Zambia

Population:11,862,740
Land Mass:752,614 sq km
Location: Southern Africa
GDP Per Capita: $1,500
Adult HIV/AIDS Prevalence Rate: 15.2%
Number of People Living with HIV/AIDS: 1,100,000

Why study aid effectiveness in Zambia?

The performance in Zambia of PEPFAR, the Global Fund, and the World Bank's MAP is notable both for the size of the programs and also for their innovation. PEPFAR is the largest donor in the country with an FY2008 allocation of $269 million, or more than $22 per capita. The sheer size of PEPFAR, and the model it uses to disburse its funding, has fueled a debate about different donor approaches and the national response to HIV/AIDS.

The Global Fund in Zambia is unique because it works though four principle recipients--two government ministries and two Zambian non-governmental networks. This model was developed at the insistence of the Zambians, and has come to be perceived as a great success. Likewise, the World Bank MAP program in Zambia is distinctive as all activities are encompassed in a stand-alone program called Zambian National AIDS response, or Zanara, which is located within the Ministry of Finance. A large portion of the program is directed at the community level response, and supports community-based organizations and community and district governance structures directly. The juxtaposition of these large and innovative programs provides a unique opportunity to study different dynamics of the funding mechanisms and facilitates rich cross-country comparisons.

Local Research Partner: Health Economics Research and Training Programme, University of Zambia

The Health Economics Research and Training Programme (HERTP) is a unit within the economics department at the University of Zambia. For more than 10 years, HERTP has focused on policy-oriented research including studies on cost effectiveness, health systems, and user fees in the health sector. HERTP has produced biannual studies for the MOH on National Health Accounts, with the 2006 study featuring an HIV/AIDS sub-analysis. The programme is now collaborating with the Health Economics and HIV/AIDS Research Division in South Africa on a three-country study about the degree to which HIV/AIDS programs are integrated with or parallel to public health systems. Caesar Cheelo, a lecturer in the economics department and Principal Investigator for the HIV/AIDS Monitor Project, coordinates the program.

For more information:

• The World Bank MAP in Zambia
• The Global Fund in Zambia
• PEPFAR in Zambia

HIV/AIDS Monitor