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"content": "functions assigned by Constitution were transferred to the counties by the Transition Authority. Mr. Deputy Speaker, Sir, Kenya has the fourth largest HIV/AIDS epidemic in the world. In 2012, an estimated 1.2 million people were living with HIV/AIDS and roughly 57,000 people died from HIV/AIDS related diseases. Moreover, there are 1.1 million orphans of the epidemic. The first case of HIV/AIDS in Kenya was detected in 1984 and by mid 1990s, it was one of the major causes of mortality in the country, putting huge demands on the healthcare system as well as the economy. The HIV/AIDS prevalence peaked at 10.5 per cent in 1998 and by 2012, it had fallen to 6.1 per cent due to mainly the rapid scaling up of the Anti-Retroviral treatment (ARVs). Mr. Deputy Speaker, Sir, the Kenya HIV/AIDS epidemic is often referred to as generally affecting all sections of the Kenyan society including children and adult women and men. The HIV/AIDS testing and counseling in Kenya has adopted successfully a number of strategies in HIV/AIDS testing and counseling, including provider initiated testing and counseling, outreach tests and counseling, home-based testing and counseling, integration of home-based testing and counseling in anti-natal care, sexual and reproductive health services. The above strategies have been so successful progressively throughout the years, that by 2013, the number of tested and counseled was about 6.4 million people. The statistics have, though, indicated significant disparities between men and women. In 2012, 35.8 per cent of men had an HIV/AIDS test the previous year, 2011, compared with 47.3 per cent of women. To correct this disparity, there is need to increase testing among men with community based testing programmes. In 2012, nearly half of all Kenyans – 40 per cent - living with HIV/AIDS were aware of their status. However, an exceptional number of pastoralists and rural people did not know their HIV/AIDS status. Mr. Deputy Speaker, Sir, the Kenya AIDS Response Progress Report of 2014 indicates that the prevalence estimates by county show geographical variability of HIV/AIDS burden across the country. Estimates indicate that prevalence ranges from as high as 27.1 per cent in Homa Bay County, which is represented by Sen. Moses Kajwang, to the low of 0.2 per cent in Wajir County. Ten counties have estimated prevalence higher than the national average, while seven counties have a prevalence of less than 2 per cent. The variability shows the need to design programmes that address specific underlined issues in the counties. The leading in Kenya right now is Homa Bay County with 27.1 per cent. It is followed by Kisumu County, 18.7 per cent; Siaya County, 17.8 per cent; Migori County, 13.4 per cent; Mombasa, 11.1 per cent; Turkana County, 9.9 per cent; Kisii County at 8.9 per cent. The lowest is Wajir County with 0.2 per cent; Marsabit, 1 per cent; Mandera, 1.3 per cent; Lamu, 1.3 per cent; Tana River County, 2 per cent; Makueni County, 5.6 per cent; Nakuru County, 5.6 per cent; Vihiga County, 6 per cent and Kwale County, 6.2 per cent. The overall coordination of Kenya’s national response to HIV/AIDS is the responsibility of the National AIDS Control Council (NACC). It is assisted by decentralized structures such as District Technical Committees and Constituency AIDS The electronic version of the Senate Hansard Report is for information purposes only. A certified version of this Report can be obtained from the Hansard Editor, Senate."
}