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Social inequality and HIV-testing

Comparing home- and clinic-based testing in rural Malawi

Bibliographic Data

ID2636491
AuthorsAlexander A Weinreb, Alexander Weinreb (0000-0003-2441-4040, The University of Texas at Austin, corresponding author), G Stecklov (0000-0001-7831-2731, Hebrew University of Jerusalem)
Year2009
Volume21
Pages627-646
Publication date2009-10-30
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueDemographic Research (JOURNAL)
Journal identifiersISSN: 1435-9871 • E-ISSN: 2363-7064
PublisherMax Planck Institute for Demographic Research (PUBLISHER • DE)
DOI10.4054/demres.2009.21.21
OpenAlexW2114471398
LanguageEN
Citations received6
References cited21

The plan to increase HIV testing is a cornerstone of the international health strategy against the HIV/AIDS epidemic, particularly in sub-Saharan Africa. This paper highlights a problematic aspect of that plan: the reliance on clinic-rather than homebased testing. First, drawing on DHS data from across Africa, we demonstrate the substantial differences in socio-demographic and economic profiles between those who report having ever had an HIV test, and those who report never having had one. Then, using data from a random household survey in rural Malawi, we show that substituting home-based for clinic-based testing may eliminate this source of inequality between those tested and those not tested. This result, which is stable across modeling frameworks, has important implications for accurately and equitably addressing the counseling and treatment programs that comprise the international health strategy against AIDS, and that promise to shape the future trajectory of the epidemic in Africa and beyond

Cornerstone · Development economics · Economic growth · Economics · Geography · Inequality · Political science · Public economics · Food Security and Health in Diverse Populations · HIV/AIDS Impact and Responses · Medicine · Poverty, Education, and Child Welfare · Virology

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Unique citing works6
Citations per year0,38
Citation span2010 - 2023 (14)
Citation velocityhistorical
Highly citedNo
Citation typesNeutral: 6
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