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National Survey of HIV and Syphilis prevalence among women attending Antenatal clinics in Zimbabwe

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Zimbabwe,Ministry of Health & Child Welfare,2013

In 2012, the Ministry of Health and Child Care (MOHCC), AIDS and TB unit conducted HIV sero-prevalence survey of women attending antenatal clinics (ANC) to monitor the level and trends in HIV prevalence. A total of 54 sentinel sites were selected to participate in the survey using probability proportional to size sampling method to represent 10 provinces in the country. A total of 18,437 ANC clients were consecutively enrolled in the survey over a period of four months. Leftover blood specimens collected from pregnant women for routine screening at their first ANC visit were used for HIV antibody testing. All personal identifiers were removed from the specimens ensuring that testing was unlinked and anonymous. The highest HIV prevalence was observed in Matabeleland South 23.8% while the lowest was in Harare 10.8%. The prevalence in the other eight provinces was; Matabeleland North 19.6%, Mashonaland East 17.6%, Midlands 17.2%, Bulawayo 17.1%, Mashonaland West 15.6% Masvingo 14.6%, Manicaland 13.9% and Mashonaland Central 12.4% .The national median HIV prevalence was 15.9%. HIV prevalence among women 15-49 years was slightly higher among women who accessed services in urban sentinel sites (16.1%) as compared to the rural sentinel sites 15.7%.