IMASIDA was a nationally representative, cross-sectional, household survey of adults aged 15 to 59 years that was conducted from June 8 to September 20, 2015. We assessed the Demographic and Health Survey (DHS) database and extracted variables of interest from the 2015 Mozambique Immunization indicators, Malaria and HIV/AIDS Survey (IMASIDA 2015). Results from this analysis may be of importance for Mozambique and other countries in this region as they strive to improve the effectiveness of HIV testing services toward attainment of the “first 90” target by 2020. To the best of our knowledge, this is the first analysis to assess determinants of self-reported not receiving HIV test results in a country with a high burden of HIV. In this study, we sought to identify the magnitude and determinants of non-receipt of HIV test results after HIV testing, in adults aged 15 to 59 years old in Mozambique. Situations like this not only represent missed opportunities for HIV diagnosis, but also puts individuals at risk for avoidable HIV related morbidity and mortality and potentially puts the community at risk of ongoing HIV transmission. The fact that some PLHIV in high HIV prevalence regions might not be aware of their HIV status, due to non-receipt of their HIV test results, is quite alarming. Īlthough determinants of testing for HIV have been previously explored, little is known about the factors contributing to non-receipt of HIV test results despite individual acknowledgment that testing had previously been performed. In fact, several interventions designed for PLHIV, including HTC, have been found to reduce HIV risk behaviors among HIV-positive individuals. Furthermore, interventions targeting PLHIV, including counseling provided through HTC, can help one understand the meaning of their HIV status, additional risk exposure, and encourage adoption of healthier and safer behaviors. HIV counseling and testing (HCT), an essential entry-point to HIV care and treatment, provides an opportunity for PLHIV to access ART in a timely manner, which has substantial benefits both at the individual and community level. ĭespite this progress, there is still much work to be done to reach the UNAIDS 90-90-90 targets by 2020 (90% of people living with HIV. For instance, the number of people on antiretroviral therapy (ART) increased approximately four-fold, from 309,000 in 2012 to 1.2 million in 2017, and the annual number of HIV tests performed increased from 4.6 to 6.5 million between 20. With support from programs such as the President’s Emergency Plan for AIDS Relief (PEPFAR) and the Global Fund to Fight AIDS, Tuberculosis, and Malaria, the Mozambican Ministry of Health (MoH) has made significant progress in the fight against HIV/AIDS. Mozambique is a country of approximately 29 million people as of 2017, and has one of the highest prevalence’s of HIV in the region (13.2% in 2015). The data can be accessed by request directly to DHS ( The datasets used in this secondary analysis are available at: ". The data cannot be passed on to other researchers without the written consent of DHS. To use the data for another purpose, a new research project must be registered. For instance, the DHS data can be used only for the purpose of statistical reporting and analysis, and only for registered research. Additionally, the DHS has regulations regarding the usage of DHS data. In surveys that collect GIS coordinates in the field, the coordinates are only for the enumeration area (EA) as a whole, and not for individual households, and the measured coordinates are randomly displaced within a large geographic area so that specific enumeration areas cannot be identified. Each enumeration area (Primary Sampling Unit) has a PSU number in the data file, but the PSU numbers do not have any labels to indicate their names or locations. The geographic identifiers only go down to the regional level (where regions are typically very large geographical areas encompassing several states/provinces). There are no names of individuals or household addresses in the data files. The dataset used in our study were obtained from the DHS website ( The IRB-approved procedures for DHS public-use datasets do not in any way allow respondents, households, or sample communities to be identified.
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |