Heather Paulin|Meridith Blevins|John R. Koethe|Nicole Hinton|Lara M. E. Vaz|Alfredo Vergara|Abraham Mukolo|Elisée Ndatimana|Troy D. Moon|Sten H. Vermund|Carolyn Wester
HIV testing service awareness and service uptake among female heads of household in rural Mozambique: results from a province-wide survey
Vanderbilt University Medical Center|Vanderbilt University Medical Center|University School of Nashville|University School of Nashville|University School of Nashville|University School of Nashville|Vanderbilt Health|Vanderbilt University|Vanderbilt Health|Vanderbilt University
hiv voluntary counseling testing vct utilization remains low many subsaharan african countries particularly remote rural settings sought identify factors associated service awareness service uptake vct among female heads household rural zambzia province northcentral mozambique characterized high hiv prevalence 126 poverty suboptimal health service access utilization populationbased survey female heads household administered representative twostage cluster sample using sampling frame created use national surveys based census results data served baseline measure ogumaniha project initiated 2009 survey domains included poverty health education income hiv stigma health service access empowerment descriptive statistics logistic regression used describe service awareness service uptake vct 3708 women surveyed 2546 69 unaware available vct services among 1162 women aware vct 673 58 reported prior testing vct aware group vct awareness associated higher education aor 288 95 ci 161 516 higher income aor 141 95 ci 106 186 higher numeracy aor 105 ci 103 108 children age 5 home aor 153 95 ci 107 218 closer proximity health facility aor 105 95 ci 103 107 mobile phone ownership aor 137 95 ci 103 184 pvalues 004 higher hivassociated stigma score factor strongly associated less likely test aor 041 95 ci 023 071 p0001 women unaware available vct services even women aware services unlikely tested expanded vct social marketing vct needed rural mozambique special attention issues communitylevel stigma reduction