Table 2. Studies creating continuous surface maps of HIV.
AUTHOR | COUNTRY | TYPE OF SPATIAL PREDICTION | SIZE | KEY FINDINGS |
---|---|---|---|---|
BARANKANIRA ET AL. [18] | Burundi | Kernel density smoothing | 8,086 | Spatial heterogeneity independent of administrative boundaries. Identified locations in need of HIV resources. |
CARREL ET AL. [35] | Democratic Republic of Congo | Bayesian kriging of 2007 and 2013 HIV data, subtracting the maps to show areas of greatest difference. | 9275 (2007), 18,257 (2013) | HIV prevalence decreased in urban locations and increased in rural locations, but areas of high difference were relatively small. |
CHANG ET AL. [41] | Uganda | Bayesian modeling of percent and number of people living with HIV (PLHIV) per km2 | 17,119 | High HIV prevalence along Lake Victoria and patchy prevalence in district interior. Areas with highest number of PLHIV were inland in high population-density trading centers. |
COBURN ET AL. [38] | Lesotho | Inverse distance weighted (IDW) mapping combined with population density map to display the number of HIV-positive persons per km2. | 7,099 | Density of infection is significantly higher in urban areas, but the majority of HIV-positive people live dispersed in rural areas. |
CUADROS & ABU-RADDAD [17] | Cameroon, Ethiopia, Kenya, Lesotho, Malawi, Mali, Rwanda, Senegal, Tanzania, Zimbabwe | IDW mapping for visualizing differences in spatial distribution of HIV between time periods. | 10 countries | HIV prevalence within high-prevalence clusters either did not decline or increased, even if national prevalence declined. |
CUADROS ET AL. [37] | Tanzania | Kriging of HIV prevalence and male circumcision rates to assess their spatial correlation. | 2003–04: 12,522 2007–08: 16,318 2011–12: 18,809 |
Areas of low male circumcision overlap with areas high HIV prevalence, and vice versa. |
CUADROS & ABU-RADDAD [28] | Cameroon, Kenya, Lesotho, Tanzania, Malawi, Zambia, Zimbabwe | IDW mapping of HIV and sero-discordancy prevalence to assess their spatial correlation. | 16,140 | No spatial pattern for sero-discordancy independent of HIV prevalence patterns. |
KALIPENI & ZULU [34] | Continental | IDW and kriging interpolation of international HIV prevalence for country-level estimates. Model epidemic curves for each country and project future trends. | 1,442 sentinel sites over 18 years | Differences between UNAIDS estimates vs. kriging- and IDW-generated national estimates were statistically insignificant. Nearly all countries have reached maturity level of epidemic curve. |
KLEINSCHMIDT ET AL. [36] | South Africa | Bayesian kriging map of HIV prevalence among youth. | 11,758 | Variation in HIV prevalence independent of provincial boundaries, highest in the east and for women. |
LARMARANGE & BENDAUD [33] | 17 countries | Kernel density estimation with adaptive bandwidths (prevR) to generate sub-national HIV estimates. | Continuity of HIV estimates across borders. Certainty of estimates varied depending on total sampling size, total number of administrative units, distribution of survey clusters across area. | |
MESSINA ET AL. [19] | Democratic Republic of Congo | IDW HIV prevalence maps by sex to create regional-level estimates. | 9,755 | Spatial variation in HIV, distribution and intensity varied by sex. |
SARTORIUS ET AL. [40] | South Africa | Bayesian kriging of all-cause and cause-specific child mortality risk. | 46,675 | Two geographic foci of high mortality, matching areas of high HIV/TB mortality. |
SARTORIUS ET AL. [39] | South Africa | Bayesian kriging of all-cause and cause-specific adult mortality risk. | 104,969 | Five geographic foci of high mortality, correlating to areas of high HIV/TB mortality. |
SARTORIUS [27] | South Africa | Bayesian kriging of age-specific all-cause and HIV/TB mortality risk. | 1,110,166 person-years | Spatial distribution of all-cause mortality risk varied by age group, reflecting spatial trends in HIV/TB mortality. |
SCHAEFER ET AL. [24] | Zimbabwe | Kriging of HIV prevalence and uptake of HIV testing and counseling (HTC). | 8,092 | HIV prevalence higher in two urban areas for men and women, but HTC uptake lower in those areas and in one other. |
SUBNATIONAL ESTIMATES WORKING GROUP [32] | Tanzania, Kenya, Malawi |
Comparison of six methods. Pixel-level estimates: - Kernel density estimation with adaptive bandwidths (prevR) - Bayesian model-based geostatistics - Kriging of each covariate with regression to combine of layers Administrative unit-level estimates: - Shared spatial component model - Regression kriging at aggregated scale - Bayesian geo-additive mixed model. |
All methods revealed within-country variations and were similar in accuracy, but Bayesian geostatistical approach slightly better. | |
TANSER ET AL. [23] | South Africa | Kernel density smoothing to estimate spatial distribution of HIV. | 12,221 | Spatial variation in HIV prevalence with highest prevalence in urban settlements near the National Road. |
ZULU ET AL. [29] | Malawi | IDW HIV prevalence maps for eight years to compare trends over time. | 19 ANCs for time trends | Spatial variation independent of district boundaries, shifting spatial patterns over time. |
GONESE ET AL. [44] | Zimbabwe | Compare ANC surveillance with geographically proximate DHS data. | 7,202 (ANC) 13,049 (DHS) | ANC and DHS similar for most populations, but ANC estimates were lower for women within 30km of ANC site. |
MUSINGUZI ET AL. [43] | Uganda | Compare HIV prevalence rates between ANC surveillance sites and national population survey clusters within 30km. | 16,936 (UHSBS); 9,668 (ANC) | Overall estimate similar. ANC-based was higher in ages 15–19, lower for those aged 30+, and in urban areas. |