Figure 1: National HIV Testing Services Trends, 2011- 2018

Figure 2: Mapping of the study area for Mid-term HTS Review

Figure 3:HIV Testing Services Cascade Extracted from District Health Information System (DHIS2) for 36 Health Facilities, October to December, Zimbabwe, 2018. (N=30,527)

Figure 4: HIV Self-Testing Cascade Extracted from District Health Information System (DHIS2) for 36 Health Facilities, October to December, Zimbabwe, 2018. (N=1,233)

Manicaland Province

Mash West Province

Matabeleland South Province

Midlands Province

Mutare District

Chegutu District

Gwanda District

Gweru District

Mutare Provincial Hospital

Katanga Utano Clinic

Gwanda Provincial Hospital

Gweru Provincial Hospital

Zimunya Clinic

Pfupajena Municipal Clinic

Phakama Clinic

Chikwingwizha Mission Hospital

Mt Zuma Clinic

Selous Clinic

Manama Mission Hospital

Lower Gweru Clinic

Chipinge District

Makonde District

Mangwe District

Kwekwe District

Chikore Mission Hospital

Chinhoyi Provincial Hospital

Plumtree District Hospital

Kwekwe General Hospital

Chipinge Town Clinic

Chikonohono Municipal Clinic

Tshitshi Clinic

Amaveni Clinic

Tanganda Rural Health Centre

Alaska Municipal Clinic

Dingumuzi Clinic

Nyoni Rural Health Centre

Makoni District

Sanyati District

Umzingwane District

Zvishavane District

Rusape District Hospital

Kadoma General Hospital

Nhlangano Clinic

Mandava Health Centre

Katsenga Rural Health Centre

Ordoff Clinic

Nswazi Clinic

Mabasa Clinic

Waverly Municipal Clinic

How Mine Clinic Kumbudzi RHC

Mtambi Clinic

Table 1: Health Facilities for HTS Mid-term Evaluation, 2019

Variable

Number

(%)*

Total

34,605

-100

Age in years

  • <5

1,093

(3.2)

  • 9-May

461

(1.3)

  • 14-Oct

1,206

(3.5)

  • 15-19

3,524

(10.2)

  • 20-24

6,588

(19.0)

  • 25-49

12,615

(36.5)

  • >/= 50

5,684

(16.4)

  • Not Documented

3,434

(9.9)

Gender

  • Male

10,384

(30.0)

  • Female

24,221

(70.0)

Reason for HIV Testing

  • Confirming Self-test

13

(0.1)

  • Index Contact

1,752

(5.1)

  • Exposed Infant

701

(2.0)

  • PMTCT

11,300

(32.7)

  • STI

819

(2.4)

  • VMMC

1,459

(4.2)

  • Client Initiated

7,525

(21.7)

  • Provider Initiated

8,938

(25.8)

  • TB Patient

362

(1.0)

  • Sexual Abuse

474

(1.4)

  • PrEP

40

(0.1)

  • Family Planning

419

(1.2)

  • Other

763

(2.2)

Type of HIV Test

  • First Test

7,906

(22.8)

  • Retest

23,265

(67.2)

  • Not Documented

3,434

(9.9)

HIV Test Result

  • Negative

32,878

(95.0)

  • Positive

1,727

(5.0)

Testing District

  • Mangwe

2040

(5.9)

  • Sanyati

3232

(9.3)

  • Gwanda

2239

(6.5)

  • Chipinge

2350

(6.8)

  • Mutare

2201

(6.4)

  • Gweru

4575

(13.2)

  • Kwekwe

3443

(9.9)

  • Chegutu

4279

(12.4)

  • Makonde

3997

(11.6)

  • Umzingwane

744

(2.1)

  • Makoni

3424

(9.9)

  • Zvishavane

2081

(6.0)

*Column percentage

STI - Sexually Transmitted Infections

VMMC – Voluntary Medical Male Circumcision

TB – Tuberculosis

PrEP – Pre-exposure Prophylaxis

PMTCT - Prevention of Mother to Child Transmission; includes Antenatal, Labor and Delivery and Post-Delivery testing Index Testing include Partner testing Provider Initiated Testing encompass other register variables; Occupational, Nutrition, Ongoing risk and Diagnosis

Table 2:Clinical and demographic profile of clients who tested for HIV in for 36 Health Facilities, October to December, Zimbabwe, 2018. (N=34,605)

Variable

Total

HIV Positive#

OR (95 CI)

aOR (95 CI)#

N

N

(%)**

Total

31,171

1,908

(6.1)

-

-

Age in years

  • <5

1,093

35

(3.2)

Ref

Ref

  • 9-May

461

20

(4.3)

0.73 (0.42,1.28)

1.37 (0.78,2.40)

  • 14-Oct

1,206

22

(1.8)

1.79 (1.04,3.06)

0.56 (0.33,0.96)^

  • 15-19

3,524

105

(3.0)

1.08 (0.73,1.59)

0.93 (0.63,1.37)

  • 20-24

6,588

343

(5.2)

0.60 (0.42,0.86)

1.66 (1.17,2.37)^

  • 25-49

12,615

1,058

(8.4)

0.36 (0.26,0.51)

2.77 (1.97,3.90)^

  • >/= 50

5,684

325

(5.7)

0.55 (0.38,0.78)

1.83 (1.29,2.61)

Gender

  • Male

9,902

680

(6.9)

1.20 (1.09,1.33)

1.20 (1.09,1.33)^

  • Female

21,269

1,228

(5.8)

Ref

Ref

Reason for HIV Testing*

  • Index Contact

1,752

236

(13.5)

4.97 (2.68,9.19)

4.97 (2.68,9.19)^

  • Exposed Infant

701

49

(7.0)

2.40 (1.23,4.67)

2.40 (1.23,4.67)^

  • PMTCT

11,300

378

(3.3)

1.10 (0.60,2.03)

1.10 (0.60,2.03)

  • STI

819

45

(5.5)

1.86 (0.95,3.63)

1.86 (0.95,3.63)

  • VMMC***

1,459

4

(0.3)

0.09 (0.02,0.30)

0.88 (0.03,0.28)^

  • Client Initiated

7,525

365

(4.9)

1.63 (0.88,2.99)

1.63 (0.88,2.99)

  • Provider Initiated

8,975

606

(6.8)

2.31 (1.26,4.23)

2.31 (1.26,4.23)^

  • TB Patient

362

11

(3.0)

Ref

Ref

  • Sexual Abuse***

474

4

(0.8)

0.27 (0.06,0.93)

0.27 (0.09,0.86)^

  • PrEP***

40

1

(0)

0.82 (0.02,5.91)

0.82 (0.02, 5.91)

  • Family Planning

419

10

(2.4)

0.78 (0.33,1.86)

0.78 (0.33,1.86)

  • Other***

763

6

(0.8)

0.25 (0.08,0.75)

0.25 (0.09,0.69)^

Type of HIV Test

  • First Test

7,906

643

(8.1)

1.55 (1.41,1.71)

1.56 (1.41,1.71)^

  • Retest

23,265

1,256

(5.4)

Ref

Ref

Testing District

  • Mangwe

2,004

176

(8.8)

2.24 (1.68,2.99)

2.24 (1.68,2.99)^

  • Sanyati

2,874

210

(7.3)

1.83 (1.38,2.43)

1.83 (1.38,2.43)^

  • Gwanda

1,983

162

(8.2)

2.07 (1.55,2.77)

2.07 (1.55,2.77)^

  • Chipinge

1,626

67

(4.1)

Ref

Ref

  • Mutare

2,009

128

(6.4)

1.58 (1.17,2.14)

1.58 (1.17,2.14)^

  • Gweru

4,358

291

(6.7)

1.67 (1.27,2.19)

1.67 (1.27,2.19)^

  • Kwekwe

3,028

152

(5.0)

1.23 (0.92,1.65)

1.23 (0.92,1.65)

  • Chegutu

3,702

234

(6.3)

1.57 (1.19,2.07)

1.57 (1.19,2.07)^

  • Makonde

3,586

188

(5.2)

1.29 (0.97,1.71)

1.29 (0.97,1.71)

  • Umzingwane

737

34

(4.6)

1.13 (0.74,1.72)

1.13 (0.74,1.72)

  • Makoni

3,472

148

(4.3)

1.04 (0.77,1.39)

1.04 (0.77,1.39)

  • Zvishavane

1,792

118

(6.6)

1.64 (1.21,2.23)

1.64 (1.21,2.23)

OR – Odds Ratio; aOR – adjusted Odds Ratio; CI – confidence interval

*Confirming Self-test was excluded from the model as a reason for HIV testing

# Positivity excludes missing variables

**Row percentages; #Modified Poisson regression for aOR; ^p<0.05, *** Fisher’s Exact

STI - Sexually Transmitted Infections

VMMC – Voluntary Medical Male Circumcision

TB – Tuberculosis

PrEP – Pre-exposure Prophylaxis

PMTCT - Prevention of Mother to Child Transmission

Table 3: Clinical and demographic profile of clients who tested for HIV in for 36 Health Facilities, October to December, Zimbabwe, 2018. (N=34,605)