TITLE

HIV/AIDS in Ethiopia: where is the epidemic heading?

AUTHOR(S)
Hladik, W.; Shabbir, I.; Jelaludin, A.; Woldu, A.; Tsehaynesh, M.; Tadesse, W.
PUB. DATE
April 2006
SOURCE
Sexually Transmitted Infections;Apr2006 Supplement 1, Vol. 82, pi32
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Objectives: A possible decline in prevalence of HIV in some sub-Saharan African countries has been reported recently. The present study aimed to evaluate the prevalence and incidence of HIV and behavioural data to investigate trends in HIV/AIDS in Ethiopia. Methods: A review was conducted of published reports and literature, raw and modelled (using Epidemic Projection Package and Spectrum software) surveillance data and estimates from antenatal clinics (ANCs) and data from voluntary counselling and testing centres. Observations were restricted to the adult population. Results: Between 2001 and 2003, more ANC sites showed a decline than a rise in HIV prevalence, but most lacked statistical significance. Modelled data suggested a rise in prevalence of HIV in rural areas (2003: 2.6%) and in all Ethiopia (2003: 4.4%), but a stable or declining prevalence in Addis Ababa (2003: 14.6%) and other urban areas (2003: 11 .8%). Modelled HIV incidence, inferred from prevalence changes, showed a slowly rising trend in Addis Ababa (2003: 2.0%), other urban areas (2003: 1 .7%), and rural Ethiopia (2003: 0.46%). The total burden of HIV/AIDS is expected also to rise substantially due to population growth. In Addis Ababa, crude data on HIV prevalence from ANCs too suggested a falling trend. Voluntary counselling and testing data from 2002 to 2004 supported this trend but indicated a mixed trend pattern for high risk behaviour. No other serial behavioural trend data were available. Conclusions: Lack of quality data on behavioural trends impedes the interpretation of prevalence and incidence data in Ethiopia. Modelled data suggest an expanding HIV epidemic in rural and all Ethiopia, but a possible decline in some urban areas. Crude site prevalence values may be more sensitive to acute changes, possibly indicating a slowing/reversal of the epidemic's expansion.
ACCESSION #
20617122

 

Related Articles

  • Trends in antenatal HIV prevalence in urban Uganda associated with uptake of preventive sexual behaviour. Kirungi, W. L.; Musinguzi, J.; Madraa, E.; Mulumba, N.; Callejja, T.; Ghys, P.; Bessinger, R. // Sexually Transmitted Infections;Apr2006 Supplement 1, Vol. 82, pi36 

    Background: Epidemiological surveillance in Uganda has consistently shown declining HIV prevalence particularly among young antenatal women since the early 1990s, correlated with increased uptake of protective sexual behaviour. Objective: To describe trends in sexual behaviour nationwide and...

  • Measuring trends in prevalence and incidence of HIV infection in countries with generalised epidemics. Ghys, P. D.; Kufa, E.; George, M. V. // Sexually Transmitted Infections;Apr2006 Supplement 1, Vol. 82, pi52 

    Objective: Review of recent data and practice to derive guidance on questions relating to the measurement and analysis of trends in HIV prevalence and incidence. Results: HIV prevalence among pregnant women attending antenatal clinics (ANCs) remains the principal data source to inform trends in...

  • Mistrust in marriage-Reasons why men do not accept couple HIV testing during antenatal care- a qualitative study in eastern Uganda. Larsson, Elin C.; Thorson, Anna; Nsabagasani, Xavier; Namusoko, Sarah; Popenoe, Rebecca; Ekström, Anna Mia // BMC Public Health;2010, Vol. 10 Issue 1, p769 

    Background: A policy for couple HIV counseling and testing was introduced in 2006 in Uganda, urging pregnant women and their spouses to be HIV tested together during antenatal care (ANC). The policy aims to identify HIVinfected pregnant women to prevent mother-to-child transmission of HIV...

  • HIV prevalence and trends from data in Zimbabwe, 1997 – 2004. Mahomva, A.; Greby, S.; Dube, S.; Mugurungi, O.; Hargrove, J.; Rosen, D.; Dehne, K.-L.; Gregson, S.; St Louis, M.; Hader, S. // Sexually Transmitted Infections;Apr2006 Supplement 1, Vol. 82, pi42 

    Background: This paper brings together data from a variety of reports to provide a basis for assessing future steps for responding to and monitoring the HIV epidemic in Zimbabwe. Method: Data reported from four antenatal clinic (ANC) surveys conducted between 2000 and 2004, two small local...

  • Does uptake of antenatal HIV testing depend on the individual midwife? Cross sectional study. Jones, Simon; Sadler, Tonya; Low, Nicola; Blott, Maggie; Welch, Jan // BMJ: British Medical Journal (International Edition);01/24/98, Vol. 316 Issue 7127, p272 

    Examines the effect of midvives' characteristics and site and duration of antenal human immunodeficiency virus (HIV) infection testing in an area of high seroprevalence. Identification of the area; Subjects used in the study; Methodology; Circumstances under which HIV testing was twice as...

  • Evidence for population level declines in adult HIV prevalence in Kenya. Cheluget, B.; Baltazar, G.; Orege, P.; Ibrahim, M.; Marum, L. H.; Stover, J. // Sexually Transmitted Infections;Apr2006 Supplement 1, Vol. 82, pi21 

    The HIV/AIDS epidemic in Kenya has been tracked through annual sentinel surveillance in antenatal clinics since 1990. The system started with 13 sites and now has over 35. Behaviours have been measured through national Demographic and Health Surveys in 1993, 1998, and 2003. The surveillance data...

  • Current trends in Rwanda's HIV/AIDS epidemic. Kayirangwa, E.; Hanson, J.; Munyakazi, L.; Kabeja, A. // Sexually Transmitted Infections;Apr2006 Supplement 1, Vol. 82, pi27 

    Objective: To review the trajectory of Rwanda's HIV epidemic, including long term trends and more recent trends in HIV prevalence, markers of HIY incidence, and behavioural indicators. Methods: This paper reviews the history of HIV serological and behavioural surveillance efforts in Rwanda,...

  • Disclosure of HIV test results by women to their partners following antenatal HIV testing: a population-based cross-sectional survey among slum dwellers in Kampala Uganda. Batte, Anthony; Katahoire, Anne Ruhweza; Chimoyi, Anne; Ajambo, Susan; Tibingana, Brenda; Banura, Cecily // BMC Public Health;2015, Vol. 15 Issue 1, p1 

    Background: Disclosure of HIV status by women to their partners is the backbone for prevention of HIV transmission among couples as well as promotion of the prevention of mother to child transmission of HIV interventions. The aim of this study was to determine the prevalence and factors...

  • Estimating and projecting HIV prevalence and AIDS deaths in Tanzania using antenatal surveillance data. Somi, Geofrey R.; Matee, Mecky I. N.; Swai, Roland O.; Lyamuya, Eligius F.; Killewo, Japhet; Kwesigabo, Gideon; Tulli, Tuhuma; Kabalimu, Titus K.; Ng'ang'a, Lucy; Isingo, Raphael; Ndayongeje, Joel // BMC Public Health;2006, Vol. 6 Issue 1, p120 

    Background: The Estimations and Projections Package (EPP 2005) for HIV/AIDS estimates and projects HIV prevalence, number of people living with HIV and new HIV infections and AIDS cases using antenatal clinic (ANC) surveillance data. The prevalence projection produced by EPP can be transferred...

Share

Read the Article

Courtesy of THE LIBRARY OF VIRGINIA

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics