In the context of the HIV/AIDS pandemic, is there still a need for family planning? As government and donor resources in Africa shift increasingly to support AIDS programs, the answer to this question is crucial. The objective of this study was to document the status and trends in Zambia’s family planning (FP) program in the context of high prevalence of HIV/AIDS. A similar study was conducted in Kenya. This qualitative research study used focus group discussions (FGDs) to examine the views of 215 service providers, HIV-positive (HIV+) women, and FP/antenatal care (ANC) clients on the need for family planning within the context of the HIV epidemic. The study was conducted in Lusaka, Livingstone, Kitwe, and Kabwe in 2003.