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1Centre for International Health, University of Bergen, Bergen, Norway 2Division of Global HIV and TB, U.S Centers for Disease Control and Prevention, Nairobi, Kenya 3National AIDS and Sexually Transmitted Infections (STI) Control Program, Ministry of Health, Nairobi, Kenya 4Health Population and Nutrition, United States Agency for International Development, Nairobi, Kenya 5Division of Global HIV and TB, U.S Centers for Disease Control and Prevention, Atlanta, GA, United States Background: The UNAIDS 90-90-90 Fast-Track targets provide a framework for assessing coverage of HIV testing services (HTS) and awareness of HIV status – the “first 90.” In Kenya, the bulk of HIV testing targets are aligned to the five highest HIV-burden counties. However, we do not know if most of the new HIV diagnoses are in these five highest-burden counties or elsewhere.

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