mozambique - key findings [sr179] english · eight times more men (16%) than women (2%) had...

Key Findings

National Survey on Prevalence, Behavioral Risks and Information about HIV and AIDS (2009 INSIDA)

MOZAMBIQUE

The 2009 National Survey on Prevalence, Behavioral Risks and Information about HIV and AIDS in Mozambique (INSIDA) was carried out by the Instituto Nacional de Saúde (INS) of the Ministry of Health in collaboration with the Instituto Nacional de Estatística (INE). ICF Macro provided technical assistance for the survey. Additional technical assistance was provided by the U.S. Centers for Disease Control (CDC) (Mozambique Offi ce), JHPIEGO, and ECA/UEM. The survey was funded by the Mozambican National AIDS Council (CNCS) and the President’s Emergency Plan for AIDS Relief (PEPFAR), via CDC.

For more information on the results of the 2009 Mozambique INSIDA, please contact:

In Mozambique:Instituto Nacional de Saúde (INS)Av Eduardo Mondlane, no 1008 2º Andar, C.Postal 264Cidade de MaputoMozambiqueTelefax +258-21-431103/311038email: [email protected]

In USA:MEASURE DHSICF Macro11785 Beltsville DriveCalverton, MD 20705 USATelephone: 301-572-0200Fax: 301-572-0999www.measuredhs.com

Cover photos: Courtesy of Celso Inguane, INS and Jhpiego-Mozambique.

MINISTERIO DE SAÚDE

INSTITUTO NA CIONAL DE ESTATÍSTICA

INSIDA 2009

National Survey on Prevalence, Behavioral Risks and Information about HIV and AIDS (2009 INSIDA)The 2009 National Survey on Prevalence, Behavioral Risk Factors and Information about HIV and AIDS in Mozambique (INSIDA) was designed with the main objective of obtaining national and provincial data to assess behaviors and social risk factors for HIV infection and determine the prevalence of HIV infection in the entire population aged 0-64 years. Data collection took place from June to October 2009.

The survey obtained information on knowledge of, attitudes towards, and risk behaviors for HIV infection; socio-economic and cultural factors that contribute to the risk of infection; and knowledge and coverage of media and information campaigns for HIV/AIDS prevention. The survey also collected blood samples from all people eligible for the survey in order to estimate the prevalence of HIV in the general population age 0-64 years. In addition, a Voluntary Counseling and Testing (VCT) component was included in the survey to ensure that participants, their families, and communities could learn their HIV status should they so desire.

A national sample of 6,232 households was selected in order to provide representative results for each of the 11 provinces. All women and men age 15-64 and adolescents age 12-14 living in these households were eligible to be interviewed in the survey and to provide a blood sample for HIV testing. In addition, in half of the households,

information about children age 0-11 years was collected through an interview of their caregiver: all these children were also eligible for HIV testing.

This report presents information on selected key indicators from the 2009 INSIDA for women and men age 15-49. Several of these indicators are comparable to results of the 2003 Mozambique Demographic and Health Survey (MDHS), which allows evaluation of changes in knowledge and behavior over time.

INSIDA 2009

Approximately one-third of women and men age 15-49 in Mozambique live in urban areas. About one-fi fth of the urban population lives in Maputo City.

Three in ten women and one in ten men age 15-49 in Mozambique have had no education. Sixty-three percent of men and 58% of women have completed primary school. Twice as many men as women have secondary or higher education (27% versus 13%).

Almost three-quarters of women and 65% of men age 15-49 reported being in union at the time of the survey, either married or living together. In contrast, 12% of women and 30% of men have never been married. About three times more women than men are divorced/separated or widowed.

