ArticlePloS one2022
Measuring socioeconomic inequalities in prenatal HIV test service uptake for prevention of mother to child transmission of HIV in East Africa: A decomposition analysis.
Article in PloS one, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 2 of them syntheses that pooled it.
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Who cites it
14 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Explaining inequity in knowledge, attitude, and services related to HIV/AIDS: a systematic review.BMC public health · 2024Pooled it
- Sociodemographic inequalities in the uptake of prenatal HIV testing in Ethiopia: Systematic review and meta-analysis.PloS one · 2024Pooled it
- Wealth-related inequalities in HIV testing and counselling during antenatal care among reproductive age women in Ethiopia: a decomposition analysis.BMJ public health · 2026Article
- Article
- Prevalence and factors associated with sero-conversion among HIV exposed infants receiving care at Lira regional referral hospital in Lira City: a cross-sectional study.BMC pediatrics · 2025Article
- Evaluating factors associated with awareness and attitude towards pre-exposure prophylaxis among cisgender sexually active women in Ghana.BMC public health · 2025Article
- Rural-urban determinants of HIV/AIDS testing uptake among Ghanaian women of reproductive age.BMC public health · 2025Article
- Who gets missed in Zambia's antenatal HIV testing? Persistent inequities despite routine screening policies in Zambia.PLOS global public health · 2025Article
- Knowledge and attitude to HIV pre exposure prophylaxis among women in five sub-Saharan African countries: a multilevel model analysis of population-based survey 2021-2022.BMC public health · 2024Article
- Measuring Socioeconomic Inequalities in HIV Testing During Antenatal Care: A Peruvian National Survey.Journal of community health · 2024Article
- Socioeconomic inequalities in uptake of HIV testing during antenatal care: evidence from Sub-Saharan Africa.International journal for equity in health · 2024Article
- Measuring socioeconomic inequalities in postnatal health checks for newborns in Ethiopia: a decomposition analysis.Frontiers in public health · 2024Article
- Review
- Urban-Rural Disparities in Pediatric HIV Testing Uptake in Ethiopia: A Cross-Sectional Analysis of the 2016 Ethiopian Demographic and Health Survey.Journal of the International Association of Providers of AIDS CareArticle
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Authors and funding
4 authors.
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Abstract
backgroundDespite efforts made towards the elimination of mother-to-child HIV transmission, socioeconomic inequality in prenatal HIV test uptake in East Africa is not well understood. Therefore, this study aimed at measuring socioeconomic inequalities in prenatal HIV test uptake and explaining its main determinants in East Africa.
methodWe analysed a total weighted sample of 45,476 women aged 15-49 years who birthed in the two years preceding the survey. The study used the most recent DHS data from ten East African countries (Burundi, Comoros, Ethiopia, Kenya, Malawi, Mozambique, Rwanda, Uganda, Zambia, and Zimbabwe). The socioeconomic inequality in prenatal HIV test uptake was measured by the concentration index and illustrated by the concentration curve. Then, regression based Erreygers decomposition method was applied to quantify the contribution of socioeconomic factors to inequalities of prenatal HIV test uptake in East Africa.
resultsThe concentration index for prenatal HIV test uptake indicates that utilization of this service was concentrated in higher socio-economic groups with it being 15.94% higher among these groups in entire East Africa (p <0.001), 40.33% higher in Ethiopia (p <0.001) which was the highest and only 1.87% higher in Rwanda (p <0.01) which was the lowest. The decomposition analysis revealed that household wealth index (38.99%) followed by maternal education (13.69%), place of residence (11.78%), partner education (8.24%), watching television (7.32%), listening to the radio (7.11%) and reading newsletters (2.90%) made the largest contribution to socioeconomic inequality in prenatal HIV test in East Africa.
conclusionIn this study, pro-rich inequality in the utilization of prenatal HIV tests was evident. The decomposition analysis findings suggest that policymakers should focus on improving household wealth, educational attainment, and awareness of mother-to-child transmission of HIV (MTCT) through various media outlets targeting disadvantaged sub-groups.
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