Trends in VCT uptake in a rural ward in Tanzania. Doris Mbata, Alison Wringe, Maria Roura, Raphael Isingo, Milalu Ndege, Basia Zaba and Mark Urassa. TAZAMA / NACP seminar Dar-es-Salaam, September 19 th 2008. Overview. Background Research questions Research methods Findings
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Doris Mbata, Alison Wringe, Maria Roura, Raphael Isingo, Milalu Ndege, Basia Zaba and Mark Urassa.
TAZAMA / NACP seminar
Dar-es-Salaam, September 19th 2008
Access to VCT should be fair and efficient
High ART coverage
High uptake of VCT
Timely ART initiation
What is the profile of people who are using VCT in relation to: socio-demographic traits, HIV status and risk behaviours?
How has this profile evolved as ART has become more available?
What are the social and cultural factors that underlie observed patterns of VCT uptake?
Univariate and multivariate logistic regression was used to identify factors associated with VCT use:
Qualitative data were collected during before and after introduction of ART programme:
16 sex, residence and age-specific FGDs:
perceived barriers to accessing VCT (and ART)
4 sex and residence-specific FGDs and 41 IDI with HIV-positive persons:
actual experiences of using VCT (and ART access)
31% (1246 ⁄ 3980) of men expressed an interest in VCT
but only 12 % completed VCT
24% (1195 ⁄ 4990) of women expressed an interest in VCT
but only 7% of women completed VCT
VCT uptake was higher among those:
VCT completion was negatively associated with:
(aOR = adjusted Odds Ratio, a measure of how likely they are to use VCT)
VCT uptake was higher among
The following factors were important predictors of VCT completion among men and women:
The strongest predictor of VCT use among both sexes was spouse HIV status and VCT use:
* p<0.05; ** p<0.01
Repeat testing in 2007 was high:
1181 persons with previous VCT => 32% re-tested
8144 never-tested persons => 15% opted for 1st VCT
By 2007, men and women ~ 50% more likely to test if HIV+
Future analyses of VCT uptake in this setting: