Map
Prevention & Family Planning
Keeping Mothers Alive
Eliminating New HIV Infections Among Children
Pediatric Overview
Pediatrics HIV Care, Treatment & Support

** We are in the process of updating all data for the priority countries. Therefore the data displayed may not be up to date at this time. **

  • Key Data Points for: Zambia

    • 23%
      Date shows change since 2009
    • 27%
      Date shows change since 2009
    • 76%
      Date shows change since 2009
    • 43%
      Date shows change since 2009
    • 33%
      Date shows change since 2009
  • Prevention and Family Planning

    • Percent of married women with unmet need for family planning
      27%
    • Number of new infections among women ages 15-49
      20,000

    Key Data Points for: Zambia

    • 23%
      Date shows change since 2009
    • 27%
      Date shows change since 2009
    • 76%
      Date shows change since 2009
    • 43%
      Date shows change since 2009
    • 33%
      Date shows change since 2009
  • Keeping Mothers Alive

    Maternal
    Mortality Rate

    280

    Aids Related
    Deaths

    1,620

    Pregnant Women
    Attending at Least
    One ANC Visit

    94%

    Pregnant Women
    Attending at Least
    Four ANC Visit

    60%

    Birth Attended by
    Skilled Health
    Personnel

    47%

    Key Data Points for: Zambia

    • 23%
      Date shows change since 2009
    • 27%
      Date shows change since 2009
    • 76%
      Date shows change since 2009
    • 43%
      Date shows change since 2009
    • 33%
      Date shows change since 2009
  • Eliminating New HIV Infections Among Children

    • Pregnant Women with HIV Delivering
      78,000

    • Pregnant Women receiving HIV Testing
      95%

    • Pregnant Women receiving ARVs
      76%

    • Pregnant Women Initiating ART
      43%

    Key Data Points for: Zambia

    • 23%
      Date shows change since 2009
    • 27%
      Date shows change since 2009
    • 76%
      Date shows change since 2009
    • 43%
      Date shows change since 2009
    • 33%
      Date shows change since 2009
  • Paediatrics

    Immunization Rates

    • Under 5 mortality rate per 100,000:
      89

    • Under 5 deaths due to HIV:
      11%

    • Infant mortality rate per 100,000:
      56

    • Infants <6m exclusively breastfeeding:
      61%

    BCG (BIRTH)

    88Baseline -2012 822013 -2014 -2015

    DPT2 (12 WK)

    81Baseline 782012 792013 -2014 -2015

    Measles (9 M)

    83Baseline -2012 802013 -2014 -2015

    Key Data Points for: Zambia

    • 23%
      Date shows change since 2009
    • 27%
      Date shows change since 2009
    • 76%
      Date shows change since 2009
    • 43%
      Date shows change since 2009
    • 33%
      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
    • 46%
    • 61%
    • 55%
    Infants born to HIV-positive women receiving CTX by 6 weeks of age
    • 48,188
    MTCT Rate
    • 24%
    • 17%
    • 15%
    Number of new paediatric infections
    • 18,672
    • 13,523
    • 11,828
    ART Coverage among children 0-14 years
    • 13%
    • 22%
    • 33%

    Key Data Points for: Zambia

    • 23%
      Date shows change since 2009
    • 27%
      Date shows change since 2009
    • 76%
      Date shows change since 2009
    • 43%
      Date shows change since 2009
    • 33%
      Date shows change since 2009

Zambia

Country Situation

Adult HIV prevalence (ages 15-49) in Zambia, estimated at 13.5%, has remained relatively stable over the last decade. HIV prevalence is higher among females (16.1%) than males (13.9%)[7]; in urban areas (19.7%) than rural areas (10.3%) and among those in the richest wealth quintiles (17.8%) than the poorest quintiles (7.8%)[8]. HIV prevalence among pregnant women (13.9%) is comparable to that of the general population. Between 2009 and 2011, Zambia has had a 55% decline in the number of new paediatric HIV infections – from 21,000 to 9,500[3].

By 2010, Zambia had expanded its PMTCT service coverage to 81% of ANC clinics[9], resulting in an increase in HIV testing among pregnant women, from 14% in 2005 to 94% in 2010[10]. Eighty six percent of pregnant women living with HIV received efficacious ARVs for PMTCT in 2011, up from 58% in 2009[3].

Zambia has adopted WHO Option B+ regimen for PMTCT prophylaxis and has developed a national MTCT elimination plan (2011-2015)[11]. Zambia has markedly increased PMTCT service access and is well placed to achieve Global Plan targets by 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

UNAIDS 2013 Report on the Global AIDS Epidemic, 2013 unpublished estimates.
UNICEF, WHO, UNAIDS Global Update on HIV Treatment Results, Impact and Opportunities 2013
UNAIDS modeling, 2013, based on 2012 country estimates.
Joint United Nations Programme on HIV/AIDS, Global Report: UNAIDS report on the global AIDS epidemic 2013, UNAIDS, Geneva 2013.
UNICEF update to a table published in the Joint United Nations Programme on HIV/AIDS, Global Report: UNAIDS report on the global AIDS epidemic 2013, UNAIDS, Geneva 2013, p. 9
Trends in Maternal Mortality 1990 to 2010.  WHO 2012.