Regional Health Integration to Enhance Services-North, Lango LQAS Survey Report May 2019 The Lango sub-region 2019 Lot Quality Assurance Sampling (LQAS) Survey was conducted by the district government teams with technical and financial support from the Regional Health Integration to Enhance Services (RHITES-N, Lango), a five-year program funded by USAID, and the SITES Project. Disclaimer This report is made possible by the generous support of the American people through the United States Agency for International Development (USAID). The contents of this report are the responsibility of John Snow, Inc. (JSI) and do not necessarily reflect the views of USAID or the United States Government. Contact Address: Additional information about the survey may be obtained from SITES; Telephone: +256 312264872/3; Email: [email protected]; [email protected]. Additional information about the survey may also be obtained from RHITES-N, Lango Email: [email protected]; [email protected]. Regional Health Integration to Enhance Services-North, Lango | 2019 LQAS STUDY SURVEY REPORT 1 TABLE OF CONTENTS FORWORD ............................................................................................................................................ 5 1. INTRODUCTION ...................................................................................................................... 6 1.1 Background Information ......................................................................................................... 6 1.2 Objectives of the 2019 Lango sub-region LQAS Survey .............................................................. 7 1.3 Methodology ................................................................................................................................. 7 1.3.1 Survey Design and Implementation............................................................................................ 7 1.3.2 Survey questionnaires ................................................................................................................ 8 1.3.9 Survey Response Rates and Data Processing .......................................................................... 10 2. SURVEY RESULTS ............................................................................................................................ 11 2.1 HIV SERVICES ............................................................................................................................. 19 2.1.1 HIV Testing Services ................................................................................................................ 19 2.1.2 Prevention of Mother to Child Transmission (PMTCT) Program........................................... 20 2.1.3 Voluntary Medical Male Circumcision...................................................................................... 22 2.1.4 Comprehensive HIV Knowledge .............................................................................................. 22 2.1.5 Sexual Behavior: Multiple Sexual Partners and Condom Use ................................................. 23 2.1.6 Early Initiation of Sexual Behavior ............................................................................................ 25 2.1.7 Stigma for HIV .......................................................................................................................... 26 TB Knowledge ................................................................................................................................... 26 Knowledge of Viral Load (VL) Testing and benefits ............................................................................. 27 2.1.8 Family Planning ......................................................................................................................... 28 2.1.9 Water, Sanitation, and Hygiene (WASH) ................................................................................ 31 2.1.10 Malaria .................................................................................................................................... 34 2.1.11 Child Health ........................................................................................................................... 38 2.1.12 Maternal Health ...................................................................................................................... 42 2.1.13 Nutrition................................................................................................................................. 45 3. CONCLUSION AND RECOMMENDATIONS............................................................................... 47 APPENDICES ........................................................................................................................................ 50 Appendix 1: Knowledge and HIV Practices by Region, District and Year of LQAS survey ............. 50 Appendix 2: Lango Sub-Region LQAS Survey 2018 Results (disaggregated by districts and sex) ... 53 Regional Health Integration to Enhance Services-North, Lango | 2019 LQAS STUDY SURVEY REPORT 2 TABLE OF FIGURES Figure 1: HTS coverage in the Lango sub-region -------------------------------------------------------------- 20 Figure 2: Percentage of individuals who were tested for HIV and received their result as a couple -- 20 Figure 3: Percentage of mothers of children (0-11 months) who were counseled and received an HIV test during the last pregnancy and know their results. --------------------------------------------------------- 21 Figure 4: Percentage of mothers of children 0-11 months who were counselled for PMTCT services during the last pregnancy ------------------------------------------------------------------------------------------- 21 Figure 5: Percentage of the male youth 15-24 years who are circumcised --------------------------------- 22 Figure 6: Percentage of individuals who both correctly identify ways of preventing the sexual transmission of HIV and reject major misconceptions about HIV transmission -------------------------- 23 Figure 7: Percentage of individuals who had sex with more than one sexual partner in the last 12 months ---------------------------------------------------------------------------------------------------------------- 23 Figure 8: Percentage of adults aged 15-49 who had more than one sexual partner in the past 12 months who report the use of a condom during their last intercourse ------------------------------------------------ 24 Figure 9: Percentage of individuals who had sexual intercourse with a non-marital or non-cohabiting sexual partner in last 12 months and used a condom at last higher risk sex------------------------------ 24 Figure 10: Percentage of youth who have had sexual intercourse before the age of 15 ---------------- 25 Figure 11: Proportion of youth 15-49 years who have had sexual intercourse before the age of 15 --- 25 Figure 12: Percentage of women and men aged 15-49 who report discriminatory attitudes towards people living with HIV --------------------------------------------------------------------------------------------- 26 Figure 13: Percentage of individuals who know how TB is transmitted ------------------------------------ 26 Figure 14: Percentage of individuals who know the risk of not completing TB treatment ------------- 27 Figure 15: Knowledge about Viral Load Testing by district. -------------------------------------------------- 28 Figure 16: Viral Load Testing Knowledge by sex --------------------------------------------------------------- 28 Figure 17: Percentage of sexually active women age 15-49 years who are using any modern method of family planning-------------------------------------------------------------------------------------------------------- 29 Figure 18: Percentage of sexually active women age 15-49 years who are using any modern method of family planning-------------------------------------------------------------------------------------------------------- 29 Figure 19: Percentage of women 15-49 years who want to use a FP method in the last 12 months but cannot access it ------------------------------------------------------------------------------------------------------ 30 Figure 20: Percentage of men and women 15-49 years who are satisfied with family planning services -------------------------------------------------------------------------------------------------------------------------- 30 Figure 21: Percentage households with latrine or toilet ------------------------------------------------------ 31 Figure 22: Percentage of individuals who wash their hands with soap after visiting the toilet --------- 32 Figure 23: percentage of individuals who wash their hands with soap after visiting the toilet, LQAS Survey 2019. ---------------------------------------------------------------------------------------------------------- 32 Figure 24: Percentage of households with safe water supply ------------------------------------------------ 33 Figure 25: Percentage of households with soap and water at a handwashing station commonly used by family members ------------------------------------------------------------------------------------------------------ 33 Figure 26: percentage of households with soap and water at a hand washing station commonly used by family members in 2019 ---------------------------------------------------------------------------------------- 34 Figure 27: Percent of households in target areas practicing correct use of recommended household water treatment technologies -------------------------------------------------------------------------------------