scholarly journals Spatial variability in HIV prevalence declines in several countries in sub-Saharan Africa

2014 ◽  
Vol 28 ◽  
pp. 45-49 ◽  
Author(s):  
Diego F. Cuadros ◽  
Laith J. Abu-Raddad
Author(s):  
A. J. Adeloye ◽  
F. D. Mwale ◽  
Z. Dulanya

Abstract. In response to the increasing frequency and economic damages of natural disasters globally, disaster risk management has evolved to incorporate risk assessments that are multi-dimensional, integrated and metric-based. This is to support knowledge-based decision making and hence sustainable risk reduction. In Malawi and most of Sub-Saharan Africa (SSA), however, flood risk studies remain focussed on understanding causation, impacts, perceptions and coping and adaptation measures. Using the IPCC Framework, this study has quantified and profiled risk to flooding of rural, subsistent communities in the Lower Shire Valley, Malawi. Flood risk was obtained by integrating hazard and vulnerability. Flood hazard was characterised in terms of flood depth and inundation area obtained through hydraulic modelling in the valley with Lisflood-FP, while the vulnerability was indexed through analysis of exposure, susceptibility and capacity that were linked to social, economic, environmental and physical perspectives. Data on these were collected through structured interviews of the communities. The implementation of the entire analysis within GIS enabled the visualisation of spatial variability in flood risk in the valley. The results show predominantly medium levels in hazardousness, vulnerability and risk. The vulnerability is dominated by a high to very high susceptibility. Economic and physical capacities tend to be predominantly low but social capacity is significantly high, resulting in overall medium levels of capacity-induced vulnerability. Exposure manifests as medium. The vulnerability and risk showed marginal spatial variability. The paper concludes with recommendations on how these outcomes could inform policy interventions in the Valley.


2020 ◽  
Author(s):  
Reka Maulide Cane ◽  
Dessalegn Melesse ◽  
Nkomba Kayeyi ◽  
Abubakar Manu ◽  
Yohannes Dibaba Wado ◽  
...  

Abstract Background In sub-Saharan Africa HIV transmission is a major challenge in adolescents, especially among girls and those living in urban settings. Major international efforts have aimed at reducing sexual transmission. This analysis aims to assess the trends in HIV prevalence by gender in adolescents, as well as urban-rural disparities. Methods HIV prevalence data were obtained for 30 countries with a national survey since 2010 and for 23 countries with one survey circa 2005 and a recent survey circa 2015. Countries were grouped into 2% or higher and lower than 2% HIV prevalence among girls 15–19 years in the first survey. Country medians and average annual rates of changes were used to summarize the trends. Data on HIV incidence at ages 15–24 and prevalence at 5–9 and 10–14 years were reviewed from 11 recent national surveys. Trends in urban-rural disparities in HIV prevalence and selected indicators of sexual and HIV testing behaviours were assessed for females and males 15–24 years, using the same surveys. Results HIV prevalence among girls 15–19 years declined in the higher HIV prevalence group from 5.7–2.6% during 2005–2015, corresponding with an average annual rate of reduction of 6.5% per year. Among boys, the median HIV prevalence declined from 2.1–1.2% in the higher prevalence group. Smaller changes were observed in the lower prevalence country group where median HIV prevalence among girls decreased from 0.7–0.4% (average annual rate of reduction 5.9%). Girl – boy differences at 10–14 years were small with a country median HIV of 1.0% and 1.3%, respectively. Urban females and males 15–24 had at least 1.5 times higher HIV prevalence than their rural counterparts, and all experienced similar declines during 2005–2015. Condom use and HIV testing increased among adolescents in both higher and lower prevalence countries, but indicators of sexual activity showed little change over time. Conclusions HIV prevalence declined in almost all countries during the last decade, in both urban and rural settings, for both sexes. The urban-rural gap persisted and HIV transmission to girls, but not boys, is still a major challenge in eastern and southern African countries.


The Lancet ◽  
2004 ◽  
Vol 364 (9428) ◽  
pp. 35-40 ◽  
Author(s):  
Emil Asamoah-Odei ◽  
Jesus M Garcia Calleja ◽  
J Ties Boerma

AIDS ◽  
2000 ◽  
Vol 14 (17) ◽  
pp. 2741-2750 ◽  
Author(s):  
Basia W. Zaba ◽  
Lucy M. Carpenter ◽  
J. Ties Boerma ◽  
Simon Gregson ◽  
Jessica Nakiyingi ◽  
...  

PLoS ONE ◽  
2016 ◽  
Vol 11 (2) ◽  
pp. e0148502 ◽  
Author(s):  
Hanne K. Hegdahl ◽  
Knut M. Fylkesnes ◽  
Ingvild F. Sandøy

AIDS ◽  
2001 ◽  
Vol 15 (2) ◽  
pp. 143-152 ◽  
Author(s):  
Ya Diul Mukadi ◽  
Dermot Maher ◽  
Anthony Harries

AIDS ◽  
2001 ◽  
pp. 877-884 ◽  
Author(s):  
Emmanuel Lagarde ◽  
Bertran Auvert ◽  
Michel Caraël ◽  
Martin Laourou ◽  
Benoît Ferry ◽  
...  

AIDS ◽  
2003 ◽  
Vol 17 (3) ◽  
pp. 399-405 ◽  
Author(s):  
Massimo Fabiani ◽  
Knut Fylkesnes ◽  
Barbara Nattabi ◽  
Emingtone O Ayella ◽  
Silvia Declich

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