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The Sharpest HIV Decline in Southern Africa: Experiences from Zimbabwe

The Sharpest HIV Decline in Southern Africa: Experiences from Zimbabwe


Part I:  Why did HIV prevalence decline in Zimbabwe?

Part II: What to do with the evidence? Programming experiences

Part III: Conclusions: What lessons have we learnt for building HIV prevention responses?

Zimbabwe Directory of Development Organisations

Guide to International Organisations, Governments, Private Sector, Development Agencies, Civil Society, Universities, Banks,, Microfinance Institutions and Development Consulting Firms

Zimbabwe National HIV and AIDS Strategic Plan 2006 - 2010

It is now two decades since the first AIDS case was reported in Zimbabwe. Southern Africa remains the epicentre of the global HIV epidemic. I am heartened by the fact that Zimbabwe isthe first in our region to have recorded a decline in HIV prevalence from 26.0% to 18.1% during the past 5 years. My government, through the National AIDS Council with the support of local and international organizations, hasmanaged to sustain efforts to fight andmitigate the impact of HIV and AIDS.Our decentralized NAC structures provide a foundation uponwhich as a country we can build. Letme however reiterate that at 18.1%, our HIV prevalence is still unacceptably very high and therefore we need to redouble our efforts to reduce it further to single digits by the turn of the decade.

Zimbabwe National Behavioural Change Strategy 2006-2010

Today all Zimbabweans are affected by HIV and AIDS. Every family has lost members or takes care of infected family members, neighbours and friends. Everybody knows the major ways of transmission of HIV, but frequently we are still not talking entirely openly and freely about it. This strategy shall bring Zimbabweans closer to addressing the major way of HIV transmission in this country. It is assumed that between 80 and 90% of infections are due to sexual transmission. Hence, promoting the adoption of safe sexual behaviours remains at the heart of HIV prevention in Zimbabwe.

Government Policies and Practices on AIDS Orphans in Zimbabwe

By way of introduction, I would just give you an overview of what my government is doing in terms of the AIDS problem. We have put into place a number of responses to deal with HIV and AIDS and this include the NECP in the Ministry of Health's National AIDS Co-ordinating programme. We are also busy promoting home-based care of patients, which is going on at both governmental and NGO level. However, here we will only addres the issue of government responses to the orphan generation.

Zimbabwe Policy Profile - 2003, Zimbabwe

The first AIDS case in Zimbabwe was identified in 1985. HIV sentinel surveillance was initiated in 1991. In 2000, Zimbabwe undertook the first fully implemented ANC survey since 1997. It found that 35 percent of women attending ANCs were infected with HIV. The 2001 ANC findings appeared to indicate that ANC prevalence had fallen to 29.5 percent. In August 2003, Zimbabwe released a report presenting new national HIV/AIDS prevalence data, indicating that HIV prevalence in ANC surveys peaked in 2000 at 34 percent, fell in 2001 to 30 percent, and decreased further in 2002 to 25.7 percent. Using these figures, 24.9 percent of Zimbabwean adults are HIV-positive. Several Zimbabwean HIV/AIDS experts stated that the new figures did not represent a real decline in HIV prevalence, but rather a correction of flawed data from previous surveys.
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