An Overview of HIV & AIDSin

Zambia

HistoryCurrent picture

Key DriversThe Response

Successes & Challenges

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The Zambian HIV Epidemic –Who?

Adult Prevalence 14.3% (15-49 yrs)

Rural:

5 - 15%

Women: 16.1%

Men: 12.3%

Urban:

20 -30%

Key Drivers of the Zambian epidemic

6+ Key drivers 1 Multiple & Concurrent Sexual Partnerships2 Low and inconsistent Condom use3 Low levels of Male Circumcision4 Mobility and labour migration5 Vulnerable & Marginalized grps (CSW, MSM, prisoners, disabled)6 Vertical transmission – MTCT

Others: Intergenerational/Transact ional Sex (STGs & STDs)Low Status of women/GBVCultural/traditional practices AlcoholStigma Low levels of Counselling & Testing

The Response: Are we doing the right things??

“We are like a person on a dark night, hunting frantically for a lost key, under a light. Not because that is where the key was lost,

But because …..

that is where we’re able to see!”

Prof Michael J Kelly SJ

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“New HIV infections can be stopped only by individuals changing their sexual behaviour”.....

Prof M J Kelly SJ

Mcp……….

Condom use…….

M c……….

Challenges• Raising the status of women• Changing cultural practices• Letting women lead the HIV response

– PMTCT example– MSM– Testing– Increasing uptake of VMMC

• Planning program sustainability beyond donors• Political will/ commitment/Leadershp

Thank you very much!!!!Enjoy your visit to our

country…