Factors Determining the Use of Voluntary Counselling And Testing For HIV and AIDs Among Men And Women In Malawi

Abstract

Voluntary Counseling and Testing (VCT) is one of the measures used in the fight of HIV and AIDS in Malawi. WHO/UNAIDS/UNICEF (2011) estimated that about 440,000 to 510,000 people living with HIV and AIDS in Malawi were not getting treatment. This could be the case because they did not know their HIV status.  Knowing the factors that lead people to seek Voluntary Counseling and Testing services in Malawi could demystify this.  This study therefore investigated the determinants of Voluntary Counseling and Testing for HIV and AIDS among men and women in Malawi. The principal research focus was on the socio-economic and socio-demographic factors that determine one’s need to demand VCT services. A logistic regression model was used due to the categorical nature of the dependent variable i.e. whether one was tested or not.  Among women, the variables age, residence, education, marital status, employment, mode of employment and lifetime number of sexual partners were found to be significant factors influencing the uptake of VCT. With the lower class as the reference variable, the ‘rich group’ was found to significantly influence the uptake of VCT but not the middle class. On the men’s side, the variables age, education, region of residence, lifetime number of sexual partners, marital status, wealth status and employment were found to have a significant influence on VCT uptake. The results also show that a man’s place of residence and mode of employment do not affect VCT uptake. In summary, the findings show that for both men and women the variables; age, education and lifetime number of sexual partners were significant. The variables; residence and mode of employment were significant only for women while the variable region of residence was only significant for men. The variable wealth status had the rich group being significant among both men and women while middle group was insignificant among both men and women. The variables marital status and employment were significant at all levels for women while for men they had at least one variable not significant. The variable religion was insignificant for both women and men except one variable – other religion affiliation, which was significant among men.

Keywords: Socio-economic and socio-demographic factors, Voluntary Counselling and Testing,

Logistic Regression Model