Table 1 Summary information on the implementation of the first round of the Bio-Behavioral Surveillance Surveys among Key and Priority Populations in Mozambique, 2011–2014
| Â | MSM | FSW | MIN | LDTD | PWID |
|---|---|---|---|---|---|
Date | Sep-Dec 2011 | Sep 2011-March 2012 | Jan-May 2012 | Jan-May 2012 | Sep-Mar 2013–2014 |
Methodology | RDS | RDS | TLS | TLS | RDS |
Location | Maputo Beira Nampula | Maputo Beira Nampula | Ressano Garcia, Maputo Province | Inhcope, Manica | Maputo Nampula |
Sample size | Total: 1432 Maputo: 496 Beira: 583 Nampula/Nacala: 353 | Total: 1240 Maputo: 400 Beira: 411 Nampula: 429 | Total: 432 | Total: 327 | Total: 492 Maputo: 353 Nampula/Nacala: 139 |
Inclusion criteria | Biological male Age ≥ 18 years Had anal and/or oral sex with a biological male in the past 12 months Able to answer screening questions to verify knowledge of MSM sexual behavior In possession of a valid referral coupon Lived, worked or socialized in the survey area within the last 12 months; Ability and willingness to provide written informed consent | Biological female Age ≥ 15 years Received money in exchange for sex from someone other than a main partner in the last six months In possession of a valid referral coupon Lived, worked or socialized in the survey area within the last 6 months; Ability and willingness to provide written informed consent | Biological male Age ≥ 18 years Mozambican nationality Signed a work contract with a South African mine through TEBA Ltd. on the day of the survey Greater than one-year of experience working in a South African mine Ability and willingness to provide written informed consent | Biological male Age ≥ 18 years Truck driver who has made at least one interprovincial or international trip in the last 12 months Spent at least one night outside of their primary residence in the last 12 months Portuguese- or English-speaking Ability and willingness to provide written informed consent | Age ≥ 18 years; Injected drugs without a medical prescription within the last 12 months Ever injected drugs at any point in their lives (criterion added in December 2013) Lived, worked or socialized in the survey area within the last 12 months; In possession of a valid referral coupon Ability and willingness to provide written informed consent |
Laboratory diagnosis | HIV Syphilis | HIV Syphilis | HIV | HIV | HIV HBV HCV |
Population size estimation | Unique object Unique event multiplier Service multiplier Literature review | Unique object Unique event multiplier Literature review | – | – | Unique object Sequential sampling Literature review |
Implementing partner | Pathfinder LAMBDA | Pathfinder PSI | Pathfinder MITRAB | Pathfinder I-TECH | Pathfinder |
Technical assistance partner | UCSF/I-TECH CDC | UCSF/I-TECH CDC | UCSF/I-TECH CDC | UCSF/I-TECH CDC | UCSF/I-TECH CDC |
HIV Prevalence | 8.2% in Maputo (95% CI: 4.7–12.6) 9.1% in Beira (95% CI: 5.8–12.6) 3.7% in Nampula /Nacala (95% CI 1.1–7.1) | 31.2% in Maputo (95% CI 24.5–37.5) 23.6% in Beira (95% CI: 18.6–29.1) 17.8% in Nampula (95% CI 13.3–22.7) | 22.3% (95% CI: 17.8–26.9) | 15.4% (95% CI: 11.4–19.4) | 50.1% in Maputo (95% CI: 40.1–59.0) 19.9% in Nampula/Nacala (95% CI: 10.9–29.2) |