Zimbabwe

Overview

Zimbabwe is one of the countries hardest hit by AIDS in sub-Saharan Africa. Nearly 1.3 million people are living with HIV in Zimbabwe – 77,000 of these individuals are children under the age of 15.
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Key Program Accomplishments

Since 2001, EGPAF-Zimbabwe has:

Reached over 3.4 million pregnant women in antenatal care

Provided HIV testing to over 2,500 HIV-exposed infants before two months of life

Ensured over 80,000 babies were born HIV-free

Our Work

The Elizabeth Glaser Pediatric AIDS Foundation (EGPAF) in Zimbabwe brings both clinical HIV expertise and a focus on strengthening data quality and health systems to address the HIV and AIDS epidemic in-country. Since 2001, EGPAF has been a lead partner to Zimbabwe’s Ministry of Health and Child Care, supporting the national prevention of mother-to-child transmission of HIV (PMTCT) and pediatric HIV care and treatment programs. In 2011, the Ministry of Health and Child Care made elimination of pediatric HIV and AIDS a national goal and renewed commitment to decrease the rate of new HIV infections among children to 5% by 2015. The Government of Zimbabwe adopted the World Health Organization 2015/2016 antiretroviral therapy guidelines, recommending Treatment for All to increase access to services in an effort to control the HIV epidemic by 2020 and end AIDS by 2030.

EGPAF-Zimbabwe has helped the country work toward its goal of near elimination of new pediatric HIV infections by supporting PMTCT and pediatric programs at the facility, district, provincial, and national level with a primary focus on improving the quality of HIV services in Zimbabwe. We focus on four major strategic goals: 1) Support the expansion of high quality, integrated, and sustainable HIV services to end new HIV infections in children and keep mothers and families affected by HIV healthy, 2) Advance research and strategic information and evaluation to generate evidence to prevent, treat, and end pediatric AIDS, 3) Advocate for optimal policies, practices, and resources to achieve and sustain an end to pediatric AIDS and 4) Enhance and sustain the organization’s capacity to operate in a highly effective, accountable, and efficient manner acting with integrity in all aspects of its work.

In addition to direct health service delivery support, EGPAF-Zimbabwe advocates for policy development aligned with local community needs focusing on PMTCT, the scale-up of early infant HIV diagnosis (EID), and the specific needs of HIV-positive children and adolescents. We also engage in operations research, which aims to increase access and use of the most effective HIV and AIDS services. Our research has, to date, focused on acceptability of lifelong antiretroviral therapy among HIV-positive pregnant and breastfeeding women; result turnaround time for early infant diagnosis (EID); health worker capacity to manage patients; use and acceptability of recently-adopted client tracking tools (to ensure better retention of clients on treatment); and effects of community-based interventions on increased demand for, access to, and retention in maternal, newborn, and child health (MNCH) and PMTCT services.

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