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More than a third of women who have been married have experienced physical or sexual violence from their partner. In terms of broader reproductive health, Zimbabwe fares better. Zimbabwe has the lowest reported unmet need for family planning among married women in sub-Saharan Africa Among young women, HIV prevalence increases with age, with 2. Among young men, HIV prevalence holds steady at around 2.
BBC NEWS | Africa | HIV-positive Zimbabweans find love
This 'sugar-daddy' culture can contribute to an elevated risk of HIV for young women as they are exposed to older men who may be more likely to have HIV, or who hold the power in the relationship and determine condom use. More than half of all sex workers in Zimbabwe are living with HIV. The most recent data in recorded prevalence of Despite this, some progress is being made; the number of sex workers reached with HIV prevention programmes in Zimbabwe has more than doubled in recent years, from 7, in to 16, in Sex work is illegal in the country, with police often using their powers to intimidate, arrest and harass sex workers.
In addition, the possession of condoms is used as proof of sex work, with many sex workers reporting being arrested due to their work, or having their condoms confiscated.
HIV Positive Zimbabweans Make Love Connections
This hampers sex workers' ability to negotiate condom use with clients, heightening their risk of HIV. So cops are finding it hard to arrest us. Sex workers, and the organisations representing them, have minimal involvement in the Zimbabwean response to HIV. This marginalises them and prevents them from accessing services. Better inclusion of sex worker-led groups in HIV prevention initiatives would help improve the health of sex workers and the population as a whole.
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Homosexual acts are illegal in Zimbabwe for men who have sex with men sometimes referred to as MSM , but legal for women who have sex with women. As a consequence of this punitive law, national statistics are rarely available. Criminalising men who have sex with men drives this vulnerable group away from HIV services. As a result, many do not know their HIV status, let alone access treatment. Many are routinely punished and shutdown or have their members arrested.
Government restrictions mean this has not materialised. The number of HIV tests carried out in Zimbabwe has increased from It is thought that masculinity norms in Zimbabwe inhibit men from getting tested and engaging in treatment. Another way to increase testing, particularly among hard-to-reach groups, is self-testing. In the first year, nearly , free HIV self-test kits were distributed in 27 districts in Malawi, Zambia and Zimbabwe.
Results suggest self-testing is enabling more young people aged 16—24 years and men to be aware of their HIV status. The number of people aquiring HIV each year is falling in Zimbabwe, although levels are still relatively high. In , there were 41, new infections, compared to 73, in This approach remains in place and includes prevention of mother-to-child transmission, voluntary medical male circumcision, behaviour change communication, condom programming and STI management.