Zimbabwe is one of the countries in sub-Saharan Africa most affected by HIV, with a prevalence rate of 15.2% according to ZDHS (2011). Geographical structure of the epidemic is influenced by some driving factors and it has implications on the susceptibility of infection amongst some populations. This study was aimed at identifying geographic clusters of HIV based on positivity threshold of 10% countrywide. Routine data from the outreach HIV testing and counselling programme administered by PSI Zimbabwe’s New Start Centre network and collected between January and March 2016 was used for this analysis. The average HIV positivity was 11.8 % across the 43 districts with sufficient data selected in this analysis. Twenty-four out of 43 (56%) districts were identified as having HIV positivity at least 10%. Seventy percent (70%) of the clients were first time testers. Nine districts (14%) had HIV positivity greater 15%. Results suggest geographic variation in the transmission of HIV in Zimbabwe.
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