Abstract: Background: HIV counselling and testing (HCT) is crucial for HIV epidemic control, as knowledge of HIV-positive status facilitates treatment initiation. The Rwanda Population-based HIV Impact Assessment reported that only 70% of adolescent girls and young women (AGYW) knew their HIV status. This study examined factors associated with HCT uptake among females aged 15–24 years in Nyarugenge district, Kigali. Methods: Data were randomly collected from 296 AGYW on demographics, HIV testing history, knowledge, and risk behaviors. Odds ratios for ever being tested for HIV were computed using STATA 17. Results: Among participants, 61.8% had ever tested for HIV; 65.9% tested in the past 12 months. Secondary or higher education [aOR=2.2; 95% CI:1.1–4.6], awareness of sexual transmission [aOR=8.2; 95% CI:1.3–50.4], and receiving HIV information from healthcare providers [aOR=4.1; 95% CI:2.1–8.1] increased testing likelihood. Students were less likely to test compared to employed peers [aOR=2.4; 95% CI:1.1–5.3]. Conclusion: HIV testing uptake remains suboptimal among AGYW. Targeted education and enhanced healthcare provider communication in schools are recommended to improve testing rates.
Keywords: Adolescent, Young women, Voluntary Counseling and Testing, Determinants, Age-disparate sex.
Title: Factors Influencing Low Uptake of HIV Counselling and Testing Services among Females Aged Between 15 To 24 Years in Nyarugenge District, Kigali, Rwanda
Author: Isimbi Karambizi Aurore, Dr. Onwana Kevin, Michael Habtu
International Journal of Healthcare Sciences
ISSN 2348-5728 (Online)
Vol. 13, Issue 1, April 2025 - September 2025
Page No: 349-358
Research Publish Journals
Website: www.researchpublish.com
Published Date: 02-July-2025
