Overview of HIV & AIDS in Zambia
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  • 1. An Overview of HIV & AIDS in Zambia History Current picture Key Drivers The Response Successes & Challenges
  • 2. 6 The Zambian HIV Epidemic –Who? Adult Prevalence 14.3% (15-49 yrs) Rural: 5 - 15% Women: 16.1% Men: 12.3% Urban: 20 -30%
  • 3. Key Drivers of the Zambian epidemic 6+ Key drivers 1 Multiple & Concurrent Sexual Partnerships 2 Low and inconsistent Condom use 3 Low levels of Male Circumcision 4 Mobility and labour migration 5 Vulnerable & Marginalized grps (CSW, MSM, prisoners, disabled) 6 Vertical transmission – MTCT Others: Intergenerational/Transact ional Sex (STGs & STDs) Low Status of women/GBV Cultural/traditional practices Alcohol Stigma Low levels of Counselling & Testing
  • 4. 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
  • 5. 9 “New HIV infections can be stopped only by individuals changing their sexual behaviour”..... Prof M J Kelly SJ
  • 6. Mcp……….
  • 7. Condom use…….
  • 8. M c……….
  • 9. 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
  • 10. Thank you very much!!!! Enjoy your visit to our country…