CHARACTERISTICS OF RESPONDENTS

Place of ResidencePercent distribution of women and men age 15-49 by place of residence

Women

Men

32 68

36 64

Urban Rural

EducationPercent distribution of women and men age 15-49 by highest level of education

Noeducation Primary Secondary More than

secondary

Women

Men

30

11

58 12 1

63 25 2

Marital StatusPercent distribution of women and men age 15-49 by marital status

Women

Men

Nevermarried

Married orliving together

Divorced orseparated

Widowed

12 73 10 4

30 65 41

INSIDA 2009

Trends in Knowledge of Prevention of Mother-to-ChildTransmission of HIV

Percentage of women and men age 15-49 who know that:

2003 MDHS 2009 INSIDA

HIV can be transmitted

duringbreastfeeding

Women Men

HIV can betransmitted

duringpregnancy


duringdelivery

59

83

51

68

50

73 6578

54 59 5163

HIV can be transmitted

duringbreastfeeding


duringpregnancy


duringdelivery

© Population Services International, Courtesy of Photoshare.

About eight in ten women and men age 15-49 know that HIV can be transmitted from mother-to-child during pregnancy. Slightly fewer women (73%) and men (63%) know that HIV can be transmitted by breastfeeding and even fewer women (68%) and men (59%) know that HIV can be transmitted during delivery.

Knowledge of PMTCT has increased for both women and men since the 2003 MDHS. In 2003, men had higher levels of knowledge of PMTCT, but the 2009 INSIDA found that women are more likely to know about PMTCT.

About six in ten women and men in Mozambique know that HIV can be prevented by using condoms and by limiting sexual intercourse to one uninfected partner. Men are slightly more likely than women to know about the different HIV prevention methods.

Knowledge of all HIV prevention methods has increased since the 2003 Mozambique Demographic and Health Survey (MDHS). The increases in women’s knowledge of HIV prevention methods are greater than the increases in men’s knowledge.

KNOWLEDGE ABOUT HIV AND AIDS

Trends in Knowledge of HIV Prevention MethodsPercentage of women and men age 15-49 who know that HIV can be prevented by:


Usingcondoms

Usingcondoms

Women Men

Limiting sexual intercourse to

one uninfectedpartner

Using condomsand limitingsex to oneuninfected

partner

53

71

53

73

4560

70 74 6776

61 63

Limiting sexual intercourse to

one uninfectedpartner

Using condomsand limitingsex to oneuninfected

partner

INSIDA 2009

HIV/AIDS-RELATED ATTITUDES

Accepting Attitudes Towards People Living with HIV/AIDSPercentage of women and men age 15-49 who:

Women Men

Are willing to carefor a family member

with HIV in therespondent’s home

Would buy freshvegetables fromshopkeeper who

has HIV

Say that a femaleteacher with HIVwho is not sick

should be allowedto continue teaching

Would not wantto keep secret thata family member

has HIV

Acceptance on all 4 indicators

88 85

65 72 70 74

35 38

18 18

Common misconceptions about HIV still persist in Mozambique. Only two-thirds of women and men age 15-49 know that HIV cannot be transmitted by mosquito bites. Seventy-two percent of women and almost eight in ten men know that a healthy looking person can have HIV and 76% of women and 79% of men know that a person cannot become infected by sharing food with a person who has HIV.

The proportion of people that reject these common misconceptions about HIV has increased since 2003, most notably among women.

Overall acceptance of people living with HIV/AIDS in Mozambique remains low. Though the majority of women (88%) and men (85%) say they are willing to care for a family member with HIV in their home, only 35% of women and 37% of men say that they would not want to keep secret that a family member has HIV. Furthermore, only 18% of women and men express accepting attitudes on all four indicators. Accepting attitudes toward people living with HIV/AIDS vary very little between men and women.

