Inequalities in the provision of rapid HIV testing in primary health care: ecological study, Paraná, 2013-2023

Abstract Objective: To analyze temporal trends, spatial distributions, and factors associated with the provision of rapid HIV testing in primary health care in Paraná, between 2013 and 2023.

Methods

Ecological study using data from the Outpatient Information System (Sistema de Informações Ambulatoriais, SIA) on the provision of rapid HIV testing. Testing rates per 10,000 inhabitants were calculated, and temporal trends were analyzed using joinpoint regression. Spatial distribution was performed at the municipal level, and the rates were tested against 17 socioeconomic and programmatic indicators using negative binomial regression.