USAID/PEPFAR SAFE: Supporting an AIDS-Free Era

Country: Zambia

Client(s): USAID/Zambia

Services: Technical Assistance, Training, Capacity Development

Technical Expertise: Family Planning & Reproductive Health, Universal Health Coverage, Infectious Diseases, Nutrition, Research, Monitoring, and Evaluation, Social and Behavior Change, HIV


Zambia has made great strides in decreasing infection and mortality rates associated with HIV over the last decade, with 85.4% of people living with HIV on treatment, according to the 2016 Zambia Population Based HIV Impact Assessment (ZAMPHIA). However, despite this progress, the country continues to struggle with one of the highest HIV prevalence rates in the world; 11.3% of persons aged 15 – 49 years are infected with HIV, with significant impact among adolescent girls and young women and men ages 25-34.

Working together with the Government of the Republic of Zambia (GRZ), PEPFAR is scaling up interventions that are most effective in the areas and populations with the highest burden of HIV. The country’s long-term vision calls for a “nation free from the threat of HIV and AIDS by 2030,” moving the country forward to epidemic control.

In support of this aim, the USAID/PEPFAR SAFE: Supporting an AIDS-Free Era program will reduce HIV mortality, morbidity, and transmission, while improving nutrition outcomes and family planning integration in three provinces: Central, Copperbelt, and North-Western. The program is implemented by JSI in partnership with Abt Associates, mothers2mothers, and the Catholic Medical Mission Board.

USAID/PEPFAR SAFE will work with the GRZ, private sector, and civil society institutions at the national, provincial,district, and facility levels in establishing and rolling out service delivery systems where they are currently lacking, strengthening existing service delivery platforms, and increasing the GRZ’s ability to manage USAID government-to-government (G2G) activities.

Program activities are designed to increase access to ART for HIV positive adults and children; reduce the incidence of new infections; improve nutritional assessment, counseling, and services (NACS) and family planning services; and increase the capacity of local health institutions to better serve affected populations over the next five years.