Prevalence of HIV infection and uptake of HIV/AIDS services among fisherfolk in landing Islands of Lake Victoria, north western Tanzania
Abstract Background New HIV infections in Tanzania have been decreasing, however some populations remain at higher risk. Despite of that, evidence on the magnitude of HIV infection and the associated factors and HIV/AIDS services uptake among fisherfolk in Tanzania are inadequately explored. This st...
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| Format: | Article |
| Language: | English |
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BMC
2018-12-01
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| Series: | BMC Health Services Research |
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| Online Access: | http://link.springer.com/article/10.1186/s12913-018-3784-4 |
| _version_ | 1817977493369389056 |
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| author | Anthony Kapesa Namanya Basinda Elias C. Nyanza Martha F. Mushi Ola Jahanpour Sospatro E. Ngallaba |
| author_facet | Anthony Kapesa Namanya Basinda Elias C. Nyanza Martha F. Mushi Ola Jahanpour Sospatro E. Ngallaba |
| author_sort | Anthony Kapesa |
| collection | DOAJ |
| description | Abstract Background New HIV infections in Tanzania have been decreasing, however some populations remain at higher risk. Despite of that, evidence on the magnitude of HIV infection and the associated factors and HIV/AIDS services uptake among fisherfolk in Tanzania are inadequately explored. This study therefore aimed at determining prevalence of HIV infection and utilization of HIV/AIDS services among fishfolk in selected Islands of Lake Victoria for evidence-based interventions. Methods Cross-sectional study determining status of HIV infection among fisherfolk (n = 456) and retrospective review of voluntary counselling and testing (VCT) registry (n = 1744) were done in Buchosa and Muleba districts. Structured questionnaire and HIV rapid test kits with the standard testing protocol were used as research tools. Results A total of 269 (58.9%) male and 187 (41.1%) female fisherfolk were recruited during the community survey. Prevalence of HIV infection was 14% in all surveyed landing sites with a site variation from as low as 7.2% to as high as 23.8%. Participants employed in fishing related employment had higher odds of being HIV infected (5.4 times) than those who practiced fishing and partly farming [OR = 5.40; 95%CI 1.88–15.61; p < 0.001]. Participants employed in fishing related employment had higher odds of being HIV infected (5.4 times) than those practiced fishing and farming [OR = 5.40; 95%CI 1.88–15.61; P < 0.001]. Lack of formal education [aOR = 3.37; 95%CI 1.64–6.92; p < 0.001], being older [aOR = 1.06; 95%CI 1.03–1.09] and using alcohol [aOR = 2.26; 95%CI 1.23–4.15] predicted the likelihood of contracting HIV infection. Approximately three quarters (76%) of respondents had ever tested for HIV infection within past 1 year. Moreover, about half of the study participants had used condom inconsistently and 5 out of 14 (37.5%) of participants who knew their status had never started treatment. Despite the low uptake of most HIV preventive services, majority (88%) of male fisherfolk were circumcised. Conclusion The magnitude of HIV infection among fisherfolk was up to 3 times higher than that of the general populations in Muleba and Buchosa districts. Higher age, using alcohol and lack of formal education predicted increased likelihood of HIV infection. The uptake of key HIV/AIDS curative and preventive services was generally low. |
| first_indexed | 2024-04-13T22:17:10Z |
| format | Article |
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| language | English |
| last_indexed | 2024-04-13T22:17:10Z |
| publishDate | 2018-12-01 |
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| spelling | doaj.art-2b309046833542369c47088cbdefeddd2022-12-22T02:27:27ZengBMCBMC Health Services Research1472-69632018-12-011811910.1186/s12913-018-3784-4Prevalence of HIV infection and uptake of HIV/AIDS services among fisherfolk in landing Islands of Lake Victoria, north western TanzaniaAnthony Kapesa0Namanya Basinda1Elias C. Nyanza2Martha F. Mushi3Ola Jahanpour4Sospatro E. Ngallaba5Department of Community Medicine, School of Public Health, Catholic University of Health and Allied Sciences (CUHAS)Department of Community Medicine, School of Public Health, Catholic University of Health and Allied Sciences (CUHAS)Department