Traditional homemade brew is believed to represent the highest proportion of alcohol use in sub-Saharan Africa. In Eldoret,
Kenya, two types of brew are common: chang’aa, spirits, and busaa, maize beer. Local residents refer to the amount of brew
consumed by the amount of money spent, suggesting a culturally relevant estimation method. The purposes of this study were
to analyze ethanol content of chang’aa and busaa; and to compare two methods of alcohol estimation: use by cost, and use by
volume, the latter the current international standard. Laboratory results showed mean ethanol content was 34% (SD = 14%) for
chang’aa and 4% (SD = 1%) for busaa. Standard drink unit equivalents for chang’aa and busaa, respectively, were 2 and 1.3
(US) and 3.5 and 2.3 (Great Britain). Using a computational approach, both methods demonstrated comparable results. We conclude
that cost estimation of alcohol content is more culturally relevant and does not differ in accuracy from the international
standard.
Keywords Alcohol - Traditional brew - HIV - Kenya - Cognitive behavioral treatment