$41,348,343

SUSTAINING THE CAPACITY OF PROVINCIAL HEALTH OFFICES TO COORDINATE AND PROVIDE QUALITY, COMPREHENSIVE AND SUSTAINABLE HIV/AIDS PREVENTION, CARE AND TREATMENT SERVICES IN ZAMBIA UNDER PEPFAR - THE MINISTRY OF HEALTH HAS INCLUDED HIV/AIDS AS ONE OF ITS GOALS. IT AIMS TO ACHIEVE HIV EPIDEMIC CONTROL, BY REDUCING NEW HIV INFECTIONS AND AIDS RELATED MORTALITY BY 75% (ZAMBIA NATIONAL HEALTH STRATEGIC PLAN). HIV MODELS SUGGEST THAT THE NUMBER OF NEW HIV INFECTIONS IN ZAMBIA STILL EXCEEDS THE NUMBER OF DEATHS AMONGST PLHIV. THE HIV PREVALENCE RATE AMONG WOMEN AND MEN AGED 15-49 IN ZAMBIA IS 11.1%; THE PREVALENCE IS HIGHER AMONG WOMEN THAN MEN AT 14.2% AND 7.5% RESPECTIVELY (ZDHS, 2018). ACCORDING TO ZDHS 2018, THE HIV PREVALENCE RATE FOR SOUTHERN PROVINCE IS 12.4% WHICH IS ABOVE THE NATIONAL HIV PREVALENCE RATE. SPHO IMPLEMENTS A COMBINATION OF HIV PREVENTION INTERVENTIONS, TARGETING HIV NEGATIVE MEN AND WOMEN, ADOLESCENT GIRLS AND YOUNG WOMEN (AGYW), PREGNANT AND BREASTFEEDING WOMEN (PBFW), KEY AND VULNERABLE POPULATIONS (KVPS) AS WELL AS OTHER POPULATIONS AT HIGH RISK OF HIV ACQUISITION. SPHO HAS ADOPTED A DECENTRALIZED APPROACH TO POST GBV CARE. CURRENTLY SPHO IS PROVIDING ROUTINE HIV PREVENTION, CARE AND TREATMENT SERVICES, INCLUDING TB/HIV SERVICE IN CORRECTIONAL FACILITIES IN 5 DISTRICTS. IN COP21, SPHO CONTINUED TO PROVIDE COORDINATION SUPPORT TO DREAMS AND DREAMS-LIKE IMPLEMENTING PARTNERS (IPS). SOUTHERN PROVINCE SUPPORTS HTS SERVICES IN THE SUPPORTED FACILITIES. SPHO ADOPTED MIXED METHODS FOR CASE FINDING FOR ADULTS AND CHILDREN. OPD TESTING IS ROUTINE IN ALL THE HEALTH FACILITIES WITH THE USE OF THE HIV RISK SCREENING TOOL FOR ADULTS ABOVE 15 YEARS. SPHO IMPLEMENTS HTS INDEX TESTING, SOCIAL NETWORK TESTING AND HIV SELF-TEST (HIVST). SPHO ACHIEVED 56% PMTCT STAT WITH KNOWN HIV STATUS TOWARDS THE ANNUAL TARGET OF 64, 674 IN FY22 (SAPR 2022). IN ADDITION, SPHO TESTED 1896 HEI AND IDENTIFIED 57 POSITIVES WHO ARE ON ART. SPHO WILL CONTINUE PROVIDING EMTCT SERVICES THROUGH A FAMILY CENTERED APPROACH APPROVED BY MOH. PAEDIATRIC HIV/ART PROGRAMMING IS ONE OF THE KEY PRIORITY AREAS FOR THE MINISTRY OF HEALTH HIV PROGRAM PRIMARILY BECAUSE OF LAGGING IN ATTAINING THE UNAIDS 95, 95, 95 FOR CHILDREN AND ADOLESCENTS LIVING WITH HIV. TO CLOSE THE GAP SPHO IMPLEMENTED PAEDIATRIC AND ADOLESCENT SURGE IN SELECTED FACILITIES. AT SAPR FY22 SPHO MANAGED TO ATTAIN 22% (262/1197) CASE FINDING AGAINST THE TARGET, 69 % VLC WITH 94% VLS. SPHO WILL SUPPORT 15 DISTRICTS IN THE PROVISION OF ART SERVICES AND HAVE MADE SIGNIFICANT STRIDES IN ENROLLING HIV POSITIVE CLIENTS ON TREATMENT. FURTHER, THE SPHO COLLABORATES WITH OTHER IPS WITHIN THE PROVINCE FOR EFFECTIVE TREATMENT PROGRAMING. SPHO WILL CONTINUE TO FOCUS ITS SUPPORT ON INCREASING THE NUMBER OF HIV+ PEOPLE ACCESSING ART TREATMENT, REDUCE ITT (INTERRUPTION TO TREATMENT) AND ENSURE DURABLE VIRAL LOAD SUPPRESSION IN THE 15 DISTRICTS. AT SAPR FY22, A TOTAL NUMBER OF 6171 WERE IDENTIFIED HIV POSITIVE ACROSS ALL THE SUPPORTED DISTRICTS, REPRESENTING A 49% ACHIEVEMENT OF FY22 ANNUAL TARGET OF 12,492. SPHO ACHIEVED A TX_CURR 134 000 REPRESENTING 91% TOWARDS FY 22 ANNUAL TARGET OF 148,006. TO IMPROVE VIRAL LOAD COVERAGE SPHO WILL IMPLEMENT VIRAL LOAD AND EID POINT OF CARE TESTING USING GENEXPERT. SPHO WILL SCALE UP RECENCY TESTING TO ALL THE FACILITIES. SPHO HAS BEEN IMPLEMENTING AN ACCELERATED STRATEGY FOR THE ELIMINATION OF CERVICAL CANCER BY 2030. ACCORDING TO SAPR FY 22 A TOTAL NUMBER OF 15,527 WOMEN LIVING WITH HIV (WLHIV) WERE SCREENED FOR CERVICAL CANCER REPRESENTING 50% ACHIEVEMENT TOWARDS THE ANNUAL TARGET. COVERAGE OF SCREENING SERVICES IS STILL LOW AT 13% (50/370 FACILITIES).

Verbatim from USAspending.gov. Capitalization, abbreviations, and codes are unchanged.

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