Zambia Demographic and Health Survey 2001-2002 - Measure DHS

The coverage rate for syphilis testing was higher for women than men; this was largely due to thegreater likelihood that men were absent from the household at the time of the survey. Refusal rates werearound 15 percent for both eligible men and women.Table 14.1 shows that coverage rates for rural women and men were generally comparable;79 percent of women in rural areas agreed to the syphilis test compared with 77 percent of men. In urbanareas, there was a substantial difference in the coverage levels between men and women; 80 percent ofwomen were tested compared with 67 percent of men. Again, this was primarily due to the men’s likelihoodof being absent from the household (13 percent for men versus 3 percent for women) rather than to ahigher refusal rate among men than women.Looking at provincial patterns (Table 14.2), the coverage rate for syphilis testing was the highestin Southern province (86 percent) and lowest in Eastern province (61 percent). Generally, the highly urbanisedprovinces (Copperbelt and Lusaka) had lower coverage rates than the rest of the provinces, exceptfor Eastern and Western. The overall patterns of syphilis testing coverage by province were similar forwomen and men. However, as mentioned earlier, men in the urban provinces (Copperbelt and Lusaka)had substantially lower coverage rates than women in the same provinces.Table 14.2 Coverage of syphilis testing by province (unweighted)Percent distribution of de facto women and men eligible for syphilis testing by testing status, according to province, Zambia 2001-2002ProvinceTesting status Central Copperbelt Eastern Luapula Lusaka NorthernNorth-Western Southern Western TotalWomen 15-49Tested 87.3 82.8 63.7 82.2 77.0 77.1 83.6 87.7 72.7 79.2Refused 11.0 12.2 28.9 11.2 18.4 17.2 10.2 9.8 17.7 15.4Absent /other 1.7 3.6 4.7 0.5 2.6 2.9 6.1 0.8 3.6 3.0Interviewed in DHS 0.6 1.8 0.3 0.0 2.0 1.7 1.4 0.0 0.9 1.0Not interviewed in DHS 1.2 1.8 4.3 0.5 0.7 1.2 4.8 0.8 2.7 2.0Result missing 0.0 1.5 2.8 6.1 2.0 2.7 0.0 1.6 5.9 2.3Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0Unweighted number 347 337 322 214 305 407 293 244 220 2,689Men 15-59Tested 83.0 68.5 59.3 81.2 62.9 76.8 83.5 83.6 60.9 73.1Refused 11.6 12.2 27.0 12.9 19.8 13.4 8.1 10.2 17.2 14.8Absent 5.1 14.1 10.3 0.5 12.0 6.0 6.5 2.2 13.5 8.1Interviewed in DHS 1.0 4.5 1.0 0.5 4.2 0.8 0.8 0.0 2.6 1.8Not interviewed in DHS 4.1 9.6 9.3 0.0 7.8 5.2 5.8 2.2 10.9 6.3Result missing 0.3 5.1 3.3 5.4 5.3 3.8 1.9 4.0 8.3 4.0Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0Unweighted number 294 311 300 186 283 367 260 225 192 2,418Total 15-49Tested 85.4 75.2 61.3 82.4 70.9 77.2 83.4 86.3 66.8 76.4Refused 11.1 12.7 28.1 11.3 18.7 15.5 9.5 9.5 17.5 15.1Absent 3.4 8.8 7.5 0.5 7.0 4.3 6.2 1.6 8.5 5.5Interviewed in DHS 0.8 3.0 0.7 0.3 3.0 1.3 1.1 0.0 1.8 1.4Not interviewed in DHS 2.6 5.8 6.8 0.3 4.0 3.0 5.0 1.6 6.8 4.1Result missing 0.2 3.4 3.2 5.8 3.3 3.0 0.9 2.7 7.3 3.0Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0Unweighted number 622 624 602 380 571 742 536 451 400 4,928226 | Prevalence of HIV and Syphilis