hiv in the 2009 mozambique insida - the dhs program · pdf filethe 2009 national survey on...

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e 2009 National Survey on Prevalence, Behavioral Risks and Information about HIV and AIDS in Mozambique (INSIDA) included HIV testing of 16,597 women, men, and children age 0-64. According to the survey, 11.5% of Mozambicans age 15-49 are HIV-positive. Cabo Delgado 9.4% Nampula 4.6% Zambézia 12.6% Sofala 15.5% Inhambane 8.6% Niassa 3.7% Tete 7.0% Manica 15.3% Gaza 25.1% Maputo Province 19.8% Maputo City 16.8% Mozambique 11.5% Percentage HIV-positive, women and men age 15-49 HIV Prevalence by Province HIV prevalence ranges from a low of 3.7% in the northern province of Niassa to a high of 25.1% in the southern province of Gaza. HIV Prevalence by Educaon Percentage HIV posive, women and men age 15-49 9.8 14.4 15.0 7.2 9.1 10.1 No educaon Primary Secondary + Women Men HIV prevalence increases with education for both women and men. HIV prevalence is highest among women with secondary or higher education. HIV Prevalence by Age Age 0 2 4 6 8 10 12 14 16 18 12-1415-19 20-24 25-29 30-34 35-39 40-44 45-49 50-54 55-59 60-64 Percentage HIV posive Women Men Women become infected at younger ages than men. Prevalence for both women and men increases with age until it peaks at age 25-29 for women (16.8%) and at age 35-39 for men (14.2%). HIV Prevalence by Residence 13.1 18.4 10.7 9.2 12.8 7.2 11.5 15.9 9.2 Mozambique Urban Rural Women Men Total Percentage HIV posive, women and men age 15-49 Overall, 13.1% of women and 9.2% of men age 15-49 are HIV-positive. HIV prevalence is higher among women than men in both urban and rural areas. Higher HIV prevalence is found in urban areas (15.9%), compared with rural areas (9.2%). HIV Prevalence by Marital Status Percentage HIV posive, women and men age 15-49 8.5 10.8 25.6 35.9 4.6 10.5 20.0 28.5 Never married Married/living together Divorced or separated Widowed Women Men For both women and men, HIV infection rates are considerably higher among those who are widowed or divorced/separated than those who are married/ living together or those who have never been in 0 0.5 1 1.5 2 2.5 0-11 months 1-4 years 5-9 years 10-11 years Percentage HIV posi ve HIV Prevalence by Age Children age 0-11 years HIV prevalence is highest among children 0-11 months old at 2.3%. Prevalence decreases with age. Aſter age 5-9 years , it begins to increase. HIV in the 2009 Mozambique INSIDA Only 37% of women and 19% of men age 15-49 had been tested for HIV prior to the survey.

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Page 1: HIV in the 2009 Mozambique INSIDA - The DHS Program · PDF fileThe 2009 National Survey on Prevalence, Behavioral Risks and Information about HIV and AIDS in Mozambique (INSIDA) included

The 2009 National Survey on Prevalence, Behavioral Risks and Information about HIV and AIDS in Mozambique (INSIDA) included HIV testing of 16,597 women, men, and children age 0-64. According to the survey, 11.5% of Mozambicans age 15-49 are HIV-positive.

CaboDelgado

9.4%

Nampula4.6%

Zambézia12.6%

Sofala15.5%

Inhambane8.6%

Niassa3.7%

Tete7.0%

Manica15.3%

Gaza25.1%

MaputoProvince

19.8% Maputo City16.8%

Mozambique11.5%

Percentage HIV-positive, women and men age 15-49

HIV Prevalence by Province

HIV prevalence ranges from a low of 3.7% in the northern province of Niassa to a high of 25.1% in the southern province of Gaza.

HIV Prevalence by EducationPercentage HIV positive, women and men age 15-49

9.8

14.4 15.0

7.29.1 10.1

No education Primary Secondary +

Women Men

HIV prevalence increases with education for both women and men. HIV prevalence is highest among women with secondary or higher education.

