Zimbabwe Young Adult Reproductive Health Survey 2001 (Zimbabwe Young Adult Survey 2001)
Corporate Authors:Zimbabwe. Ministry of Health and Child Welfare. ; Zimbabwe National Family Planning Council. ; National AIDS Council of Zimbabwe. ; ... More ▼
Description:The 2001 Zimbabwe YARHS covers: sex education, fertility, maternal and child health services, contraceptive use, sexual behavior related to HIV transmission, AIDS knowledge and behavior, HIV/AIDS related services, and HIV prevalence. n=4,771 females and 4,243 males 15-29.
The Young Adult Reproductive Health and HIV and AIDS Survey (YAS) is the first national representative survey of young persons 15 - 29 years of age in Zimbabwe. The main aim of the YAS was to provide the government of Zimbabwe’s Ministry of Health, local and international public health institutions with representative data to adequately monitor the HIV epidemic and therefore plan comprehensively for prevention and care responses in Zimbabwe. It was designed to give estimates of risky sexual behaviour, HIV prevalence, knowledge and attitudes, availability and quality of reproductive health services for the 15 - 29 year age group as baseline data for planning future interventions.
The target population was all males and females aged 15 - 29 years residing in Zimbabwe in 2001. A multistage area, stratified household probability sample was used to provide estimates of four geographic strata: Harare, Bulawayo, other urban and rural areas. The primary sampling units were enumeration areas from these strata and the households in the selected enumeration areas were secondary sampling units. A total of 6 671 female households and 7 662 male households were visited. Respondents asked to provide a blood sample for anonymous HIV testing. Ninety-one percent of males and eighty-nine percent of females consented to the test.
The HIV prevalence among women aged 15 - 29 years was 22% compared to 10% among young men of the same age range. HIV prevalence increased with increasing age, reported lifetime sex partners as well as perceived risk in both sexes. Heterosexual intercourse is still the major mode of transmission in Zimbabwe. Sixty-six percent of women and sixty-two percent of men in the 15 - 29 age group were sexually experienced. The use of condoms at first sexual encounter was low (15%) among women. There was a reported high antenatal clinic attendance (95%) and knowledge of family planning (98%) among females. However only ten percent women and five percent of men reported ever having been tested for HIV.
The results from the YAS call for an urgent scaling up of female focused intervention strategies in order to reduce HIV infections among girls and young women. More effort is needed towards integrating Voluntary Counseling and Testing centers with the already existing health facilities in both rural and urban populations.
Suggested citation: Ministry of Health and Child Welfare (Zimbabwe), Zimbabwe National Family Planning Council, National AIDS Council (Zimbabwe), and U.S. Centers for Disease Control and Prevention. 2004. The Zimbabwe Young Adult Survey 2001-2002. Harare, Zimbabwe: Ministry of Health and Child Welfare and U.S. Centers for Disease Control and Prevention.
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