Kenya County Profiles Book Nov Print

KENYA HIV
COUNTY PROFILES
ELIMINATE NEW HIV

INFECTION AMONG
CHILDREN
PREVENT HIV AMONG

DRUG USERS
TREATMENT
CLOSE THE
RESOURCE GAP
2014
596,228
The number of adults on treatment in Kenya in 2011.

There has been a rapid scale up of treatment as is
evidenced by over 1,000 treatment sites
Photo IRIN News
CONTENTS
Acknowledgments.......................................................... iv
Machakos County..................................................73
Preface.............................................................................1
Makueni County.....................................................76
Background......................................................................6
Mandera County....................................................79
National Overview of the Epidemic................................8
Marsabit County.....................................................82
HIV and AIDS County Profiles.........................................9
Meru County..........................................................85
Baringo County......................................................10
Migori County........................................................88
Bomet County........................................................13
Mombasa County...................................................91
Bungoma County...................................................16
Muranga County...................................................94
Busia County..........................................................19
Nairobi County.......................................................97
Elgeyo Marakwet County.......................................22
Nakuru County.....................................................100
Embu County.........................................................25
Nandi County.......................................................103
Garissa County.......................................................28
Narok County.......................................................106
Homa Bay County..................................................31
Nyamira County...................................................109
Isiolo County..........................................................34
Nyandarua County...............................................112
Kajiado County......................................................37
Nyeri County........................................................115
Kakamega County..................................................40
Samburu County..................................................118
Kericho County......................................................43
Siaya County........................................................121
Kiambu County......................................................46
Taita Taveta County.............................................124
Kilifi County............................................................49
Tana River County................................................127
Kirinyaga County....................................................52
Tharaka Nithi County...........................................130
Kisii County............................................................55
Trans Nzoia County..............................................133
Kisumu County.......................................................58
Turkana County....................................................136
Kitui County...........................................................61
Uasin Gishu County..............................................139
Kwale County.........................................................64
Vihiga County.......................................................142
Laikipia County......................................................67
Wajir County........................................................145
Lamu County..........................................................70
West Pokot County..............................................148
ACKNOWLEDGMENTS
The National AIDS Control Council wishes to

acknowledge the contribution of partners who
provided technical and financial support to compile
this County HIV profile book.
Special thanks to UNAIDS secretariat and other
members of the UN joint programme on HIV (WHO,
UNICEF and UNFPA) for the technical and financial
support in the development and printing of the County
HIV profiles and the Country Book.
The contribution and great effort of the taskforce
members representing various implementing
partners, development partners and government
iv
KENYA HIV AND AIDS PROFILE BY COUNTY
institutions who participated in this process are highly

appreciated. Specific gratitude to Dr. Nduku Kilonzo,
Dr Patrick Muriithi, Regina Ombam, Joshua Gitonga
(NACC), Dr Martin Sirengo, Dr Joyce Wamicwe,
Dr Jacob Odhiambo, Dr Shobha Vakil (NASCOP),
Gurumurthy Rangaiyan, Ruth Masha and Mercy
Mwongeli (UNAIDS), Urlike Gilbert (UNICEF), Dr. Davis
Kimanga (EGPAF), Brian Pazvakavambwa (WHO),
James Muttunga (KEMRI), Tom Oluoch, Andrea Kim
(CDC) and Parinita Bhattacharjee (UoN/TSU).
PREFACE
The National AIDS Control Council (NACC) as the

coordinating body for the AIDS response is charged
with the responsibility of coordinating the national
AIDS response.
In order to effectively support County governments
and facilitate their planning, implementation and
monitoring of the response, the NACC has profiled the
status of the HIV epidemic in each county.
We take this opportunity to launch the second edition
of the HIV County Profiles. This document contains
data based on 2014 HIV estimates. This data allows
each county to develop tailored strategies, target
their interventions to their needs and cost their HIV
response in order to allocate required resources.
I would like to thank UNAIDS for technical and financial
support to prepare the county profiles, development
and implementing partners who have supported this
process.
Dr. Nduku Kilonzo

Director, National AIDS Control Council
ESTIMATED ADULT (15+)

HIV PREVALENCE BY COUNTY
1.7
7.6
1.2
2.8
0.2
5.0
5.1
3.2
4.2
2.5
6.8
3.0
4.3
5.9
3.7
3.8
3.7
3.0
23.7
19.3
3.8
3.4
25.7
4.3
4.3
5.3
6.4 5.8
8.0
3.3
3.7
2.1
5.2
3.8
14.7
5.0
5.0
6.8
4.3
1.0
5.6
4.4
County HIV Prevalence

>15% Hyper endemic
5-14.9%
1-4.9%
< 1%
2.3
4.4
National
Average
Prevalence
6.04%
6.1
5.7
7.4
ESTIMATED NEW HIV INFECTIONS

AMONG ADULTS (15+) BY COUNTY
Annual Infections
>5,000
1,000-4,999
<999
Counties
Homa Bay
Kisumu
Siaya
Migori
Kisii
Nakuru
Nairobi
Turkana
Kiambu
Nyamira
New HIV
Infections
12,279
10,349
9,869
6,786
4,891
4,127
3,098
2,997
2,931
2,052
Counties
Muranga
Uasin Gishu
Bomet
Trans Nzoia
Narok
Mombasa
Kajiado
Machakos
Nyeri
Nandi
New HIV
Infections
1,984
1,921
1,875
1,867
1,806
1,609
1,545
1,463
1,307
1,253
Counties
Kericho
Makueni
Meru
Kitui
Nyandarua
Kilifi
Kirinyaga
Baringo
Laikipia
Kwale
New HIV
Infections
1,214
1,193
1,090
988
899
821
795
707
692
623
Counties
New HIV
Infections
West Pokot
576
Embu
518
Samburu
461
Tharaka
410
Elgeyo Marakwet
400
Taita Taveta
330
Kakamega
154
Isiolo
151
Mandera
137
Garissa
116
Counties
Bungoma
Marsabit
Busia
Lamu
Tana River
Vihiga
Wajir
Kenya
New HIV
Infections
83
81
51
44
40
31
18
88,622
ESTIMATED NEW HIV INFECTIONS

AMONG CHILDREN (0-14) BY COUNTY
Annual Infections
>1,000
999-100
<99
County
Turkana
New
Infections
143
Kisumu
2,276
Kiambu
95
Makueni
64
Baringo
34
Garissa
Migori
1,492
Bungoma
93
Muranga
64
Laikipia
33
Isiolo
Siaya
2,170
Uasin Gishu
92
Nandi
60
Nyandarua
29
Lamu
Kisii
1,075
Trans Nzoia
89
Meru
59
Embu
28
Tana River
Marsabit
Homa Bay
New
Infections
2,700
County
County
Kwale
New
Infections
65
County
Taita Taveta
New
Infections
35
Nyamira
451
Bomet
89
Kericho
58
West Pokot
27
Nairobi
313
Narok
86
Busia
57
Kirinyaga
26
Nakuru
197
Kilifi
86
Kitui
53
Samburu
22
Kakamega
172
Machakos
79
Nyeri
42
Tharaka
22
Mombasa
169
Kajiado
74
Vihiga
35
Elgeyo Marakwet
19
County
Mandera
Wajir
Kenya
New
Infections
17
14
2
12,826
TOTAL # ADULTS LIVING WITH HIV BY COUNTY

AND % ART COVERAGE FOR THOSE IN NEED (CD4 350)
Adults Living With HIV
Adult ART
Coverage
>100,000
>80%
50,000-99,999
50% - 79%
20,000-49,999
20% - 49%
<19,999
<19%
County
ART
Covearage
HIV+
Adults
County
ART
Covearage
HIV+
Adults
County
ART
Covearage
HIV+
Adults
County
ART
Covearage
HIV+
Adults
County
Mandera**
4%
3,928
Garissa*
48%
3,262
Bungoma
64%
26,093
Marsabit
86%
1,480
Mombasa
Turkana**
20%
39,043
Kisii
48%
55,970
Kakamega
66%
48,533
Kitui
88%
18,328
Nyeri
Samburu
24%
6,001
Taita Taveta
52%
9,781
Homa Bay
70%
140,629
Migori
89%
77,650
Kiambu
Wajir*
26%
307
Baringo
53%
9,194
Kilifi
71%
24,413
Kirinyaga
91%
11,458
West Pokot
29%
7,515
Kajiado
53%
20,080
Machakos
74%
27,063
Nairobi
92%
102,828
Kwale
31%
18,459
Laikipia
54%
8,963
Makueni
76%
22,110
Embu
93%
Bomet
38%
24,389
Trans Nzoia
56%
24,323
Nyandarua
77%
12,950
Lamu
Elgeyo Marakwet
38%
5,208
Nyamira
58%
23,493
Meru
82%
20,238
Narok
38%
23,504
Isiolo
60%
2,822
Nandi
82%
16,281
Muranga
45%
28,721
Nakuru
62%
53,713
Siaya
82%
112,962
ART
Covearage
HIV+
Adults
98%
47,751
99%
18,923
102%
42,425
Kisumu
104%
118,538
Kericho
120%
15,846
9,641
Uasin Gishu
144%
25,021
95%
1,263
Busia
183%
16,065
Tharaka
95%
7,603
Kenya
66%
1,345,785
Tana River
97%
1,161
Vihiga
97%
9,853
BACKGROUND
New HIV infections

12,940
New HIV infections
among children
(0-14 years) in 2013
88,620 new
HIV infections
occured among
adults in 2013
of new adult HIV infections

occur among young women
aged 15-24 every year
2.5% Health Facility Related
14.1% Sex workers and Clients
3.8% Injecting Drug Use (IDU)
20.3% Casual heterosexual sex
15.2% MSM and Prison
44.1% Heterosexual sex within union
Sources: Kenya HIV Estimates Report, 2014

Modes of Transmission Study, 2009
21%
Kenya is one of the six HIV high burden countries in

Africa about 1.6 million people were living with HIV
infection at the end of 2013. Women in Kenya are
more vulnerable to HIV infection compared to Kenyan
men, with the national HIV prevalence at 7.6 per cent
for women and 5.6 per cent for men1. The epidemic is
geographically diverse, ranging from a high prevalence
of 25.7 per cent in Homa Bay County in Nyanza region
to a low of approximately 0.2 per cent in Wajir County
in North Eastern region.
The high burden of HIV and AIDS in Kenya accounts
for an estimated 29 per cent of annual adult deaths,
20 per cent of maternal mortality, and 15 per cent of
deaths of children under the age of five2. The epidemic
has also negatively affected the countrys economy by
lowering per capita output by 4.1 per cent3. Kenya has
an estimated 88,620 new HIV infections among adults
and about 12,940 new infections among children
annually. Stable and married couples are the most
affected, as this group accounts for 44 per cent of the
new adult infections (Figure 1)4.
The high burden of HIV and AIDS

in Kenya accounts for an estimated
29% of annual adult deaths, 20%
per cent of maternal mortality, and
15% of deaths of children under
the age of five
Kenya had a HIV-TB coinfection

of 38% in 2012
Men who have sex with men, prisoners, sex workers

and their clients, and injecting drug users contribute a
third of all new infections in Kenya.
With growing evidence that they are key drivers of the
national HIV epidemic for instance, the alarmingly
high HIV prevalence rates of 29.3 per cent5 among sex
workers, 18.2 per cent among men who have sex with
men, and 18.3 per cent among injecting drug users
the government has initiated a programme for these
population groups.
1 Kenya HIV Estimates Report, 2014.

2 UNAIDS, Efficient and Sustainable HIV Responses: Case Studies on Country
Progress, 2013.
3 National AIDS Control Council, Sustainable Financing of AIDS in Kenya, 2011.
4 National AIDS Control Council, Kenya HIV Prevention Response and Modes of
Transmission Study, 2009.
5 Global AIDS Progress Report, Kenya, 2013.
NATIONAL OVERVIEW
OF THE EPIDEMIC
596,228
The number of adults on treatment in

Kenya in 2011. There has been a rapid
scale up of treatment as is evidenced by
over 1,000 treatment sites
10 Counties with the Largest Number

of People Living with Hiv
County
Estimated PLHIV
Nairobi
Homabay
Kisumu
Siaya
Migori
Kisii
Nakuru
Kakamega
Mombasa
Kiambu
New HIV infections among children

2007
2013
44%
23,000
12,940
reduction in new
HIV infections
177,552
159,970
134,826
128,568
88,405
63,715
61,598
57,952
54,670
46,656
New HIV infections among adults

2007
2013
7%
95,000
88,620
reduction in new
HIV infections
Source: Kenya HIV Estimates Technical Report 2013
HIV AND AIDS

COUNTY PROFILES
Monika Juma, a multi-drug resistant TB

and HIV-positive patient waits to be
treated at the Blue House Clinic in Mathare
slum, Nairobi, Kenya, 5 February 07.
Monika has been treated for TB for two
months. Siegfried/IRIN
BARINGO COUNTY
Section 1: HIV Burden in Baringo
County
Table 1: HIV burden in Baringo
Total population (2013)
Rank*
632,588
17
Number of adults living with HIV
9,200
13
Total number of people living with HIV
10,553
13
HIV adult prevalence (overall)
3.0%
Number of children living with HIV
1,353
East Potok
15
Baringo North
*In this HIV burden and indicator ranking (Table 1), the highest burden county is
47 while the lowest burden county is 1.
Kabarnet
Baringo
The HIV prevalence among women in Baringo County

is higher (4.3%) than that of men (2.6%). Over the
years, the women living in the county have been more
vulnerable to HIV infection than the men.
Marigat
Koibatek
Density people
per km2
Timboroa
Eldama Ravine
25
Mogotio
Maji Mazuri
55
Figure 1: Prevalence of HIV by gender in Baringo

County
HIV prevalence (%)
3.5
3.0
2.5
2.9
3.2
2.0
Female
1.0
0.5
0
HIV counselling and testing and linkage to care and

treatment are important steps in reducing the sexual
transmission of HIV. Despite the huge importance
of HIV testing as a way to increase prevention and
treatment, about 73 per cent of people in Baringo
County had never tested for HIV by 2009.
Male
1.5
66
72
Urban centres with population
of more than 2,000 people
There is a need to scale up HIV testing in the county,

to counsel and reduce the risk for those who test
negative, and to link those who test positive to care
and treatment programmes.
2009
Figure 2: Percentage of adults enrolling for HIV care

by entry point in Baringo County
Year of survey
Source: Kenya Demographic and Health Survey
80
70
Section 2: Reducing Sexual

Transmission of HIV
60
50
20
10
0
Overall
88,620
30
Medical ward
20
National
estimates
Tuberculosis
Source: Kenya HIV Estimates Report, 2014
707
County
ranking
Voluntary
counselling
and testing
New adult HIV infections

annually
Annual
40
Prevention of
mother-to-child
transmission
Table 2: Baringo County HIV indicators
Point of entry to care

Source: District Health Information System
10
Section 3: Elimination of Mother-toChild Transmission

There were about 406 HIV pregnant women living
with HIV in Baringo County in 2013. HIV is most
often transmitted from a mother to her child during
pregnancy, delivery, and breastfeeding. Breastfeeding
is crucial for childrens survival, growth, and
development. Providing antiretroviral medicines to
mothers throughout the breastfeeding period is critical
to significantly reducing mother-to-child transmission
rates. Kenya has committed to eliminating new HIV
infections among children by 2015, while keeping their
mothers alive.
New HIV infections annually

among children
Baringo
County
34
County
ranking
National
estimates
16 12,940
25%
70%
66%
58%
75%
30%
34%
42%
80
60
40
0
No
Infant
prophylaxis
20
Medical facility
delivery
In Baringo County, approximately 55 per cent

of individuals had their first experience of sexual
intercourse before the age of 15, an indication of early
sexual debut.
100
Maternal
prophylaxis
Male circumcision reduces the risk of female-to-male

transmission of HIV infection by approximately 60 per
cent. Most communities in Baringo County traditionally
circumcise men, with over 91 per cent of men who
participated in a national survey in 2009 reporting
that they had been circumcised. Even in traditionally
circumcising communities, the practice should be
carried out under safe and hygienic conditions and
encouraged before sexual debut.
Figure 4: Prevention of mother-to-child transmission

uptake
Identiied HIV+
pregnant women
Consistent and proper use of condoms can reduce the

risk of HIV and other sexually transmitted infections by
more than 90 per cent. In Baringo County, low condom
use may pose a significant risk of HIV infection to the
population.
Yes
38 per cent of HIV-positive pregnant women in

Baringo County do not deliver in a health facility
Only 41 per cent of pregnant women attend the
recommended four antenatal visits in Baringo
County
Section 4: Expanding Access to

Treatment
Table 3: Baringo County HIV treatment access
annually
Indicator
Adults in need of ART
Adults receiving ART
County ART adult coverage
National ART adult coverage
County ranking of ART coverage among adults*
Indicator
Children in need of ART
Children receiving ART
County ART children coverage
National ART children coverage
County ranking of ART coverage among children
4,498
2,406
53%
79%
33
952
345
36%
42%
26
*In this ART coverage ranking, the county with the highest coverage is 1 while
the county with the lowest coverage is 47.
Source: Estimation and Projection Package
11
Section 5: Orphans and Social

Welfare
Table 4: Baringo orphans and social welfare
indicators
Orphans and vulnerable children beneficiaries
Estimates
No. of households with an orphan*
Poor Households with an orphan**
11,249
Cash Transfer Beneficiary Poor Households with

an orphan ***
Source: UNICEF, 2012; National Census, 2009*

Assuming 49% of population living below poverty line (absolut poor)**
CT-OVC Households at July 2012 taken from CT-***
5,512
2,241
Only 41 per cent of poor households with

orphans are beneficiaries of a cash transfer
programme.
Approximately 525 adults and

73 children died of AIDS-related
conditions in 2013 in Baringo
County. Antiretroviral drugs
can substantially reduce AIDSrelated deaths. If used properly,
antiretroviral therapy (ART) can
also lower a persons viral load and
prevent onward transmission of
HIV.
Cash transfer programmes have been shown

to reduce HIV risk by delaying sexual debut,
pregnancy, and marriage among beneficiaries
aged between 15 and 25.
Messages
Priority areas
Improve access to and uptake of sexual and

reproductive health services for girls and women
Strong county political and community leadership

for a multisectoral HIV response
Keep girls in school to help delay sexual debut,

pregnancy, and marriage
Expanding HIV treatment programmes and

increasing community involvement in driving
demand for increased uptake and adherence
among both adults and children
Improve education among young people to reduce

sexual risks by delaying sexual intercourse
Promote and scale up universal access to voluntary
medical male circumcision for HIV-negative men
and boys
Mobilize the community and peer support to
create demand for and increase womens access to
and uptake of antenatal care, as well as delivery in
health facilities
Mobilize the community and partners to scale up
access to pediatric antiretroviral therapy
12
Mobilizing additional local resources to increase

and sustain the HIV response
Increasing social welfare services to HIV-positive

persons and others affected by HIV
Invest in HIV prevention and stigma elimination
Invest in elimination of mother to child
transmission of HIV (EMTCT)
BOMET COUNTY
Section 1: HIV Burden in Bomet
County
Table 1: HIV burden in Bomet
Buret
Rank*
824,347
24
24,400
31
27,989
5.8%
35
3,589
33
Litein
Sotik
Sotik
Sotik
32
Sotik
The HIV prevalence among women in Bomet County

Density people
per km2
256
348
378
12.6
7.5
5
2.5
0
8.8
8.7
Male
Female
4.5
1.5
2003
2007
2009
Year of survey

80
by entry point in Bomet County
Source: Kenya Demographic and Health Survey and KAIS
70
60

Transmission of HIV
50
Table 2: Bomet County HIV indicators
20

annually
40
30
Annual
County
ranking
National
estimates
1875
35
88,620
10
0
Overall
8.2
Medical ward
10
Tuberculosis
12.5

treatment, about 46 per cent of people in Bomet
Voluntary
counselling
and testing
15
Prevention of
mother-to-child
transmission
HIV prevalence (%)
Figure 1: Prevalence of HIV by gender in Bomet

County

13

There were about 1,141 pregnant women living
with HIV in Bomet County in 2013. HIV is most
mothers alive.

among children
Bomet
County
90
County
ranking
National
estimates
32 12,940
20%
67%
84%
61%
80%
33%
16%
39%
80
60
40
0
No
Infant
prophylaxis
20
Medical facility
delivery
In Bomet County, approximately 33 per cent of

individuals had their first experience of sexual
sexual debut.
100
Maternal
prophylaxis

cent. Most communities in Bomet County traditionally

uptake
Identiied HIV+
pregnant women

more than 90 per cent. In Bomet County, low condom
population.
Yes
84% of HIV-positive pregnant women in Bomet

County do not deliver in a health facility
recommended four antenatal visits in Bomet
County

Treatment
Table 3: Bomet County HIV treatment access annually
Indicator
Indicator
11,930
4,511
38%
79%
39
2,525
407
16%
42%
40
*In this ART coverage ranking, the county with the highest coverage is 1, while
14

Welfare
Table 4: Bomet orphans and social welfare indicators
Estimates
16,664
Cash Transfer Beneficiary Poor Households with an

orphan ***

8,165
2,865
Only 35 per cent of poor households with orphans

are beneficiaries of a cash transfer programme.
Approximately 1,393 adults and

conditions in 2013 in Bomet
HIV.
Cash transfer programmes have shown that they

can reduce HIV risk by delaying sexual debut,
pregnancy, and marriage among beneficiaries aged
between 15 and 25.
Messages
Priority areas





and boys
health facilities


15
BUNGOMA COUNTY
Section 1: HIV Burden in Bungoma
County
Table 1: HIV burden in Bungoma
Rank*
1750,634
43
3.2%
26,100
Total number of people living with

HIV
31,186
11
Mt Elgon
34
5,086
37
34
Cheptais
Kapsokwony
Kimilili
Tongaren
Malakisi
Chwela
Bungoma East
Webuye
The HIV prevalence among women in Bungoma

County is higher (4%) than that of men (2.4%). Over
the years, the women living in the county have been
more vulnerable to HIV infection than the men.
Bungoma North
Bungoma West
Density people
per km2
180
Bungoma South
Bungoma
547
570
572
613
4.8
2
1
0
1.9
1.4
2003
Female
2.4
2007
2009

by entry point in Bungoma County
Year of survey
60
50

Transmission of HIV
40
30
20
Table 2: Bungoma County HIV indicators

annually
Annual
83

County
ranking
National
estimates
88,620
10
0
Overall
Male
Medical ward
Tuberculosis
HIV counseling and testing and linkage to care and

treatment, about 54 per cent of people in Bungoma
5.9
Voluntary
counselling
and testing
Prevention of
mother-to-child
transmission
HIV prevalence (%)
Figure 1: Prevalence of HIV by gender in Bungoma

County

16

with HIV in Bungoma County in 2013. HIV is most
mothers alive.

among children
Bungoma
County
93
County
ranking
National
estimates
35 12,940
0%
28%
79%
37%
100%
72%
21%
63%
80
60
40
0
No
Infant
prophylaxis
20
Medical facility
delivery
In Bungoma County, there are indications of early

sexual debut. Voluntary medical male circumcision
should be promoted for boys below 15 years of age
before their first sexual encounter.
100
Maternal
prophylaxis

transmission of HIV infection by approximately 60
per cent. Most communities in Bungoma County
traditionally circumcise men, with over 99 per cent
of men who participated in a national survey in 2009
reporting that they had been circumcised. Even in
traditionally circumcising communities, the practice
should be carried out under safe and hygienic
conditions and encouraged before sexual debut.

uptake
Identiied HIV+
pregnant women

risk of HIV and other sexually transmitted infections
by more than 90 per cent. In Bungoma County, low
condom use may pose a significant risk of HIV infection
to the population.
Yes
79% of HIV-positive pregnant women in Bungoma

recommended four antenatal visits in Bungoma
County

Treatment
Indicator
Indicator

17,164
10,982
64%
79%
27
3,578
1,140
32%
42%
28
17

Welfare
Table 4: Bungoma orphans and social welfare
indicators
Estimates

an orphan ***
30,493
14,942

5,426


conditions in 2013 in Bungoma
HIV.

between 15 and 25.

Messages
Priority areas





and boys
health facilities
18


BUSIA COUNTY
Section 1: HIV Burden in Busia
County
Teso North
Table 1: HIV burden in Busia

523,875
12
6.8%
16,100
19,238
Malaba
Rank*
Teso South
39
20
3,138
27
Nambale
Busia
21
Busia
Bumala
Samia
The HIV prevalence among women in Busia County

Density people
per km2
Port Victoria
353
354
452
460
481
Bunyala

Figure 1: Prevalence of HIV by gender in Busia County
HIV prevalence (%)
16
13.9
14
12
10
8
6
6.8
9.1
Male
Female
5.6
2.6
2
0
8.5
2003
2007
2009

treatment, about 43 per cent of people in Busia

by entry point in Busia County
60

Transmission of HIV
50
40
88,620
20
10
0
Overall
National
estimates
Medical ward
51
County
ranking
Tuberculosis

annually
Annual
30
Voluntary
counselling
and testing
Table 2: Busia County HIV indicators
Prevention of
mother-to-child
transmission
Year of survey

19

uptake
100

among children
Busia
County
58
County
ranking
National
estimates
21 12,940
58%
2%
100%
42%
98%
60
40
No
Yes
58% of HIV-positive pregnant women in Busia

Only 41 per cent of pregnant women attend
the recommended four antenatal visits in Busia
County

Treatment
Indicator
Indicator

10,588
19,398
100%
79%
1
2,207
1,657
75%
42%

1
the county with the lowest coverage is 47
20
Infant
prophylaxis
100%
Medical facility
delivery
Maternal
prophylaxis
20
In Busia County, approximately 43 per cent of

sexual debut

with HIV in Busia County in 2013. HIV is most often
transmitted from a mother to her child during
mothers alive.
0%
80

cent. Some communities in Busia County traditionally
circumcise men, with about 50 per cent of men who
0%
Identiied HIV+
pregnant women

more than 90 per cent. In Busia County, low condom
population.

Welfare
Table 4: Bomet orphans and social welfare indicators
Estimates

an orphan ***
27,068
13,263

6,867


conditions in 2013 in Busia County.
Antiretroviral drugs can substantially
reduce AIDS-related deaths. If used
properly, antiretroviral therapy
(ART) can also lower a persons
viral load and prevent onward
transmission of HIV.

between 15 and 25.
Messages
Priority areas





and boys
health facilities


21
ELGEYO MARAKWET COUNTY

Section 1: HIV Burden in Elgeyo
Marakwet County
Table 1: HIV burden in Elgeyo Marakwet
Rank*
421,282
2.5%
5,200
5,965
Marakwet
Kapcherop
Kapsowar
7
8
765
6
8
Iten/Tambach
The HIV prevalence among women in Elgeyo Marakwet

County is higher (3.5%) than that of men (2.1%). Over
Keiyo
Density people perkm2

118
127

Figure 1: Prevalence of HIV by gender in Elgeyo

Marakwet County
8.3
2003
Female
1.5
1
0
Male
2007
2009

by entry point in Elgeyo Marakwet County
Year of survey
60
50

Transmission of HIV
40
30
Table 2: Busia County HIV indicators

annually
Annual
400
County
ranking
13

National
estimates
88,620
20
10
0
Overall
Medical ward
4.2
Tuberculosis
Voluntary
counselling
and testing

treatment, about 62 per cent of people in Elgeyo
Marakwet County had never tested for HIV by 2009.
Prevention of
mother-to-child
transmission
HIV prevalence (%)

22

There were about 200 pregnant women living with
HIV in Elgeyo Marakwet County in 2013. HIV is
most often transmitted from a mother to her child
during pregnancy, delivery, and breastfeeding.
Breastfeeding is crucial for childrens survival, growth,
and development. Providing antiretroviral medicines to
mothers alive.

among children
Elgeyo
Marakwet
19
County
ranking
National
estimates
8 12,940
35%
59%
42%
87%
65%
41%
58%
13%
80
60
40
0
No
Infant
prophylaxis
20
Medical facility
delivery
In Elgeyo Marakwet County, approximately 33 per

cent of individuals had their first experience of sexual
sexual debut.
100
Maternal
prophylaxis

per cent. Most communities in Elgeyo Marakwet
County traditionally circumcise men, with over 78 per
cent of men who participated in a national survey
in 2009 reporting that they had been circumcised.
Even in traditionally circumcising communities, the
practice should be carried out under safe and hygienic

uptake
Identiied HIV+
pregnant women

more than 90 per cent. In Elgeyo Marakwet County,
low condom use may pose a significant risk of HIV
infection to the population.
Yes
71% of HIV-positive pregnant women in Elgeyo

Marakwet do not deliver in a health facility
recommended four antenatal visits in Elgeyo
Marakwet County

Treatment
Table 3: Elgeyo Marakwet County HIV treatment
access annually
Indicator
Indicator
2,542
978
38%
79%
40
538
89
17%
42%
38
23

Welfare
Table 4: Elgeyo Marakwet orphans and social welfare
indicators
Estimates
6,287

an orphan ***
1412
3,081
Source: UNICEF, 2012;

National Census, 2009*


conditions in 2013 in Elgeyo
Marakwet County. Antiretroviral
drugs can substantially reduce
AIDS-related deaths. If used

between 15 and 25.
Messages
Priority areas





and boys
health facilities
24


EMBU COUNTY
Section 1: HIV Burden in Embu
County
Table 1: HIV burden in Embu
Rank*
543,158
3.7%
Embu
14
1,465
Embu
14
9,600
Runyenjes
13
17
11,065
Siakago
14
Mbeere
The HIV prevalence among women in Embu County

Density people perkm2

105
409

Figure 1: Prevalence of HIV by gender in Embu County
HIV prevalence (%)
7
6
5
4
2
0
Male
2.8
3
1

treatment, about 54 per cent of people in Embu
5.7
Female
1.5
2007

2009

by entry point in Embu County
Year of survey
60
50
40

Transmission of HIV
30
88,620
Overall
16
National
estimates
Medical ward
518
County
ranking
Tuberculosis

annually
Annual
10
Voluntary
counselling
and testing
Table 2: Embu County HIV indicators
Prevention of
mother-to-child
transmission
20

25

There were about 581 pregnant women living with HIV
in Embu County in 2013. HIV is most often transmitted
from a mother to her child during pregnancy,
delivery, and breastfeeding. Breastfeeding is crucial
for childrens survival, growth, and development.
Providing antiretroviral medicines to mothers
throughout the breastfeeding period is critical to
significantly reducing mother-to-child transmission
mothers alive.

among children
Embu
County
28
County
ranking
National
estimates
12 12,940
26
0%
17%
52%
10%
100%
83%
48%
90%
80
60
40
0
No
Yes
Infant
prophylaxis
20
Medical facility
delivery
In Embu County, there are indications of early sexual

debut. Voluntary medical male circumcision should be
promoted for boys below 15 years of age before their
first sexual encounter.
100
Maternal
prophylaxis

cent. Most communities in Embu County traditionally
circumcise men, with almost 100 per cent of men who

uptake
Identiied HIV+
pregnant women

more than 90 per cent. In Embu County, low condom
population.
52% of HIV-positive pregnant women in Embu

the recommended four antenatal visits in Embu
County

Treatment
Table 3: Embu County HIV treatment access annually
Indicator
Indicator
5,540
5130
93%
79%
12
1,046
513
49%
42%
17
the county with the lowest coverage is 47. Source: Estimation and Projection
Package

Welfare
Table 4: Embu orphans and social welfare indicators
Estimates
12,808

an orphan ***

6,276
3,638


conditions in 2013 in Embu County.

between 15 and 25.

