Patients' adherence to antiretroviral therapy (ART) is important for effective medical treatment of HIV/AIDS. We conducted a qualitative interview study in the Copperbelt Province of Zambia in 2006. The aim of the study was to explore patients' and health care professionals' perceived barriers and facilitators to patients' adherence to ART. Based on data from individual interviews and focus group interviews with a total of 60 patients and 12 health care professionals, we identified barriers and facilitators related to patients' beliefs and behaviours, the health service, and socio-economic and cultural factors. Among the barriers we identified were lack of communication and information about ART, inadequate time during consultations, lack of follow-up and counselling, forgetfulness, stigma, discrimination and disclosure of HIV status, lack of confidentiality in the treatment centres, and lack of nutritional support.Feeling better, prospects of living longer, family support, information about ART, support for income-generating activities, disclosure of HIV status, prayers and transport support were among the facilitators. Our study suggests that several issues need to be considered when providing ART. Further research is needed to study interactions between patients and their health care providers. Our findings can inform interventions to improve adherence to ART.

Inmate populations include a large number of individuals at risk of HIV infection. However, there is insufficient data about HIV/AIDS epidemiology in prisons. Our study, conducted in Zambia, a sub-Saharan African nation with an estimated HIV prevalence of 19% in adults, was designed to address this shortfall.

No abstract

Abstract:Background: More than thirty years into the epidemic and at a time of declining HIV prevalence rates in many affected regions, prisoners continue to receive less protection against HIV infection compared to communities outside. This survey, the third since 1988 was conducted to assess the effectiveness of current programmes in Zambian prisons.Methods: From June 2009-June 2010, 2,244 {184 women (8.2%); 2060 men (91.8%)} prisoners in Zambia participated in a survey of HIV prevalence and risk behaviours. Risk behaviours were elicited using a pretested questionnaire whilst HIV prevalence was determined using two ELISAs and Western Blot. The survey was voluntary, anonymous and confidential.Results: Six hundred and nine (609), (27%), prisoners were found with HIV infection. This was associated with age, highest in those 35-44 years and gender, 47.3% of the women tested were positive for HIV. Other significant associations were found between HIV and tattooing, STIs and TB. Only 35 prisoners agreed to have had male to male sex (MSM) and this was not linked to HIV result. However, indirect questioning suggested much higher figures of MSM in prisons. Overall, prisoners had knowledge about HIV and over 60 % knew their HIV status. Conclusion:The HIV prevalence rate of 27% is nearly double the national average of 14%, suggesting that current interventions in prisons, focused on raising awareness, are not effective. Evidence based programs targeting tattooing and MSM are needed urgently to reduce the risk of HIV infected prisoners spreading infections to their communities after release.

No abstract

No abstract

Background:Universities present the foundation for socio-economic and political development. Without structures and processes to fight HIV, there is no prospect of enhancing treatment, prevention, care and support services. Copperbelt University HIV and AIDS response was initiated in 2003 with the aim of building capacity of students and employees in HIV and AIDS. Objectives:The main objective of this paper is to demonstrate how the CBU HIV response has evolved over time and provide a timeline of important milestones in the development process. Method:Peer educators and counsellors conduct sensitization campaigns through one on one discussion, workshops, and drama performances, distribution of Information, Education and Communication (IEC) materials.Results:HIV Programme has been set up with players from policy, programme and community levels. Strategic processes, collaborations, funding, medical insurance schemes, prevention, treatment, care and support services, training of peer educators and counsellors have been established.Conclusion:Copperbelt University HIV initiative has demonstrated potential to reduce new infections in the university, and is currently expanding her programme to encompass wellness and also spearhead the integration of HIV in the university curriculum.