© 2008 David Davies-Deis, Courtesy of Photoshare

Rejection of Common Misconceptions about HIVPercentage of women and men age 15-49 who say that:


A personcannot become

infected by sharing food with

a person who has HIV

Women Men

A healthylooking person

can have HIV

HIV cannot be transmitted bymosquito bites

6372

37

64

45

76 82 79

49

6959

79

A healthylooking person

can have HIV

A personcannot become

infected by sharing food with

a person who has HIV

HIV cannot be transmitted bymosquito bites

INSIDA 2009

SEXUAL BEHAVIOR

CaboDelgado

23%

Nampula25%

Zambézia14%

Sofala10%

Inhambane29%

Niassa17%

Tete14%

Manica10%

Gaza18%

MaputoProvince

26% Maputo City38%

Mozambique20%

Percent of men age 15-49 who had 2 or more sexualpartners in the past 12 months

<=14%

15-22%

>=23%

Multiple Sexual Partnersby Province: Men

CaboDelgado

9%

Nampula3%

Zambézia2%

Sofala2%

Inhambane2%

Niassa4%

Tete<1%

Manica1%

Gaza1%

MaputoProvince

5% Maputo City6%

Mozambique3%

Percent of women age 15-49 who had 2 or more sexualpartners in the past 12 months

<=2%

3-4%

>=5%

Multiple Sexual Partnersby Province: Women

The proportion of women age 15-49 who had two or more sexual partners in the past 12 months (3%) is relatively low compared to the proportion of men age 15-49 (20%). Multiple sexual partners for women is highest in Cabo Delgado at 9% and lowest in Tete, where it is less than 1%.

Multiple sexual partners for men age 15-49 in the past 12 months ranges from a low of 10% in Manica and Sofala to a high of 38% in Maputo City.

During INSIDA respondents were asked the fi rst and last time they had sex with their most recent sexual partners in the 12 months prior to the survey (up to three partners). This information was used to determine whether they had overlapping (concurrent) sexual partnerships in the previous 12 months. Eight times more men (16%) than women (2%) had multiple concurrent sexual partners in the 12-month period before the survey. Concurrent sexual partnerships increase the risk of HIV transmission both because they allow the virus to pass quickly through multiple individuals and because the viral load is extremely high during the fi rst three weeks of infection, increasing the risk of transmission during unprotected sex.

Multiple Concurrent Sexual PartnersPercentage of women and men age 15-49 that had multiple concurrent

sexual partners in the 12-month period before the survey

Women Men

2

16

INSIDA 2009

Condom Use at Last Sex by Marital StatusAmong women and men age 15-49 who had sexual intercourse

in the past 12 months, percentage that used a condom at last sex

Women Men

Nevermarried

Married orliving

together

Divorced,separated,

or widowed

Total

44 45

3 6

19

29

816

© 2003 Kelli M. Donley, Courtesy of Photoshare.

Free condoms are offered at an outpatient clinic at the Central Hospital of Beira.

Condom use in Mozambique is very low. Only 8% of women and 16% of men age 15-49 who had sexual intercourse in the past 12 months used a condom at last sex. Never married individuals are most likely to use condoms, but still less than half of never married women and men used a condom at last sex. Individuals who are married or living together are least likely to use condoms. Men report higher levels of condom use than women.

Mean Number of Lifetime Sexual Partnersby Education Level

Among women and men age 15-49 who ever had sexual intercourse,mean number of lifetime sexual partners

Noeducation

Primary Secondary More thansecondary

Women Men

2.0

4.62.3

5.4

2.5

5.8

3.0

12.2

For both men and women age 15-49 who ever had sexual intercourse, the mean number of lifetime sexual partners increases with level of education. Men have, on average, more lifetime sexual partners than do women. The increase in mean number of lifetime sexual partners by education level is most dramatic among men; men with more than secondary education (12.2) have twice as many lifetime sexual partners as men with secondary education (5.8).