Messages
Priority areas





and boys
health facilities


27
GARISSA COUNTY
Section 1: HIV Burden in Garissa
County
Table 1: HIV burden in Garissa
Rank*
2.1%
3,300

Daadab
Garissa
1,075
Lagdera
Garissa
4,375
10,563
11
Density people
per km2
6
9
Ijara
18
34
The HIV prevalence among women in Garissa County


4.5
Male
0.7

by entry point in Garissa County
2007
Source: KAIS
60
Year of survey
50
40

Transmission of HIV
30
Table 2: Garissa County HIV indicators

annually
Annual
County
ranking
National
estimates
116
88,620
20
10
0

28
Overall
2
0

Female
Medical ward
Tuberculosis
Voluntary
counselling
and testing

treatment, about 73 per cent of people in Garissa
Prevention of
mother-to-child
transmission
HIV prevalence (%)
Figure 1: Prevalence of HIV by gender in Garissa

County

HIV in Garissa County in 2013. HIV is most often
mothers alive.

among children
Garissa
County
83
County
ranking
National
estimates
10 13,175
73%
81%
52%
80%
27%
19%
48%
20%
80
60
40
0
No
Infant
prophylaxis
20
Medical facility
delivery
In Garissa County, approximately 55 per cent of

sexual debut.
100
Maternal
prophylaxis

cent. Most communities in Garissa County traditionally

uptake
Identiied HIV+
pregnant women

more than 90 per cent. In Garissa County, low condom
population.
Yes
52% of HIV-positive pregnant women in Garissa

recommended four antenatal visits in Garissa
County

Treatment
Table 3: Garissa County HIV treatment access
annually
Indicator
Indicator
1,649
786
48%
79%
36
755
73
10%
42%
44
Package
29

Welfare
Table 4: Embu orphans and social welfare indicators
Households with an orphan*
Estimates
Poor households with an orphan**
Cash transfer beneficiary households***
Source: UNICEF, 2012; National Census, 2009
8,532
4,181
1,687

between 15 and 25.

conditions in 2013 in Garissa
HIV.
Messages
Priority areas





and boys
health facilities
30


HOMA BAY COUNTY

Section 1: HIV Burden in Homa Bay
County
Table 1: HIV burden in Homa Bay
35
140,600
46
159.970
25.7%
Rachuonyo
Suba
Rank*
1,053,465
Kendu Bay
Mbita Point
Sindo
Suba
47
19370
Oyungis
Homa Bay
Density people
per km2
Homa Bay
202
313
403
47

46
The HIV prevalence among women in Homa Bay

County is higher (27.4%) than that of men (23.7%).
Over the years, the women living in the county have
been more vulnerable to HIV infection than the men.
HIV prevalence (%)
Figure 1: Prevalence of HIV by gender in Homa Bay

County
30
28.6
25
32.2
29.1
26
20
Male
17.8
15
Female
10
5
0
2003
2007

treatment, about 31 per cent of people in Homa Bay
by entry point in Homa Bay County
2009
60
50
Year of survey
40
47
88,620
Overall
National estimates
Medical ward
12,279
County
ranking
Tuberculosis
New adult HIV infections annually
Annual
10
Voluntary
counselling
and testing
Table 2: Homa Bay County HIV indicators
20
Prevention of
mother-to-child
transmission

Transmission of HIV
30

31
Section 3: Elimination of Motherto-Child Transmission

with HIV in Homa Bay County in 2013. HIV is most
mothers alive.
New HIV infections annually among

children
Homa Bay
County
County
ranking
2,724 47
Source: District Health
Information System
National
estimates
12,940
21%
43%
64%
37%
79%
57%
36%
63%
80
60
40
0
Infant
prophylaxis
20
Medical facility
delivery
In Homa Bay County, there are indications of early

sexual debut. Voluntary medical male circumcision
should be promoted for boys below 15 years of age
before their first sexual encounter.
100
Maternal
prophylaxis

transmission of HIV infection by approximately 60 per cent.
Few communities in Homa Bay County circumcise men,
and only 13 per cent of men who participated in a national
survey in 2009 reporting that they had been circumcised.
Even in traditionally circumcising communities, the practice
should be carried out under safe and hygienic conditions
and encouraged before sexual debut.

uptake
Identiied HIV+
pregnant women

by more than 90 per cent. In Homa Bay County, low
to the population.
No
Yes
36% of HIV-positive pregnant women in Homa

Bay County do not deliver in a health facility
recommended four antenatal visits in Homa Bay
County

Treatment
Table 3: Homa Bay County HIV treatment access
annually
Indicator
70,837
46,738
70%
79%
25
Indicator
15,235
6,331
42%
42%
21
Package
32

Welfare
Table 4: Homa Bay orphans and social welfare
indicators
Estimates
60,958

an orphan ***
8,107
Source: UNICEF, 2012; National Census, 2009* A

ssuming 49% of population living below poverty line (absolut poor)**
29,896

Cash transfer programmes have shown that they can
reduce HIV risk by delaying sexual debut, pregnancy,
and marriage among beneficiaries aged between 15
and 25.

1,234 children died of AIDSrelated conditions in 2013 in
Homa Bay County. Antiretroviral
Messages
Priority areas





and boys
health facilities


33
ISIOLO COUNTY
Section 1: HIV Burden in Isiolo
County
Table 1: HIV burden in Isiolo
150,817
4.2%
20
427
2,800
3,227
Rank*
Merti
5
5
Garbatulla
*In this HIV burden and indicator ranking (Table 2), the highest burden county is 47 while the lowest burden
county is 1.
The HIV prevalence among women in Isiolo County

Figure 2: Prevalence of HIV by gender in Isiolo County
HIV prevalence (%)
3.5
3.0
2.5
2.3
2.0
Female
1.0
0.5
0
Kinna
Isiolo
Density people
per km2
4
6

treatment, about 71 per cent of people in Isiolo
Male
1.5
Garbatulla
Archor post

by entry point in Isiolo County
2009
Year of survey
80
70
60

Transmission of HIV
50
40
10
0
Overall
88,620
20
Medical ward
10
National
estimates
Tuberculosis
151
County
ranking
Voluntary
counselling
and testing

annually
Annual
30
Prevention of
mother-to-child
transmission
Table 2: Isiolo County HIV indicators

34

uptake
100

cent. Most communities in Isiolo County circumcise
men, with a majority of men who participated in
a national survey in 2009 reporting that they had
been circumcised. Even in traditionally circumcising
communities, the practice should be carried out under
safe and hygienic conditions and encouraged before
sexual debut.

in Isiolo County in 2013. HIV is most often transmitted
mothers alive.

children
Isiolo
County
County
ranking
National
estimates
5 12,940
5%
84%
15%
100%
95%
16 %
85%
80
60
40
No
Infant
prophylaxis
Medical facility
delivery
Maternal
prophylaxis
20
In Isiolo County, there are indications of early sexual

debut. Voluntary medical male circumcision should be
promoted for boys below 15 years of age before their
first sexual encounter.
0%
Identiied HIV+
pregnant women

more than 90 per cent. In Isiolo County, low condom
population.
Yes
84% of HIV-positive pregnant women in Isiolo County

do not deliver in a health facility
recommended four antenatal visits in Isiolo County

Treatment
Table 3: Isiolo County HIV treatment access annually
Indicator
1,616
969
60%
79%
29
Indicator

County ranking of ART coverage among
children
305
92
30%
42%
30
*In this ART coverage ranking, the county with the highest coverage is 1, while the county with the lowest
coverage is 47. Source: Estimation and Projection Package
35

Welfare
Table 4: Isiolo orphans and social welfare indicators
Estimates
4,323

an orphan ***
2,437

2,118
All poor households with orphans are beneficiaries of

a cash transfer programme.
Approximately 95 adults and 18

children died of AIDS-related
conditions in 2013 in Isiolo County.

and 25.
Messages
Priority areas





and boys
health facilities
36


KAJIADO COUNTY
Section 1: HIV Burden in Kajiado
County
Ngong
Table 1: HIV burden in Kajiado
Kiserian
782,409
20,100
23,056
Rank*
Kitengela
23
4.4%
Longata Rongai
Isinya
25
Kajiado
25
2,965
Sultan Hamud
Bissil
25
25
county is 1.
Emali
Namanga
The HIV prevalence among women in Kajiado County

Density people
per km2
20
Loitokitok
21
52
15.6
9.5
2.5
0
3.4
2003
Female
2.9
2007
Year of survey
2009

by entry point in Kajiado County
80

Transmission of HIV
70
60
Table 2: Kajiado County HIV indicators

Annual
annually
1,545

County
ranking
31
National
estimates
88,620
50
40
30
20
10
0
Overall
7.5
Male
Medical ward
10
Tuberculosis
12.5

treatment, about41 per cent of people in Kajiado
Voluntary
counselling
and testing
15
Prevention of
mother-to-child
transmission
HIV prevalence (%)
Figure 2: Prevalence of HIV by gender in Kajiado

County

37

with HIV in Kajiado County in 2013. HIV is most
mothers alive.

children
Kajiado
County
74
County
ranking
National
estimates
28 12,940
38
1%
28%
73%
46%
99%
72%
27%
54%
80
60
40
0
No
Infant
prophylaxis
20
Medical facility
delivery
In Kajiado County, approximately 34 per cent of

sexual debut.
100
Maternal
prophylaxis

cent. Most communities in Kajiado County circumcise
men, with over 87 per cent of men who participated
in a national survey in 2009 reporting that they had
been circumcised. Even in traditionally circumcising
communities, the practice should be carried out under
safe and hygienic conditions and encouraged before
sexual debut.

uptake
Identiied HIV+
pregnant women

more than 90 per cent. In Kajiado County, low condom
population.
Yes
73% of HIV-positive pregnant women in Kajiado

recommended four antenatal visits in Kajiado County

Treatment
Table 3: Kajiado County HIV treatment access
annually
Indicator
Indicator

9,827
5,219
53%
79%
34
2,080
372
18%
42%
37

Welfare
Table 4: Kajiado orphans and social welfare
indicators
Estimates
15,482

orphan ***
1,416
7,586


conditions in 2013 in Kajiado
prevent onward transmission of HIV.
19 per cent of poor households with orphans are

beneficiaries of a cash transfer programme.
and 25.
Messages
Priority areas





and boys
health facilities


39
KAKAMEGA COUNTY
Section 1: HIV Burden in Kakamega
County
Matunda
Table 1: HIV burden in Kakamega

Lugari
Rank*
1,782,152
45
5.9%
48,500
57,952
Lumakanda
36
Kakamega North
40
9,452
Malava
16
Mumias
Kakamega Central
Mumias
40
Kakamega
county is 1.
Butere
The HIV prevalence among women in Kakamega

Density people
per km2
358
437
480
609
667
709
729

1
0
1.5
Female
1.2

by entry point in Kakamega County
2003
2007
2009
Year of survey
80
70
60

Transmission of HIV
50
40
Table 2: Kakamega County HIV indicators

annually

and treatment programmes
Annual
154
County
ranking
11
National
estimates
88,620
30
20
10
0
Overall
Male
Medical ward
3.4
4.5
Tuberculosis
Voluntary
counselling
and testing

treatment, about 41 per cent of people in Kakamega
Prevention of
mother-to-child
transmission
HIV prevalence (%)
Figure 2: Prevalence of HIV by gender in Kakamega

County

40

with HIV in Kakamega County in 2013. HIV is most
mothers alive.

among children
Kakamega
County
173
County
ranking
National
estimates
39 12,940
1%
28%
76%
27%
99%
72%
24%
73%
80
60
40
0
Infant
prophylaxis
20
Medical facility
delivery
In Kakamega County, approximately 34 per cent

sexual debut.
100
Maternal
prophylaxis

per cent. Most communities in Kakamega County

uptake
Identiied HIV+
pregnant women

by more than 90 per cent. In Kakamega County, low
to the population.
No
Yes
76% of HIV-positive pregnant women in

Kakamega County do not deliver in a health
facility
recommended four antenatal visits in Kakamega
County

Treatment
Table 3: Kakamega County HIV treatment access
annually
Indicator
31,896
21,014
66%
79%
26
Indicator

6,648
2,224
33%
42%
27
41

Welfare
Table 4: Kakamega orphans and social welfare
indicators
Estimates
47,914

orphan ***
7,818
23,478

33 per cent of poor households with orphans are


conditions in 2013 in Kakamega
also lower a persons viral load
and prevent onward transmission
of HIV.

and 25.
Messages
Priority areas





and boys
health facilities
42


KERICHO COUNTY
Section 1: HIV Burden in Kericho
County
Table 1: HIV burden in Kericho
863,222
15,800
18,124
Rank*
26
3.4%
13
19
2,324
Londiani
20
Kipkelion
Kabuti
19
county is 1.
Kericho
The HIV prevalence among women in Kericho County

Kericho
Density people
per km2
187
366
3.4
3
2
1
0
4.5
Male
Female
1.2
2003
2007
2009
Year of survey

by entry point in Kericho County
80
Section 2: Reducing Sexual Transmission of HIV
70
Table 2: Kericho County HIV indicators
Annual
1,214
County
ranking
27

National
estimates
88,620
60
50
40
30
20
10
0
Overall
Medical ward
Tuberculosis

treatment, about 73 per cent of people in Kericho
Voluntary
counselling
and testing

Prevention of
mother-to-child
transmission
HIV prevalence (%)
Figure 2: Prevalence of HIV by gender in Kericho

County

43
100
There were about 1411 pregnant women living

with HIV in Kericho County in 2013. HIV is most
mothers alive.

among children
Kericho
County
58
County
ranking
National
estimates
22 12,940
44
10%
68%
0%
100%
90%
32%
100%
80
60
40
Infant
prophylaxis
Medical facility
delivery
20
In Kericho County, approximately 55 per cent of

sexual debut.
0%
Maternal
prophylaxis

cent. Most communities in Kericho County traditionally

uptake
Identiied HIV+
pregnant women

more than 90 per cent. In Kericho County, low condom
population.
No
Yes
68% of HIV-positive pregnant women in Kericho

recommended four antenatal visits in Kericho County

Treatment
Table 3: Kericho County HIV treatment access
annually
Indicator
7,725
9,299
100%
79%
3
Indicator
1,635
832
51%
42%
16

Welfare
Table 4: Kericho orphans and social welfare
indicators
Estimates
20,345
Cash Transfer Beneficiary households***
1,383
9,969



conditions in 2013 in Kericho
of HIV.

and 25.
Messages
Priority areas





and boys
health facilities


45
KIAMBU COUNTY
Section 1: HIV Burden in Kiambu
County
Table 1: HIV burden in Kiambu
Thika East
Rank*
1760692
44
3.8%
42,400
46,656
17
Thika
Thika West
38
4,256
Juja
36
Ruiru
Ruiru
38
Density people
per km2
Gatundu
187
county is 1.
Gatundu
282
Kiambu
Githunguri
466
Kiambu
Githunguri
East
The HIV prevalence among women in Kiambu

668
852
Karuri
Lari
Kikuyu
Limuru
Kiambu
West
Kikuyu
Figure 2: Prevalence of HIV by gender in Kiambu

County
8.5
6.7
3
2
3.3 3.5
2.2
Male
Female
2.3
1
0
2003
2007
2009

by entry point in Kiambu County
Year of survey
80

Transmission of HIV
Table 2: Kiambu County HIV indicators

annually
Annual
2,931

County
ranking
39
National
estimates
88,620
70
60
50
40
30
20
10
0
Overall
Medical ward
Tuberculosis
Voluntary
counselling
and testing

treatment, about 73 per cent of people in Kiambu
Prevention of
mother-to-child
transmission
HIV prevalence (%)

46
100
0%
0%
61%
1%
100%
100%
39%
99%
80
60
40
In Kiambu County, approximately 55 per cent of

individuals had their first experience of sexual intercourse
before the age of 15, an indication of early sexual debut.
Infant
prophylaxis
Medical facility
delivery
20
Maternal
prophylaxis

cent. Most communities in Kiambu County traditionally
circumcising communities, the practice should be carried
out under safe and hygienic conditions and encouraged
before sexual debut.

uptake
Identiied HIV+
pregnant women

more than 90 per cent. In Kiambu County, low condom
population.
No
Yes

There were about 2,252 pregnant women living with
HIV in Kiambu County in 2013. HIV is most often
transmitted from a mother to her child during pregnancy,
delivery, and breastfeeding. Breastfeeding is crucial for
childrens survival, growth, and development. Providing
antiretroviral medicines to mothers throughout the
breastfeeding period is critical to significantly reducing
mother-to-child transmission rates. Kenya has committed
to eliminating new HIV infections among children by
2015, while keeping their mothers alive.
61% of HIV-positive pregnant women in Kiambu

recommended four antenatal visits in Kiambu County

Treatment
Table 3: Kiambu County HIV treatment access
annually

among children
Kiambu
County
96
County
ranking
National
estimates
36 12,940
Indicator
23,747
24,104
100%
79%
5
Indicator
3,041
42%
2,011
66%
6
47

Welfare
Table 4: Kiambu orphans and social welfare
indicators
Estimates
41,068
2,906
20,123



conditions in 2013 in Kiambu
prevent onward transmission of HIV.

and 25.
Messages
Priority areas





and boys
health facilities
48


KILIFI COUNTY
Section 1: HIV Burden in Kilifi
County
Table 1: HIV burden in Kilifi
otal population (2013)
Rank*
1262127
41
4.4%
26
24,400
32
3,507
31
27,907
31
Malindi
Magarini
Malindi
county is 1.
The HIV prevalence among women in Kilifi County

years, the women living in the county have been
Marereni
Watamu
Kilifi
Kilifi
Density people
per km2
Kaloleni
51
Kaloleni
116
Majengo
284
Figure 2: Prevalence of HIV by gender in Kilifi County
Male
4.3
Female
3
2
1
0
2003
2007
2009
Year of survey

by entry point in Kilifi County
80

Transmission of HIV
70
60
Table 2: Kilifi County HIV indicators
Annual
821
County
ranking
22

National
estimates
88,620
Source:
50
40
30
20
10
0
Overall
Medical ward

treatment, about 73 per cent of people in Kilifi County
had never tested for HIV by 2009.
Tuberculosis
6.2
Voluntary
counselling
and testing
HIV prevalence (%)
7.4
Prevention of
mother-to-child
transmission
7.7


49
100

with HIV in Kilifi County in 2013. HIV is most often
development. Providing antiretroviral medicines
to mothers throughout the breastfeeding period
is cr3tical to significantly reducing mother-to-child
transmission rates. Kenya has committed to eliminating
new HIV infections among children by 2015, while
keeping their mothers alive.

among children
Kilifi
County
87
County
ranking
National
estimates
30 12,940
50
0%
72%
18%
100%
100%
28%
82%
80
60
40
Infant
prophylaxis
Medical facility
delivery
20
In Kilifi County, approximately 55 per cent of

sexual debut.
0%
Maternal
prophylaxis

cent. Most communities in Kilifi County traditionally

uptake
Identiied HIV+
pregnant women

more than 90 per cent. In Kilifi County, low condom
population.
No
Yes
72% of HIV-positive pregnant women in Kilifi County

recommended four antenatal visits in Kilifi County

Treatment
Table 3: Kilifi County HIV treatment access annually
Indicator
13,868
9,884
71%
79%
24
Indicator
2,459
42%

children
1,087
44%
19

Welfare
Table 4: Kilifi orphans and social welfare indicators
Orphans and vulnerable children
beneficiaries
Estimates
26,702
4,747 S
13,084

Only 36 per cent of poor households with orphans are

Approximately 1,021 adults

and 179 children died of AIDSrelated conditions in 2013 in
Kilifi County. Antiretroviral drugs
of HIV.

reduce HIV risk by delaying sexual debut, pregnancy, and
marriage among beneficiaries aged between 15 and 25.
Messages
Priority areas





and boys
health facilities


51
KIRINYAGA COUNTY
Section 1: HIV Burden in Kirinyaga
County
Table 1: HIV burden in Kirinyaga
Rank*
572,889
14
11,500
17
12,654
3.3%
12
1,154
10
17

Kagumo
Kerugoya
Kirinyaga
Kagio
The county had about 795 new adult infections in

2013. Kenya aims to reduce new HIV infections by at
least 50% in all counties by 2015
Wanguru
Density people
per km2
357
Figure 2: Prevalence of HIV by gender in Kirinyaga

County
HIV prevalence (%)
8.5
6.4
5.4
5
4
3
Female
2.8
2.5
Male
1
0
2003
2007
2009
Year of Survey

treatment, about 73 per cent of people in Kirinyaga

by entry point in Kirinyaga County
80
70

Transmission of HIV
60
50
20
10
0

52
Overall
88,620
30
Medical ward
21
National
estimates
Tuberculosis
795
County
ranking
Voluntary
counselling
and testing

annually
Annual
40
Prevention of
mother-to-child
transmission
Table 2: Kirinyaga County HIV indicators
100

with HIV in Kirinyaga County in 2013. HIV is most
mothers alive.

among children
Kirinyaga
County
26
County
ranking
National
estimates
11 12,940
23%
53%
35%
87%
77%
47%
65%
80
60
40
Infant
prophylaxis
Medical facility
delivery
20
In Kirinyaga County, approximately 55 per cent

sexual debut.
13%
Maternal
prophylaxis

per cent. Most communities in Kirinyaga County

uptake
Identiied HIV+
pregnant women

by more than 90 per cent. In Kirinyaga County, low
to the population.
No
Yes
53% of HIV-positive pregnant women in Kirinyaga

recommended four antenatal visits in Kirinyaga County

Treatment
Table 3: Kirinyaga County HIV treatment access
annually
Indicator
6,441
79%
5,831
91%
14
Indicator

children
825
559
68%
42%
53

Welfare
Table 4: Kirinyaga orphans and social welfare
indicators
Estimates
12,364
1,302
6,059



conditions in 2013 in Kirinyaga
of HIV.

and 25.
Messages
Priority areas





and boys
health facilities
54


KISII COUNTY
Section 1: HIV Burden in Kisii
County
Table 1: HIV burden in Kisii
Density people
per km2
1259489
56,000
63,715
779
846
40
8.0%
769
Rank*
42
Kisii South
40
Kisii
Suneka
42
county is 1.
The HIV prevalence among women in Kisii County

1009
42
7,715
902
Kisii Central
Keroka
Ogembo
Gucha south
Mogonga
Figure 2: Prevalence of HIV by gender in Kisii County
Male
Female
1
0
2007
2003
2009
Year of survey

by entry point in Kisii County

Transmission of HIV
Table 2: Kisii County HIV indicators
New adult HIV

infections annually
Annual
4,891
County
ranking
43

National
estimates
88,620
80
70
60
50
40
30
20
10
0
Overall
Medical ward

treatment, about 73 per cent of people in Kisii
Tuberculosis
6
5
6.8
6.2
Voluntary
counselling
and testing
7.2
Prevention of
mother-to-child
transmission
HIV prevalence (%)

55
100

with HIV in Kisii County in 2013. HIV is most often
mothers alive.

among children
Kisii
County
County
ranking
National
estimates
1,085 43 12,940
68%
73%
61%
54%
32%
27%
39%
80
60
40
Infant
prophylaxis
Medical facility
delivery
20
In Kisii County, approximately 55 per cent of

sexual debut.
46%
Maternal
prophylaxis

cent. Most communities in Kisii County traditionally

uptake
Identiied HIV+
pregnant women

more than 90 per cent. In Kisii County, low condom
population.
No
Yes
73% of HIV-positive pregnant women in Kisii County

recommended four antenatal visits in Kisii County

Treatment
Table 3: Kisii County HIV treatment access annually
Indicator

13,629
48%
79%
37
Indicator
6,068
42%
56
28,214
1,169
19%
35

Welfare
Table 4: Kisii orphans and social welfare indicators
beneficiaries
Estimates
37,838
5,089
18,541



and 492 children died of AIDSrelated conditions in 2013
in Kisii County. Antiretroviral

and 25.
Messages
Priority areas





and boys
health facilities


57
KISUMU COUNTY
Section 1: HIV Burden in Kisumu
County
Table 1: HIV burden in Kisumu
Muhoroni
1059053
118,500
134,826
Rank*
36
19.3%
Chemelil
Awasi
45
45
16,326
Nyando
46
Ahero
45
Kisumu East
county is 1.
The HIV prevalence among women in Kisumu

been more vulnerable to HIV infection than the
men.
Figure 2: Prevalence of HIV by gender in Kisumu

County
HIV prevalence (%)
20
21 20.3
17.5
21.1
14.4
15
12.5
20.5
14.2
Male
10
Female
7.5
5
2.5
0
2003
2007
Kisumu
Density people
per km2
300
404
847
Maseno
Kisumu West

treatment, about 73 per cent of people in Kisumu
There is a need to scale up HIV testing in the
county, to counsel and reduce the risk for those who
test negative, and to link those who test positive to
care and treatment programmes.
by entry point in Kisumu County
2009
Year of survey
80
70
60

Transmission of HIV
50
40
88,620
10
0
Overall
46
20
Medical ward
10,349
National
estimates
Tuberculosis
County
ranking
Voluntary
counselling
and testing
Annual
30
Prevention of
mother-to-child
transmission
Table 2: Kisumu County HIV indicators

58
100
16%
27%
55%
14%
84%
73%
45%
86%
80
60
40
In Kisumu County, approximately 55 per cent of

individuals had their first experience of sexual intercourse
before the age of 15, an indication of early sexual debut.
Infant
prophylaxis
Medical facility
delivery
20
Maternal
prophylaxis

cent. Most communities in Kisumu County traditionally
circumcising communities, the practice should be carried
out under safe and hygienic conditions and encouraged
before sexual debut.

uptake
Identiied HIV+
pregnant women

more than 90 per cent. In Kisumu County, low condom
population.
No
Yes

There were about 6,817 pregnant women living with
HIV in Kisumu County in 2013. HIV is most often

among children
Kisumu
County
County
ranking
National
estimates
2,296 46 12,940
55% of HIV-positive pregnant women in Kisumu

recommended four antenatal visits in Kisumu County

Treatment
Table 3: Kisumu County HIV treatment access
annually
Indicator
59,703
62,280
100%
79%
Indicator

children
12,840
6,881
54%
42%
14
59

Welfare
Table 4: Kisumu orphans and social welfare
indicators
beneficiaries
Estimates
56,795
6,331
27,830


and 25.

and 1,040 children died
of AIDS-related conditions
in 2013 in Kisumu County.
Antiretroviral drugs can
substantially reduce AIDSrelated deaths. If used
properly, antiretroviral
therapy (ART) can also lower
a persons viral load and
prevent onward transmission
of HIV.
Messages
Priority areas





and boys
health facilities
60


KITUI COUNTY
Section 1: HIV Burden in Kitui
County
Nyuso
Table 1: HIV burden in Kitui

Rank*
1065329
37
18,300
22
21,092
4.3%
Mwingi
Mwingi
21
2,792
Kitui
Kitui
23
Density people
per km2
23
14
29
47
59
Mutomo

The HIV prevalence among women in Kitui County

Figure 2: Prevalence of HIV by gender in Kitui County
6.6
4.3
5.3
4.7
Male
Female
2
1
0
1.4
2003
2007
2009

by entry point in Kitui County
Year of survey

Transmission of HIV
Table 2: Kitui County HIV indicators
New adult HIV

infections annually
Annual
988
County
ranking
24

National
estimates
88,620
80
70
60
50
40
30
20
10
0
Overall
Medical ward
Tuberculosis

treatment, about 73 per cent of people in Kitui
Voluntary
counselling
and testing
HIV prevalence (%)
Prevention of
mother-to-child
transmission

61
100

with HIV in Kitui County in 2013. HIV is most
often transmitted from a mother to her child
Breastfeeding is crucial for childrens survival,
growth, and development. Providing antiretroviral
medicines to mothers throughout the breastfeeding
period is critical to significantly reducing motherto-child transmission rates. Kenya has committed to
eliminating new HIV infections among children by

among children
Kitui
County
54
County
ranking
National
estimates
20 12,940
18%
83%
6%
100%
82%
17%
94%
80
60
40
Infant
prophylaxis
Medical facility
delivery
20
In Kitui County, approximately 55 per cent of

intercourse before the age of 15, an indication of
early sexual debut.
0%
Maternal
prophylaxis
Male circumcision reduces the risk of female-tomale transmission of HIV infection by approximately
60 per cent. Most communities in Kitui County

uptake
Identiied HIV+
pregnant women
Consistent and proper use of condoms can reduce

the risk of HIV and other sexually transmitted
infections by more than 90 per cent. In Kitui County,
low condom use may pose a significant risk of HIV
infection to the population.
No
Yes
83% of HIV-positive pregnant women in Kitui

the recommended four antenatal visits in Kitui
County

Treatment
Table 3: Kitui County HIV treatment access annually
Indicator

Indicator
10,561
9,273
88%
79%
16
1,994
42%
1,269
64%
8
Package
62

Welfare
Table 4: Kitui orphans and social welfare indicators
Estimates
30,859
5,422
15,121



conditions in 2013 in Kitui County.

between 15 and 25.
Messages
Priority areas





and boys
health facilities


63
KWALE COUNTY
Section 1: HIV Burden in Kwale
County
Table 1: HIV burden in Kwale
Rank*
739,435
21
18,500
23
21,159
5.7%
Mariakani
34
2,659
Kinango
22
Mazeras
Kinango
Kwale
24
Kwale
Ukunda
Msambweni
The HIV prevalence among women in Kwale County

Figure 2: Prevalence of HIV by gender in Kwale
County
HIV prevalence (%)
8
7
5.8
6
5
4
3
3.1
3.5
4.4
2.2
Male
Female
3.1
1
0
2003
2007
Density people
per km2
Msambweni
Lunga Lunga
52
89
147

treatment, about 73 per cent of people in Kwale
by entry point in Kwale County
2009
80
70
60

Transmission of HIV
50
40
88,620
30
20
10
0
Overall
18
National
estimates
Medical ward
623
County
ranking
Tuberculosis

annually
Annual
Voluntary
counselling
and testing
Table 2: Kwale County HIV indicators
Prevention of
mother-to-child
transmission
Year of survey

64
100
There were about 1,300 HIV-positive pregnant women

in Kwale County in 2011. HIV is most often transmitted
from a mother to her child during pregnancy, delivery,
and breastfeeding. Breastfeeding is crucial for

among children
Kwale
County
66
County
ranking
National
estimates
27 12,940
19%
58%
36%
73%
81%
42%
64%
80
60
40
Infant
prophylaxis
Medical facility
delivery
20
In Kwale County, approximately 55 per cent of

sexual debut.
27%
Maternal
prophylaxis

cent. Most communities in Kwale County traditionally

uptake
Identiied HIV+
pregnant women

more than 90 per cent. In Kwale County, low condom
population.
No
Yes
58% of HIV-positive pregnant women in Kwale

the recommended four antenatal visits in Kwale
County

Treatment
Table 3: Kwale County HIV treatment access annually
Indicator

10,515
3,227
31%
79%
42
Indicator
1,864
42%
292
16%
41
Package
65

Welfare
Table 4: Kwale orphans and social welfare indicators
Estimates
17,309
2,253
8,481



conditions in 2013 in Kwale County.

between 15 and 25.
Messages
Priority areas





and boys
health facilities
66


LAIKIPIA COUNTY
Section 1: HIV Burden in Laikipia
County
Table 1: HIV burden in Laikipia
Rank*
454,412
11
9,000
12
10,324
3.7%
Laikipia West
15
1,324
Laikipia North
Rumuruti
14
Laikipia East
12
Kinamba
Nanyuki
Nyahururu
Density people
per km2
The HIV prevalence among women in Laikipia County

Figure 2: Prevalence of HIV by gender in Laikipia
County
Male
3
2
1
0
2003
2007
2009

by entry point in Laikipia County
Year of survey
105
90

Transmission of HIV
75
60
Table 2: Laikipia County HIV indicators

annually
Annual
692
County
ranking
19

National
estimates
88,620
45
30
15
0
Overall
Medical ward
5.4

treatment, about 73 per cent of people in Laikipia
Tuberculosis
58
Voluntary
counselling
and testing
48
Prevention of
mother-to-child
transmission
HIV prevalence (%)
13

67
100

HIV in Laikipia County in 2013. HIV is most often
mothers alive.
65%
44%
61%
66%
35%
56%
39%
80
60
40
Infant
prophylaxis
Medical facility
delivery
20
In Laikipia County, approximately 55 per cent of

sexual debut.
34%
Maternal
prophylaxis

cent. Most communities in Laikipia County traditionally

uptake
Identiied HIV+
pregnant women

more than 90 per cent. In Laikipia County, low condom
population.
44% of HIV-positive pregnant women in Laikipia

recommended four antenatal visits in Laikipia
County

Treatment
Table 3: Laikipia County HIV treatment access
annually
Indicator

children
Laikipia
County
33
County
ranking
15
National
estimates
12,940

Information System
4,400
79%
2,391
54%
Indicator
32
931
161
17%
42%
39
Package
68

Welfare
Table 4: Laikipia orphans and social welfare
indicators
Estimates
10,488
1,718
5,139



conditions in 2013 in Laikipia
HIV.

between 15 and 25.
Messages
Priority areas





and boys
health facilities


69
LAMU COUNTY
Section 1: HIV Burden in Lamu
County
Table 1: HIV burden in Lamu
115,520
1,300
Rank*
Lamu
2.3%
Lamu
187
Density people
per km2
1,487
16

The HIV prevalence among women in Lamu County

Figure 2: Prevalence of HIV by gender in Lamu County
3.0
Male
Female
0.5

by entry point in Lamu County
80
70

Transmission of HIV
Table 2: Lamu County HIV indicators
Annual
44
County
ranking
4
National
estimates
88,620
60
50
40
30
20
10
0
Overall
1.0
Medical ward
1.5
Tuberculosis
2.0

Voluntary
counselling
and testing
2.5
Prevention of
mother-to-child
transmission
HIV prevalence (%)
3.5

treatment, about 73 per cent of people in Lamu

70
100

in Lamu County in 2013. HIV is most often transmitted
mothers alive.

Information System
91%
0%
100%
100%
9%
100%
60
40
Infant
prophylaxis
Medical facility
delivery
20
No
Yes
91% of HIV-positive pregnant women in Lamu
the recommended four antenatal visits in Lamu
County

Treatment
Table 3: Lamu County HIV treatment access annually
Indicator
children
Lamu
County
0%
80
In Lamu County, approximately 55 per cent of

sexual debut.
0%
Maternal
prophylaxis

cent. Most communities in Lamu County traditionally

uptake
Identiied HIV+
pregnant women

more than 90 per cent. In Lamu County, low condom
population.
County
ranking
National
estimates
4 12,940
739
700
95%
79%
10
Indicator
131
80
61%
42%
10
Package
71

Welfare
Table 4: Lamu orphans and social welfare indicators
Estimates
2,380
1,166
557

Very few adults and approximately

conditions in 2011 in Lamu County.

between 15 and 25.
Messages
Priority areas





and boys
health facilities
72


MACHAKOS COUNTY
Section 1: HIV Burden in Machakos
County
Table 1: HIV burden in Machakos
1155957
39
5.0%
27
27,100
35
4,135
35
31,235
35
Yatta
Rank*
Matuu
Kangundo
Kangundo-Tala
Kathiani
Mwala
Masii
Mavoko
The HIV prevalence among women in Machakos

Machakos
Machakos
Density people
per km2
111
160
224
460
Figure 2: Prevalence of HIV by gender in Machakos

County
HIV prevalence (%)
8
7
6
3
2
1
0
5.6
4.9
5
4

treatment, about 73 per cent of people in Machakos
8.4
2.6
Male
Female
2.3
2003
2007

by entry point in Machakos County
2009
80
70
60

Transmission of HIV
50
40
88,620
30
20
10
0
Overall
30
National
estimates
Medical ward
1,463
County
ranking
Tuberculosis

annually
Annual
Voluntary
counselling
and testing
Table 2: Machakos County HIV indicators
Prevention of
mother-to-child
transmission
Year of survey

73
100

among children
Machakos
County
80
County
ranking

Information System
14%
64%
16%
98%
86%
36%
84%
80
60
40
0
Infant
prophylaxis
20

There were about 1,757 HIV-positive pregnant women
in Machakos County in 2011. HIV is most often
2%
Medical facility
delivery
In Machakos County, approximately 55 per cent

sexual debut.

uptake
Maternal
prophylaxis

per cent. Most communities in Machakos County

Treatment
Identiied HIV+
pregnant women

by more than 90 per cent. In Machakos County, low
to the population.
No
Yes
64% of HIV-positive pregnant women in Machakos

recommended four antenatal visits in Machakos County

Treatment
Table 3: Machakos County HIV treatment access
annually
Indicator
National
estimates
29 12,940

15,640
11,542
74%
79%
23
Indicator
2,953
42%
1,609
54%
15
Package
74

Welfare
Table 4: Machakos orphans and social welfare
indicators
Estimates
33,380
5,001
16,356



177 children died of AIDSrelated conditions in 2013 in
Machakos County. Antiretroviral

between 15 and 25.
Messages
Priority areas





and boys
health facilities


75
MAKUENI COUNTY
Section 1: HIV Burden in Makueni
County
Mbooni
Table 1: HIV burden in Makueni
Wote
Rank*
930,630
28
5.6%
33
22,100
27
3,372
29
25,472
27
Makueni
Nzaui
Makindu
Kibwezi
Kibwezi
Machinery
Density people
per km2
62
The HIV prevalence among women in Makueni County

Figure 1: Prevalence of HIV by gender in Makueni
County
HIV prevalence (%)
8.8
8.7
7.1
7
6
5
4
3
2
4.5
4.1
Male
Female
2.7
148
199

treatment, about 73 per cent of people in Makueni
by entry point in Makueni County
1
0
144
2003
2007
2009
105
26
National
estimates
88,620
30
15
0
Overall
1,193
County
ranking
45
Medical ward

annually
Annual
60
Tuberculosis
Table 2: Makueni County HIV indicators
75
Voluntary
counselling
and testing

Transmission of HIV
90
Prevention of
mother-to-child
transmission
Year of survey

76
100

HIV in Makueni County in 2013. HIV is most often
mothers alive.

children
Makueni
County
65
County
ranking

Information System
20%
77%
8%
97%
80%
23%
92%
80
60
40
Infant
prophylaxis
Medical facility
delivery
20
In Makueni County, approximately 55 per cent

sexual debut.
3%
Maternal
prophylaxis
60 per cent. Most communities in Makueni County

uptake
Identiied HIV+
pregnant women

by more than 90 per cent. In Makueni County, low
to the population.
No
Yes
77% of HIV-positive pregnant women in Makueni

recommended four antenatal visits in Makueni
County

Treatment
Table 3: Makueni County HIV treatment access
annually
Indicator

Indicator
National
estimates
25 12,940
12,754
9,705
76%
79%
22
2,408
42%
1,480
61%
11
77

Welfare
Table 4: Makueni orphans and social welfare
indicators
beneficiaries
Estimates
27,305
4,528
13,380



conditions in 2013 in Makueni
County. Antiretroviral drugs can
substantially reduce AIDS-related
deaths. If used properly, antiretroviral
therapy (ART) can also lower a
persons viral load and prevent
onward transmission of HIV.

between 15 and 25.
Messages
Priority areas





Promote safe, hygienic voluntary medical male
circumcision for HIV-negative men and boys

health facilities
78


MANDERA COUNTY
Section 1: HIV Burden in Mandera
County
Mandera
Rhamu
Table 1: HIV burden in Mandera

1,025,756
20
1.7%
3,900
1,271
12
5,171
Rank*
Mandera East
Mandera Central
Takata
Mandera Central
Elwak
Density people
per km2
36
39
47
The HIV prevalence among women in Mandera County

Figure 1: Prevalence of HIV by gender in Mandera
County
3.0
2.5
2.0
1.4
1.5
2.3
Male
Female
1.0
2009
80
Year of survey
70
60

Transmission of HIV
50
40

annually
Annual
137
County
ranking
9
National
estimates
88,620
30
20
10
0
Overall
Table 2: Mandera County HIV indicators
Medical ward
2009
Tuberculosis

by entry point in Mandera County
Voluntary
counselling
and testing
0.5

Prevention of
mother-to-child
transmission
HIV prevalence (%)
3.5

treatment, about 73 per cent of people in Mandera

79
100

HIV in Mandera County in 2013. HIV is most often
mothers alive.

children
Mandera
County
17
County
ranking
96%
95%
98%
15%
4%
5%
2%
80
60
40
95% of HIV-positive pregnant women in Mandera

recommended four antenatal visits in Mandera
County

Treatment
Table 3: Mandera County HIV treatment access
annually
Indicator
1,948
79%

Indicator
National
estimates
12,940

Information System
77
4%
47
892
42%
27
3%
47
80
Infant
prophylaxis
Medical facility
delivery
20
In Mandera County, approximately 55 per cent

sexual debut.
85%
Maternal
prophylaxis
60 per cent. Most communities in Mandera County

uptake
Identiied HIV+
pregnant women

by more than 90 per cent. In Mandera County, low
to the population.

Welfare
Table 4: Mandera orphans and social welfare
indicators
beneficiaries
Estimates
13,208
Cash transfer beneficiary Households***
1,650
6,472



conditions in 2013 in Mandera
HIV.

and 25.

Messages
Priority areas





and boys
health facilities


81
MARSABIT COUNTY
Section 1: HIV Burden in Marsabit
County
Table 1: HIV burden in Marsabit
Chalbi
306,471
1.2%
1,500
229
1,729
Sololo
Moyale
Rank*
Moyale
Loiyangalani
Marsabit
Marsabit
Density people
per km2
Laisamis
The HIV prevalence among women in Marsabit County

HIV prevalence (%)
Figure 1: Prevalence of HIV by gender in Marsabit

County
3.5
3.0
2.5
2.0
Male
Female
1.4
1.5
1.0
0.5
0
3
11
23

treatment, about 73 per cent of people in Marsabit
2009

by entry point in Marsabit County
Year of survey
88,620
30
20
10
0
Overall
National
estimates
40
Medical ward
81
County
ranking
50
Tuberculosis

annually
Annual
60
Voluntary
counselling
and testing
Table 2: Marsabit County HIV indicators
70
Prevention of
mother-to-child
transmission

Transmission of HIV
80

82
100

HIV in Marsabit County in 2013. HIV is most often
mothers alive.

children
Marsabit
County
County
ranking

Information System
0%
86%
0%
100%
100%
24%
100%
80
60
40
Infant
prophylaxis
Medical facility
delivery
20
In Marsabit County, approximately 55 per cent

sexual debut.
0%
Maternal
prophylaxis
60 per cent. Most communities in Marsabit County

uptake
Identiied HIV+
pregnant women

by more than 90 per cent. In Marsabit County, low
to the population.
No
Yes
76% of HIV-positive pregnant women in Marsabit

recommended four antenatal visits in Marsabit
County

Treatment
Table 3: Marsabit County HIV treatment access
annually
Indicator

Indicator
National
estimates
2 12,940

866
746
86%
79%
17
163
93
57%
42%
12
83

Welfare
Table 4: Marsabit orphans and social welfare
indicators
beneficiaries
Estimates
8,844
1,930
4,333



conditions in 2011 in Marsabit
of HIV.

and 25.
Messages
Priority areas





and boys
health facilities
84


MERU COUNTY
Section 1: HIV Burden in Meru
County
Table 1: HIV burden in Meru
Lare
1427135
42
20,200
26
3%
3,082
Rank*
10
Igembe
Iment North
Timau
Iment North
Nkubu
Mitunguu
Iment South
26
23,282
Maua
Tigania
Density people
per km2
Maara
26
168
171
Meru South
179
200
261
272
The HIV prevalence among women in Meru County

2
1
0
1.5
2003
Male
Female
1.2
2007
Year of survey

by entry point in Meru County
2009
80

Transmission of HIV
Table 2: Meru County HIV indicators

annually
Annual
1,090

County
ranking
25
National
estimates
88.620
70
60
50
40
30
20
10
0
Overall
3.4
Medical ward
4.5
Tuberculosis
Voluntary
counselling
and testing

treatment, about 73 per cent of people in Meru
Prevention of
mother-to-child
transmission
HIV prevalence (%)
Figure 1: Prevalence of HIV by gender in Meru County


85
100

with HIV in Meru County in 2013. HIV is most often
mothers alive.

among children
Meru
County
59
County
ranking
44%
68%
0%
100%
56%
32%
100%
80
60
40
No
Yes
68% of HIV-positive pregnant women in Meru

recommended four antenatal visits in Meru County

Treatment
Table 3: Meru County HIV treatment access annually
Indicator

Indicator
National
estimates
23 12,940

Information System
11,658
9,615
82%
79%
18
2,201
42%
1,052
48%
18
86
Infant
prophylaxis
Medical facility
delivery
20
In Meru County, approximately 55 per cent of

sexual debut.
0%
Maternal
prophylaxis

cent. Most communities in Meru County traditionally

uptake
Identiied HIV+
pregnant women

more than 90 per cent. In Meru County, low condom
population.

