Voluntary Counseling and Testing (VCT) is important in controlling the spread of HIV/AIDS especially among the Youths. The aim of the study was to determine the extent, to assess the level of awareness and to describe the Youths' attitude towards VCT Service Utilization in Kapsabet Division, Nandi Central District from 1 st February to 30 th April 2013. A cross-sectional descriptive study was carried out among male and female Youths aged 18-34 years who were selected by convenience sampling, using Quantitative and Qualitative methods of data collection with mean age of 26 years. The study found that 52% of Youths had visited VCT and the majority was aware about VCT through print media, TV/radio and IEC materials. Forth-six percent (46%) said Post-Counseling was poor. Seventy seven (77%) highlighted various challenges i.e. most VCT centers were openly located within the hospital and user fee Ksh. 20 was charged. The study also found that there was high level of awareness but slightly low utilization of VCT Services with only 52% having tested. Posters in VCT rooms were stigmatizing and this could have influenced their low utilization of VCT Services. Therefore there is need for dialogue with policy-makers, Youths and Stakeholders in regards to changing strategy for future efforts to increase the uptake of services among the Youths.

Background; An estimated 51.6% of adults by age distribution among the Jaggery and Tea workers aged years are at risk of contracting malaria due to improper use of ITNs in South Mugirango Sub County. Kisii County, Kenya. This is due to their perception and the reasons for not sleeping under ITNs. Published data on ITNs use among the Jaggery and Tea workers in South Mugirango Sub County are limited. The purpose of this study is to establish the Jaggery and Tea workers perception on ITNs use. Methods; A descriptive cross sectional study was used, where South Mugirango was purposively selected. The study systematically and randomly selected and interviewed 209 Jaggery and Tea workers on ITNs use. Qualitative methods were used to investigate their perceptions on ITNs use. Data was also collected via structured questionnaire, focused group discussion and Key informant interviews to obtain views. Results; Overall 209 Jaggery and Tea workers were selected and interviewed; 116 (56%) males and 93 (44%) females, about 52% perceived mosquitoes to cause malaria and 77.3% cited the main reasons of not using the ITNs as to cause suffocation, irritation and dreams. There was a positive relationship between gender and education on ITNs use (P<0.001,) respectively. There was also significant relationship between cost, accessibility and house structure and ITNs use (P<0.0010) while age and marital status were not statistically significant. Conclusion and recommendations; The 77.3% who perceived that ITNs causes suffocation, irritation and dreams is high number as malaria is on the rise among the study group. Therefore the study recommends; (a) Policy review on ITNs use among the Jaggery and Tea workers (b) Intensive health training on perception and beliefs on ITNs to improve its use with adoption of door to door awareness creation on the importance of ITNs use.