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<p>Since the nineteen-eighties, HIV prevention programs around the world have continuously expanded in attempts to  meet challenges in the fight against HIV/AIDS. These programs are generally based on primary prevention, which  uses Information Education and Communication (IEC) to modify individual behavior. In Africa, as in many  underdeveloped countries, various country-specific studies report that a majority of the population is knowledgeable  about HIV/AIDS, and how to prevent transmission. Yet while studies show a relatively strong link between education  and behavior modification in developed countries, that link appears to be much weaker in less developed regions,  including Africa. The literature identifies social and economic factors, especially gender inequalities and poverty, as  significant obstacles to behavior change. This thesis assesses the impact of these factors in the Copperbelt region in  Zambia, finding significant evidence that both social and economic factors operate as fundamental obstacles to  behavior change. These findings suggest that HIV interventions need to go beyond IEC to deal with broader  community development challenges. Gender imbalances play a particularly large role, and the findings suggest a  desperate need for gender specific interventions targeting men.
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<br>Subjects: Sex customs; Diseases; Interpersonal relations; Prostitution</div>
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Nyerges, Jana Ramona Alley</div>
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