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Uganda Aids Indicator Survey 2011

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Uganda Aids Indicator Survey 2011 Uganda 2011 Uganda AIDS Indicator AIDS Indicator Survey (AIS) Survey (AIS) 2011 UGANDA AIDS INDICATOR SURVEY 2011 Ministry of Health Kampala, Uganda ICF International Calverton Maryland, USA Centers for Disease Control and Prevention Entebbe, Uganda U.S. Agency for International Development Kampala, Uganda WHO Uganda Kampala, Uganda August 2012 UGANDANS AND AMERICANS IN PARTNERSHIP TO FIGHT HIV/AIDS This report presents findings from the 2011 Uganda AIDS Indicator Survey (UAIS) carried out by the Ministry of Health. The Demographic and Health Surveys division at ICF International provided financial and technical assistance for the survey through a contract with the U.S. Agency for International Development (USAID)/Uganda. Financial and technical assistance was also provided by the U.S. Centers for Disease Control and Prevention (CDC), especially in the area of HIV and syphilis testing. Financial support was provided by the Government of Uganda, the U.S. Agency for International Development (USAID), the President’s Emergency Fund for AIDS Relief, the World Health Organisation (WHO), and DFID and DANIDA through the Partnership Fund. The Uganda Bureau of Statistics also partnered in the implementation of the survey. The Uganda Virus Research Institute conducted central laboratory tests. The opinions expressed in this report do not necessarily reflect the views of the donor organisations. It is also important to acknowledge the contribution of the central coordination office, field staff, district officials, communities, and survey respondents, without whom the survey would not have been possible. Additional information about the survey may be obtained from the Ministry of Health (MOH), P.O. Box 7272, Kampala (Telephone: 256.414.340.874 or 256.414.259.669; Fax: 256.414.348.278; E-mail: [email protected]; jmusinguzi@ infocom.co.ug; [email protected]). Additional information about the survey may be obtained from Demographic and Health Surveys, ICF International, 11785 Beltsville Drive, Suite 300, Calverton, MD 20705, U.S.A. (Telephone: 301.572.0200; Fax: 301.572.0999; E-mail: [email protected]). CONTENTS CONTENTS ............................................................................................................................................................... iii TABLES AND FIGURES ........................................................................................................................................ vii FOREWORD ..............................................................................................................................................................xi MAP OF UGANDA .................................................................................................................................................. xii CHAPTER 1 INTRODUCTION ........................................................................................................................... 1 1.1 Background Information ................................................................................................................... 1 1.2 Objectives of the Survey ................................................................................................................... 3 1.3 Sample Design and Implementation ................................................................................................. 4 1.4 Questionnaires ................................................................................................................................... 5 1.5 Biomarkers ........................................................................................................................................ 6 1.5.1 Blood Collection ................................................................................................................. 6 1.5.2 Home-Based Testing for HIV and Syphilis ........................................................................ 8 1.5.3 Central Laboratory Testing ................................................................................................. 9 1.5.4 Quality Control Testing .................................................................................................... 10 1.6 Training and Data Collection .......................................................................................................... 10 1.7 Data Processing ............................................................................................................................... 11 1.8 Response Rates ............................................................................................................................... 12 CHAPTER 2 HOUSING CHARACTERISTICS AND HOUSEHOLD POPULATION .............................. 13 2.1 Household Characteristics ............................................................................................................... 13 2.1.1 Water and Sanitation ......................................................................................................... 14 2.1.2 Housing Characteristics .................................................................................................... 15 2.1.3 Household Remoteness ..................................................................................................... 17 2.1.4 Household Food Security .................................................................................................. 17 2.1.5 Household Possessions ..................................................................................................... 18 2.2 Wealth Index ................................................................................................................................... 19 2.3 Household Population by Age, Sex, and Residence ....................................................................... 20 2.4 Household Composition .................................................................................................................. 22 2.5 Birth Registration ............................................................................................................................ 22 2.6 Children’s Living Arrangements and Orphanhood ......................................................................... 23 2.7 Educational Attainment of Household Population .......................................................................... 25 CHAPTER 3 CHARACTERISTICS OF SURVEY RESPONDENTS ............................................................ 29 3.1 Background Characteristics ............................................................................................................ 29 3.2 Educational Attainment of Respondents ......................................................................................... 31 3.3 Exposure to Mass Media ................................................................................................................. 33 3.4 Employment and Occupation .......................................................................................................... 35 3.5 Marital Status .................................................................................................................................. 39 3.6 Polygyny ......................................................................................................................................... 40 3.7 Age at First Marriage ...................................................................................................................... 41 Contents • iii CHAPTER 4 KNOWLEDGE OF HIV AND AIDS .......................................................................................... 45 4.1 Awareness of HIV/AIDS ................................................................................................................ 45 4.2 Knowledge of Means of Preventing HIV Transmission ................................................................. 46 4.3 Knowledge of Mother-to-Child Transmission ................................................................................ 54 CHAPTER 5 ATTITUDES RELATED TO HIV/AIDS ................................................................................... 57 5.1 Accepting Attitudes towards Those Living with HIV ..................................................................... 57 5.2 Negative Attitudes towards Those Living with HIV ....................................................................... 61 5.3 Personal Knowledge of Discrimination Related to HIV/AIDS ....................................................... 63 5.4 Attitudes towards Negotiating Safer Sexual Relations ................................................................... 64 5.5 Educating Youth About Condom Use and Postponing Sex Until Marriage ................................... 66 5.6 Perceived Risk of Getting HIV ....................................................................................................... 67 CHAPTER 6 SEXUAL BEHAVIOUR ............................................................................................................... 69 6.1 Age at First Sexual Intercourse ....................................................................................................... 69 6.2 Recent Sexual Activity .................................................................................................................... 71 6.3 Multiple Sexual Partners ................................................................................................................. 73 6.4 Concurrent Sexual Partners ............................................................................................................
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