SEXUAL BEHAVIOR

INSIDA 2009

5445

62

44

Had sex in the past 12 months Used a condom at last sex

Premarital Sex and Condom Use

Among never-marriedyouth, percentage who:

Women 15-24 Men 15-24

Among never-marriedyouth who had sexualintercourse in the past

12 months, percentage who:

23 27

8577

27 22

7564

15-19 20-24

Age at First Sexual Intercourse

Percentage of women andmen age 15-24 that had sexual

intercourse before age 15

Women Men

Percentage of women andmen age 15-24 that had sexual

intercourse before age 18

18-19 20-24

Overall one-quarter of women and men age 15-24 had sexual intercourse before age 15. Among individuals age 18-19, 85% of women and 75% of men had sex before age 18.

Just 15% of women and 20% of men reported having used a condom at fi rst sex. However, about six in ten women and three-quarters of men age 15-24 currently know a condom source. Men are more likely than women to have used a condom at fi rst sex and to know a condom source.

62

15

74

20

Know a condom source Used a condomat first sex

Knowledge of Condom Source andCondom Use at First Sex

Percent of women and men age 15-24 that:

Women 15-24 Men 15-24

Over half (54%) of never-married women and 62% of never-married men age 15-24 had sexual intercourse in the 12 months prior to the survey. However, among these individuals less than half used a condom at last sex. Condom use at last sex was approximately the same for both women and men.

YOUTH AND HIV

INSIDA 2009

VOLUNTARY COUNSELING AND TESTING

37

1719

9

Ever beentested for HIV

Been tested for HIV andreceived the results in the

past 12 months

Prior HIV TestingPercentage of women and men age 15-49 who have:

Women Men

HIV testing in Mozambique is low; only 37% of women and 19% of men age 15-49 have ever been tested for HIV. Recent HIV testing is ever lower. Less than two in ten women (17%) and about one in ten men have been tested for HIV and received the results in the past 12 months. Women are both more likely to have ever been tested for HIV and to have been tested and received the results in the past 12 months.

Overall 37% of women age 15-49 who gave birth in the 2 years before the survey were counseled, were offered and accepted an HIV test, and received the results during antenatal care. Urban women (62%) were more likely to have received an HIV test than rural women (29%). HIV testing increases with education level; women with secondary or more education (66%) were more than two times more likely to have had an HIV test during antenatal care than women with no education (27%).

37

62

29 2738

66

Total Urban

Prior HIV Testing among Pregnant Womenby Residence and Education

Among women age 15-49 who gave birth in the 2 years before the survey,percentage who were counseled, were offered and accepted an HIV test,

and who received results

Rural Noeducation

Primary Secondary+

© 2008 Arturo Sanabria, Courtesy of Photoshare.

A community health worker provides counseling for HIV in Ile District (Zambézia), Mozambique.

INSIDA 2009

VOLUNTARY COUNSELING AND TESTING

© 2003 Kelli M. Donley, Courtesy of Photoshare

These female volunteers are community AIDS activists

in Beira, Mozambique.

CaboDelgado

8%

Nampula10%

Zambézia7%

Sofala21%

Inhambane19%

Niassa12%

Tete33%

Manica23%

Gaza26%

MaputoProvince

24% Maputo City33%

Mozambique17%

Percent of women age 15-49 who had had an HIV test and

received the results in the past 12 months

>=26%

15-25%

<15%

Prior HIV Testing by Province:Women

CaboDelgado

4%

Nampula4%

Zambézia6%

Sofala13%

Inhambane14%

Niassa5%

Tete10%

Manica10%

Gaza10%

MaputoProvince

17% Maputo City23%

Mozambique9%

Percent of men age 15-49 who had had an HIV test and

received the results in the past 12 months

>=13%

7-12%

<=6%

Prior HIV Testing by Province:Men

Less than two in ten (17%) women age 15-49 have been tested for HIV and received the results in the past 12 months. Prior HIV testing is highest in Tete and Maputo City (33% each) and lowest in Zambézia (7%).

About one in ten (9%) men age 15-49 have been tested for HIV and received the results in the past 12 months. Prior HIV testing is highest in Maputo City (23%) and lowest in Cabo Delgado and Nampula (4% each). Men are less likely to have been tested for HIV and received the results than women.

