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22-Jun-2017 01:07

Explore this page to find out more about populations most affected, HIV testing and counselling, antiretroviral treatment, prevention programmes, barriers to prevention, funding and the future of HIV and AIDS in Zambia.In 2015, around 50,000 adults and 8,900 children became newly infected with HIV in Zambia.1 New infections are decreasing, especially in children - in 2010, 60,000 adults and 13,000 children acquired HIV.2 Contrastingly HIV prevalence in Zambia has made little progress in the last decade with records marking a 12.8% adult prevalence in 2007 compared to a 12.4% prevalence rate in 2016 according to UNAIDS.34 HIV prevalence in Zambia has declined, falling by 19% between 20.Zambia’s revised National HIV and AIDS Strategic Framework (R-NASF) 2014 – 2016 now includes indicators on sex workers, men who have sex with men, and people who inject drugs.9 Between 20, the Population Council and partners have been conducting the first integrated biological and behavioural research in Zambia to determine the population size, HIV prevalence and incidence among sex workers, men who have sex with men, and people who inject drugs.This research will also identify social risk factors such as stigma and discrimination, alcohol and drug use, lack of access to services, and the absence of a social support network.10 Once published, the survey’s findings will provide national policymakers with objective evidence to inform HIV prevention, care, and treatment programs for key populations.

The results showed that, of the men questioned, condom use was at 86% with sex workers, 77% with non-regular partners, 63% with a regular partner and just 7% with wives.Around 44% used a condom with a non-paying partner and 78% used a condom with a paying client.The vast majority (95%) reported having taken at least one HIV test, of whom, 68% tested within the past year and 98% received test results.16 One Zambian study investigated the link between the scale-up of voluntary medical male circumcision (VMMC), and sex workers' vulnerability to HIV.This equates to 67% of women and 56% of men living with HIV receiving ART.41 Zambia has adopted 2013 WHO treatment guidelines that recommends anyone who tests positive for HIV should be started on treatment, regardless of their CD4 count, which indicates the level of virus in someone’s body.

This is particularly important as early treatment can increase the likelihood of someone achieving viral suppression, when levels of HIV are so low the virus is effectively suppressed and so is much less likely to be transmitted.This suggests that respondents understood the benefits of condom use but wrongly thought it was not necessary with wives.19 Testing rates among this group were high with 84% of truck drivers having tested for HIV at least once and 87% of them testing within last 2 years and almost all (99%) receiving their HIV results.