International AIDS Society


Anal Sex and HIV- an ignored tragedy, a case of Zambia

Zulu K.P.1

Objectives: To examine the extent of Men who have Sex with Men (MSM) and the frequency with which bisexuals engage in unprotected anal sex. Analyze factors propelling HIV transmission and assess vulnerability of MSM to HIV/AIDS in Zambia.
Methods: The study instrument was a questionnaire in which some answers were given orally and others in writing. The sample consisted of Males’ aged 15 to 35 in and out of school in six provinces of Zambia
Results: 50% reported having sex with both men and women in the last twelve months, 20% of these reported having had an STI, but blamed women for it. 37% reported having sex with men only. 73% said anal sex is safer than having vaginal sex with a woman. 80% of self identified MSM reported initiation through peers and by choice. 41% reported to be doing it for money. No MSM prevention or advocacy programs were reported. 94% did not use a condom at last anal sex. 90% to 94% do not know condoms are used in anal sex. Below 1% attempted to seek VCT services. Funds intended for MSM are used on other projects on the grounds that HIV is not considered to be an exclusively MSM problem in Zambia.
Conclusions: The analysis of data from the study suggests that sex between men exists and is at the core of HIV transmission in many Zambian contexts, with consequences for infections, subsequently transmitted heterosexually. While sex work is illegal in Zambia, a number of HIV prevention programs target female sex workers. On the flip side of these programs are MSM who enter the sex industry to survive. MSM numbers are small relative to the women involved in commercial sex work; male sex workers enter this work for similar reasons. Thus, the need for programs targeting MSM.

The 3rd IAS Conference on HIV Pathogenesis and Treatment
Abstract no. MoPe10.7P03

Suggested Citation
" Zulu K.P. Anal Sex and HIV- an ignored tragedy, a case of Zambia. Poster Exhibition: The 3rd IAS Conference on HIV Pathogenesis and Treatment: Abstract no. MoPe10.7P03"