Welfare
Table 4: Meru orphans and social welfare indicators
beneficiaries
Estimates
27,080
2,936
13,269



conditions in 2013 in Meru County.

between 15 and 25.
Messages
Priority areas





and boys
health facilities


87
MIGORI COUNTY
Section 1: HIV Burden in Migori
County
Rongo
Table 1: HIV burden in Migori
Sori
1002499
77,700
Rank*
32
14.7%
44
Muhuru Bay
43
88,405
43
Awendo
Migori
43
10,705
Rongo
Migori
Kehancha
Density people
per km2
Kuria West
288
384
435
442
The HIV prevalence among women in Migori County

Kuria East

Figure 1: Prevalence of HIV by gender in Migori

County
Male
10
10
Female
7.5
5
2.5
0
2003
2007
2009

by entry point in Migori County
Year of survey

Transmission of HIV
Table 2: Migori County HIV indicators

annually
Annual
6,786
County
ranking
44

National
estimates
88,620
175
150
125
100
75
50
25
0
Overall
12.5
15.9
Medical ward
15
16.6

treatment, about 73 per cent of people in Migori
Tuberculosis
17.5
19.5
Voluntary
counselling
and testing
17.5
18.5
Prevention of
mother-to-child
transmission
HIV prevalence (%)
20

88
100

with HIV in Migori County in 2013. HIV is most
mothers alive.

among children
Migori
County
County
ranking
National
estimates
1,506 44
12,940
30%
57%
25%
98%
70%
43%
75%
80
60
40
Infant
prophylaxis
Medical facility
delivery
20
In Migori County, approximately 55 per cent of

sexual debut.
2%
Maternal
prophylaxis

cent. Most communities in Migori County traditionally

uptake
Identiied HIV+
pregnant women

more than 90 per cent. In Migori County, low condom
population.
No
Yes
57% of HIV-positive pregnant women in Migori

recommended four antenatal visits in Migori County

Treatment
Table 3: Migori County HIV treatment access annually
Indicator

Indicator
39,147
34,927
89%
79%
15
8,419
42%
3,136
37%
25
89

Welfare
Table 4: Migori orphans and social welfare indicators
beneficiaries
Estimates
44,951
6,135
22,026



Migori County. Antiretroviral drugs
HIV.

between 15 and 25.
Messages
Priority areas





and boys
health facilities
90


MOMBASA COUNTY
Section 1: HIV Burden in Mombasa
County
Table 1: HIV burden in Mombasa
1,068,307
38
7.4%
47,800
54,670
40
Mombasa
Kilindini
39
6,870
Mtwapa
Kilindini
Rank*
39
Mombasa
39
Mombasa
Density people
per km2
4144
The HIV prevalence among women in Mombasa

Figure 1: Prevalence of HIV by gender in Mombasa
County
17.5
13.8
15
8.6
8.1
2007
2009

by entry point in Mombasa County
2013
Year of survey
Male
60
Female

Transmission of HIV
Table 2: Mombasa County HIV indicators

annually
Annual
1,609
County
ranking
32
National
estimates
88,620
50
40
30
20
10
0
Overall
4.5
1.9
2.5

10.5
Medical ward
7.5
9.2
Tuberculosis
10

treatment, about 73 per cent of people in Mombasa
Voluntary
counselling
and testing
12.5

Prevention of
mother-to-child
transmission
HIV prevalence (%)
20
4493
Kilindini

91
100

with HIV in Mombasa County in 2013. HIV is most
mothers alive.

among children
Mombasa
County
County
ranking
76%
38%
78%
64%
24%
62%
22%
80
60
40
No
171 38
12,940
71% of pregnant women living with HIV in Mombasa

County did not deliver in a health facility
recommended four antenatal visits in Mombasa
County

Treatment
Table 3: Mombasa County HIV treatment access
annually
Indicator
27,168
26,490
98%
79%
7
4,817
42%
1,995
41%
22
92
Yes
Indicator
National
estimates
Infant
prophylaxis
Medical facility
delivery
20
In Mombasa County, approximately 55 per cent

sexual debut.
36%
Maternal
prophylaxis

per cent. Most communities in Mombasa County
traditionally circumcise men, with over 91 percent of
men who participated in a national survey in 2009

uptake
Identiied HIV+
pregnant women

by more than 90 per cent. In Mombasa County, low
to the population.

Welfare
Table 4: Mombasa orphans and social welfare
indicators
beneficiaries
Estimates
21,546
Cash Transfer beneficiary households***
1,905
10,557

Only 18 percent of poor households with orphans


conditions in 2013 in Mombasa
of HIV.

between 15 and 25.
Messages
Priority areas





and boys
health facilities


93
MURANGA COUNTY
Section 1: HIV Burden in Muranga
County
Kiriaini
Sagana
Table 1: HIV burden in Muranga

Muranga North
1022427
34
5.2%
28,700
31,581
Muranga
Rank*
31
36
2,881
Maragua
Kangari
Makuyu
Muranga South
Gatanga
24
Kabati
36
Density people
per km2
362
370
The HIV prevalence among women in Muranga

Figure 1: Prevalence of HIV by gender in Muranga

County
9.8
9
7
1
0
1.4
0.7
2003
2007
Female
1.2
105
2009
90
Year of survey
75

Transmission of HIV
Table 2: Muranga County HIV indicators

annually
Annual
1,984
94

by entry point in Muranga County
County
ranking
37
National
estimates
88,620
60
45
30
15
0
Overall
Male
Medical ward
4
3
4.6
4.3
Tuberculosis

Voluntary
counselling
and testing

transmission of HIV. Despite the importance of HIV
testing as a way to increase prevention and treatment,
about 73 per cent of people in Muranga County had
never tested for HIV by 2009.
Prevention of
mother-to-child
transmission
HIV prevalence (%)
422

100

with HIV in Muranga County in 2013. HIV is most
mothers alive.

among children
Muranga
County
65
County
ranking

Information System
26
54%
88%
58%
84%
46%
22%
42%
80
60
40
Infant
prophylaxis
Medical facility
delivery
20
In Muranga County, approximately 55 per cent

sexual debut.
16%
Maternal
prophylaxis

per cent. Most communities in Muranga County

uptake
Identiied HIV+
pregnant women

by more than 90 per cent. In Muranga County, low
to the population.
No
Yes
78% of HIV-positive pregnant women in Muranga

recommended four antenatal visits in Muranga County

Treatment
Table 3: Muranga County HIV treatment access
annually
Indicator

Indicator
National
estimates
12,940
16,074
7,177
45%
79%
38
2,058
42%
656
32%
29
95

Welfare
Table 4: Muranga orphans and social welfare
indicators
beneficiaries
Estimates
27,992
4,799
13,716

Only 35 percent of poor households with orphans


conditions in 2013 in Muranga
HIV.

between 15 and 25.between 15 and 25.
Messages
Priority areas





and boys
health facilities
96


NAIROBI COUNTY
Section 1: HIV Burden in Nairobi
County
Nairobi North
Table 1: HIV burden in Nairobi
Westlands
3781394
47
8%
43
164,658
47
12,894
44
177,552
47
Nairobi West
Density people
per km2
2538
2616
The HIV prevalence among women in Nairobi County

Figure 1: Prevalence of HIV by gender in Nairobi
County
8
7
6
6.9
6.1
5.9
Male
Female
4
3
2
1
0
2003
2007
70
60

Transmission of HIV
Table 2: Nairobi County HIV indicators

annually
Annual
3,098
County
ranking
41

by entry point in Nairobi County
80
2009
Year of survey

National
estimates
88,620
50
40
30
20
10
0
Tuberculosis
HIV prevalence (%)
9.7

treatment, about 73 per cent of people in Nairobi
Voluntary
counselling
and testing
10
5048
Prevention of
mother-to-child
transmission
10.5
5048
Overall
Nairobi East
Nairobi
Medical ward
Rank*

97
100

with HIV in Nairobi County in 2013. HIV is most
mothers alive.

among children
Nairobi
County
316
County
ranking
0%
67%
0%
100%
100%
33%
100%
80
60
40
41 12,940

Information System
Yes
67% of HIV-positive pregnant women in Nairobi

recommended four antenatal visits in Nairobi County

Treatment
Table 3: Nairobi County HIV treatment access
annually
Indicator
102,103
93,714
92%
79%
13
9,398
42%
6,988
74%
2
98
No
Indicator
National
estimates
Infant
prophylaxis
Medical facility
delivery
20
In Nairobi County, approximately 55 per cent of

sexual debut.
0%
Maternal
prophylaxis

cent. Most communities in Nairobi County traditionally

uptake
Identiied HIV+
pregnant women

more than 90 per cent. In Nairobi County, low condom
population.

Welfare
Table 4: Nairobi orphans and social welfare
indicators
beneficiaries
Estimates
69,730
2,534
34,168


conditions in 2013 in Nairobi
HIV.

and 25.
Messages
Priority areas





and boys
health facilities


99
NAKURU COUNTY
Section 1: HIV Burden in Nakuru
County
Table 1: HIV burden in Nakuru
Subukia
Nakuru
Rank*
1825229
46
53,700
41
61,598
5.3%
Rongai
Molo
32
7,898
Salgaa
Njoro
Bahati
Nakuru
North
Molo
41
Gilgil
Olenguruone
41
Mau Narok
Naivasha
Naivasha
Density people
per km2
The HIV prevalence among women in Nakuru County

Figure 1: Prevalence of HIV by gender in Nakuru

County
8.5
7.1
6
3.3
Female

about 73 per cent of people in Nakuru County had
by entry point in Nakuru County
2003
2007
2009
80
Year of survey

Transmission of HIV
Table 2: Nakuru County HIV indicators

annually
Annual
4,127
County
ranking
42
National
estimates
88,620
70
60
50
40
30
20
10
0
Overall
357
Medical ward
3.5
Mai Mahiu
317
Tuberculosis
Male
229
Voluntary
counselling
and testing
124
Prevention of
mother-to-child
transmission
HIV prevalence (%)
8.5
8.3

100
Dundori
Nakuru
100

with HIV in Nakuru County in 2013. HIV is most
mothers alive.

children
Nakuru
County
County
ranking
199 40
46%
53%
32%
77%
54%
47%
68%
80
60
40
Infant
prophylaxis
Medical facility
delivery
20
In Nakuru County, approximately 55 per cent of

sexual debut.
23%
Maternal
prophylaxis

cent. Most communities in Nakuru County traditionally

uptake
Identiied HIV+
pregnant women

more than 90 per cent. In Nakuru County, low condom
population.
No
Yes
53% of HIV-positive pregnant women in Nakuru

recommended four antenatal visits in Nakuru County

Treatment
Table 3: Nakuru County HIV treatment access
annually
Indicator

Indicator
National
estimates
12,940
26,255
16,345
62%
79%
28
5,558
42%
1,677
30%
31
101

Welfare
Table 4: Nakuru orphans and social welfare
indicators
Estimates
41,771
3,859
20,468



conditions in 2013 in Nakuru
HIV.

and 25.
Messages
Priority areas





and boys
health facilities
102


NANDI COUNTY
Section 1: HIV Burden in Nandi
County
Nandi North
Table 1: HIV burden in Nandi

Rank*
857,207
25
16,300
21
18,697
3.7%
16
2,397
Nandi Central
Kapsabet
21
20
The HIV prevalence among women in Nandi County

Nandi Hills
Nandi East
Nandi South
Tinderet
Density people
per km2
203
223
228
301
328
Figure 1: Prevalence of HIV by gender in Nandi

County
8
7
3
2
Female
2.9
1
0
2003
2007

by entry point in Nandi County
2009
Year of survey
80

Transmission of HIV
Table 2: Nandi County HIV indicators

annually
Annual
1,253

County
ranking
28
National
estimates
88,620
70
60
50
40
30
20
10
0
Overall
Male
4.5
Medical ward
Tuberculosis
HIV prevalence (%)
Voluntary
counselling
and testing
10

about 73 per cent of people in Nandi County had
10.6
Prevention of
mother-to-child
transmission
10.1


103
100

in Nandi County in 2013. HIV is most often transmitted
mothers alive.

among children
43%
86%
58%
66%
57%
14%
42%
80
60
40
Infant
prophylaxis
Medical facility
delivery
20
In Nandi County, approximately 55 per cent of

sexual debut.
34%
Maternal
prophylaxis

cent. Most communities in Nandi County traditionally

uptake
Identiied HIV+
pregnant women

more than 90 per cent. In Nandi County, low condom
population.
No
Yes
86% of HIV-positive pregnant women in Nandi

recommended four antenatal visits in Nandi County

Treatment
Table 3: Nandi County HIV treatment access annually
Indicator
7,969
79%

Indicator
Nandi
County
60
County
ranking
National
estimates
24 12,940
104
6,507
82%
19
1,687
42%
664
39%
23

Welfare
Table 4: Nandi orphans and social welfare indicators
beneficiaries
Estimates
17,156
Cash Transfer beneficiary households***
2,474
8,407


conditions in 2013 in Nandi County.

between 15 and 25.
Messages
Priority areas





and boys
health facilities


105
NAROK COUNTY
Section 1: HIV Burden in Narok
County
Table 1: HIV burden in Narok
Rank*
968,390
30
23,500
28
26,956
5%
28
3,456
30
29
Njabini
Narok North
Kilgoris
Narok
Nairagie
Transmara
Lolgorian
Narok South
The HIV prevalence among women in Narok County

17.5
12.5
2.5
0
2.2
2003
3.2
4.6
2007
Female
6.3

by entry point in Narok County
2009
80
Year of survey

Transmission of HIV
Table 2: Narok County HIV indicators

annually
Annual
1,806
County
ranking
33
National
estimates
88,620
70
60
50
40
30
20
10
0
Overall
7.5

Medical ward
10
Male

treatment, about 73 per cent of people in Narok
Tuberculosis
12.5
96
Voluntary
counselling
and testing
15
31
55
Prevention of
mother-to-child
transmission
HIV prevalence (%)
Figure 1: Prevalence of HIV by gender in Narok

County
Density people
per km2

106
100

with HIV in Narok County in 2013. HIV is most
mothers alive.

children
68%
80%
66%
93%
32%
20%
34%
80
60
40
Infant
prophylaxis
Medical facility
delivery
20
In Narok County, approximately 55 per cent of

sexual debut.
7%
Maternal
prophylaxis

cent. Most communities in Narok County traditionally

uptake
Identiied HIV+
pregnant women

more than 90 per cent. In Narok County, low condom
population.
No
Yes
80% of HIV-positive pregnant women in Narok

recommended four antenatal visits in Narok County

Treatment
Table 3: Narok County HIV treatment access annually
Indicator

Indicator
Narok
County
87
County
ranking
National
estimates
31 12,940
11,490
4,351
38%
79%
41
2,432
42%
296
12%
43
107

Welfare
Table 4: Narok orphans and social welfare indicators
beneficiaries
Estimates
18,021
Cash Transfer Beneficiary Households***
3,058
8,830


and 25.

