i
Malawi Population-Based HIV Impact Assessment (MPHIA) 2015-16 : first report
-
November 2017
-
By Malawi. Ministry of Health. ...
-
[PDF-2.09 MB]
Details:
-
Corporate Authors:
-
Description:First report, November 2017
The Malawi Population-Based HIV Impact Assessment (MPHIA) was a nationally representative, cross- sectional population-based survey of households across Malawi. MPHIA focused on measuring key biological endpoints to provide direct estimates of HIV-infection risk and burden, and of the effectiveness and population-level impact of the prevention, care, and treatment interventions implemented in the country. Its primary objectives were to estimate the national-level annual HIV incidence among adults aged 15-64, and the subnational prevalence of HIV viral load suppression (VLS) among infected adults. In addition, MPHIA measured national and subnational adult HIV prevalence, CD4 T-cell counts, antiretroviral drugs (ARVs) in blood, transmitted HIV drug resistance, pediatric HIV prevalence, and progress to- ward the 90-90-90 targets defined by the Joint United Nations Programme on HIV/AIDS (UNAIDS). MPHIA is the first national survey to conduct these measurements in Malawi. The survey also collected information on behaviors associated with HIV acquisition and transmission, and on common HIV co- morbidities and other health conditions.
The survey used a two-stage, stratified cluster sample design, in which census enumeration areas (clusters) were selected in the first stage and households in the second stage. The sample was stratified by seven geographical zones: North, Central-East, Central-West, Lilongwe City, South-East, South-West, and Blantyre City. Data collection was conducted between end of November 2015 and August 2016. The survey interviewed 11,386 households. In the households surveyed, 22,405 adults aged 15-64 and 9,993 children aged 0-14 were eligible to participate in the survey. Of those eligible, 19,652 adults were interviewed, and 17,187 adults and 6,166 children provided blood for biomarkers assessment and had HIV status determined. MPHIA provided home-based HIV testing and counseling (HBTC) with return of results, and point of care CD4 T-cell count for those who were HIV positive. HIV viral load results were returned to participants through health facilities of their choice. MPHIA provides weighted estimates. Analysis weights account for sample selection probabilities and are adjusted for nonresponse and noncoverage.
This project is supported by the U.S. President’s Emergency Plan for AIDS Relief (PEPFAR) through CDC under the terms of cooperative agreement #U2GGH001226. The findings and conclusions in this report are those of the authors and do not necessarily represent the official position of the funding agencies.
Suggested citation: Ministry of Health, Malawi. Malawi Population-based HIV Impact Assessment (MPHIA) 2015-16: First Report. Lilongwe, Ministry of Health. November 2017.
Final-MPHIA-First-Report_11.15.17.pdf
-
Subjects:
-
Series:
-
Document Type:
-
Funding:
-
Place as Subject:
-
Collection(s):
-
Main Document Checksum:
-
Download URL:
-
File Type:
