This publication presents the results of the three principal and complimentary research projects: the findings of the pilot project in Zambia in 2003; the key findings of the South African study (2005); and the preliminary findings of the multi-country study of six African countries - Namibia Malawi Zambia Tanzania Botswana and Senegal. The study emphasises that HIV/AIDS is - beyond a health crisis - a pandemic that encompasses all spheres of life with devastating implications for political legitimacy stability and development in the new democracies in Africa today.