Zambia HIV/AIDS Prevention, Care and Treatment (ZPCT) Partnership Cooperative Agreement No. 690-A-00-04-00319-00 Quarterly Report for July 1 – September 30, 2007 Submitted by Family Health International (FHI) October 31, 2007
1. EXECUTIVE SUMMARY
The Zambia HIV/AIDS Prevention, Care and Treatment (ZPCT) Partnership works with the Ministry of Health (MOH), the Provincial Health Offices (PHOs), and District Health Management Teams (DHMTs) to strengthen and expand HIV/AIDS related services in five provinces: Central, Copperbelt, Luapula, Northern and North Western. ZPCT supports the Government of the Republic of Zambia (GRZ) goals of reducing prevalence rates and providing antiretroviral therapy (ART) by implementing technical, program and management strategies to initiate, improve and scale-up prevention of mother-to-child transmission (PMTCT), counseling and testing (CT) and clinical care services for people living with HIV/AIDS (PLHA), including ART.
This quarter, ZPCT continued supporting implementation of HIV/AIDS services in 97 health facilities in 26 districts in the five target provinces. Last quarter, ZPCT initiated support to 10 health facilities in Nchelenge District, Luapula Province including one under the Churches Health Association of Zambia. These facilities began reporting data during this quarter. Key activities and achievements for this reporting period include: CT services are ongoing in 97 health facilities with 27,246 individuals receiving CT services in these facilities this quarter. PMTCT services were provided in 96 ZPCT-supported facilities. 16,799 women were provided with PMTCT services (including CT), and 2,015 were provided with a complete course of ARV prophylaxis. Ongoing technical assistance was provided to expand and improve clinical palliative care services in 97 health facilities. 57,442 individuals received palliative care in ZPCT-supported health facilities during this quarter. ART services were available in all 26 districts supported by ZPCT. A total of 4,786 new clients (including 331 children) were initiated on antiretroviral therapy through 62 ART centers (including 26 outreach sites) this quarter. Two of these sites (Solwezi Urban and Saint Dorothy) report their results through Solwezi General Hospital and are not included as independent sites in the indicator reporting matrix. By the end of this reporting period, 40,999 individuals were receiving antiretroviral therapy at ZPCT-supported sites; of these, 2,807 were children. The following technical training courses were conducted this quarter: 39 HCWs were trained in two, two-week courses in basic CT. 66 HCWs were trained in child counseling with funding from the Clinton Foundation HIV/AIDS Initiative (CHAI). 21 HCWs were trained in a two-week course in provision of PMTCT services. 32 HCWs were trained in ART and Management of Opportunistic Infections (OI) in Ndola District, Copperbelt Province and 75 were trained in adherence counseling in Central, Copperbelt and Luapula provinces. 17 HCWs from 7 health facilities were trained in Management of Pediatric of ART/OIs in Luapula Province. 24 community volunteers were trained in adherence support and 20 in counseling and testing. 88 trained adherence support workers (ASWs) received a two-day refresher training and 52 trained lay counselors were trained in HIV testing. 21 pharmacy and laboratory staff from Central, Northern and Luapula provinces were trained in commodity management. Three HCWs were trained in HIV DNA PCR techniques at the University Teaching Hospital.