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Strengthening HIV-related interventions in Zambia: co-operation in research and institution capacity building

Research area(s):
Community approaches - General social/cultural
Community approaches -Prevention
Epidemiological approaches - Behavioural
Epidemiological approaches - Estimation/trends
Impact - Demographic

Project start:
01.05.2002

Project end:
31.12.2011

Co-ordinators:
Fylkesnes, Knut
Michelo, Charles

Institutions:
Central Statistical Office, Lusaka, Zambia,
Centre for International Health, University of Bergen
Department of Community Medicine, School of Medicine, University of Zambia

Funding source(s):
NUFU (The Norwegian Council for Higher Education’s Programme for Development Research and Education),

Project description:

To strengthen HIV-related preventive, support and care interventions in Zambia through the generation of knowledge bases of strategic importance, significant expansion of Zambian research capacity, and the promotion of close links between research institutions and policy/operational levels.

The severity of the HIV pandemic in an increasing number of developing countries, in particular in sub-Saharan Africa, calls for strong and resolute responses. This programme has been developed as a response to the urgent need to strengthen HIV-related research and institution capacity in countries severely affected. Cooperation in research and capacity building will be established between the University of Zambia and several other Zambian institutions, and the University of Bergen. The overall objective is to assist in the generation of knowledge bases of strategic importance for more effective preventive/care interventions. The programme will promote close co-ordination of research institutions with the policy and operational levels and needs to involve multiple partners and to be interdisciplinary.

In Zambia the National Epidemiological HIV Surveillance and Research System has been identified as the core research project, i.e. established as part of the National AIDS Programme involving Zambian institutions, with scientific contribution from Norway and financially supported by NORAD and SIDA. Significant expansion of capacity is critical to sustain and further develop the system, and it will be complemented by research projects employing a diversity of methods.


Main research areas
- Understanding dynamics and trends in transmission (HIV/STI), risk exposure, impacts - and links to preventive interventions.
- Young people and HIV.
- Prevention of mother-to-child transmission of HIV (PMTCT).
- Miscellaneous research topics based on population-based surveys (e.g. Acceptability of voluntary HIV counselling and testing (VCT), The impact of HIV on health services use, mental distress and self-rated health, The impact of HIV on fertility


Research training
In 2005, 3 PhDs (involved in doctoral projects) and 5 in Master programmes, 1 graduated from the Master programme

Countries:
Norway
Zambia

Publications:
Michelo V, Sandøy I, Dzekedzeke K, Siziya S, Fylkesnes K. Steep HIV prevalence declines among young people in selected Zambian communities (1995-2003). BMC Public Health 2006, 6:279.
Sandøy IF, Kvåle G, Michelo C, Fylkesnes K. Antenatal clinic-based HIV prevalence in Zambia: Declining trends but sharp local contrasts in young women. Tropical Medicine and International Health 2006, 11:917-928.
Dzekedzeke K, Fylkesnes K. Reducing uncertainties in global HIV prevalence estimates: the case of Zambia. BMC Public Health. 2006 Apr 2;6(1):83 [Epub ahead of print]
Sandøy IF, Michelo C, Siziya S, Fylkesnes K. Associations between sexual behaviour change in young people and decline in HIV prevalence. BMC Public Health 2007, 7:60 doi:10.1186/1471-2458-7-60
Seter Siziya and Knut Fylkesnes. Impact of HIV infection on self-rated health in a high-prevalence population with low awareness of own HIV status. Norsk Epidemiologi 2005; 15 (2): 165-173 165
Michelo C, Sandøy IF, Fylkesnes K. Marked HIV prevalence declines in higher educated young people: evidence from population-based surveys (1995-2003) in Zambia. AIDS 2006, 20:1031-1038.
Siziya S & Fylkesnes K . Impact of HIV infection on self-rated health in a high-prevalence population with low awareness of own HIV status
Fabiani M, Fylkesnes K, Nattabi B, Ayella EO, Declich S (2003). Evaluating two adjustment methods to extrapolate HIV prevalence from pregnant women to the general female population in sub-Saharan Africa. AIDS 2003, 17:399-405.
Fylkesnes K. Consent for HIV counselling and testing. Lancet. 2000, 356 Suppl:s43.
The war against AIDS: documentary film from Zambia
Fylkesnes K, Musonda R, Sichone M, Ndhlovu Z, Tembo F, Monze M. Declining HIV prevalence and risk behaviours in Zambia: evidence from surveillance and population-based surveys. AIDS 2001, 15:907-916.
Fylkesnes K & Siziya S (2004): A randomized trial on acceptability of voluntary HIV counselling and testing. Tropical Medicine and International Health, 9:566-572


2005 (C) HRN
Updated by Hiv Research Net on 2007-06-06 at 11:04

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