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access to health services for people living with HIV 9 .
Among 35 countries in the WHO Africa region, one in every five facilities provide
HTC services—ranging from less than 1% in Liberia to 100% in Botswana
(Figure 3.4, adjusted the scale to reflect a maximum of a 100%). In 2007, the
total number of health facilities that provided HTC services ranged 1 in Liberia to
1,107 facilities in Cameroon. Tanzania reported second in the term of available
HTC facilities with 1,035. The median number of the HTC facilities per country is
164. In the EMRO region, Somalia is scaling up integrated prevention,
treatment, care and support aligning ART, voluntary counseling and testing with
the support of the Global Fund. In Sudan there is very limited access to
prevention, testing, treatment, care and support, especially in rural areas.
A more compelling statistic is the actual uptake of VCT (ie. percentage of people who
take an HIV test and receive the results compared to the targets of respective countries
– where these are available).
Fig 3.5 shows the percent of men and women who received an HIV test in the last 12
months and know their results in selected countries. The figure shows the variability in
progress in the countries. HTC coverage remains low in Africa.
Figure 3.5: Percent of women and men who received an HIV test in the last 12 months and
know their results
Chad
0.5
Algeria
0.9
Senegal
1.1
Niger
2.4
Cote d'Ivoire
3.5
DRC
4.1
5
Mauritania
Angola
5.4
5.9
Eritrea
Cape Verde
10.1
14.4
Benin
Zambia
15.4
Togo
Swaziland
15.5
16
Central African Republic
16.2
20.6
Burkina Faso
Namibia
28.6
36
Tanzania
Gabon
58.9
100
Seychelles
0
10
20
30
40
50
60
70
80
90
100
Source: 2007 UNGASS Country Reports
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Guidance on Provider-Initiated HIV Testing and Counselling in Health Facilities. WHO, UNAIDS. Geneva,
2007.