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However, much higher HIV prevalence is reported elsewhere, such as 33% by the MSM Global Forum (MSMGF).14 The illegal status, stigma and discrimination that men who have sex with men experience makes them a population that is difficult to reach with HIV prevention messages.

The number of sex workers in Zambia is disputed, as is the HIV prevalence among this population, with studies reporting vastly different statistics.

About 23% had sex with two or more female sex workers in the last 12 months.18 The survey found varying condom use depending on whom the respondents were having sex with.

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This equates to 70% of women and 58% of men living with HIV receiving ART.

33 As Zambia’s total population stood at 16.2 million in 201534, this indicates a testing rate of around 15%.

Explore this page to find out more about populations most affected, HIV testing and counselling, antiretroviral treatment, prevention programmes, barriers to prevention, funding and the future of HIV and AIDS in Zambia.

In 2015, around 50,000 adults and 8,900 children became newly infected with HIV in Zambia.1 New infections are decreasing, especially in children - in 2010, 60,000 adults and 13,000 children acquired HIV.2 Contrastingly HIV prevalence in Zambia has made little progress in the last decade with records marking a 12.8% adult prevalence in 2007 compared to a 12.4% prevalence rate in 2016 according to UNAIDS.34 HIV prevalence in Zambia has declined, falling by 19% between 20.

One of the goals of the project is to generate evidence on the feasibility, acceptability and impact of self-testing that will then inform official World Health Organization (WHO) guidance on the intervention in order to catalyse self-testing across the globe.40 Zambia’s change in treatment policy has led to 59% of adults on ART achieving viral suppression.