Map
Prevention & Family Planning
Keeping Mothers Alive
Eliminating New HIV Infections Among Children
Pediatric Overview
Pediatrics HIV Care, Treatment & Support
  • Key Data Points for: Zambia

    • 6%
      Date shows change since 2009
    • 21%
      Date shows change since 2009
    • 86%
      Date shows change since 2009
    • 66%
      Date shows change since 2009
    • 42%
      Date shows change since 2009
  • Prevention and Family Planning

    • Percent of married women with unmet need for family planning
      21%
    • Number of new infections among women ages 15-49
      23,000

    Key Data Points for: Zambia

    • 6%
      Date shows change since 2009
    • 21%
      Date shows change since 2009
    • 86%
      Date shows change since 2009
    • 66%
      Date shows change since 2009
    • 42%
      Date shows change since 2009
  • Keeping Mothers Alive

    Maternal
    Mortality Rate

    224

    Aids Related
    Deaths

    -*

    Pregnant Women
    Attending at Least
    One ANC Visit

    96%

    Pregnant Women
    Attending at Least
    Four ANC Visit

    N/A

    Birth Attended by
    Skilled Health
    Personnel

    64.2%

    Key Data Points for: Zambia

    • 6%
      Date shows change since 2009
    • 21%
      Date shows change since 2009
    • 86%
      Date shows change since 2009
    • 66%
      Date shows change since 2009
    • 42%
      Date shows change since 2009
  • Eliminating New HIV Infections Among Children

    • Pregnant Women with HIV Delivering
      64,000

    • Pregnant Women receiving HIV Testing
      12%

    • Pregnant Women receiving ARVs
      86%

    • Pregnant Women Receiving ART
      66%

    Key Data Points for: Zambia

    • 6%
      Date shows change since 2009
    • 21%
      Date shows change since 2009
    • 86%
      Date shows change since 2009
    • 66%
      Date shows change since 2009
    • 42%
      Date shows change since 2009
  • Paediatrics

    Immunization Rates

    • Under 5 mortality rate per 100,000:
      64

    • Under 5 deaths due to HIV:
      4,700

    • Infant mortality rate per 100,000:
      43

    • Infants <6m exclusively breastfeeding:
      73%

    BCG (BIRTH)

    92Baseline 922012 952013 952014 -2015

    DPT3

    94Baseline 782012 792013 862014 -2015

    Measles (9 M)

    90Baseline 822012 802013 852014 -2015

    Key Data Points for: Zambia

    • 6%
      Date shows change since 2009
    • 21%
      Date shows change since 2009
    • 86%
      Date shows change since 2009
    • 66%
      Date shows change since 2009
    • 42%
      Date shows change since 2009
  • Paediatric HIV Care, Treatment, & Support

    • 2009 Baseline
    • 2012 Progress
    • 2014 Progress
    • 2015 Target
    Infants born to HIV-positive women receiving EID by 2m of age
    • 62%
    • 78%
    • 94%
    Infants born to HIV-positive women receiving CTX by 6 weeks of age
    • 43%
    • 67%
    • 46%
    MTCT Rate
    • 24%
    • 21%
    • 13%
    • 5%
    Number of new paediatric infections
    • 14,000
    • 13,000
    • 8,500
    ART Coverage among children 0-14 years
    • 20%
    • 31%
    • 42%
    • 100%

    Key Data Points for: Zambia

    • 6%
      Date shows change since 2009
    • 21%
      Date shows change since 2009
    • 86%
      Date shows change since 2009
    • 66%
      Date shows change since 2009
    • 42%
      Date shows change since 2009

Zambia

Country Situation

Adult HIV prevalence (ages 15-49) in Zambia was estimated to be 12.6%. Between 2009 and 2013, Zambia has had a moderate (38%) decline in the number of new paediatric HIV infections – from 14,000 to 8,500. 86 percent of pregnant women living with HIV received ARVs for PMTCT in 2014 and 42% of children living with HIV were on treatment.

Zambia has adopted WHO Option B+ regimen for PMTCT prophylaxis and has developed a national EMTCT plan (2011-2015).

 

Zambia Policy Guidelines for eMTCT Option B+

View Policy Guidelines Here

In May 2012 Zambia re-affirmed its commitments at the first annual face-to-face gathering of Ministers of Health and representatives from the 22 focus countries since the launch of the Global Plan towards the Elimination of New HIV Infections among Children by 2015 and Keeping Their Mothers Alive in 2011. 

All positive pregnant women will receive treatment immediately and for life regardless of CD4 count and infants will be provided with ARVs from birth through to six weeks regardless of feeding method. Government has taken this policy decision in order to make the implementation of eMTCT much simpler and more effective.

In addition to the operational benefits, this new policy provides additional health benefits of lower HIV transmission to infants, improved maternal health and lower transmission to HIV-negative male sexual partners. 

 

Business Case for an Improved eMTCT Protocol in Zambia

View Business Case Here

Overall, Option B+ is likely to have a greater impact in reducing infant HIV infections, increasing maternal survival and reducing transmission to HIV negative male sexual partners than the current eMTCT program (Option A) and Option B. These benefits will have a continuing positive impact in the future, both during future pregnancies and in protecting HIV-negative male partners. Option B+ is therefore considered the best available method to eliminate MTCT.

Link to Zambia Ministry of Health.

 

Country Milestones

  • In Progress

    Countries have conducted an expenditure analysis, harmonized expenditure categories as needed, identified financing gaps in their action plans and have develped and begun to implement a strategy increasing financial assistance from domestic and international sources to support the national EMTCT plan.

    National EMTCT plans are costed.

    National guidelines on PMTCT and infant feeding in line with WHO 2010 recommended guidelines on ARVs for PMTCT.

    National annual EMTCT progress report includes community (civil society) analysis of progress and feedback from civil society is reflected in revisions to national EMTCT operational plans. Community engagement milestone has been revised and will be reported in June 2013.

    Baselines for essential commodity needs for EMTCT have been established.

    Relevant support and management capacity has been increased (IATT focal points in place).

    Policy review has been conducted to dentralize and task shift essential HIV activities to the primary care and community levels.

    Country has reported on estimated number of new HIV infections among children averted and number of mothers kept alive.

    Estimated number of new pediatric infections reduced by 50% from 2009 levels in at least 10 priority countries.

    Relevant targets met in at least 50% of districts in the country.

    Every district reports regular supplies of drugs and commodities without stock outs.

    Completed
    Behind

References

* AIDS related deaths reflects the AIDS related deaths among reproductive women 15-49 years of age, not AIDS related maternal deaths and therefore cannot be compared to previous years.
WHO. Global Health Observatory data repository. 2015. Website:http://apps.who.int/gho/data/node.main
UNAIDS, WHO, UNICEF 2015 Global AIDS Response Progress Reporting
UNAIDS 2014 HIV and AIDS estimates, July 2015
UNICEF and WHO Immunization Coverage Estimates 2015 Global Summary
Trends in Maternal Mortality: 1990 to 2015 Estimates by WHO, UNICEF, UNFPA, The United Nations Population Division 2015.