PEPFAR in Zambia

Zambia is supported by the U.S. Government to implement PEPFAR as an integrated response partnering with the Ministry of Health (MOH) and National HIV/AIDS/STI/TB Council (NAC). In fiscal year 2019, Zambia received US$ 385 million for programs targeting HIV prevention, treatment, care and support, and health systems strengthening in support of Zambia’s achievement of the 90-90-90 HIV epidemic control goal. For fiscal year 2020, Zambia will receive over $421 million. Since its inception in 2004, PEPFAR Zambia has received over US$ 3.9 billion (over 46 billion ZMW) in support of the people living with HIV in Zambia. Today, PEPFAR Zambia funds HIV testing services for more than 4.3 million Zambia and through the prevention of mother to child transmission of HIV (PMTCT) services, reduced the number of children born with HIV and supports over 900,000 Zambians with life-saving anti-retroviral medicines, who if they continue to take their medicines can live long, healthy lives.

PEPFAR brings together five U.S. government agencies in Zambia to endorse a single strategy and implement one program, led by the Ambassador. These are: Centers for Disease Control (CDC), United States Agency for International Development (USAID), Department of Defense (DoD – including DoD HIV/AIDS Prevention Program DHAPP), Department of State (DoS), and Peace Corps (PC).

PEPFAR Zambia has a small grants program which funds projects related to Orphans and Vulnerable Children (OVC) and HIV prevention. Since 2010, the PEPFAR Small Grants Program has supported 189 local Zambian organizations working at the grassroots level. This is a highly competitive initiative designed to assist communities with innovative projects that provide care and support to OVC and their households, and to prevent the spread of HIV.