PACT
The Social and Behavioral Change Communication (SBCC) Strategy for the USAID Zambia Community HIV Prevention Project (USAID/Z-CHPP) aims to reduce the spread of HIV among priority populations in Zambia.
2017 · 28 pages

Abstract
The strategy focuses on adolescent girls and young women, young women, people living with HIV, serodiscordant couples, and mobile workers. Adolescent girls and young women aged 10-14 years old are identified as a priority population due to their high risk of HIV infection. Key risk behaviors include early initiation of sex, multiple sexual partners, and lack of condom use. Priority positive health behaviors include delayed initiation of sex, abstinence, and consistent condom use. The strategy aims to increase the proportion of adolescent girls and young women who delay initiation of sex and use condoms consistently. Adolescent girls and young women aged 15-19 years old are also a priority population. Key risk behaviors include multiple sexual partners, lack of condom use, and transactional sex. Priority positive health behaviors include consistent condom use, delayed initiation of sex, and abstinence. The strategy aims to increase the proportion of adolescent girls and young women who use condoms consistently and delay initiation of sex. Young women aged 20-24 years old are another priority population. Key risk behaviors include multiple sexual partners, lack of condom use, and transactional sex. Priority positive health behaviors include consistent condom use, delayed initiation of sex, and abstinence. The strategy aims to increase the proportion of young women who use condoms consistently and delay initiation of sex. People living with HIV are also a priority population. Key risk behaviors include stigma and discrimination, lack of antiretroviral therapy (ART) adherence, and transmission of HIV to sexual partners. Priority positive health behaviors include ART adherence, disclosure of HIV status, and safe sex practices. The strategy aims to increase the proportion of people living with HIV who adhere to ART and disclose their HIV status. Serodiscordant couples, where one partner is HIV-positive and the other is HIV-negative, are also a priority population. Key risk behaviors include transmission of HIV from the HIV-positive partner to the HIV-negative partner. Priority positive health behaviors include consistent condom use, ART adherence, and safe sex practices. The strategy aims to increase the proportion of serodiscordant couples who use condoms consistently and adhere to ART. Mobile workers, including miners, sugar cane cutters, migrant farm laborers, truck drivers, fishers, and cross-border traders, are also a priority population. Key risk behaviors include multiple sexual partners, lack of condom use, and transactional sex. Priority positive health behaviors include consistent condom use, delayed initiation of sex, and abstinence. The strategy aims to increase the proportion of mobile workers who use condoms consistently and delay initiation of sex. The strategy will be implemented through a range of channels, including community-based organizations, non-governmental organizations, and the media. Influencers, including community leaders, peer educators, and opinion leaders, will be engaged to promote the strategy's messages. The strategy will be monitored and evaluated through the Performance Monitoring and Evaluation Plan (PMEP), which will track progress towards the strategy's objectives.
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Classification
USAID DEC