Zambia

The U.S. President’s Emergency Plan for AIDS Relief, has delivered remarkable lifesaving results, with several countries approaching UNAIDS 95-95-95 goals for HIV epidemic control. As countries like Zambia come closer to their targets, challenges to close the remaining gaps and cross the “last mile” become more difficult, requiring innovative, targeted approaches to ensure equity and extend services to the hardest-to reach populations and underserved areas. Global Reach II is a five-year project that supports the delivery of effective solutions to address these challenges in country-level HIV responses, adapting to the country contexts. Funded through the U.S. Health Resources and Services Administration (HRSA), Jhpiego leads the project with the following partners: University of California San Francisco, International Treatment Preparedness Coalition, Project ECHO, African Forum for Research and Education in Health (AFREhealth), Johns Hopkins University Center for Global Health and Ata Health Strategies.

In Zambia, the project is working with the Ministry of Health and Project ECHO on: 1) integrating and maintaining a functional human resources information system for facility and community-based health workers; 2) increasing capacities of and numbers of HIV nurse practitioners to prescribe antiretroviral therapy for HIV clients and manage their care through training and clinical mentorship for quality service delivery; and 3) providing targeted technical assistance to expand ECHO tele-mentoring sites to reach rural health facilities and integrate quality improvement-focused learning for facilities.

Moving Integrated, Quality Maternal, Newborn and Child Health and Family Planning and Reproductive Health Services to Scale (MOMENTUM) is a suite of projects, funded by the U.S. Agency for International Development, that aims to accelerate reductions in maternal, newborn and child mortality and morbidity in high-burden countries by increasing host country commitment and capacity to provide high-quality, integrated health care. Each of the projects has a specific focus area; together they provide a comprehensive, flexible package of support for countries as they overcome context-specific health challenges towards sustainable development. The five-year, Jhpiego-led MOMENTUM Country and Global Leadership project focuses on: 1) providing targeted technical and capacity development assistance to our missions, partner countries and local organizations; and 2) contributing to global technical leadership and policy dialogue for improved maternal, newborn and child health, voluntary family planning and reproductive health outcomes. Jhpiego’s 12 sub-partners under this project are: Save the Children, Johns Hopkins University International Vaccine Access Center, Quicksand, Matchboxology, BAO Systems, Avenir Health, McKinsey and Company, PACT, Institute for Healthcare Improvement, Christian Connections for International Health and Ubora Quality Institute.