Zambia

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Helping Zambians lead healthier lives since 1999.

  • More than 480,000 Zambians learned their HIV status through Jhpiego-supported HIV testing services, and more than 560,000 adult males received safe, high-quality voluntary medical male circumcision services, thereby benefiting from this procedure’s protective effect against HIV.
  • Using Extension for Community Healthcare Outcomes (ECHO), a telementoring technology platform, Jhpiego improved the capacity of 2,960 health care workers in HIV service delivery.
  • Jhpiego has increased to 139 the number of HIV nurse practitioners in Zambia who prescribe antiretroviral therapy and manage people living with HIV.
  • In collaboration with the Defence Force of Zambia, Jhpiego has reached more than 5,700 clients from priority populations with evidence-based HIV prevention interventions.

 

 

Our Work in Zambia

With funding from the U.S. Department of Defense under their Department of Defense HIV/AIDS Prevention Program (DHAPP) and the U.S. President’s Emergency Plan for AIDS Relief (PEPFAR), Jhpiego is collaborating with the Defence Force of Zambia (DFZ) on two complementary projects. The first focuses on facility-based services and the other on community-based interventions:

  • DHAPP-DFZ Partnership for Sustainable HIV Epidemic Control: This four-year project supports HIV services in all 58 DFZ sites, with a focus on 25 priority sites. The project is: 1) increasing access to and uptake of evidence-based HIV prevention interventions to prevent new infections; 2) increasing access to and uptake of high-quality HIV testing services and linkage using targeted case finding; 3) increasing access to and retention in client-centered HIV care and treatment services; 4) increasing viral load testing coverage and viral suppression; and 5) strengthening DFZ capacity to implement and manage high-quality HIV services.
  • Military-Specific HIV/AIDS Prevention, Care and Treatment Program for PEPFAR: This three-year project supports the DFZ and DHAPP to reduce new HIV infections and other sexually transmitted infections among active members of the DFZ, their families and civilian communities served by the Zambian military. This is being achieved by scaling up HIV testing services and HIV care and treatment. The project is also improving case management of orphans and vulnerable children and survivors of gender-based violence, providing HIV prevention services for active military members and priority populations, strengthening DFZ capacity to implement and manage community HIV services, and increasing access to high-quality data for decision-making.

The Family Health and Nutrition Activity is a five-year project, funded by the U.S. Agency for International Development, for reproductive, maternal, newborn, child adolescent health and nutrition (RMNCAH&N) technical assistance. The goal of this activity is to strengthen the capacity of the Zambian public health system to sustainably deliver RMNCAH&N services through improved service-delivery capacity, strengthened health management and financial systems, and improved engagement of communities in health. This project works in tandem with a grant from the Swedish International Development Cooperation Agency to strengthen health services through the Government of the Republic of Zambia-led RMNCAH&N Continuum of Care Program. Other consortium partners include Churches Health Association of Zambia, Copper Rose Zambia, Johns Hopkins University International Vaccine Access Center and Bloomberg School of Public Health, the Manoff Group and Thinkwell.

The purpose of this PATH-led program, funded by the U.S. Agency for International Development, is to strengthen malaria prevention and case management activities at the health facility and community levels in Zambia. Jhpiego’s role is to: support effective implementation of facility-based malaria case management and malaria in pregnancy (MIP) activities, including the promotion of MIP services; ensure integration of case management and effective distribution of insecticide-treated bed net in MIP activities; and provide technical and programmatic support to effective facility case management.

This multi-country project—funded by Gavi, the Vaccine Alliance—targets several African countries. The overarching project goal is to support Ministries of Health with their national vaccination rollout, contributing to the elimination of cervical cancer in the targeted countries by achieving an equitable coverage rate of at least 70% among eligible girls by 2030. To reach this goal, Jhpiego is linking secondary prevention of cervical cancer (i.e., screening for cervical cancer) to primary prevention efforts (i.e., HPV vaccination)—and vice versa. To achieve equitable coverage, Jhpiego is using a multipronged approach to reach in- and out-of-school girls through activities such as school-based campaigns and community-based campaigns to reach out-of-school youth. This multipronged approach focuses on four areas: 1) community engagement with stakeholders and beneficiaries for social mobilization; 2) capacity development of health care providers; 3) vaccination integration into existing programs for adolescent/school health; and 4) ensuring high-quality HPV vaccination services.

The Health Workforce for the 21st Century Project (HW21) is a multi-country initiative funded by the U.S. Health Resources and Systems Administration under the U.S. President’s Emergency Plan for AIDS Relief. HW21 supports country-level programs to address key human resources for health system barriers to achieving 95-95-95 goals (i.e., 90% of people living with HIV knowing their HIV status, 90% of people who know their status on treatment, and 90% of people on treatment with suppressed viral loads). This support is provided through technical and implementation assistance as well as research, analysis and sharing of results to inform program implementation. In Zambia, Jhpiego has supported the Ministry of Health to expand the Extension for Community Healthcare Outcomes (ECHO) telementoring platform to 260 sites nationwide, providing  a valuable resource during the COVID-19 pandemic to allow the Ministry to continue capacity-building efforts and disseminate COVID-19 case management protocols.