HIV Prevalence by Age

Age

02468

1012141618

12-14 15-19 20-24 25-29 30-34 35-39 40-44 45-49 50-54 55-59 60-64

Perc

enta

ge H

IV p

ositi

ve

Women Men

Women become infected at younger ages than men. Prevalence for both women and men increases with age until it peaks at age 25-29 for women (16.8%) and at age 35-39 for men (14.2%).

HIV Prevalence by Residence

13.1

18.4

10.79.2

12.8

7.2

11.5

15.9

9.2

Mozambique Urban Rural

Women Men Total

Percentage HIV positive, women and men age 15-49

Overall, 13.1% of women and 9.2% of men age 15-49 are HIV-positive. HIV prevalence is higher among women than men in both urban and rural areas. Higher HIV prevalence is found in urban areas (15.9%), compared with rural areas (9.2%).

HIV Prevalence by Marital StatusPercentage HIV positive, women and men age 15-49

8.510.8

25.6

35.9

4.6

10.5

20.0

28.5

Never married Married/living together

Divorced or separated

Widowed

Women Men

For both women and men, HIV infection rates are considerably higher among those who are widowed or divorced/separated than those who are married/living together or those who have never been in

0

0.5

1

1.5

2

2.5

0-11 months 1-4 years 5-9 years 10-11 years

Perc

enta

ge H

IV p

osi

ve

HIV Prevalence by AgeChildren age 0-11 years

HIV prevalence is highest among children 0-11 months old at 2.3%. Prevalence decreases with age. After age 5-9 years , it begins to increase.

HIV in the 2009 Mozambique INSIDA

Only 37% of women and 19% of men age 15-49 had been tested for HIV prior to the survey.

Page 2: HIV in the 2009 Mozambique INSIDA - The DHS Program · PDF fileThe 2009 National Survey on Prevalence, Behavioral Risks and Information about HIV and AIDS in Mozambique (INSIDA) included

National Survey on Prevalence, Behavioral Risks and Information about HIV and AIDS in Mozambique (2009 INSIDA)

HIV Prevalence

Methodology and coverage rates: HIV prevalence data were obtained from testing dried blood spot (DBS) samples voluntarily provided by women and men age 12-64 who were interviewed and from children age 0-11 years whose mother, father, or caregiver was interviewed during the survey. The DBS were obtained from capillary blood. Of the 18,383 eligible subjects, 91% provided DBS specimens. Coverage rates were higher among people age 12-64 than among children age 0-11 (92% vs. 87%). Free HIV counseling and testing was offered to survey participants and their community.

For more information on the results of the 2009 Mozambique INSIDA, please contact:

In USA:MEASURE DHS ICF Macro 11785 Beltsville DriveCalverton, MD 20705 USA Telephone: 301-572-0200 Fax: 301-572-0999 www.measuredhs.com

In Mozambique: Instituto Nacional de Saúde (INS) Av Eduardo Mondlane, No 1008 2º C.Postal 264 Cidade de Maputo Mozambique Telefax +258-21-431103/311038 email: [email protected]

Percentage HIV posi ve, women and men age 15-49

8.4

16.6 17.6 16.4

(29.9)

16.2

2.4

8.510.3 9.8

15.113

1 2 3-4 5-9 10+ Not reported

Women Men

Note: Percentages in parentheses are based on 25-49 unweighted cases.

HIV Prevalence and Numberof Lifetime Partners

On average, HIV prevalence increases as the number of lifetime sexual partners increases.

HIV Prevalence among Couples

Both partners

84.9%

Both partners

4.9%

5.1%

5.2%

In 15% of couples, one or both partners are HIV-positive. The proportion of couples where both partners are infected, only the wife is infected, or only the husband is approximately equal (5%).

MINISTERIO DE SAÚDE

INSTITUTO NACIONAL DE ESTATÍSTICA

The 2009 National Survey on Prevalence, Behavioral Risks and Information about HIV and AIDS in Mozambique (INSIDA) was carried out by the Instituto Nacional de Saúde (INS) of the Ministry of Health in collaboration with the Instituto Nacional de Estatística (INE). ICF Macro provided technical assistance for the survey. Additional technical assistance was provided by the U.S. Centers for Disease Control (CDC) (Mozambique Office), JHPIEGO, and ECA/UEM. The survey was funded by the Mozambican National AIDS Council (CNCS) and the President’s Emergency Plan for AIDS Relief (PEPFAR), via CDC.