Emerging Patterns of HIV Incidence in Uganda and other East African Countries (International Center for Migration and Health - ICMH, 1997, 97 pages): AN ASSESSMENT OF EMERGING PATTERNS OF HIV INCIDENCE IN UGANDA AND OTHER EAST AFRICAN COUNTRIES: 5.0 Declines in HIV incidence/prevalence in urban and semi-urban areas of Uganda: - determinants and analyses of data sources.: 5.3 Data supporting evidence for behavior change: decreasing sexual contacts, decreasing concurrent partnerships/shrinking sexual networks, increase in condom use.: 5.3.4 Findings from 1995 DHS survey and comparisons to 1995 MOH KABP: future needs.

Emerging Patterns of HIV Incidence in Uganda and other East African Countries (International Center for Migration and Health - ICMH, 1997, 97 pages)

AN ASSESSMENT OF EMERGING PATTERNS OF HIV INCIDENCE IN UGANDA AND OTHER EAST AFRICAN COUNTRIES

5.0 Declines in HIV incidence/prevalence in urban and semi-urban areas of Uganda: - determinants and analyses of data sources.

5.3 Data supporting evidence for behavior change: decreasing sexual contacts, decreasing concurrent partnerships/shrinking sexual networks, increase in condom use.

		5.3.1 Comparative analyses of the 1989 and 1995 MOH AIDS KABP
		5.3.2 Comparative analysis of 1989 and 1995 KABP by urban and rural HIV risk behaviours: possible reasons for urban declines and rural stability in HIV prevalence.
		5.3.3 Condom distribution: analyses of SOMARC data and condom availability from 1995 MOH KABP.
		5.3.4 Findings from 1995 DHS survey and comparisons to 1995 MOH KABP: future needs.

5.3.4 Findings from 1995 DHS survey and comparisons to 1995 MOH KABP: future needs.

A comparative analysis of the DHS AIDS module in 1995 and the MOH 1995 KABP survey, stratified by urban and rural sectors could provide a useful test of validity. If these surveys are reasonably comparable, then the DHS survey could become a key instrument for evaluation of the effectiveness of interventions in many countries, and possibly be more cost-efficient than country- initiated AIDS KABP surveys which have an estimated cost of $30,000.

Of particular interest will be a comparative analysis of the Uganda 1995 DHS survey with those done in Zambia and Malawi in 1996 (with similar AIDS modules). The Uganda 1995 KABP was shared with Macro and request was made for such a comparative analysis to be done. If possible the following comparative analyses of Uganda data would be useful:

Þ AIDS knowledge: urban/rural, by sex and education.
Þ Sex with non-regular partner: urban/rural, by sex and education:
Þ Condom use in last sex with non regular partner: urban/rural, by sex and education:
Þ Knowledge of AIDS death in friend or relative: urban, rural, sex and education.
Þ Age of sexual debut.

N.B The following comparative analyses of the Uganda DHS and the 1995 MOH KABP were performed. The findings are preliminary but are generally comparable to those of the 1995 MOH KABP and are presented in the following supplementary figures.

Age of sexual debut:

Figure (supl. 1): Respondents reporting affirmatively to the question of ever having sex, by age and sex, comparing the results from the Uganda National KABP in 1989, the 1995 Uganda Ministry of Health KABP in 1995, and 1995 Uganda DHS.

Figure (supl. 2): Proportion of respondents reporting casual sex in the last 12 months by urban and rural residence and by sex, 1989 National KABP compared to 1995 Ministry of Health KABP, and 1995 Uganda DHS.

Non-regular sex partner in last 12 months

males

females

Figure (supl.3): Condom use with the last casual sex partner by sex and urban-rural profile, 1995 KABP and 1995 Uganda DHS.

Condom use in last non-regular sex partner

males

females