Narok County. Antiretroviral drugs
HIV.
Messages
Priority areas





and boys
health facilities
108


NYAMIRA COUNTY
Section 1: HIV Burden in Nyamira
County
Table 1: HIV burden in Nyamira
Rank*
653,914
19
23,500
29
26,738
6.4%
Nyamira
Nyamira
38
3,238
28
28
Manga
Borabu
Keroka
The HIV prevalence among women in Nyamira County

17.5
2.5
0
5.3
2.3
2003
2007
Female
7.5
2009

Transmission of HIV
Table 2: Nyamira County HIV indicators

annually
Annual
2,052
County
ranking
38

by entry point in Nyamira County
Year of survey

treatment, about 73 per cent of people in Nyamira
National
estimates
88,620
100
80
60
40
20
0
Overall
7.5
Male

Medical ward
11.1
10
818
Tuberculosis
12.5
Nyansiongo
789
Voluntary
counselling
and testing
15
296
Prevention of
mother-to-child
transmission
HIV prevalence (%)
Figure 1: Prevalence of HIV by gender in Nyamira

County
Density people
per km2

109
100

HIV in Nyamira County in 2013. HIV is most often
mothers alive.
51%
64%
50%
58%
49%
36%
50%
80
60
40
Infant
prophylaxis
Medical facility
delivery
20
In Nyamira County, approximately 55 per cent

sexual debut.
42%
Maternal
prophylaxis
60 per cent. Most communities in Nyamira County

uptake
Identiied HIV+
pregnant women

by more than 90 per cent. In Nyamira County, low
to the population.
No
Yes
64% of HIV-positive pregnant women in Nyamira

recommended four antenatal visits in Nyamira County

Treatment
Table 3: Nyamira County HIV treatment access
annually
Indicator

children
Nyamira
County
County
ranking


Indicator
National
estimates
455 42
12,940
6,886
58%
79%
30
2,546
42%
972
38%
24
110
11,840

Welfare
Table 4: Nyamira orphans and social welfare
indicators
Estimates
19,416
2,081
9,514

between 15 and 25.

conditions in 2013 in Nyamira
HIV.
Messages
Priority areas





and boys
health facilities


111
NYANDARUA COUNTY
Section 1: HIV Burden in Nyandarua
County
Mairo-inya
Table 1: HIV burden in Nyandarua

646,876
18
13,000
18
3.8%
1,305
18
Ol kalau
13
14,305
18
Nyandarua South
Engineer
Population Density
per km2
The HIV prevalence among women in Nyandarua

Figure 1: Prevalence of HIV by gender in Nyandarua
County
4
3
4.1
3.8
2.9
3.3
2.6
Male
Female
1
0
2003
2007

Transmission of HIV
Table 2: Nyandarua County HIV indicators

annually
Annual
899
County
ranking
23

treatment, about 73 per cent of people in Nyandarua
by entry point in Nyandarua County
2009
Year of survey
72
National
estimates
88,620
40
35
30
25
20
15
10
5
0
Tuberculosis
66
Voluntary
counselling
and testing
55
Prevention of
mother-to-child
transmission
HIV prevalence (%)
29
Overall
Nyandarua North
Medical ward
Rank*

112
100

HIV in Nyandarua County in 2013. HIV is most
mothers alive.
45%
66%
36%
100%
55%
34%
64%
80
60
40
Infant
prophylaxis
Medical facility
delivery
20
In Nyandarua County, approximately 55 per cent

sexual debut.
0%
Maternal
prophylaxis

per cent. Most communities in Nyandarua County

uptake
Identiied HIV+
pregnant women

by more than 90 per cent. In Nyandarua County, low
to the population.
No
Yes
66% of HIV-positive pregnant women in Nyandarua

recommended four antenatal visits in Nyandarua
County

Treatment
Table 3: Nyandarua County HIV treatment access
annually
Indicator

children
Nyandarua County
ranking
County
29
7,281
79%
National
estimates
14 12,940
Indicator

5,596
77%
21
932
592
63%
42%
9
113

Welfare
Table 4: Nyandarua orphans and social welfare
indicators
beneficiaries
Estimates
17,030
2,081
8,345



conditions in 2013 in Nyandarua
HIV.

between 15 and 25.
Messages
Priority areas





and boys
health facilities
114


NYERI COUNTY
Section 1: HIV Burden in Nyeri
County
Naro Moru
Table 1: HIV burden in Nyeri

Rank*
752,469
22
18,900
24
20,797
4.3%
Nyeri North
22
1,897
Endarasha
18
Nyeri
22
Karatina
Nyeri South
Othaya
The HIV prevalence among women in Nyeri County

Figure 1: Prevalence of HIV by gender in Nyeri County
10.2
10
8
5.5
6
5
2.5
2.3

by entry point in Nyeri County
2003
2007
2009
Year of survey
80
70

Transmission of HIV
Table 2: Nyeri County HIV indicators

annually
Annual
1,307
County
ranking
29
National
estimates
88,620
60
50
40
30
20
10
0
Overall

treatment, about 73 per cent of people in Nyeri
Medical ward
Female
351
Tuberculosis
3.2
142
Voluntary
counselling
and testing
Male
Density people
per km2
Prevention of
mother-to-child
transmission
HIV prevalence (%)
9
7
Mweiga

115
100

in Nyeri County in 2013. HIV is most often transmitted
mothers alive.

among children
31%
66%
16%
100%
69%
34%
84%
80
60
40
No
Yes
66% of HIV-positive pregnant women in Nyeri

recommended four antenatal visits in Nyeri County

Treatment
Table 3: Nyeri County HIV treatment access annually
Indicator

Indicator
Nyeri
County
43
County
ranking
National
estimates
19 12,940

Information System
116
Infant
prophylaxis
Medical facility
delivery
20
In Nyeri County, approximately 55 per cent of

sexual debut.
0%
Maternal
prophylaxis

cent. Most communities in Nyeri County traditionally

uptake
Identiied HIV+
pregnant women

more than 90 per cent. In Nyeri County, low condom
population.
10,586
10,471
99%
79%
6
1,355
42%
924
68%
5

Welfare
Table 4: Nyeri orphans and social welfare indicators
Estimates
19,948
3,052
9,774


conditions in 2013 in Nyeri County.

between 15 and 25.
Messages
Priority areas





and boys
health facilities


117
SAMBURU COUNTY
Section 1: HIV Burden in Samburu
County
Table 1: HIV burden in Samburu
Rank*
254,997
5.0%
29
883
6,000
6,883
Samburu North
Baragoi
9
9
Samburu East
Maralal
Samburu Central
The HIV prevalence among women in Samburu County

Wamba
Density people
per km2
Archers Post
6
9
27
Figure1: Prevalence of HIV by gender in Nyeri County

10.2
4
3
2
3.2
2.5
Male
Female
2.3
1
0
2003
2007
2009

by entry point in Samburu County
Year of survey

Transmission of HIV
Table 2: Samburu County HIV indicators

annually
Annual
461
County
ranking
15

National
estimates
88,620
100
80
60
40
20
0
Overall
Medical ward
5.5
Tuberculosis

treatment, about 73 per cent of people in Samburu
Voluntary
counselling
and testing
HIV prevalence (%)
Prevention of
mother-to-child
transmission
10

118
100
There were about 344 HIV-positive pregnant women in

Samburu County in 2011. HIV is most often transmitted
mothers alive.
86%
66%
83%
30%
14%
34%
17%
80
60
40
No
Infant
prophylaxis
Medical facility
delivery
20
In Samburu County, approximately 58 per cent

sexual debut.
70%
Maternal
prophylaxis
60 per cent. Most communities in Samburu County

uptake
Identiied HIV+
pregnant women

by more than 90 per cent. In Samburu County, low
to the population.
Yes
74 % of HIV-positive pregnant women in Samburu

recommended four antenatal visits in Samburu
County

Treatment
Table 3: Samburu County HIV treatment access
annually
Indicator

children
Samburu
County
51
County
ranking
National
estimates
6 13,175
2,934
79%

Indicator
700
24%
45
621
42%
55
9%
45
119

Welfare
Table 4: Samburu orphans and social welfare
indicators
beneficiaries
Estimates
7,757
2,197
3,801



conditions in 2011 in Samburu
HIV.

and 25.
Messages
Priority areas





and boys
health facilities
120


SIAYA COUNTY
Section 1: HIV Burden in Siaya
County
Table 1: HIV burden in Siaya
Ukwala
Rank*
920,671
27
113,000
44

HIV
128,568
23.7%
Siaya
Yala
Siaya
46
15,568
Ugunja
45
Ndori
Usenge
Bondo
44
Bondo
Rarieda
Density people
per km2
The HIV prevalence among women in Siaya County

266
334
359
14.6
23.3
Male
15.9
Female
10
5
0
2003
2007

by entry point in Siaya County
2009
Year of survey

Transmission of HIV
Table 2: Siaya County HIV indicators
New adult HIV

infections annually
Annual
9,869
County
ranking
45

National
estimates
88,620
120
100
80
60
40
20
0
Overall
15
19.7
20.7
Medical ward
20
24.4
Tuberculosis
25
Voluntary
counselling
and testing
30

treatment, about 73 per cent of people in Siaya
Prevention of
mother-to-child
transmission
HIV prevalence (%)
Figure 2: Prevalence of HIV by gender in Siaya County

121
100

with HIV in Siaya County in 2013. HIV is most often
mothers alive.

among children
Siaya
County
County
ranking
29%
55%
21%
86%
71%
45%
79%
80
60
40
No
Yes
55% of HIV-positive pregnant women in Siaya

the recommended four antenatal visits in Siaya
County

Treatment
Table 3: Siaya County HIV treatment access annually
Indicator
National
estimates
2,190 45
12,940
Information System
Infant
prophylaxis
Medical facility
delivery
20
In Siaya County, approximately 55 per cent of

sexual debut.
14%
Maternal
prophylaxis

cent. Most communities in Siaya County traditionally

uptake
Identiied HIV+
pregnant women

more than 90 per cent. In Siaya County, low condom
population.
56,932
46,413
82%
79%
20
Indicator
12,244
5,285
43%
42%
20
Package
122

Welfare
Table 4: Siaya orphans and social welfare indicators
Estimates
54,323
6,249
26,618


conditions in 2013 in Siaya County.

between 15 and 25.
Messages
Priority areas





and boys
health facilities


123
TAITA TAVETA COUNTY

Section 1: HIV Burden in Taita
Taveta County
Mtito Andei
Table 1: HIV burden in Taita Taveta

Rank*
323,867
37
1,409
16
9,800
11,209
6.1%
15
15
The HIV prevalence among women in Taita Taveta

Wundanyi
Taveta
Voi
Taveta
Mwatate
Taita
Density people
per km2
16
19
Figure 2: Prevalence of HIV by gender in Taita Taveta

County
Male
Female
4
3
2
1
0
Figure 3: Percentage of adults enrolling for HIV care by

entry point in Taita Taveta County
2003
2007
2009
Year of survey
60
50
40

Transmission of HIV
30
20
Table 2: Taita Taveta County HIV indicators

annually
Annual
330

County
ranking
12
National
estimates
88,620
10
0

124
Overall
5.9
7.3
Medical ward
7.1 6.9
Tuberculosis
7.8
Voluntary
counselling
and testing
HIV prevalence (%)
Prevention of
mother-to-child
transmission
10

treatment, about 73 per cent of people in Taita Taveta
10.6
100
35%
39%
65%
50%
65%
61%
35%
50%
80
60
40
In Taita Taveta County, approximately 55 per cent

sexual debut.
No

HIV in Taita Taveta County in 2013. HIV is most
mothers alive.

among children
Taita Taveta County
ranking
County
35
National
estimates
17 12,940

Information System
Infant
prophylaxis
Medical facility
delivery
20
Maternal
prophylaxis

per cent. Most communities in Taita Taveta County

uptake
Identiied HIV+
pregnant women

by more than 90 per cent. In Taita Taveta County, low
to the population.
Yes
65% of HIV-positive pregnant women in Taita

Taveta do not deliver in a health facility
recommended four antenatal visits in Taita Taveta
County

Treatment
Table 3: Taita Taveta County HIV treatment access
annually
Indicator
5,570
79%
2,903
52%
35
Indicator
988
194
20%
42%
34
Package
125

Welfare
Table 4: Taita Taveta orphans and social welfare
indicators
Estimates
8,645
2,205
4,236



conditions in 2013 in Taita Taveta
HIV.

between 15 and 25.
Messages
Priority areas





and boys
health facilities
126


TANA RIVER COUNTY

Section 1: HIV Burden in Tana River
County
Table 1: HIV burden in Tana River
Madogo
Rank*
273,205
1,200
1,372
1%
Tana River
172
Hola
Masalani
Garsen
Tana Delta
The HIV prevalence among women in Tana River

Density people
per km2
29
Male
Female
0.8
0

2007
Year of survey
Source: KAIS

by entry point in Tana River County

Transmission of HIV
60
50
Table 2: Tana River County HIV indicators
New adult HIV

infections annually
Annual
40
County
ranking
3
National
estimates
88,620
40
30
20
10
0
Overall
1.2
Medical ward
1.6
0.4

treatment, about 73 per cent of people in Tana River
1.9
Tuberculosis
Voluntary
counselling
and testing
2.4
Prevention of
mother-to-child
transmission
HIV prevalence (%)
Figure 2: Prevalence of HIV by gender in Tana River

2.8
County

127

uptake
100

among children
Tana River
County
County
ranking
National
estimates
3 12,940

Information System
128
78%
47%
100%
89%
22%
53%
60
40
No
Yes
Infant
prophylaxis
Medical facility
delivery
Maternal
prophylaxis
20
In Tana River County, approximately 55 per cent

sexual debut.

with HIV in Tana River County in 2013. HIV is most
mothers alive.
11%
80

per cent. Most communities in Tana River County
0%
Identiied HIV+
pregnant women

by more than 90 per cent. In Tana River County, low
to the population.
78% of HIV-positive pregnant women in Tana

River do not deliver in a health facility
recommended four antenatal visits in Tana River
County

Treatment
Table 3: Tana River County HIV treatment access
annually
Indicator
Indicator

682
660
97%
79%
8
121
31
26%
42%
33
Package

Welfare
Table 4: Tana River orphans and social welfare
indicators
Estimates
5,789
2,033
2,837


conditions in 2013 in Tana River
HIV.

between 15 and 25.
Messages
Priority areas





and boys
health facilities


129
THARAKA NITHI COUNTY

Section 1: HIV Burden in Tharaka
Nithi County
Table 1: HIV burden in Tharaka Nithi
Rank*
384,379
23
1,160
11
7,600

HIV
8,760
4.3%
11
11
Tharaka
Chogoria
Maara
Chuka
Density people
per km2
Meru South
84
230
205
The HIV prevalence among women in Tharaka Nithi

Figure 2: Prevalence of HIV by gender in Tharaka
Nithi County
2.8
2.1
Figure 3: Percentage of adults enrolling for HIV care by

entry point in Tharaka Nithi County
1
0
2003
2007
Year of survey
Male
2009
Female
120

Transmission of HIV
Table 2: Tharaka Nithi County HIV indicators
New adult HIV

infections annually
Annual
410
County
ranking
14
National
estimates
88,620
100
80
60
40
20
0

130
Overall

4.6
Medical ward
6.4
Tuberculosis
5.5
6
4
6.5
Voluntary
counselling
and testing
Prevention of
mother-to-child
transmission
HIV prevalence (%)

treatment, about 73 per cent of people in Tharaka
Nithi County had never tested for HIV by 2009.
100

HIV in Tharaka Nithi County in 2013. HIV is most
mothers alive.

among children
Tharaka Nithi
County
22

Information System
County
ranking
National
estimates
10 12,940
51%
81%
36%
100%
49%
19%
64%
80
60
40
No
Yes
Infant
prophylaxis
Medical facility
delivery
20
In Tharaka Nithi County, approximately 55 per cent

sexual debut.
0%
Maternal
prophylaxis

per cent. Most communities in Tharaka Nithi County

uptake
Identiied HIV+
pregnant women

more than 90 per cent. In Tharaka Nithi County, low
to the population.
81% of HIV-positive pregnant women in Tharaka

Nithi do not deliver in a health facility
recommended four antenatal visits in Tharaka
Nithi County

Treatment
Table 3: Tharaka Nithi County HIV treatment access
annually
Indicator
4,386
79%
4,177
95%
11
Indicator
828
538
65%
42%
7
Package
131

Welfare
Table 4: Tharaka Nithi orphans and social welfare
indicators
Estimates
7,464
2,354
3,657



conditions in 2013 in Tharaka
Nithi County. Antiretroviral drugs
HIV.

between 15 and 25.
Messages
Priority areas





and boys
health facilities
132


TRANS NZOIA COUNTY

Section 1: HIV Burden in Trans
Nzoia County
Table 1: HIV burden in Trans Nzoia
Kwanza
932,223
24,300
27,874
Rank*
29
5.1%
Kitale
30
30
3,574
32
30
Trans Nzoia East
Trans Nzoia West

Kiminini
Density people
per km2
211
310
520
The HIV prevalence among women in Trans Nzoia

Figure 2: Prevalence of HIV by gender in Trans Nzoia
County
Male
6
5
Female
4
3
2
1
0
2003
2007
2009
Year of survey
Table 2: Trans Nzoia County HIV indicators
New adult HIV

infections annually
1,867
County
ranking
34

by entry point in Trans Nzoia County
120

Transmission of HIV
Annual

National
estimates
88,620
100
80
60
40
20
0
Overall
8.1 7.8
9.3
Medical ward
10
Tuberculosis
9.7
Voluntary
counselling
and testing
HIV prevalence (%)
10
11.1
Prevention of
mother-to-child
transmission
11

treatment, about 73 per cent of people in Trans
Nzoia County had never tested for HIV by 2009.

