Table S1: Main Model Parameters. Model Parameter Population Size (Year 2000) Symbol¥ _ Population Growth Rate _ Calibration antenatal clinic population. Urban: 962168 UN Population Rural: 4631832 Division [1]. Urban: 4.7%/year UN Population Rural: 1.8%/year Division [1]. Normal(- Based on a 0.0037653,0.04457) comparison of HIV d (Difference in prevalence, on prevalence in DHS Rural: and ANC surveillance Normal(- estimate. [2] Year epidemic prevalence at Urban Rural _ _ _ _ _ _ Data from US Census T0 Uniform(1980,1990) Bureau [3] indicate 1983.77 (1980.01- epidemic established 1986.62) 1982.05 (19801986.74) 0.49 (0.21-0.79) 0.61 (0.2-0.8) 0.63 (0.2-0.8) 0.51 (0.2-0.8) 0.22 (0-1) 0.62 (0-1) 0.1%) by 1990. Extent of mixing Studies suggest weak between high- [Mean (Range)] 0.074831,0.02047) probit scale). starts (with Assumptions In Prior Posterior π Urban: between and general Prior Distribution* Notes On Uniform(0.2,0.8) risk groups. assortative mixing. [4, 5] Extent to which male determine the pattern of sexual Cannot be directly Uniform(0.2,0.8) R Bernoulli(0.5) c2 Uniform(0.2,4) 2.08 (0.31-3.99) 1.47 (0.2-4) c1 Uniform(0.2,4) 1.91 (0.22-3.98) 1.48 (0.2-4) estimated from data. partnership formation. Replacement (0 for no replacement; 1 Cannot be directly estimated from data. for replacement.) Mean partner change rate: men Mean partner change rate: women Fraction of men in high risk 1 2,3 groups (groups I 2,1 2, 2 Uniform(0.05,0.50) Cannot be directly estimated from data. 0.42 (0.05-0.5) 0.22 (0.05-0.5) 0.6 (0.2-0.79) 0.46 (0.2-0.8) 0.25 (0.06-0.49) 0.19 (0.05-0.5) 0.46 (0.21-0.8) 0.45 (0.2-0.8) 40.09 (2.2-49.7) 22.92 (2.0249.92) 48.77 (10.69-99.9) 63.07 (10.0199.99) 24.89 (2.17-49.99) 22.84 (2.0249.98) 52.22 (10.09-99.54) 65.98 (10.08100) 0.25 (0.02-0.49) 0.21 (0-0.49) and II). Fraction of men with casual partners that have large 2,1 1 2,3 numbers of Uniform(0.20,0.80) Cannot be directly estimated from data. partners (group I as a fraction of groups I and II). Fraction of women in high 1 1,3 risk groups 1,1 1, 2 Uniform(0.05,0.50) Cannot be directly estimated from data. (groups I and III). Fraction of women with casual partners that have large 1,1 1 1,3 numbers of Uniform(0.20,0.80) Cannot be directly estimated from data. partners (group I as a fraction of groups I and II). Relative rates of partner change: group II versus 2, 2 Uniform(2,50) 2,1 Uniform(10,100) 1, 2 Uniform(2,50) 1,1 Uniform(10,100) Cannot be directly estimated from data. group III: men. Relative rates of partner change: group I versus Cannot be directly estimated from data. group III: men. Relative rates of partner change: group II versus Cannot be directly estimated from data. group III: women. Relative rates of partner change: group I versus Cannot be directly estimated from data. group III: women. Fraction of sex acts in casual q1 Triangular(0.1,0.50,0.15) Modal value based on point estimate of partnerships reported partners in protected by last year by men, condom. 2000 DHS [6]. Number of sex Limits based on acts in casual partnerships per n1 Uniform(10,80) reports in observational cohort year. in rural Zimbabwe b. Number of sex Limits based on acts in regular partnerships per n2 Uniform(50,300) Chance of HIV 147.27 (52.46- observational cohort 298.73) captures influence of sex act from Triangular(0.000666,0.00 2,0.001) (average value co-factor STIs as well 0.00118 (0.00069- and other aspects of 0.00192) risk not explicitly 0.00114 (0.000680.00197) captured in the model for men and [7]. women). Relative coital Cannot be directly frequency for estimated from data, those with but available data do symptoms of 131.5 (50.03299.81) This parameter transmission per latent infection reports in 46.23 (10.0879.94) in rural Zimbabwe b. year. individuals with 50.03 (12.45-79.99) h Uniform(0.0,0.5) suggest reduction in immune coital frequency for suppression those in stable versus others. c partnerships. [7] 0.29 (0-0.5) 0.26 (0-0.5) 0.54 (0.32-0.65) 0.49 (0.31-0.66) Bbased on observed survival rate in cohort studies [8, 9]. Overall survival time is manipulated by changing duration of Rate of progression of _ Uniform(0.313,0.655) latent infection stage ( 1 3 1 4 1 5 ) HIV. and stated range corresponds to net survival with infection between 8.5 and 12.5 years. Year behaviour change starts Uniform(2000,2004) Years of surveys 2000.44 (2000- between which 2003.25) -π behaviour changes observed. Years until new value for behavioural F Uniform(1,5) Vague prior. 2.39 (1.02-4.94) -π 1.13 (0.54-1.47) -π 0.64 (0.52-1.06) -π 0.84 (0.52-1.33) -π 0.8 (0.8-0.8) 0.36 (0.12-0.78) parameters reached Modal value based on point estimate of Relative change change in fraction of in condom use in casual partnerships men and women that 3 Triangular(0.5,1.5,1.23) used condom in last sex act with non- (1=stays the regular partner, same) between the 2004 and 2000 DHS [6, 10]. Modal value based on point estimate of change in mean Relative change in mean partner 2 Triangular(0.5,1.5,0.62) change rate: men numbers of partners reported by women in the last year, between the 2004 and 2000 DHS [6, 10]. Modal value based on point estimate of Relative change in mean partner change rate: change in mean 1 Triangular(0.5,1.5,1.00) numbers of partners reported by women women in the last year, between the 2004 and 2000 DHS [6, 10]. It is estimated that in 2006, coverage of treatment (=number on treatment / total Rate of scale-up of access to ART arate Triangular(0.11,0.80,0.17 in need of treatment) 7) was 27% (credible interval 43-89%) (based on need at CD4 cell counts below 200 cells per microlitre) [11]. In the model, this corresponds to the stated scale-up rates of access to treatment; the mode of the prior is the estimated value, and the limits are the bounds of the credible interval. Notes to Table 1: ¥Following notation in Hallett et al., 2009 [12]. *The distribution as parameterised in the following way: Uniform (lower limit, upper limit); Triangular(lower limit, upper limit, mode); Normal(mean, standard deviation) (If not parameters specified, a fixed value was assumed). π:Values reported are the model with behaviour change for Urban population and the model without behaviour change for the Rural populations (in each case, this is the preferred model). b: To assess the location and potential ranges for some model parameters, point estimates of behavioural indicators were calculated for various sub-groups in a population-based study in rural Eastern Zimbabwe conducted 1998-2000 [13]. The population was divided by sex, age (<20; 20-29; 30-39; 40-49), type of location (estate, subsistence farming area, roadside trading venue or small town) and church (Traditional, Anglican, Roman Catholic or Other). 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