Kefyalew Addis Alene|Kerri Viney|Hannah C. Moore|Maereg Wagaw|Archie C. A. Clements
Spatial patterns of tuberculosis and HIV co-infection in Ethiopia
Telethon Kids Institute|Curtin University|Australian National University|Telethon Kids Institute|Government of Ethiopia|Federal Ministry of Health|Telethon Kids Institute|Curtin University
tuberculosis tb human immunodeficiency virus hiv leading causes infectiousdiseaserelated deaths ethiopia little known spatial distribution across country aim study investigate spatial patterns tb hiv coinfection ethiopia district levelwe conducted ecological study using tb hiv data reported regions ethiopia national health management information system hmis june 2015 june 2017 spatial clustering assessed using morans statistic getisord statistic spatial binomial regression models constructed separately prevalence tb among people living hiv prevalence hiv among tb patients without spatial components using bayesian approacha total 1830880 hiv 192359 tb patients included analysis prevalence hiv among tb patients 734 hotspots observed districts located amhara afar gambela regions cold spots observed oromiya southern nations nationalities people snnp regions prevalence tb among people living hiv varied 07 oromia region 145 afar region hotspots tb prevalence among people living hiv observed districts located gambela afar somali oromiya regions whereas cold spots observed districts located amhara tigray regions ecologicallevel factors associated prevalence tb among people living hiv low wealth index 149 95 cri 105 205 low adult literacy rate 067 95 cri 046 094 distance international border 061 95 cri 040 091 factors associated prevalence hiv among tb patients poor health care access 076 95 cri 059 095 low wealth index 131 95 cri 101 167 low adult literacy rate 137 95 cri 103 178our study provides evidence geographic clustering tbhiv coinfection ethiopia health care access proximity international borders demographic factors low wealth index adult literacy significantly associated prevalence tbhiv coinfection