Covariates and Spatial Interpolation of HIV Screening in Mozambique: Insight from the 2015 AIDS Indicator Survey

Pascal Agbadi, Jerry John Nutor, Ernest Darkwah, Henry Ofori Duah, Precious Adade Duodu, Robert Kaba Alhassan and Kimberly Baltzell
Additional contact information
Pascal Agbadi: Department of Nursing, College of Health Sciences, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana
Jerry John Nutor: Department of Family Health Care Nursing, School of Nursing, University of California, 2 Koret Way, Suite N431G, San Francisco, CA 94143, USA
Ernest Darkwah: Department of Psychology, University of Ghana, P.O. Box LG 84, Legon, Ghana
Henry Ofori Duah: Research Department, FOCOS Orthopaedic Hospital, Accra, Ghana
Precious Adade Duodu: East Surrey Hospital, Canada Avenue, Redhill, Surrey RH1 5RH, England, UK
Robert Kaba Alhassan: School of Nursing and Midwifery, University of Health and Allied Sciences, Ho, Ghana
Kimberly Baltzell: Department of Family Health Care Nursing, School of Nursing, University of California, 2 Koret Way, Suite N431G, San Francisco, CA 94143, USA

IJERPH, 2020, vol. 17, issue 16, 1-15

Abstract: We examined the factors associated with human immunodeficiency virus (HIV) screening and developed a HIV screening prevalence surface map using spatial interpolation techniques to identify the geographical areas with the highest and lowest rates of HIV screening in Mozambique. We analyzed the cross-sectional 2015 Mozambique AIDS Indicator Surveys with an analytic sample of 12,995 participants. Analyses were conducted on SPSS-21, STATA-14, and R freeware 3.5.3. We adjusted for the sample design and population weights. Results indicated that 52.5% of Mozambicans had undergone HIV screening. Mozambicans with these characteristics have a higher probability of undergoing HIV screening: females, those with a primary education or higher, urban dwellers, residents of wealthy households, having at least one lifetime sexual partner, and dwelling in these provinces—Niassa, Tete, Manica, Sofala, Inhambane, Gaza, Maputo Provincia, and Maputo Cidade. The spatial map revealed that the national and regional estimates mask sub-regional level estimates. Generally, zones with the highest HIV screening prevalence are found in southern provinces while the lowest prevalence was found in the northern provinces. The map further revealed intraregional differences in HIV screening estimates. We recommend that HIV screening be expanded, with equitable screening resource allocations that target more nuanced areas within provinces which have a low HIV screening prevalence.

Keywords: HIV screening; HIV/AIDS; spatial interpolation; Mozambique; sub-Saharan Africa (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2020
References: View references in EconPapers View complete reference list from CitEc
Citations:

Downloads: (external link)
https://www.mdpi.com/1660-4601/17/16/5630/pdf (application/pdf)
https://www.mdpi.com/1660-4601/17/16/5630/ (text/html)

Related works:
This item may be available elsewhere in EconPapers: Search for items with the same title.

Export reference: BibTeX RIS (EndNote, ProCite, RefMan) HTML/Text

Persistent link: https://EconPapers.repec.org/RePEc:gam:jijerp:v:17:y:2020:i:16:p:5630-:d:394583

Access Statistics for this article

IJERPH is currently edited by Ms. Jenna Liu

More articles in IJERPH from MDPI
Bibliographic data for series maintained by MDPI Indexing Manager ().