Integrated Bio-Behavioral Survey among Adolescent Girls and Young
Women in Ethiopia, 2024
Introduction: Results:
• The HIV epidemic in Ethiopia is primarily concentrated in certain
• The rates of having two or more sexual partners in the last 12 months, a
geographic hotspots, driven by key and priority populations (KPPs),
history of transactional sex, and not using a condom were 42.77%, 41%,
including adolescent girls and young women (AGYW). In Ethiopia, AGYW
and 55.5%, respectively, among out-of-school AGYW, while this was
are disproportionately affected by the epidemic and are included in the
6.67%, 5.2%, and 82.7%) among in-school AGYW.
definition of KPPs in the country HIV strategic plan. This study aimed to
conduct an integrated bio-behavioral survey among AGYW in high HIV
incidence woredas in Ethiopia
Methods:
• This research work was conducted using a cross-sectional study design in
twenty-seven high HIV incident woredas of Ethiopia from eleven regional
states and two city administrations.
• The source population were both out-of-school and in-school adolescent Figure 1: Risk sexual behaviors AGYW in high HIV
AGYW. incident woredas of Ethiopia, 2024
• Systematic random sampling was applied to in-school AGYW, and respondent-driven • The study found that HIV prevalence among AGYW was 1.7%, with 1.3%
sampling was employed for the out-of-school population. The target sample size was 4,
in-school and 2.2% out-of-school. HBV prevalence was 0.6%, with 0.3%
104 for the in-school population and 6, 048 for out-of-school AGYW.
in-school and 1.1% out-of-school. HCV prevalence was 0.8%, with 0.6%
in-school and 1% out-of-school. Syphilis prevalence was 1%, with 0.3%
in-school and 2% out-of-school.
figure. 2:: The weighted proportion of experienced Figure. 3: The weighted Comprehensive
Physical or sexual Violence among AGYW in high Knowledge about HIV of AGYW in high
HIV incident woredas of Ethiopia, 2024 HIV incident woredas of Ethiopia, 2024
• Only 41.2% of HIV-positive AGYWs are aware of their status, with
44.8% in school and 38.3% out-of-school.
• Among these, 99.2% reported current ART usage, with 90.4% having
Figure 4: The weighted prevalence of HIV and other STIs
viral load suppression. among in and out of school AGYW, 2024.
• Among those using ART, 98.3% were in school and 81.1% were out of Table. 1: Patterns of HIV prevalence by different variables
school.
120.00%
among AGYW high HIV incident woredas in Ethiopia, 2024
99.20% 100% 98.30% 100%
100.00%
90.40%
81.10% Variable HIV Prevalence
80.00%
Prevalence (%)
Category In- Out-of-
60.00%
41.20%
44.80%
38.30%
school school
40.00%
Age category in years 15 – 19 1.32 1.04
20.00% 20-24 1.36 3.38
0.00%
Wanting status of Wanted 0.71 4.66
Pregnancy
Know their HIV+ Status On ART
Cascade of the 95-95-95 target
VLS
Unwanted 3.53 5.4
Overall In-school Out-of-school
Depression level None-minimal 1.3 1.8
Figure 5: The 95-95-95 HIV Cascade among AGYW in high HIV incident Mild 0.9 3.1
woredas of Ethiopia, 2024
moderate-severe 2.9 4.5
Acknowledgment Active alcohol drinking Social drinking 1.3 1.8
status
▪ National and international organizations in the planning Hazardous
drinkers 4.1 4.8
and implementation of the survey
▪ Most of all, we would like to thank our dedicated field Conclusion:
staff and all the participants who shared their time and • The prevalence of HIV and other STIs among AGYW is high in Ethiopia.
data for the benefit of our nation. • The study shows that there is low comprehensive knowledge about HIV
and STIs.
• High-risk behaviors include multiple sexual relationships, transactional
sex, low use of condoms during high-risk sex, and alcohol and
substance use, as well as a high rate of gender-based violence.
