Introduction Globally, there is delay in accessing early HIV diagnosis (EID) among HIV exposed infants (HEIs). With paucity of data on EID use at Kisenyi Health Center, this study assessed factors associated with EID use among HEIs (HIV exposed infants). Method This was a cross-sectional study of 246 HIV-positive mother-baby pairs. Data was collected by structured questionnaire, double-entered in EpiData, and analyzed with STATA using multinomial logistic regression at 5% significance level. Results 132 (53.7%) HEIs were not tested, 60 (24.4%) tested outside EID guideline, and 54 (21.9%) tested per the guideline. Testing per guideline was associated with maternal age above 30 years (AOR = 2.75; 95% CI: 1.20–6.34; P = 0.017); testing outside the guideline was associated with maternal HIV serostatus disclosure (AOR = 2.70; 95% CI: 1.10–6.63; P = 0.003) and four or more antenatal care (ANC) visits (AOR = 3.25; 95% CI: 1.23–8.59; P = 0.017). However, maternal knowledge of HIV transmission was associated with testing outside the guideline (AOR = 2.90; 95% CI: 1.10–7.65; P = 0.032) and per the guideline (AOR = 3.70; 95% CI: 1.39–9.88; P = 0.009). Conclusion Timely EID testing was low. Improving maternal knowledge of EID during ANC visits and positive living empowerment is critical.

One hundred and nineteen cases of ectopic pregnancy treated in the Department of Gynaecology, Kenyatta National Hospital, Nairobi, are described. Ectopic pregnancy accounted for almost one third of the abdominal operations performed in the department. Pelvic inflammatory disease seemed to be the cause of this high incidence. Culdocentesis proved useful for diagnosis, but should be employed with caution in a population in whom pelvic sepsis is common. The value and safety of auto-transfusion is emphasised.