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Zambia Demographic and Health Survey 2001-2002 - Measure DHS

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Table 13.5 Discussion of HIV/AIDS with partnerPercent distribution of currently married women <strong>and</strong> men by whether they ever discussed HIV/AIDS prevention with theirspouse/partner, according to background characteristics, <strong>Zambia</strong> <strong>2001</strong>-<strong>2002</strong>––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––WomenMen––––––––––––––––––––––––––––––––––––––––––––––– –––––––––––––––––––––––––––––––––––––––––––––––Ever Never Has not Ever Never Has notdiscussed discussed Don't heard Number discussed discussed Don't heard NumberBackground HIV/AIDS HIV/AIDS know/ of of HIV/AIDS HIV/AIDS know/ of ofcharacteristic prevention prevention missing AIDS Total women prevention prevention missing AIDS Total men––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––Age15-19 50.1 48.6 0.3 0.9 100.0 438 49.0 34.3 0.0 16.7 100.0 720-24 61.9 37.5 0.1 0.5 100.0 1,086 78.0 22.0 0.0 0.0 100.0 9125-29 70.4 29.0 0.2 0.4 100.0 1,056 87.0 13.0 0.0 0.0 100.0 27230-39 75.6 24.2 0.1 0.1 100.0 1,347 89.0 10.8 0.0 0.2 100.0 45540-49 67.8 31.4 0.0 0.8 100.0 767 88.4 11.2 0.5 0.0 100.0 26450-59 na na na na na na 86.9 12.1 0.0 1.6 100.0 160ResidenceUrban 76.6 23.0 0.2 0.3 100.0 1,662 89.5 10.2 0.3 0.0 100.0 443Rural 62.7 36.7 0.1 0.5 100.0 3,032 85.8 13.7 0.0 0.5 100.0 805ProvinceCentral 60.4 39.2 0.0 0.4 100.0 346 96.4 3.6 0.0 0.0 100.0 82Copperbelt 79.1 20.4 0.2 0.4 100.0 871 91.4 7.9 0.0 0.7 100.0 235Eastern 70.4 29.3 0.2 0.2 100.0 644 87.5 12.5 0.0 0.0 100.0 184Luapula 64.7 35.1 0.0 0.2 100.0 399 86.2 13.0 0.0 0.8 100.0 113Lusaka 73.4 26.4 0.2 0.0 100.0 640 85.6 13.6 0.8 0.0 100.0 173Northern 65.4 33.7 0.1 0.8 100.0 678 87.0 13.0 0.0 0.0 100.0 178North-Western 78.9 20.6 0.4 0.2 100.0 215 90.3 9.7 0.0 0.0 100.0 52Southern 55.8 43.9 0.0 0.2 100.0 532 78.0 21.3 0.0 0.8 100.0 144Western 50.4 47.9 0.0 1.7 100.0 369 83.7 16.2 0.0 0.0 100.0 86EducationNo education 49.3 48.8 0.3 1.5 100.0 663 78.7 20.0 0.0 1.3 100.0 73Primary 66.2 33.4 0.1 0.3 100.0 2,905 83.7 15.6 0.2 0.4 100.0 642Secondary 81.1 18.7 0.2 0.0 100.0 1,006 92.5 7.5 0.0 0.0 100.0 431Higher 90.3 9.7 0.0 0.0 100.0 120 92.0 8.0 0.0 0.0 100.0 102Total 67.6 31.8 0.1 0.4 100.0 4,694 87.1 12.5 0.1 0.3 100.0 1,248––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––na = Not applicableA provincial comparison shows that Copperbelt <strong>and</strong> North-Western have the largest proportion ofwomen who report ever discussing HIV prevention with their partners (79 percent), while Western provincehas the lowest with 50 percent. These proportions are higher for men <strong>and</strong> range from 78 percent inSouthern province to 96 percent in Central province.13.4.2 Stigma Associated with HIV/AIDSResults of the survey indicate that social stigma is a major social, health, <strong>and</strong> economic challenge.People living with AIDS are stigmatised <strong>and</strong> experience discrimination. This is in part due to beliefs thatHIV/AIDS is associated with illicit sex. Some of the adverse consequences of such stigma include delaysin seeking health care <strong>and</strong> negligence by communities in responding to the HIV epidemic <strong>and</strong> workingtoward its prevention. Discrimination in the workplace against those infected with HIV is a human rightsabuse <strong>and</strong> has the potential to further weaken the <strong>Zambia</strong>n workforce.To assess whether society has accepted people living with HIV/AIDS, Z<strong>DHS</strong> respondents wereasked four questions related to stigma, namely: if a family member became HIV-positive, whether theywould want it to remain a secret; whether they would be willing to care for a relative who is sick withAIDS/HIV/STI-Related Knowledge <strong>and</strong> Behaviour | 201

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