Spatial and social inequities in {HIV} testing utilization in the context of rapid scale-up of HIV/AIDS services in rural Mozambique

Yao, J., Agadjanian, V. and Murray, A. T. (2014) Spatial and social inequities in {HIV} testing utilization in the context of rapid scale-up of HIV/AIDS services in rural Mozambique. Health and Place, 28, 133 - 141. (doi:10.1016/j.healthplace.2014.04.007)

Full text not currently available from Enlighten.

Abstract

The massive scale-up of HIV counseling, testing, and treatment services in resource-limited sub-Saharan settings with high HIV prevalence has significant implications for the course of the HIV/AIDS epidemic. It also offers important broader policy lessons for improving access to critical health services. Applying GIS-based methods and multilevel regression analysis to unique longitudinal three-wave survey data from rural Mozambique, this study investigates the impact of a rapid expansion of HIV-related services on access to and utilization of HIV testing. The results illustrate the declining importance of spatial barriers to utilization of HIV testing services as these services expanded. In addition, the expansion of HIV-related services decreased the spatial variability of HIV testing among the survey respondents. At the same time, some important non-spatial variation, such as that in educational level, persisted despite the expansion of services. These results illustrate the process and consequences of health service diffusion.

Item Type:Articles
Keywords:HIV/AIDS
Status:Published
Refereed:Yes
Glasgow Author(s) Enlighten ID:Yao, Dr Jing
Authors: Yao, J., Agadjanian, V., and Murray, A. T.
Subjects:G Geography. Anthropology. Recreation > G Geography (General)
College/School:College of Social Sciences > School of Social and Political Sciences > Urban Studies
Journal Name:Health and Place
Publisher:Elsevier Ltd.
ISSN:1353-8292
ISSN (Online):1873-2054

University Staff: Request a correction | Enlighten Editors: Update this record