Introduction
A baseline survey was carried out in Nyeri and Thika districts to collect pre-intervention data as part of the project evaluation design that proposed a comparison of pre-intervention and post-intervention measures.

Materials and methods
A total of 552 exit clients were interviewed using a structured questionnaire following their informed consent. Clients were interviewed on acceptability and quality of services received, their experiences with HIV testing, dual protection, providers’ behavior during the interaction, experience of the services received, changes in risk perception, and partner notification and testing.

Results and discussion
A majority of family planning (FP) clients who were using an FP method did not use condoms at the same time (only 4.4 percent said they were). Similarly, clients were not given information on availability of condoms (only 5.6 percent were either offered condoms or told where to obtain them). When asked what FP methods they were using, clients said: Noristerate (0.2 percent), Depo (72.6 percent), implant (0.7 percent), Nordette/Microgynon (21.7 percent), Microlut (2.7 percent), IUCD/Loop (1.1 percent), and condom (0.7 percent). With regard to knowledge regarding transmission of HIV/AIDS, clients said that one could become infected through unprotected sexual intercourse (95.5 percent), from mother to child (8.0 percent), breastfeeding (7.8 percent), blood transfusion (17.6 percent); and contact with infected blood (61.8 percent). Clients were aware of different ways of protecting themselves from STI/RTI/HIV infection through the use of condoms (54.7 percent), sticking to one partner (66.5 percent), and abstaining (10.9 percent). Clients who were given information on availability of voluntary counseling and testing services were 39.7 percent, while 3.9 percent were offered HIV testing.

Conclusion and policy implication
The results show a huge gap between practice and knowledge regarding the use of condoms to prevent pregnancy and STI/HIV/AIDS among FP clients. The findings also reveal that providers might have contributed to this gap. Future interventions aimed at narrowing the gap should target both providers and clients.