Chirwa Gowokani Chijere, Sithole Lonjezo, Jamu Edister
University of Malawi, Chancellor College, Economics Department, P.O. Box 280, Zomba.
Centre for Health Economics, University of York, Heslington, York, United Kingdom, YO10 5DD.
Malawi Med J. 2019 Jun;31(2):104-111. doi: 10.4314/mmj.v31i2.1.
Having comprehensive knowledge about HIV is crucial in the fight against HIV and AIDS, and in achieving the global aspiration of ending AIDS as a public health threat by 2030. Low comprehensive knowledge about HIV can undercut efforts to halt the spread of the epidemic. It is important, however, to also determine if socioeconomic inequality is a factor in having a comprehensive knowledge about HIV in order to ensure that socioeconomic considerations are embedded in interventions. In this paper, the objective is to assess trends, as well as socioeconomic related inequality in comprehensive knowledge about HIV in Malawi.
The current study uses a non-parametric approach and the concentration index. It draws upon secondary data from three rounds of the Malawi Demographic and Health Survey (MDHS) of 2004, 2010 and 2016.
Our results point to an increase in comprehensive knowledge about HIV over the 12-year period, from 28% in 2004 to around 44% in 2016. However, upon using the Erreygers concentration index, a wealth related inequality in comprehensive knowledge about HIV is uncovered. The poorer are less informed and the richer are better informed: comprehensive knowledge about HIV is concentrated among the rich. Furthermore, inequality in comprehensive knowledge about HIV has worsened over this period. Across gender, there is greater inequality among men than women. However, the rural-urban difference in wealth-related inequality in comprehensive knowledge about HIV dropped in 2016.
The results show that comprehensive knowledge about HIV has increased. Furthermore, it is established that comprehensive knowledge about HIV is concentrated among the wealthier in the 2004 -2016 period. Our results suggest that there should be a targeted approach in messaging and disseminating information regarding HIV and AIDS, using methods that are pro-poor.
全面了解艾滋病毒对于抗击艾滋病毒和艾滋病、实现到2030年消除艾滋病作为公共卫生威胁的全球目标至关重要。对艾滋病毒的全面了解不足会削弱阻止疫情传播的努力。然而，确定社会经济不平等是否是影响艾滋病毒全面了解的一个因素也很重要，以便确保社会经济因素纳入干预措施。本文的目的是评估马拉维艾滋病毒全面了解的趋势以及与社会经济相关的不平等情况。
本研究采用非参数方法和集中指数。它借鉴了2004年、2010年和2016年三轮马拉维人口与健康调查（MDHS）的二手数据。
我们的结果表明，在这12年期间，对艾滋病毒的全面了解有所增加，从2004年的28%增至2016年的约44%。然而，使用埃雷格斯集中指数后，发现了与财富相关的艾滋病毒全面了解方面的不平等。较贫穷者了解较少，较富裕者了解较多：对艾滋病毒的全面了解集中在富人中。此外，在此期间，艾滋病毒全面了解方面的不平等有所加剧。在性别方面，男性中的不平等比女性更大。然而，2016年艾滋病毒全面了解方面与财富相关的不平等在城乡之间的差异有所下降。
结果表明对艾滋病毒的全面了解有所增加。此外，已确定在2004 - 2016年期间，对艾滋病毒的全面了解集中在较富裕者中。我们的结果表明，在宣传和传播有关艾滋病毒和艾滋病的信息时，应采用有利于穷人的方法，采取有针对性的方式。
