Jennifer Mary Yourkavitch, MPH and Dickson Tsamwa. Project Concern International, 1016 South Carolina Ave. SE, Washington, DC 20003, 202-341-9409, jennifer@jenniferandrobert.net

The purpose of this work is to describe the affects of stigma on perceptions and use of HIV/AIDS services. This research adds to the growing body of knowledge about HIV/AIDS stigma and informs Project Concern International’s HIV/AIDS work in Nchelenge District, Zambia. Data were collected using focus group discussions with men, women, and traditional birth attendants, and a knowledge, practice and coverage (KPC) survey with mothers of children <2. The KPC survey was conducted by random sample, while the focus group discussion were conducted using qualitative research methods, with a guide adapted from similar research conducted elsewhere in Zambia.

Results indicate good knowledge of HIV/AIDS service availability (voluntary counseling and testing (VCT), home-based care, and general counseling), although data show little indication of knowledge of risk reduction behaviors or one’s ability to protect oneself. In general, a person living with HIV/AIDS is blamed for the condition, although the family will continue to care for the individual until death. Usually, a person will not disclose HIV status. If one discloses, it is to parents or siblings, not to partner or spouse. People will seek care for illness, but will not go for VCT. Recommendations include better community education about VCT with positive, high-profile testimonials to the benefits of the service. Maintain high quality services to motivate the community to use them. Regular community discussions facilitated by local leaders can raise awareness and help to “normalize” HIV/AIDS.

Learning Objectives: