national levels; an information management system; supervision and data handling; and
harmonised capacity building in monitoring and evaluation.
Prevalence
The sentinel surveillance data for 1998 showed HIV/AIDS prevalence of 0,7% for
pregnant women.39 Low acceptance of condom use among men and women adds to the
fear that HIV infection rate may very well increase in Zanzibar. A 2002 communitybased HIV/AIDS survey conducted among 2,400 men and 3,500 women found 38
respondents to be HIV infected. The prevalence rate in the total population aged between
12 and 65 years was 0.6%, 0.2% for men and 0.9% for women, the difference being
statistically significant.
Urban prevalence rates were significantly higher then rural prevalence rates (0.9% and
0.5%, respectively) with comparable patterns of sexual behaviour and use of condoms
during sexual relations.
Table No. 7 % of women and men aged 15-49 years engaged in higher risk sexual
intercourse and condom use, 2004/05
% who had higher risk sexual
intercourse
% reported having used condoms at last
sexual intercourse
%Women
%Men
%Women
%Men
Zanzibar
8.4%
13.0%
34.5%
33.8%
Pemba
1.6%
13.0%
*
*
Unguja
11.4%
17.5%
36.1%
34.7%
Source: NBS, TDHS (2006)
39
Ministry of Health, 2003
44