Geographical variation in HIV testing in South Africa : evidence from the 2017 national household HIV survey

BACKGROUND : Identification of the geographical areas with low uptake of HIV testing could assist in spatial targeting of interventions to improve the uptake of HIV testing. OBJECTIVES : The objective of this research study was to map the uptake of HIV testing at the district level in South Africa. Method: The secondary analysis used data from the Human Sciences Research Council’s 2017 National HIV Prevalence, Incidence, Behaviour and Communication Survey, where data were collected using a multistage stratified random cluster sampling approach. Descriptive spatial methods were used to assess disparities in the proportion of those ever tested for HIV at the district level in South Africa. RESULTS : The districts with the highest overall coverage of people ever having tested for HIV (> 85%) include West Rand in Gauteng, Lejweleputswa and Thabo Mofutsanyane in Free State, and Ngaka Modiri Molema in North-West. These provinces also had the least variation in HIV testing coverage between their districts. Districts in KwaZulu-Natal had the widest variation in coverage of HIV testing. The districts with the lowest uptake of HIV testing were uMkhanyakude (54.7%) and Ugu (61.4%) in KwaZulu-Natal and Vhembe (61.0%) in Limpopo. Most districts had a higher uptake of HIV testing amongst female than male participants. CONCLUSION : The uptake of HIV testing across various districts in South Africa seems to be unequal. Intervention programmes must improve the overall uptake of HIV testing, especially in uMkhanyakude and Ugu in KwaZulu-Natal and Vhembe in Limpopo. Interventions must also focus on enhancing uptake of HIV testing amongst male participants in most districts. Strategies that would improve the uptake of HIV testing include HIV self-testing and community HIV testing, specifically home-based testing.The President’s Emergency Plan for AIDS Relief (PEPFAR) through the Centres for Disease Control and Prevention under the terms of Cooperative Agreement Number (NU2GGH001629), as well as the South African Department of Science and Technology, South African National AIDS Council (SANAC), Global Fund to Fight AIDS, Tuberculosis and Malaria, Right to Care, United Nations Children’s Fund (UNICEF), Centre for Communication Impact, Soul City, and LoveLife.http://www.sajhivmed.org.zaam2022Statistic

Hookworm Infection and Environmental Factors in Mbeya Region, Tanzania: A Cross-sectional, Population-based study.

Hookworm disease is one of the most common infections and cause of a high disease burden in the tropics and subtropics. Remotely sensed ecological data and model-based geostatistics have been used recently to identify areas in need for hookworm control. Cross-sectional interview data and stool samples from 6,375 participants from nine different sites in Mbeya region, south-western Tanzania, were collected as part of a cohort study. Hookworm infection was assessed by microscopy of duplicate Kato-Katz thick smears from one stool sample from each participant. A geographic information system was used to obtain remotely sensed environmental data such as land surface temperature (LST), vegetation cover, rainfall, and elevation, and combine them with hookworm infection data and with socio-demographic and behavioral data. Uni- and multivariable logistic regression was performed on sites separately and on the pooled dataset. Univariable analyses yielded significant associations for all ecological variables. Five ecological variables stayed significant in the final multivariable model: population density (odds ratio (OR) = 0.68; 95% confidence interval (CI) = 0.63-0.73), mean annual vegetation density (OR = 0.11; 95% CI = 0.06-0.18), mean annual LST during the day (OR = 0.81; 95% CI = 0.75-0.88), mean annual LST during the night (OR = 1.54; 95% CI = 1.44-1.64), and latrine coverage in household surroundings (OR = 1.02; 95% CI = 1.01-1.04). Interaction terms revealed substantial differences in associations of hookworm infection with population density, mean annual enhanced vegetation index, and latrine coverage between the two sites with the highest prevalence of infection. This study supports previous findings that remotely sensed data such as vegetation indices, LST, and elevation are strongly associated with hookworm prevalence. However, the results indicate that the influence of environmental conditions can differ substantially within a relatively small geographic area. The use of large-scale associations as a predictive tool on smaller scales is therefore problematic and should be handled with care

The impact of climate on the dominant height and climate thresholds for P. elliottii, P. taeda, P. patula, and P. patula x P. tecunumanii plantation forests

DATA AVAILABILITY : The data used in the manuscript is readily available upon re- quest from the corresponding author.Plantation forests were introduced into South Africa to satisfy the regional demand for wood-based products, which are largely found in the Mpumalanga province. To better understand the impacts of climate on the dominant height growth of commercially important plantation species, enumeration data collected from 2012 to 2023 was scrutinised, representing 34740 plots in 2082 plantation compartments. Statistically significant multiple linear regression models were developed to predict dominant heights for Pinus elliottii, Pinus taeda, Pinus patula, and Pinus patula x Pinus tecunumanii hybrids using climate variables as independent factors. Mean annual maximum temperature was statistically significant when modelling dominant height for P. elliottii, while winter maximum temperature was significant for P. taeda, P. patula, and P. patula x P. tecunumanii. Rainfall was found to be significant for P. elliottii and P. taeda, while spring rainfall was found to be more important when modelling dominant height for P. patula. Interestingly, autumn rainfall was found to have a negative impact on dominant height growth of P. taeda and P. patula, while rainfall was not significant in P. patula x P. tecunumanii. The findings imply that the southern pines have water thresholds, while Mexican pines are more temperature limited than water limited.York Timbers, South Africa.https://cdnsciencepub.com/journal/cjfrhj2024BiochemistryGeneticsMicrobiology and Plant PathologySDG-13:Climate actionSDG-15:Life on lan