of Environmental and occupational Health & Geographical information system, School of Public Health, Catholic University of Health and Allied SciencesDepartment of Microbiology and Immunology, School of Medicine, Catholic University of Health and Allied SciencesInstitute of Public Health, Department of Epidemiology and Biostatistics, Kilimanjaro Christian Medical University CollegeDepartment of Community Medicine, School of Public Health, Catholic University of Health and Allied Sciences (CUHAS)Abstract Background New HIV infections in Tanzania have been decreasing, however some populations remain at higher risk. Despite of that, evidence on the magnitude of HIV infection and the associated factors and HIV/AIDS services uptake among fisherfolk in Tanzania are inadequately explored. This study therefore aimed at determining prevalence of HIV infection and utilization of HIV/AIDS services among fishfolk in selected Islands of Lake Victoria for evidence-based interventions. Methods Cross-sectional study determining status of HIV infection among fisherfolk (n = 456) and retrospective review of voluntary counselling and testing (VCT) registry (n = 1744) were done in Buchosa and Muleba districts. Structured questionnaire and HIV rapid test kits with the standard testing protocol were used as research tools. Results A total of 269 (58.9%) male and 187 (41.1%) female fisherfolk were recruited during the community survey. Prevalence of HIV infection was 14% in all surveyed landing sites with a site variation from as low as 7.2% to as high as 23.8%. Participants employed in fishing related employment had higher odds of being HIV infected (5.4 times) than those who practiced fishing and partly farming [OR = 5.40; 95%CI 1.88–15.61; p < 0.001]. Participants employed in fishing related employment had higher odds of being HIV infected (5.4 times) than those practiced fishing and farming [OR = 5.40; 95%CI 1.88–15.61; P < 0.001]. Lack of formal education [aOR = 3.37; 95%CI 1.64–6.92; p < 0.001], being older [aOR = 1.06; 95%CI 1.03–1.09] and using alcohol [aOR = 2.26; 95%CI 1.23–4.15] predicted the likelihood of contracting HIV infection. Approximately three quarters (76%) of respondents had ever tested for HIV infection within past 1 year. Moreover, about half of the study participants had used condom inconsistently and 5 out of 14 (37.5%) of participants who knew their status had never started treatment. Despite the low uptake of most HIV preventive services, majority (88%) of male fisherfolk were circumcised. Conclusion The magnitude of HIV infection among fisherfolk was up to 3 times higher than that of the general populations in Muleba and Buchosa districts. Higher age, using alcohol and lack of formal education predicted increased likelihood of HIV infection. The uptake of key HIV/AIDS curative and preventive services was generally low.http://link.springer.com/article/10.1186/s12913-018-3784-4HIV infectionFisherfolkLanding islandsHIV/AIDS servicesTanzania |
| spellingShingle | Anthony Kapesa Namanya Basinda Elias C. Nyanza Martha F. Mushi Ola Jahanpour Sospatro E. Ngallaba Prevalence of HIV infection and uptake of HIV/AIDS services among fisherfolk in landing Islands of Lake Victoria, north western Tanzania BMC Health Services Research HIV infection Fisherfolk Landing islands HIV/AIDS services Tanzania |
| title | Prevalence of HIV infection and uptake of HIV/AIDS services among fisherfolk in landing Islands of Lake Victoria, north western Tanzania |
| title_full | Prevalence of HIV infection and uptake of HIV/AIDS services among fisherfolk in landing Islands of Lake Victoria, north western Tanzania |
| title_fullStr | Prevalence of HIV infection and uptake of HIV/AIDS services among fisherfolk in landing Islands of Lake Victoria, north western Tanzania |
| title_full_unstemmed | Prevalence of HIV infection and uptake of HIV/AIDS services among fisherfolk in landing Islands of Lake Victoria, north western Tanzania |
| title_short | Prevalence of HIV infection and uptake of HIV/AIDS services among fisherfolk in landing Islands of Lake Victoria, north western Tanzania |
| title_sort | prevalence of hiv infection and uptake of hiv aids services among fisherfolk in landing islands of lake victoria north western tanzania |
| topic | HIV infection Fisherfolk Landing islands HIV/AIDS services Tanzania |
| url | http://link.springer.com/article/10.1186/s12913-018-3784-4 |
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