INSIDA 2009

ADDITIONAL RISK FACTORS

CaboDelgado

94%

Nampula94%

Zambézia34%

Sofala8%

Inhambane84%

Niassa95%

Tete3%

Manica4%

Gaza17%

MaputoProvince

43% Maputo City50%

Mozambique51%

Percent of men age 15-49 who are circumcised

Male Circumcision by Province

Half of men age 15-49 in Mozambique are circumcized. Circumcision ranges from a high of 95% in Niassa to a low of 3% in Tete. Studies have shown that the risk of HIV infection tends to be higher in uncircumcised men compared to circumcised men.

There are several other factors beyond sexual behavior that put individuals at risk for contracting HIV. These factors include tattooing and scarifi cation, receiving medical injections with unclean needles and for men, being uncircumcised.

About one quarter of women and 11% of men age 15-49 had a medical injection in the past 12 months. For the majority of these individuals, 92% of women and 93% men, the syringe and needle were taken from a new unopened package for their last injection.

© 2003 Arturo Sanabria, Courtesy of Photoshare

24

92

11

93

Received a medical injectionin the past 12 months

For last injection, syringe andneedle were taken from a new

unopened package

Medical Injections

Percentage of women andmen age 15-49 who:

Women Men

Among women and men age15-49 that received a medical

injection in the past 12 months,percentage who:

INSIDA 2009

HIV PREVALENCE

13.118.4

10.79.212.8

7.211.5

15.9

9.2

Mozambique Urban

HIV Prevalence by ResidencePercentage HIV-positive, women and men age 15-49

Women Men Total

Rural

CaboDelgado

9.2%

Nampula3.3%

Zambézia8.9%

Sofala12.6%

Inhambane5.8%

Niassa4.3%

Tete5.7%

Manica14.8%

Gaza16.8%

MaputoProvince

19.5% Maputo City12.3%

Mozambique9.2%

men age 15-49

HIV Prevalence by Province:Men

Overall, 13.1% of women and 9.2% of men age 15-49 are HIV-positive. HIV prevalence is higher among women than men in both urban and rural areas. Higher HIV prevalence is found in urban areas (15.9%), compared with rural areas (9.2%).

Overall, 13.1% of women age 15-49 are HIV-positive. HIV prevalence is highest in Gaza (29.9%) and lowest in Niassa (3.3%).

Overall, 9.2% of men age 15-49 are HIV-positive. HIV prevalence ranges from a high of 19.5% in Maputo Province to a low of 3.3% in Nampula.

CaboDelgado

9.5%

Nampula5.5%

Zambézia15.3%

Sofala17.8%

Inhambane10.0%

Niassa3.3%

Tete8.0%

Manica15.6%

Gaza29.9%

MaputoProvince


Mozambique13.1%

women age 15-49

HIV Prevalence by Province:Women

INSIDA 2009

HIV PREVALENCE

02468

1012141618

12-14 15-19 20-24 25-29 30-34 35-39 40-44 45-49 50-54 55-59 60-64

Age

Women Men

HIV Prevalence by Age

Perc

enta

ge H

IV-p

ositi

ve

CaboDelgado

5.2%

Nampula1.6%

Zambézia4.7%

Sofala4.4%

Inhambane2.3%

Niassa5.0%

Tete1.4%

Manica3.4%

Gaza3.3%

MaputoProvince


Mozambique3.7%

young men age 15-24

<4%

4%

>=5%

HIV Prevalence by Province:Young Men

CaboDelgado

9.5%

Nampula6.5%

Zambézia15.5%

Sofala20.8%

Inhambane7.8%

Niassa1.7%

Tete5.7%

Manica6.8%

Gaza19.2%

MaputoProvince


Mozambique11.1%

young women age 15-24

<7%

7-14%

>=15%

HIV Prevalence by Province:Young Women

Women become infected at younger ages than men. Prevalence for both women and men increases with age until it peaks at age 25-29 for women (16.8%) and at age 35-39 for men (14.2%).

