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 Wednesday 16 June 2010
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Country Profile: Zambia
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AIDS Programmes

National Strategic Framework: 2006-2010; see also 2001-2003

Released in Feb. 2006 by the National AIDS Council, the framework highlights the gender disparity in HIV prevalence rates in the country, especially regarding youths 15-24.

Situation Report:
Major vulnerable and affected groups
Women are one of the major vulnerable groups. According to the Zambia Demographic Health Survey of 2002, women account for 54% of all people living with HIV/AIDS. HIV infection is high among both men and women 15–49 years old, the most economically productive age. The HIV prevalence among females 14–19 years old is six times that of males in the same age group. Women 20–29 years old are also vulnerable, as are orphans and other vulnerable children. Other vulnerable groups are military personnel, sex workers, truckers, fisheries workers and fishmongers.

Critical issues and major challenges
The lack of trained human resources is one of the most significant challenges to scaling up the health sector response to HIV/AIDS in Zambia. The high prevalence of HIV-related illness in Zambia has seriously overburdened the health care system at all levels, accentuating the burden on a thinly stretched workforce whose numbers are also diminishing due to HIV/AIDS. The situation is further exacerbated by the emigration of skilled health workers to other countries. Health infrastructure needs to be strengthened, including laboratory services. Health infrastructure is particularly constrained in rural, remote areas. Systems for drug procurement and supply management need to be strengthened. In addition, the current restructuring of the Central Board of Health has adversely affected staff productivity. There are also concerns regarding the continuing availability of adequate funding to sustain the government’s programme of providing antiretroviral therapy services free of user charges in the public sector. Information regarding transmission of HIV is limited in rural areas. Much stigma is still associated with HIV/AIDS, limiting the number of people who seek HIV testing and care.

HIV/AIDS Organisations

  Ministry of Health
Contact person: Dr Sinyinza / Mrs Chabinga Tel: +260 1 253 040
Location: Lusaka, Zambia +260 1 253 179
  Fax: +260 1 254 625
What we do:

  National AIDS Council
Contact person: Dr R.M Musonda, director general Tel: +260 1 255 044
Location: P.O. Box 36718
Lusaka, Zambia
Fax: +260 1 253 881
What we do:

  Churches Medical Association of Zambia
Contact person: Dr. Simon Mphuca Tel: +260 1 237 328
Location: P.O. Box 34511, Lusaka, Zambia Fax: +260 1 223 297
What we do: Counselling; testing; training; support; prevention programmes; orphan support; research.

 Catholic Relief Services (CRS)
Contact person: Paul Macek, country rep. Tel: +260 1 224126/31/35
+260 1 231976
Location: P.O. Box 38086
Great East Road, Plot 106, Rhodespark
Fax: +260 1 224118/231977
What we do:

 Family Health Trust
Contact person: John Musanje Tel: +260 1 223 589
Location: P Bag 243, Lusaka, Zambia Fax: +260 1 222 834
What we do:

 Homecare Services (HCS)
Contact person: Amos Nota Tel: +260 1 232 349
Location: Plot 1419
18 Mwalula Road North Mead
Lusaka, Zambia
Fax: +260 1 239 748
What we do: Homecare services; family planning; children's clinic; staff development and training.

  Kenneth Kaunda Children of Africa Foundation
Contact person: Robert A Penney, CEO finance / admin Tel: +336 499 1252
Location: 3447 Robinhood Road
Winston-Salem, North Carolina 27106
+336 774 1700
  Fax: +336 774 1701
What we do:

 Network of Zambian People Living with AIDS (NZP+)
Contact person: Raymond Mwanza Tel: +260 01 237619
Location: P.O. Box 32717
Lusaka, Zambia
Fax: +260 01 237619
What we do: Counselling; training; education; information; awareness; support; advocacy.

Contact person:  Catherine Ndashe Phiri Tel: +260 1 232 773
Location: One World Africa
P.O. Box 34571
Lusaka, Zambia
Fax: +260 1 221 921
What we do: Multimedia Web portal on issues relating to HIV/AIDS.

 Planned Parenthood Association Of Zambia (PPAZ)
Contact person: Martina Shula Nondo Tel: +260 1 228 164
+260 1 228 178
Location: P.O. Box 32221
Lusaka, Zambia
Fax: +260 1 228 165
What we do: Reproductive health; prevention; testing.

 Population Services International (PSI)
Contact person: Tel: +260 1 292 443
Location: 39 Central Street
Lusaka, Zambia
Fax: +260 1 292 463
What we do: Uses social marketing to deliver health products, services and information that enable low-income and other vulnerable people to lead healthier lives.

 Project Concern International
Contact person: Tom Ventimiglia Tel: +260 1 256 735/738
Location: P.O. Box 32320
Lusaka, Zambia
What we do: Promotion of multi-sectoral response to HIV; technical support to community-based organisations; HIV/AIDS prevention; care and support with the Zambian Defense Force; OVC; community-based ART adherence; additional work with street children.

 Southern African AIDS Trust (SAT)
Contact person: Tel: +260 1 228 407
Location: P.O. Box 30630
Lusaka, Zambia
Fax: +260 1 234 313
What we do: Supports community responses to HIV and AIDS through in-depth partnership, networking, skills exchange and lesson sharing in HIV prevention, HIV and AIDS care and support throughout the region.

