HIV testing and counseling (HTC) is central to all HIV programmes nationwide and is closely linked with other health services.

HIV testing and counselling (HTC) is the main entry point to prevention, care and treatment. Kenya has adopted the UNAIDS concept of Universal Access by 2010. The achievement of these ambitious targets will hinge on the successful expansion of HTC programs in the country. Many Kenyans are familiar with Client-initiated HTC, which is also known as voluntary counselling and testing (VCT). Health workers are also familiar with Provider-initiated HTC (also called PITC), which was previously known as Diagnostic HIV testing and counselling. Unlike DTC which targets sick people PITC targets all patients and clients in the health facility.

In general both Provider and Client-initiated HTC have similar values and guiding principles, but the settings vary slightly. Client Initiated HTC is provided in community-based settings, and can be conducted by non-health personnel.