Behaviour Change Communication/Social Marketing in HIV, AIDS

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questions from youth on social issues like dating, friendship, love and sex, Zambia. A local response to HIV/AIDS means the involvement of people where they.

Help us continue to fight human rights abuses. Please give now to support our work. It is addressing a range of obstacles to treatment and receiving substantial donor support to overcome them. However, women’s unequal status in Zambian society gravely undermines their ability to access and adhere to antiretroviral treatment ART , and the government is paying little if any attention to the gender dimension of treatment, especially the impact of entrenched discrimination and gender-based violence and abuse.

Women in Zambia report that gender-based human rights abuses are, in fact, very real barriers to accessing and adhering to treatment. HIV programs, activists, and policy makers are increasingly recognizing that discrimination and violence against women must be addressed if the world is to combat the AIDS pandemic. But treatment policies and programs still tend to ignore the connection between domestic violence or women’s insecure property rights and their ability to seek, access, and adhere to HIV treatment.

This must change if HIV treatment is to be provided equitably and to succeed in saving women’s lives. Human Rights Watch investigated the negative impact of gender-based human rights abuses on women’s access and adherence to HIV treatment in two provinces in Zambia, Lusaka and the Copperbelt, in and Women there told Human Rights Watch how beatings and rapes by their intimate partners, emotional and verbal abuse, loss of property upon divorce or death of a spouse, and fear of such abuses affected their access and adherence to HIV treatment.

The abuses thwarted their ability to seek HIV information and testing, discouraged them from disclosing their HIV status to partners, delayed their pursuit of treatment, and hampered their ability to adhere to HIV treatment regimens.

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Incomes for Zambian locals are not very high, and the impact of HIV/AIDS and the traditional view of supporting extended family mean that most Zambians need.

Health Syst Policy Res Vol. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. It explains the various Behavior Change Communication BCC movements through mass media which has become very effective in creating awareness and positive change of behavior to a large population over a short period of time.

Materials were collected by a systematic search of the databases and the websites of national and international agencies. The risk behaviors of getting HIV such as sharing needles, unprotected sex with multiple partners and sex workers increases the risk of HIV infection which can be prevented through different interventions that motivate individuals and communities to make appropriate choices about HIV prevention and care.

As mass media campaigns are highly expensive, active participation of community, several stake holders, policy makers and a strong political and government leadership is adamant for the intervention to be both effective and sustainable on along term. Social marketing in this present era is found to add further impetus in creating mass awareness in a population. This includes awareness of the population to practice use of safe behavior including use of contraceptives, and awareness of the importance of antiretroviral therapy which is provided free of cost through the public sector.

Behavior Change Communication BCC campaigns through mass media can be a very effective tool to reach out to a large affected population over a short period of time [ 1 ]. The ability to use various methods of media and campaigns to ensure that the messages are culturally and individually acceptable presents it with an added benefit in raising awareness.

Nevertheless, as media campaigns alone have shown to be very less effective, as many studies have indicated, social marketing provides an additional benefit and better result.

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I am meeting someone for the first time and I want to make a good impression. What would be good discussion topics? The most important thing to understand about Zambians is probably the devotion to “belonging”. Zambians have been trained early on in their lives to consider themselves as belonging to a clan or as members of a close-knit group, nation, or other collectivity.

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Either your web browser doesn’t support Javascript or it is currently turned off. In the latter case, please turn on Javascript support in your web browser and reload this page. Epidemiology Cambridge, Mass. Free to read. Investigations of the association of combination antiretroviral therapy ART with pregnancy outcomes often rely on routinely collected clinical data, which are prone to missing data and measurement error.

Measurement error in gestational age may bias the relationship between combination ART and gestational age-based outcomes. We demonstrate the use of multiple overimputation to address missing data and measurement error in gestational age. Using routinely collected clinical data from public health facilities in Lusaka, Zambia, we multiply imputed missing data and multiply overimputed observed values of gestational age.

Poisson models with robust variance estimators were used to estimate risk ratios RRs for the associations of duration of combination ART with small for gestational age SGA and preterm birth. We compared results from a complete-case analysis, using multiple imputation to address missing data only, and using multiple overimputation to address missing data and measurement error. In the complete-case analysis, there was no evidence of an association between duration of combination ART and SGA or preterm birth.

For preterm birth, RRs for weeks of combination ART moved away from the null as the variance due to measurement error increased.

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maternal HIV serostatus and plasma viral load (VL) are associated with midtrimester cervical length (CL). Methods The Zambian Preterm.

To characterize prenatal and delivery care in an urban African setting. The Zambia Electronic Perinatal Record System ZEPRS was implemented to record demographic characteristics, past medical and obstetric history, prenatal care, and delivery and newborn care for pregnant women across 25 facilities in the Lusaka public health sector. Median gestation age at first prenatal visit was 23 weeks interquartile range [IQR] 19— The median gestational age was 38 weeks IQR 35—40 at delivery; the median birth weight of newborns was g IQR — g.

The results demonstrate the feasibility of using a comprehensive electronic medical record in an urban African setting, and highlight its important role in ongoing efforts to improve clinical care. Pregnancy, delivery, and the early postpartum period are associated with high health risks for many women in low-income countries [ 1 ]. Perinatal audit—the cyclic process in which causes of adverse outcomes are identified and targeted interventions are implemented to address them—has been shown to improve outcomes across various settings, including those in Sub-Saharan Africa [ 2 , 3 ].

Although favorable outcomes have been achieved with only modest investments in auditing systems e. In many African settings, for example, patients carry their own medical records—an arrangement that challenges the reliable measurement of facility-based outcomes. At the facility level, visits are often documented only via registers, which can be burdensome to review systematically and might contain only basic medical information [ 4 ].

The data collation process can also be inaccurate and misrepresent actual site performance [ 5 ]. In these situations, the use of electronic medical records EMRs holds promise [ 6 , 7 ].

HIV testing and treatment made compulsory in Zambia