133
100

HIV in Trans Nzoia County in 2013. HIV is most
mothers alive.

among children
Trans Nzoia County
ranking
County
90

Information System
67%
45%
79%
36%
33%
15%
21%
80
60
40
No
Yes
85% of HIV-positive pregnant women in Trans

Nzoia do not deliver in a health facility
recommended four antenatal visits in Trans Nzoia
County

Treatment
Table 3: Trans Nzoia County HIV treatment access
annually
Indicator
National
estimates
32 12,940
Infant
prophylaxis
Medical facility
delivery
20
In Trans Nzoia County, approximately 55 per cent

sexual debut.
64%
Maternal
prophylaxis

per cent. Most communities in Trans Nzoia County

uptake
Identiied HIV+
pregnant women

by more than 90 per cent. In Trans Nzoia County, low
to the population.
11,881
6,618
56%
79%
31
Indicator
2,515
42%
725
29%
32
Package
134

Welfare
Table 4: Trans Nzoia orphans and social welfare
indicators
Estimates
18,492
3,021
9,061

between 15 and 25.

and 194 children died of
AIDS-related conditions in
2013 in Trans Nzoia County.
Antiretroviral drugs can
substantially reduce AIDSrelated deaths. If used properly,
antiretroviral therapy (ART)
can also lower a persons viral
load and prevent onward
Messages
Priority areas





and boys
health facilities


135
TURKANA COUNTY
Section 1: HIV Burden in Turkana
County
Table 1: HIV burden in Turkana
855,399
39,000
44,736
Rank*
7.6%
Turkana North
31
Lokichogio
41
37
5,736
Kakuma
38
37
Lodwar
Turkana Central
The HIV prevalence among women in Turkana

Density people
per km2
Turkana South
11
12
17
HIV prevalence (%)
Figure 2: Prevalence of HIV by gender in Turkana

County
30
25
20.7
20
15
10
5
0
4.2
7.1
12.8
10
Male
Female

treatment, about 73 per cent of people in Turkana
by entry point in Turkana County
2003
2007
2009
Year of survey
88,620
60
40
20
0

136
Overall
40
National
estimates
Medical ward
2,997
County
ranking
80
Tuberculosis
New adult HIV

infections annually
Annual
100
Voluntary
counselling
and testing
Table 2: Turkana County HIV indicators
120
Prevention of
mother-to-child
transmission

Transmission of HIV
100

HIV in Turkana County in 2013. HIV is most often
mothers alive.

among children
Turkana
County
County
ranking
74%
78%
36%
18%
26%
22%
60
40
Infant
prophylaxis
Medical facility
delivery
20
No
Yes
74% of HIV-positive pregnant women in Turkana

recommended four antenatal visits in Turkana
County

Treatment
Table 3: Turkana County HIV treatment access
annually
Indicator

Indicator
National
estimates
144 37
12,940
Information System
82%
80
In Turkana County, approximately 55 per cent

sexual debut.
64%
Maternal
prophylaxis

cent. Most communities in Turkana County traditionally

uptake
Identiied HIV+
pregnant women

by more than 90 per cent. In Turkana County, low
to the population.
19,068
3,791
20%
79%
46
4,036
42%
778
19%
36
Package
137

Welfare
Table 4: Turkana orphans and social welfare
indicators
Estimates
17,901
1,468
8,772



conditions in 2013 in Turkana
HIV.

between 15 and 25.
Messages
Priority areas





and boys
health facilities
138


UASIN GISHU COUNTY

Section 1: HIV Burden in Uasin
Gishu County
Table 1: HIV burden in Uasin Gishu
Rank*
1017723
33
25,000
33

HIV
28,677
4.3%
24
3,677
Eldoret West
Eldoret
34
Eldoret East
33
Wareng
Density people
per km2
The HIV prevalence among women in Uasin Gishu

8.6
7.5
5
0
2003
2007
Year of survey
Male

3.4
2.7
2.5
2009
Female

Transmission of HIV
Table 2: Uasin Gishu County HIV indicators
New adult HIV

infections annually
Annual
1,921
County
ranking
36
National
estimates
88,620

by entry point in Uasin Gishu County
60
50
40
30
20
10
0
Overall
10

treatment, about 73 per cent of people in Uasin Gishu
Medical ward
12.5
13.4

Tuberculosis
15
359
Voluntary
counselling
and testing
17.5
Burnt Forest
262
Prevention of
mother-to-child
transmission
HIV prevalence (%)
Figure 2: Prevalence of HIV by gender in Uasin Gishu

County
20
192

139
100

with HIV in Uasin Gishu County in 2013. HIV is
most often transmitted from a mother to her child
Breastfeeding is crucial for childrens survival, growth,
and development. Providing antiretroviral medicines to
mothers alive.

among children
Uasin Gishu County
ranking
County
92

Information System
National
estimates
34 12,940
68%
72%
80%
96%
32%
28%
20%
80
60
40
No
Infant
prophylaxis
Medical facility
delivery
20
In Uasin Gishu County, approximately 55 per cent

sexual debut.
4%
Maternal
prophylaxis

per cent. Most communities in Uasin Gishu County

uptake
Identiied HIV+
pregnant women

by more than 90 per cent. In Uasin Gishu County, low
to the population.
Yes
72% of HIV-positive pregnant women in Uasin

Gishu do not deliver in a health facility
Only41 per cent of pregnant women attend the
recommended four antenatal visits in Uasin Gishu
County

Treatment
Table 3: Uasin Gishu County HIV treatment access
annually
Indicator
12,223
17,614
100%
79%
2
Indicator
2,587
42%
1,895
73%
3
Package
140

Welfare
Table 4: Uasin Gishu orphans and social welfare
indicators
Estimates
19,015
2,080
9,317


conditions in 2013 in Uasin Gishu
HIV.

between 15 and 25.
Messages
Priority areas





and boys
health facilities


141
VIHIGA COUNTY
Section 1: HIV Burden in Vihiga
County
Table 1: HIV burden in Vihiga
Rank*
595,301
16
9,900
16

HIV
11,829
3.8%
Hamisi
19
1,929
19
Vihiga
16
Vihiga
Emuhaya
The HIV prevalence among women in Vihiga County

Density people
per km2
Luanda
948
1067
1101
HIV prevalence (%)
Figure 2: Prevalence of HIV by gender in Vihiga

County
12
10
8
6
11.8
6.9 6.6
6.7
5.9
4
2
0

treatment, about 73 per cent of people in Vihiga
2.7

by entry point in Vihiga County
2003
2007
2009
Year of survey
Female
60
50

Transmission of HIV
40
88,620
20
10
0
142
Overall
31
National
estimates
Medical ward
County
ranking
Tuberculosis
New adult HIV

infections annually
Annual
30
Voluntary
counselling
and testing
Table 2: Vihiga County HIV indicators
Prevention of
mother-to-child
transmission
Male
100

in Vihiga County in 2013. HIV is most often transmitted
mothers alive.

among children
Vihiga
County
35
County
ranking
National
estimates
18 12,940
0%
68%
0%
100%
100%
32%
100%
80
60
40
No
Infant
prophylaxis
Medical facility
delivery
20
In Vihiga County, approximately 55 per cent of

sexual debut.
0%
Maternal
prophylaxis

cent. Most communities in Vihiga County traditionally

uptake
Identiied HIV+
pregnant women

more than 90 per cent. In Vihiga County, low condom
population.
Yes

Vihiga County do not deliver in a health facility
the recommended four antenatal visits in Vihiga
County

Treatment
Table 3: Vihiga County HIV treatment access annually
Indicator
6,511
79%

Indicator
6,324
97%
9
1,357
42%
769
57%
13
Package

Information System
143

Welfare
Table 4: Vihiga orphans and social welfare indicators
Estimates
19,628
3,956
9,618



conditions in 2013 in Vihiga
HIV.

between 15 and 25.
Messages
Priority areas





and boys
health facilities
144


WAJIR COUNTY
Section 1: HIV Burden in Wajir
County
Table 1: HIV burden in Wajir

HIV
Wajir North
Rank*
434,524
10
500
0.2%
163
Wajir East
663
Wajir West
Hebaswein
Hebaswein
The HIV prevalence among women in Wajir County

Wajir South
Density people
per km2
29
55
66
72

Transmission of HIV

by entry point in Wajir County
Table 2: Wajir County HIV indicators

40
30
20
10
0
Overall

treatment, about 73 per cent of people in Wajir
50
Medical ward
88,620
60
Tuberculosis
National
estimates
Voluntary
counselling
and testing
18
County
ranking
Prevention of
mother-to-child
transmission
New adult HIV

infections annually
Annual


more than 90 per cent. In Wajir County, low condom
population.
cent. Most communities in Wajir County traditionally
145

In Wajir County, approximately 55 per cent of
sexual debut.

uptake
100
28%
100%
92%
97%
72%
0%
8%
3%
80
60
40

among children
Wajir
County
County
ranking
National
estimates
1 12,940

Information System
No
Infant
prophylaxis
Medical facility
delivery
Maternal
prophylaxis

in Wajir County in 2013. HIV is most often transmitted
mothers alive.
Identiied HIV+
pregnant women
20
Yes

Wajir County do not deliver in a health facility
the recommended four antenatal visits in Wajir
County

Treatment
Table 3: Wajir County HIV treatment access annually
Indicator

Indicator
250
66
26%
79%
44
114
42%
4%
46
Package
146

Welfare
Table 4: Wajir orphans and social welfare indicators
Estimates
9,707
1,649
4,756


conditions in 2013 in Wajir County.

between 15 and 25.
Messages
Priority areas





and boys
health facilities


147
WEST POKOT COUNTY

Section 1: HIV Burden in West
Pokot County
Table 1: HIV burden in West Pokot
583,767
15
7,500
10

HIV
8,603
10
2.8%
78
1,103

Pokot Central
West Pokot
The proportion of women living with HIV in West Pokot

County is significantly higher than that of men (Figure
2). Over the years, the women living in the county have
Figure 2: Prevalence of HIV by gender in West Pokot
County
1.5
1.7
1.0
Male

Female
0.5
0

by entry point in West Pokot County
2007
Year of survey
60
Source: KAIS

Transmission of HIV
Table 2: West Pokot County HIV indicators
New adult HIV

infections annually
Annual
576
County
ranking
17
National
estimates
88,620
50
40
30
20
10
0
Tuberculosis
2.0

treatment, about 73 per cent of people in West Pokot
Voluntary
counselling
and testing
2.5
Kapenguria
Prevention of
mother-to-child
transmission
HIV prevalence (%)
3.0
61
3.5
39
Pokot North

148
Overall
Density people
per km2
Medical ward
Rank*
100

HIV in West Pokot County in 2013. HIV is most
mothers alive.
79%
80%
55%
51%
21%
20%
45%
80
60
40
No
Infant
prophylaxis
Medical facility
delivery
20
In West Pokot County, approximately 55 per cent

sexual debut.
49%
Maternal
prophylaxis

per cent. Most communities in West Pokot County

uptake
Identiied HIV+
pregnant women

by more than 90 per cent. In West Pokot County, low
to the population.
Yes

West Pokot do not deliver in a health facility
recommended four antenatal visits in West Pokot
County

Treatment
Table 3: West Pokot County HIV treatment access
annually
Indicator

among children
West Pokot County
ranking
County
28

Information System
National
estimates
13 12,940
3,667
79%

Indicator

1,062
29%
43
776
121
16%
42%
42
Package
149

Welfare
Table 4: West Pokot orphans and social welfare
indicators
Estimates
8,684
1,344
4,255



conditions in 2013 in West Pokot
HIV.

between 15 and 25.
Messages
Priority areas





and boys
health facilities
150


Design and Layout: Peter Cheseret
Resources and Methodology

This brief is a county-specific HIV and AIDS profile. A secondary analysis of data from four national HIV
surveys and the District Health Information System available by the end of 2013, as well as outputs from the
Estimation and Projection Package modelling tool, were used to derive the county specific information.
NATIONAL AIDS CONTROL COUNCIL

Landmark Plaza, 9th Floor, Argwings Kodhek Road | P.O. Box 61307 - 00200 Nairobi, Kenya
Tel: 254 (020) 2896000, 2711261 Fax: 254 (020) 2711231, 2711072 | E-mail: communication @ nacc.or.ke

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KENYA HIV

ELIMINATE NEW HIV

PREVENT HIV AMONG

The number of adults on treatment in Kenya in 2011.

National Overview of the Epidemic................................8

HIV and AIDS County Profiles.........................................9

Elgeyo Marakwet County.......................................22

Homa Bay County..................................................31

Taita Taveta County.............................................124

Tana River County................................................127

Tharaka Nithi County...........................................130

Trans Nzoia County..............................................133

Uasin Gishu County..............................................139

West Pokot County..............................................148

The National AIDS Control Council wishes to

KENYA HIV AND AIDS PROFILE BY COUNTY

institutions who participated in this process are highly

The National AIDS Control Council (NACC) as the

Dr. Nduku Kilonzo

KENYA HIV AND AIDS PROFILE BY COUNTY

ESTIMATED ADULT (15+)

County HIV Prevalence

KENYA HIV AND AIDS PROFILE BY COUNTY

ESTIMATED NEW HIV INFECTIONS

KENYA HIV AND AIDS PROFILE BY COUNTY

ESTIMATED NEW HIV INFECTIONS

KENYA HIV AND AIDS PROFILE BY COUNTY

TOTAL # ADULTS LIVING WITH HIV BY COUNTY

Adults Living With HIV

KENYA HIV AND AIDS PROFILE BY COUNTY

New HIV infections

of new adult HIV infections

2.5% Health Facility Related

14.1% Sex workers and Clients

3.8% Injecting Drug Use (IDU)

20.3% Casual heterosexual sex

15.2% MSM and Prison

44.1% Heterosexual sex within union

Sources: Kenya HIV Estimates Report, 2014

KENYA HIV AND AIDS PROFILE BY COUNTY

Kenya is one of the six HIV high burden countries in

The high burden of HIV and AIDS

Kenya had a HIV-TB coinfection

Men who have sex with men, prisoners, sex workers

1 Kenya HIV Estimates Report, 2014.

KENYA HIV AND AIDS PROFILE BY COUNTY

The number of adults on treatment in

10 Counties with the Largest Number

New HIV infections among children

KENYA HIV AND AIDS PROFILE BY COUNTY

New HIV infections among adults

Source: Kenya HIV Estimates Technical Report 2013

HIV AND AIDS

Monika Juma, a multi-drug resistant TB

KENYA HIV AND AIDS PROFILE BY COUNTY

Number of adults living with HIV

Total number of people living with HIV

HIV adult prevalence (overall)

Number of children living with HIV

The HIV prevalence among women in Baringo County

Figure 1: Prevalence of HIV by gender in Baringo

HIV prevalence (%)

HIV counselling and testing and linkage to care and

There is a need to scale up HIV testing in the county,