In Zambia, the prevalence of HIV is estimated at 16 percent among 15–49-year-olds. This brief presents findings from an operations research study to access the outcomes of the Antiretroviral Community Education and Referral (ACER) project in two urban areas in Zambia—Lusaka and Ndola. The ACER project was implemented by the International HIV/AIDS Alliance, based in England, and the Alliance’s Zambia office, in conjunction with local Zambian partners. Launched in mid-2004, the two-year project built on previous formative research that examined knowledge and attitudes about prevention and treatment. The research was conducted by the Institute of Economic and Social Research in Zambia and the Horizons Program. The study documents many positive trends among people on ART and community members in the research sites, including increased knowledge about HIV prevention and ART, greater uptake of HIV testing, increased use of peer networks as an information source, and reduced stigma. Despite these improvements, there were few statistically significant differences between the intervention and comparison sites.
Samuels, Fiona, Joseph Simbaya, Avina Sarna, Scott Geibel, Phillimon Ndubani, and Jolly Kamwanga. 2008. "Engaging communities in supporting HIV prevention and adherence to antiretroviral therapy in Zambia," Horizons Research Summary. Washington, DC: Population Council.