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Malawi 2015-16

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Eighteen percent of men have ever paid for sex and 7% have paid for sex in the last 12 months. Threequarters<br />

of men who had reported paying for sex in the last 12 months reported using condoms during the<br />

last sexual intercourse (Table 13.6).<br />

Trends: The percentage of men who reported paying for sex in 12 months before the survey remained<br />

essentially the same between 2010 and <strong>2015</strong>-<strong>16</strong> (5% versus 7%). However, condom use during the last<br />

paid sex increased from 61% to 75% between 2010 and <strong>2015</strong>-<strong>16</strong>.<br />

Patterns by background characteristics<br />

• Men who are divorced, separated, or widowed (<strong>16</strong>%) are more likely to have paid for sex in past 12<br />

months before the survey than men who are currently married (6%) or have never married (7%).<br />

• Men in the Southern region are more likely than men in the Northern and Central regions to have paid<br />

for sex in past 12 months before the survey (10% versus 4% and 5%, respectively).<br />

13.6 COVERAGE OF HIV TESTING SERVICES<br />

Knowledge of HIV status helps HIV-negative individuals make decisions to reduce risk and increase safer<br />

sex practices in order to remain disease free. Among those who are living with HIV, knowledge of their<br />

HIV status allows them to take action to protect their sexual partners, access care, and receive treatment.<br />

13.6.1 Awareness of HIV Testing Services and Experience with HIV Testing<br />

The vast majority of women (95%) and men (96%)<br />

know where to obtain an HIV test, but women are<br />

more likely than men to have ever been tested for<br />

HIV (83% versus 70%). However, about the same<br />

proportion of women and men had been tested for<br />

HIV in 12 months before the survey (44% of women<br />

versus 42% of men) (Tables 13.7.1 and 13.7.2).<br />

Trends: There has been a substantial increase in<br />

HIV testing among both women and men from 2004<br />

to <strong>2015</strong>-<strong>16</strong>. Specifically, 7% of women reported that<br />

they had been tested for HIV within 12 months<br />

before the 2004 MDHS compared with 44% who<br />

reported HIV testing in 12 months before the <strong>2015</strong>-<br />

<strong>16</strong> MDHS. Among men, the proportion increased<br />

from 8% to 42% (Figure 13.5).<br />

Figure 13.5 Trends in recent HIV testing<br />

Percentage of women and men age 15-49<br />

who have been tested for HIV in past 12<br />

months and received the results of the last<br />

test<br />

7 8<br />

Women<br />

2004 2010 <strong>2015</strong>-<strong>16</strong><br />

44 42<br />

31<br />

Men<br />

Note: For women, data on recent testing was not available for year<br />

2010<br />

206 • HIV/AIDS-related Knowledge, Attitudes, and Behaviour

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