Household survey of HIV-Prevalence and Behaviour in Chimanimani District, Zimbabwe, 2005

A baseline study

Implementation of the programmes intended to prevent mother-to-child transmission of HIV/AIDS (PMTCT) is a major challenge, particularly in developing countries. Despite the controversies about Nevirapine (NVP) resistance, safety and efficacy, it is still widely acclaimed and used in most resource-limited countries because it is affordable, easy-to-use and practical. This study identifies the gaps in NVP use for PMTCT in a rural setting, where almost 42% of pregnant women have no access to healthcare facilities and deliver at home, with the support of traditional birth assistants or family members. As a result, many rural HIV-positive pregnant women deliver without the opportunity of PMTCT therapy provided by ante-natal clinics.

This report forms part of a series that examines the work undertaken as part of the Kellogg OVC Intervention Project from 2002 to 2005

In this volume, experts including service providers, therapists, childrens advocates, and the research community summarise and evaluate the problem of the sexual abuse of prepubescent children in southern Africa. It is the first attempt to synthesise southern African research, treatment and policy literature on the topic. The book confronts the realities of sexual abuse, and its representation in the press. It presents the main findings concerning the individual, socio-economic and sociocultural correlates of sexual abuse, and covers legal and policy responses to the problem. It also presents accounts of interventions drawn from South Africa, Mozambique and Zimbabwe.

Social exclusion is a dynamic, multi-dimensional phenomenon. Driven by unequal power relationships, it works to exclude groups of people in particular contexts from engaging fully in community or social life. Many of South Africa's post-apartheid policies and programmes have been directed at correcting historical injustices responsible for social exclusion, yet inequalities remain rampant.