HIV prevalence among young women age 15-24 is 11.1%. This is three times the prevalence among young men age 15-24. HIV prevalence among young women ranges from a low of 1.7% in Niassa to a high of 20.8% is Sofala.

Overall, 3.7% of young men age 15-24 are HIV-positive. HIV prevalence is highest in Maputo Province (6.0%) and lowest in Tete (1.4%).

INSIDA 2009

HIV PREVALENCE

In 15% of couples, one or both partners are HIV-positive. The proportion of couples where both partners are infected, only the wife is infected, or only the husband is approximately equal (5%).

HIV prevalence increases with education for both women and men. HIV prevalence is highest among women with secondary or higher education.

For both women and men, HIV infection rates are considerably higher among those who are widowed or divorced/separated than those who are married/living together or those who have never been in union.

Both partnersHIV-negative

85%

Both partnersHIV-positive

5%

HIV Prevalence among CouplesPercentage HIV-positive, women and men age 15-49

Man positive,woman negative

5%

Woman positive,man negative

5%

8.5 10.8

25.6

35.9

4.610.5

20.0

28.5

HIV Prevalence by Marital StatusPercentage HIV-positive, women and men age 15-49

Women Men

Nevermarried

Married orliving

together

Divorced orseparated

Widowed

9.8

14.4 15.0

7.29.1 10.1

HIV Prevalence by EducationPercent HIV-positive, women and men age 15-49

Women Men

Noeducation

Primary Secondary+

INSIDA 2009

KEY INDICATORSRESIDENCE

MOZAMBIQUE URBAN RURAL

KNOWLEDGE

Percentage of women age 15-49 that have heard of AIDS 98.1 99.3 97.5Percentage of men age 15-49 that have heard of AIDS 98.7 99.5 98.3Percentage of women age 15-49 with comprehensive knowledge of AIDS1 31.8 40.2 27.8Percentage of men age 15-49 with comprehensive knowledge of AIDS1 35.0 46.0 29.0Percentage of young women age 15-24 that know a formal source of condoms2 61.6 69.8 56.6Percentage of young men age 15-24 that know a formal source of condoms2 73.6 81.0 68.0Percentage of women age 15-49 that know that HIV can be transmitted from mother to child by breastfeeding and that the risk of mother to child transmission (MTCT) of HIV can be reduced by the mother taking special drugs during pregnancy

51.9 67.9 44.4

Percentage of men age 15-49 that know that HIV can be transmitted from mother to child by breastfeeding and that the risk of mother to child transmission (MTCT) of HIV can be reduced by the mother taking special drugs during pregnancy

43.5 56.6 36.3

SEXUAL BEHAVIOR

Percentage of young women age 15-24 who have had sexual intercourse before theage of 15

25.0 19.3 28.4

Percentage of young men age 15-24 who have had sexual intercourse before the age of 15 24.8 24.8 24.8Percentage of never married young women age 15-24 who had sexual intercourse in the last 12 months

54.0 61.6 43.5

Percentage of never married young men age 15-24 who had sexual intercourse in the last 12 months

61.9 68.4 55.7

Among women age 15-49 who had sexual intercourse in the last 12 months, percentage who report the use of a condom during their last intercourse

8.3 19.1 3.3

Among men age 15-49 who had sexual intercourse in the last 12 months, percentage who report the use of a condom during their last intercourse

16.1 33.1 6.9

Percentage of women age 15-49 who have had sexual intercourse with more than one partner in the last 12 months

3.0 4.1 2.5

Percentage of men age 15-49 who have had sexual intercourse with more than one partner in the last 12 months

