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MARCH Outcome Evaluation

married respondents.

Among those who were not tested for HIV in the year preceding the survey, the proportion who said that they were completely sure that they would be tested for HIV in the future increased from a low of 8.6% among the non-exposed to 14% and 23.1% (p<0.05), respectively, among the moderately-and highly-exposed respondents.

The MARCH intervention significantly improved the uptake of HIV testing [in both of the sites]

The proportion tested for HIV (in the year preceding the survey) positively and significantly correlated with exposure to the MARCH both in Addis Ababa and West Hararghe. While only 11.7% of the non-exposed reported having been tested for HIV in the year preceding the survey in Addis Ababa, the corresponding figures for the moderately-and highly-exposed respondents were 21.3% and 29.7, respectively.  Likewise, in West Hararghe, the proportion tested increased from only 0.5% among the non-exposed to 2.5% and 5.4%, among the moderately-and highly-exposed respondents, respectively.  

High levels of HIV testing rates were recorded among highly-exposed - females (36%), aged 25 years or higher (33.3%) and currently married (41.7%) - respondents of Addis Ababa.  

Furthermore, significant association was noted between exposure to the MARCH and the likelihood of receiving HIV test results, especially in Addis Ababa. Of those tested in the year preceding the survey, 74.7%, 88% and 100% of the non-, moderately- and highly-exposed respondents, respectively, reported that they had received their HIV test results. It means that the MARCH intervention not only improves individual’s’ uptake of HIV testing but also ones ability to return for his/her HIV test results;  and subsequently to attend post-test counseling.  

A significant temporal trend in the uptake of HIV testing since the baseline was recorded in Addis Ababa. At the baseline the proportion that reported having been tested for HIV was only 8.6%, but this rate has increased significantly to 15.7%, 24.2% and 29.7% for the non-, moderately-and highly-exposed outcome survey respondents, respectively.  

The MARCH intervention significantly improved interpersonal communication regarding HIV/AIDS and other sexual matters among friends and sexual partners [in West Hararghe] but not [in Addis Ababa]

There was a significant positive correlation between exposure to the MARCH intervention and the reporting of having ever talked with friends and sexual partners in the year preceding the survey in West Hararghe.  The proportion that reported having had discussion with friends in the year preceding the survey increased from 33.5% among the non-exposed to 58.2% and 77.5%, respectively, among the moderately-and highly-exposed respondents of West Hararghe. Likewise, the corresponding figures for the discussion with sexual partners ranged from 30.0% among the non-exposed to 46.7% and 66.7%, respectively, among the moderately-and highly-exposed respondents.

Addis Ababa and West Hararghe

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