Human immunodeficiency virus testing and counseling trends analysis, Midlands Province, Zimbabwe: A secondary data analysis

Annamercy Makoni, N. Gombe, T. Juru, M. Mungati, D. Bangure, Gerald Shambira, M. Chemhuru, M. Tshimanga
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Abstract

HIV testing and counseling (HTC) indicators are captured for programming, decision making and program monitoring and evaluation. A preliminary review of Midlands province HTC data showed that a small proportion of men and children were being tested for HIV. The secondary HTC data to determine trends to inform programming was therefore analyzed. A descriptive study using secondary HTC data was carried out. Microsoft Excel was used to come up with Chi square for trends analysis and p-values were generated using Epi info 7. There were 623,174 clients in the HTC dataset from 2010 to 2014. There was a significant increase in HTC coverages from 4% (n=59 512) in 2010 to 21% (n=382 559) in 2014 (X2= 898 517; p<0.01). All districts recorded the highest HTC coverages in 2014, Gokwe having the lowest coverage of 14% (n=4 778). HTC positivity rates declined from 29% in 2010 to 7% in 2014 (X2= 32 551; p<0.01). There was a significant increase in HTC coverages across all age groups, sexes and districts. Positivity rates were significantly higher among males than females. Low HTC coverages and high positivity rates among men indicate the urgent need for routine HTC educational campaigns and behavior change communication programs for men. Key words: Human immunodeficiency virus testing and counseling, secondary dataset analysis, Zimbabwe.
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津巴布韦米德兰省人体免疫缺陷病毒检测和咨询趋势分析:二次数据分析
获取艾滋病毒检测和咨询(HTC)指标,用于规划、决策和方案监测和评价。对米德兰兹省HTC数据的初步审查显示,一小部分男性和儿童正在接受艾滋病毒检测。因此,分析了用于确定趋势的次要HTC数据,以便为编程提供信息。采用二次HTC数据进行描述性研究。使用Microsoft Excel生成卡方进行趋势分析,并使用Epi info生成p值7。从2010年到2014年,HTC数据集中有623174个客户。HTC的覆盖率从2010年的4% (n=59 512)显著增加到2014年的21% (n=382 559) (X2= 898 517;p < 0.01)。2014年所有县的宏达电覆盖率最高,戈奎县的覆盖率最低,为14% (n= 4778)。HTC阳性率从2010年的29%下降到2014年的7% (X2= 32 551;p < 0.01)。HTC在所有年龄组、性别和地区的覆盖率都有显著增长。男性的阳性率明显高于女性。低HTC覆盖率和高男性阳性率表明迫切需要常规HTC教育活动和男性行为改变交流项目。关键词:人类免疫缺陷病毒检测与咨询,二次数据集分析,津巴布韦。
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