19.8 22.8 18.1

Among men age 15-49 who had more than one sexual partner in the last 12 months, percentage who report the use of a condom during their last intercourse

22.3 43.1 7.7

PROTECTIVE FACTORS

Percentage of men who are circumcised 51.3 54.0 49.9

TESTING

Percentage of women age 15-49 who received an HIV test in the last 12 months and who know the result

17.0 25.3 13.2

Percentage of men age 15-49 who received an HIV test in the last 12 months and who know the result

8.9 15.9 5.1

HIV PREVALENCE

Percentage of women age 15-49 who are HIV positive 13.1 18.4 10.7Percentage of men age 15-49 who are HIV positive 9.2 12.8 7.2

1 Comprehensive knowledge means knowing that consistent use of condom during sexual intercourse and having just one uninfected faithful partner can reduce the chance of getting the AIDS virus, knowing that a healthy-looking person can have the AIDS virus, and rejecting the two most common local misconceptions about AIDS transmission or prevention (AIDS can be transmitted by mosquito bites and by supernatural means)

INSIDA 2009

PROVINCENIASSA CABO

DELGADO

NAMPULA ZAMBÉZIA TETE MANICA SOFALA INHAMBANE GAZA MAPUTO

PROVINCE

MAPUTO

CITY

100.0 99.6 96.4 100.0 98.5 93.5 99.4 92.0 99.5 99.7 99.8100.0 100.0 98.8 99.7 98.5 97.8 98.4 93.8 96.2 98.9 100.038.1 34.2 16.0 51.6 10.3 28.5 48.0 20.5 26.2 28.1 44.340.8 25.7 28.1 28.8 30.1 33.6 67.9 27.9 16.7 45.0 55.076.3 59.7 44.0 73.2 60.6 56.1 71.7 58.6 59.3 68.4 65.687.2 81.9 58.4 72.2 78.1 79.5 87.1 67.7 59.8 76.7 78.256.2 40.7 39.3 43.5 55.6 44.0 79.5 46.1 61.8 68.9 72.0

47.5 30.9 31.8 41.6 60.3 35.9 64.8 29.9 26.4 58.8 61.9

37.6 45.6 34.6 25.1 13.7 15.7 21.8 27.7 18.2 11.8 11.5

13.9 60.6 31.3 24.4 16.8 7.2 15.5 16.4 23.6 24.8 23.3* (72.2) (38.3) 42.6 (34.7) (28.1) 47.1 57.3 65.1 63.7 68.6

(81.7) 89.2 65.5 66.7 50.6 39.7 45.2 68.6 44.6 71.1 68.8

7.8 2.3 3.4 3.4 5.4 7.6 6.9 11.7 9.5 23.6 34.1

12.0 5.9 5.7 8.5 11.4 16.1 19.2 23.5 26.6 44.9 48.6

3.8 9.0 3.3 1.5 0.1 0.6 1.8 2.3 1.1 5.0 6.0

16.8 22.6 25.1 13.5 13.8 9.9 9.8 28.7 17.5 25.9 37.6

14.8 6.6 6.9 7.9 22.6 (33.8) 32.6 25.5 (31.0) 50.5 49.7

94.5 94.3 94.4 33.7 2.9 3.9 8.2 83.6 16.8 43.3 50.4

12.2 8.3 10.3 7.0 33.1 22.7 20.7 18.9 26.1 24.2 32.7

4.7 3.7 3.8 5.6 9.8 10.2 13.2 14.3 9.8 16.9 23.2

3.3 9.5 5.5 15.3 8.0 15.6 17.8 10.0 29.9 20.0 20.54.3 9.2 3.3 8.9 5.7 14.8 12.6 5.8 16.8 19.5 12.3

2 The following responses are not considered sources for condoms : friends, family members and home* Value is based on too few cases.( ) Value is based on a small number of cases.

mozambique - key findings [sr179] english · eight times more men (16%) than women (2%) had...

Documents