Gertrude Sakala holds her three-year-old daughter. Sakala says she had to quit her job in order to continue exclusively breastfeeding. But in Zambia, a mother who refuses replacement options is often assumed to be HIV-positive. Whether accurate or not, that assumption comes alongside a serious stigma, which new mothers say complicates life in a time when they need support, not judgment. Gertrude Sakala says she discovered that she was HIV-positive when she gave birth to her second child three years ago. Doctors advised her to breastfeed exclusively, she says, so she quit her job in order to do so.
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HIV/AIDS in Zambia - Wikipedia
Unmet need for family planning is high in sub-Saharan Africa and preventing unintended pregnancies is a priority for maternal health and eliminating vertical transmission. S Okawa presented findings from a study conducted to assess unintended pregnancies and contraceptive use in HIV-positive pregnant women, and to look at the associated factors in rural Zambia. Data was collected through face-to-face interviews in which participants were asked about their background characteristics, pregnancy intention, contraceptive use, and reasons for not using contraceptives. About a third had HIV-positive partners and just under half had partners in permanent employment. The majority Reasons for not using contraception are listed in Table 1. In multivariate analysis, unintended pregnancy was associated with mother older than 30 years AOR 1.
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It is transmitted through sex, intravenous drug use and mother-to-child transmission. It was prevalent more in urban areas compared to rural and among all provinces, Copperbelt Province and Lusaka Province had higher occurrence. The government of Zambia created an AIDS surveillance committee as early as , and created an emergency plan to control the spread by By , the government made antiretroviral therapy free for every individual. There is no risk of acquiring HIV if exposed to feces , Nasal secretions , saliva, sputum , sweat, tears, urine, or vomit unless these are contaminated with blood.