factors deter youth from seeking HIV tests

1 1 1 3 4 4 4 5 10 10 13 13 15 16 22 26 27 29

Peers play an important role for youth VCT study sites are not equipped to respond to youth issues Youth want confidential services and full disclosure of test results Building Interventions Based on Research References


HIV VCT Among Youth

Executive Summary
Voluntary counseling and testing (VCT) programs have increased the adoption of safe sexual...
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