 Zambia AIDS Law Research and Advocacy Network (ZARAN)
Contact person: Malala Mwondela Tel: +260 1 229 648
Location: 2nd floor CUSA house, Cairo Road (South-end)
P.O. Box 39088, Lusaka, Zambia
Fax: +260 1 229 648
What we do:

 Zambia Business Coalition on HIV/AIDS (ZBCA)
Contact person: Erick O. Mwanza Tel: +260 1 220 802
Location: 4th floor, Zambia National Commercial Bank Plc Headquarters
Cairo Road, South-End
P.O. Box 31026,
Lusaka, Zambia
Fax: +260 1 224 561
What we do:

 Zambia National AIDS Network (ZNAN)
Contact person: Tel: +260 1 256 791/92/255 969
Location: Plot 7450, Katopola Road,
Rhodes Park
P.O. Box 32401,
Fax: +260 1 256 790
What we do: National Network facilitating research, exchange of information, access to resources, policy influence and advocacy, capacity building and providing technical assistance to its members, thus enhancing their capacities to mitigate the spread of HIV.

Contact person: Dr Stella Anyangwe Tel: +260 1 255 322
Location: Andrew Mwenya/Beit Road
Plot #4609, Rhodes Park
P.O. Box 32346
Lusaka, Zambia
Fax: +260 1 252 863
What we do: Supports an expanded response and policy advice on preventing transmission of HIV, providing care and support, reducing the vulnerability of individuals and communities to HIV/AIDS.

 United Nations Volunteers (UNV) Support Group for People Living with HIV/AIDS
Contact person: Tel: +260 1 228 502
Location: Fax: +260 1 758 241
  +260 1 236 949
What we do:

 UNAIDS Country Co-ordinator
Contact person: Catherine Sozi Tel: +260 1 252 645
Location: UN Annex
Andrew Mwenya/Beit Road
P.O. Box 31966, Rhodespark
Lusaka, Zambia
Fax: +260 1 261 214
What we do: UNAIDS leads, strengthens and supports an expanded response aimed at preventing transmission of HIV, providing care and support, reducing the vulnerability of individuals and communities to HIV/AIDS.

 UN Theme Group on HIV/AIDS, Chair
Contact person: Deji Popoola, UNFPA Tel: +260 1 256 383
Location: UN Building, Alick Nikhata Rd.
P.O. Box 31966
Lusaka, Zambia
Fax: +260 1 254 421
What we do: Supports an expanded response and policy advice on preventing transmission of HIV, providing care and support, reducing the vulnerability of individuals and communities to HIV/AIDS.

Sources: - The Presidents Emergency Plan for AIDS Relief (PEPFAR)
- The World Bank
- World Health Organization
- United Nations Educational, Scientific and Cultural Organization (UNESCO) Country Profiles
- United Nations Population Division, Department of Economic and Social Affairs. 2005. “World Population Prospects: The 2004 Revision.” New York.
- The Joint United Nations Programme on HIV/AIDS (UNAIDS)

Treatment Map

Adult HIV Prevalence Rate (%): 17%
No. Of People living with HIV/AIDS: 110,0000
No. Of HIV Testing & Counselling Sites: 420
No. Of People in need of ART (June 2006, Zambian Government): 220,000
No. Of People years On ART (Sept. 2006): 70,000
No. Of Sites Reportedly Distributing ART (Dec. 2006): 146
No. Of People on ART Public Sector (Sept. 2006): 70,000
No. Of People on ART Private Sector (Dec. 2006): n/a. The government has not yet begun to accredit private clinic distribution of ARVs but plans to in 2007.
No. Of People on ART in Non-Governmental Programmes: n/a, however the government has partnered with NGOs in ARV distribution. Anyone receiving medication through NGOs would then be counted in public figures.
No. Of People Expected to be on ART (Dec. 2006): The government expects to surpass its original year-end target of 70,000. Indications are year-end totals may be as high as 73,000.
Front Line Drug Regimen: stavudine + lamivudine + nevirapine in accordance with WHO recommendations, with a fixed-dose combination being widely used. The regimen comprising zidovudine + lamivudine + nevirapine is also a recognized first-line regimen but less commonly used
*PMTCT Regimen: n/a

HIV/AIDS Fund Disbursements:
Total Funds Disbursed By The Global Fund as of Sept. 2006: US$113,794,624
Total Funds Disbursed By The World Bank Multi-Country HIV/AIDS Programme (MAP) as of Sept. 2006: US$42 million
Total Funds Disbursed By PEPFAR During 2005 Fiscal Year: US$130,088,605

Sources: Zambian Central Board of Health


Demographics (United Nations Population Fund):
Population: 11,668,000
Population aged 15-59: 5,780,000
Urban population: 4,259,000

Under 5 mortality per 1000 births: 173
Male life expectancy: 40 years
Female life expectancy: 40 years
Combined average life expectancy: 40 years
Combined average life expectancy 1975-1980: 51.7 years

Education (UNESCO, 2004):
Males with secondary education as percentage of secondary school-age youths: 29 percent
Females with secondary education as percentage of secondary school-age youths: 23 percent

Literacy rates (UNESCO, 2004):
Percentage of literate males aged 15 or older: 86.3 percent
Percentage of literate females aged 15 or older: 73.8 percent
Combined literacy rate for aged 15 or older: 79.9 percent
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