Zambia - HIV prevention response and modes of transmission analysis

Abstract

Structures of the synthesis report are as follows: chapter one provides the background and context for the synthesis. It describes the purpose, objectives and key questions of the synthesis, the synthesis concept and use of the findings. Chapter 2 describes how the study was carried out, the methodology followed. The methods for each of the components and for the synthesis of all the data are introduced, and the study's limitations noted. Chapter three provides the Know Your Epidemic (KYE) synthesis results. These include the epidemic state and trends in HIV prevalence and incidence, transmission pathways, sources of new HIV infections, data on sexual behaviors and male circumcision. It also provides data on the socio-cultural and economic context of the epidemic in Zambia. Chapter four presents the Know Your Response (KYR) results, which include policy level issues relevant to prevention, strategic information aspects of prevention, and a description of preventive interventions currently provided by implementers in the different sectors. Chapter five links the epidemic situation to the response, i.e. it provides an overall synthesis of the KYE and KYR data presented in chapters three and four. The chapter tries to answer the three key questions posed in this synthesis process. Chapter six lists the recommendations emanating from this analysis. It contains policy level recommendations and programmatic recommendations and presents specific recommendations for capacity building and research and monitoring and evaluation.