Uptake of HIV Testing and Associated Factors Among Individuals Aged 15-49 Years in Malawi: Multilevel Analysis of the 2024 Malawi Demographic and Health Survey.

Authors

Addisu Simachew Asgai, Desalegn Mitiku Kidie, Tsegaamlak Kumelachew Derse, Tadios Lidetu, Jenberu Mekurianew Kelkay

Published in

Journal of the International Association of Providers of AIDS Care. Volume 25. Pages 23259582261471869. Epub Jul 20, 2026.

Abstract

BackgroundHIV testing is essential for early diagnosis, treatment initiation, and achieving UNAIDS 95-95-95 targets. However, disparities in uptake remain in sub-Saharan Africa, including Malawi.MethodsA cross-sectional analysis was conducted using the 2024 Malawi Demographic and Health Survey data. A total of 21,587 individuals aged 15-49 years were included. Multilevel mixed-effects logistic regression was used to identify individual- and community-level factors associated with HIV testing uptake.ResultsThe prevalence of HIV testing was 86.1%. Higher odds of HIV testing were observed among females, older age groups, individuals with higher education, richer households, married respondents, and those from the southern region. Significant community-level variation in HIV testing uptake was also identified.ConclusionAlthough HIV testing uptake is high in Malawi, important sociodemographic and regional disparities persist. Targeted interventions are needed to improve equitable access to HIV testing services.

PMID:
42474132
Bibliographic data and abstract were imported from PubMed on 20 Jul 2026.

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