Zambia

Overview

In 2012, 81,727 HIV-positive women gave birth in Zambia. Of those, 76,963 received antiretroviral prophylaxis to ensure reduced risk of transmission to their children through pregnancy, delivery or breastfeeding. The mother-to-child HIV transmission rate was 15% in 2013, and there were 20,000 new HIV infections among women and 12,000 among children.
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Key Program Accomplishments

Since 2001, EGPAF-Zambia has:

Trained 150 adolescents on peer support and counseling and 40 community health volunteers on delivery of psychosocial support and health services for children

Tested over 28,000 adolescents aged 15-19 for HIV and identified 1,492 as HIV-positive, linking all to care and treatment

Reached 2,369 women with prevention of mother-to-child HIV transmission (PMTCT) services and 7,400 children under 5 years of age with early child development, malnutrition and opportunistic infection interventions

Our Work

In 2001, the Elizabeth Glaser Pediatric AIDS Foundation (EGPAF) began working in Zambia to enhance access to HIV care and treatment services for both adults and children. To achieve this, EGPAF partnered with several organizations including the Zambian Ministry of Health, the Center for Infectious Disease Research in Zambia (CIDRZ), the U.S. President’s Emergency Plan for AIDS Relief (PEPFAR), and the U.S. Centers for Disease Control and Prevention (CDC).

In 2016, the government of Zambia officially adopted the WHO test and start guidelines, revitalizing the approach to putting HIV positive people on treatment in the country. This approach is critical to helping achieve the UNAIDS global goal of 90-90-90 by 2020: i.e., 90 percent of all people living with HIV will know their HIV status; 90 percent of all people with diagnosed HIV infection will receive life-long antiretroviral therapy; and 90 percent of all people receiving antiretroviral therapy will have viral suppression. These targets aim to end the AIDS epidemic by 2030. EGPAF integrates the test and start approach, in line with the government of Zambia and international guidelines, across its current projects.

EGPAF-Zambia participates in several technical working groups at both the Ministry of Health and Ministry of Community Development Mother and Child Health (MCDMCH) including the PMTCT, pediatric and adult ART, quality improvement, and family planning working groups. EGPAF also supports the national pediatric HIV and the national quality improvement conferences, and provides support to the Ministry of Health and MCDMCH in the development of a national monitoring and evaluation framework for PMTCT (Option B+), family planning, and HIV integration programs. We have also developed national and site-level data collection tools and recommended indicator updates to national registers.

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