Recent patterns in population-based HIV prevalence in Swaziland.

The 2011 Swaziland HIV Incidence Measurement Survey (SHIMS) was conducted as part of a national study to evaluate the scale up of key HIV prevention programs.From a randomly selected sample of all Swazi households, all women and men aged 18-49 were considered eligible, and all consenting adults were...

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Main Authors: George T Bicego, Rejoice Nkambule, Ingrid Peterson, Jason Reed, Deborah Donnell, Henry Ginindza, Yen T Duong, Hetal Patel, Naomi Bock, Neena Philip, Cherry Mao, Jessica Justman
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2013-01-01
Series:PLoS ONE
Online Access:http://europepmc.org/articles/PMC3797108?pdf=render
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author George T Bicego
Rejoice Nkambule
Ingrid Peterson
Jason Reed
Deborah Donnell
Henry Ginindza
Yen T Duong
Hetal Patel
Naomi Bock
Neena Philip
Cherry Mao
Jessica Justman
author_facet George T Bicego
Rejoice Nkambule
Ingrid Peterson
Jason Reed
Deborah Donnell
Henry Ginindza
Yen T Duong
Hetal Patel
Naomi Bock
Neena Philip
Cherry Mao
Jessica Justman
author_sort George T Bicego
collection DOAJ
description The 2011 Swaziland HIV Incidence Measurement Survey (SHIMS) was conducted as part of a national study to evaluate the scale up of key HIV prevention programs.From a randomly selected sample of all Swazi households, all women and men aged 18-49 were considered eligible, and all consenting adults were enrolled and received HIV testing and counseling. In this analysis, population-based measures of HIV prevalence were produced and compared against similarly measured HIV prevalence estimates from the 2006-7 Swaziland Demographic and Health. Also, measures of HIV service utilization in both HIV infected and uninfected populations were documented and discussed.HIV prevalence among adults aged 18-49 has remained unchanged between 2006-2011 at 31-32%, with substantial differences in current prevalence between women (39%) and men (24%). In both men and women, between since 2006-7 and 2011, prevalence has fallen in the young age groups and risen in the older age groups. Over a third (38%) of the HIV-infected population was unaware of their infection status, and this differed markedly between men (50%) and women (31%). Of those aware of their HIV-positive status, a higher percentage of men (63%) than women (49%) reported ART use.While overall HIV prevalence remains roughly constant, age-specific changes strongly suggest both improved survival of the HIV-infected and a reduction in new HIV infections. Awareness of HIV status and entry into ART services has improved in recent years but remains too low. This study identifies opportunities to improve both HIV preventive and care services in Swaziland.
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spelling doaj.art-6c07899d334e460f800725b7c42f45f72022-12-21T18:44:45ZengPublic Library of Science (PLoS)PLoS ONE1932-62032013-01-01810e7710110.1371/journal.pone.0077101Recent patterns in population-based HIV prevalence in Swaziland.George T BicegoRejoice NkambuleIngrid PetersonJason ReedDeborah DonnellHenry GinindzaYen T DuongHetal PatelNaomi BockNeena PhilipCherry MaoJessica JustmanThe 2011 Swaziland HIV Incidence Measurement Survey (SHIMS) was conducted as part of a national study to evaluate the scale up of key HIV prevention programs.From a randomly selected sample of all Swazi households, all women and men aged 18-49 were considered eligible, and all consenting adults were enrolled and received HIV testing and counseling. In this analysis, population-based measures of HIV prevalence were produced and compared against similarly measured HIV prevalence estimates from the 2006-7 Swaziland Demographic and Health. Also, measures of HIV service utilization in both HIV infected and uninfected populations were documented and discussed.HIV prevalence among adults aged 18-49 has remained unchanged between 2006-2011 at 31-32%, with substantial differences in current prevalence between women (39%) and men (24%). In both men and women, between since 2006-7 and 2011, prevalence has fallen in the young age groups and risen in the older age groups. Over a third (38%) of the HIV-infected population was unaware of their infection status, and this differed markedly between men (50%) and women (31%). Of those aware of their HIV-positive status, a higher percentage of men (63%) than women (49%) reported ART use.While overall HIV prevalence remains roughly constant, age-specific changes strongly suggest both improved survival of the HIV-infected and a reduction in new HIV infections. Awareness of HIV status and entry into ART services has improved in recent years but remains too low. This study identifies opportunities to improve both HIV preventive and care services in Swaziland.http://europepmc.org/articles/PMC3797108?pdf=render
spellingShingle George T Bicego
Rejoice Nkambule
Ingrid Peterson
Jason Reed
Deborah Donnell
Henry Ginindza
Yen T Duong
Hetal Patel
Naomi Bock
Neena Philip
Cherry Mao
Jessica Justman
Recent patterns in population-based HIV prevalence in Swaziland.
PLoS ONE
title Recent patterns in population-based HIV prevalence in Swaziland.
title_full Recent patterns in population-based HIV prevalence in Swaziland.
title_fullStr Recent patterns in population-based HIV prevalence in Swaziland.
title_full_unstemmed Recent patterns in population-based HIV prevalence in Swaziland.
title_short Recent patterns in population-based HIV prevalence in Swaziland.
title_sort recent patterns in population based hiv prevalence in swaziland
url http://europepmc.org/articles/PMC3797108?pdf=render
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