Flag

An official website of the United States government

The President’s Emergency Plan for AIDS Relief
PEPFAR
39 MINUTE READ
September 20, 2015

In 2003, PEPFAR was conceived as a way to deliver lifesaving services in countries being devastated by HIV and AIDS, but PEPFAR is now assisting these countries to control the HIV epidemic.  The U.S. President’s Emergency Plan for AIDS Relief (PEPFAR) is the U.S. government’s response to HIV global epidemic. Thanks to the generosity of the American people, PEPFAR has saved millions of lives and prevented millions of new HIV infections.  As the world’s leader in responding to the global HIV crisis,  PEPFAR works in over 50 countries. Worldwide, 14.6 million people are supported by PEPFAR with lifesaving antiretroviral therapy. Thanks to PEPFAR funding, more than 2.4 million babies have been born HIV-free to pregnant women living with HIV and are able to grow up with mothers who have been kept healthy and alive on antiretroviral therapy. More than 6.8 million orphans and vulnerable children (OVC) and their caregivers received assistance from PEPFAR programs. PEPFAR is the largest commitment by any nation to address a single disease in history, over $80 billion dollars since its inception, making the United States the world’s leader in HIV response.

PEPFAR in Zambia

Since 2004, U.S. government through PEPFAR has partnered with the government of the Republic of Zambia through the Ministry of Health (MOH) and National HIV/AIDS/STI/TB Council (NAC) in coordinating a national HIV response. In fiscal year 2019, Zambia received $385 million dollars 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 dollars to continue to grow and support these programs.  Since its inception, PEPFAR Zambia has received over $4 billion dollars (over 52 billion ZMW) in support of the HIV program in Zambia. PEPFAR Zambia has funded HIV testing services for more than 8.4 million Zambians, supported more than 1.2 million voluntary medical male circumcisions, and provided support for almost 900,000 orphans, vulnerable children, and their caregivers. Today PEPFAR Zambia, supports more than 920,000 Zambians with lifesaving antiretroviral therapy, who if they continue to take their medicines can live long, healthy lives and prevent the spread of HIV. (Learn more here about Undetectable=Untransmittable)

PEPFAR supports program delivery by funding 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 (HIV/AIDS Prevention Program DHAPP (DoD ), Department of State (DoS), and Peace Corps (PC).

PEPFAR Zambia also supports a small grants program which funds projects related to the care of orphans and vulnerable children (OVC), HIV prevention, and the promotion of democracy and governance in Zambia’s HIV response systems. Since 2010, the PEPFAR Small Grants Program has supported local Zambian organizations working at the grassroots level, to improve the HIV response in their communities. This is a highly competitive initiative designed to assist community and faith based organizations with innovative projects that help propel Zambia to reach HIV epidemic control by 2020.

The U.S. PEPFAR Community Led Monitoring

The Embassy of the United States of America Announces a Call for Applications for PEPFAR Community Led Monitoring

Open Call for Applications until August 29, 2022

The U.S. President’s Emergency Plan for AIDS Relief (PEPFAR) Zambia requests applications for an open competition for organizations to conduct the Community Led Monitoring (CLM) program. This funding opportunity seeks to improve the quality of HIV care in Zambia by soliciting and triangulating recipient of care feedback collected by trained community members. PEPFAR Zambia uses this information to strengthen, address gaps and improve the outcomes of HIV services. PEPFAR Zambia seeks not-for-profit organizations with the capacity to collaborate with PEPFAR, key stakeholders, as well as community level recipients of care of PEPFAR supported services. Potential grantees should build on past work, be able to implement a monitoring program to promote cooperation in addressing HIV, encourage all PLHIV constituencies, including but not limited to key populations, adolescent girls and young women and pregnant and breastfeeding women, to share their experience and facilitate discussion and insight that makes a difference in the HIV response.

Who is Eligible to Apply?

  1. Not-for-profit organizations, including civil society, non-governmental organization and public and private educational institutions.
  2. Organizations registered with the Government of the Republic of Zambia will be considered eligible.
  3. Must have experience of successfully implementing programs with funding of a minimum of $25,000.
  4. Must have established offices, at least 12 months prior to application submission, in the province for which they are applying to implement the CLM program.
  5. An organization may apply for consideration for more than one province but is only eligible to be one prime CLM Grantee.

Other Eligibility Requirements:

Applicants must register with Grants.gov prior to submitting an application.  Registering with Grants.gov is a one-time process; however, it may take weeks to have the registration validated and confirmed.  It is recommended that the registration process is begun immediately to ensure that the process is completed well in advance of the deadline for applications.  Until that process is complete, you will not be issued a user password for Grants.gov, which is required for application submission. There are four steps that must be completed before being able to register: (1) register organization with System for Award Management (SAM) www.SAM.gov; to get a Unique Entity ID (UEI) (2) register as an Authorized Organization Representative (AOR); and (3) be authorized as an AOR by your organization.  For more information, go to www.grants.gov.  Please note that SAM registration must be annually renewed.  Failure to renew your SAM registration may prohibit submission of a grant application through Grants.gov.

The U.S. Department of State will not make an award to an applicant who does not have a valid and active SAM registration by the time the Department is ready to make an award.

What are the objectives of the Program?

PEPFAR Zambia recognizes the importance of engaging with communities in the development and implementation of its HIV programming. Beginning on January 2023, PEPFAR will continue supporting a CLM program in each province to strengthen previous CLM activities and address client feedback. In partnership with the National HIV/AIDS, STI, and TB Council (NAC), quarterly review meetings of patient and client feedback will be held to identify persistent and common problems, challenges, and barriers to service uptake at the site and facility level. To facilitate and ensure all provinces and PLHIV constituencies are represented, PEPFAR Zambia seeks applicants from community organizations from each province in Zambia. The feedback will be collected and reported using a harmonized reporting tool created by stakeholders. The role of the grantees will focus solely on feedback collection while PEPFAR Zambia will provide oversight of CLM implementation and share the collected feedback with all key stakeholders. Applicants should not plan for dissemination of CLM findings to stakeholders at any point during the lifecycle of the grant unless otherwise directed by PEPFAR Zambia.

The deliverables are:

  1. Include low and high-volume health facilities offering PEPFAR supported HIV related services across the province, as part of data collection.
  2. Collect feedback from all PLHIV constituencies services, including but not limited to key populations, adolescent girls and young women, persons with disability, pregnant and breastfeeding women.  Applications which do not include plans for the inclusion of all constituencies will not be considered.
  3. Submit monthly programmatic and financial reporting.
  4. Participate in quarterly meetings with government, community, USG and implementing partners.
  5. Make actionable recommendations to improve client care based on feedback from recipients of care.

Award Information:
Length of performance period: January 1, 2023 to November 30 2023 (11 months)

Number of awards anticipated: 10 awards (one award per province)

Award amounts: Awards may range up to the maximum of the Kwacha equivalent of $120,000 USD

Total Available Funding: Up to $1,200,000 USD for all awards

Type of Funding: FY2023/COP22 Allocated Funds

Anticipated program start date: January 1, 2023

Funding Instrument Type: Grant

Program Performance Period: Proposed programs should be completed no later than November 30, 2023.

The Department of State will entertain applications for continuation grants funded under these awards beyond the initial budget period on a non-competitive basis subject to availability of funds, satisfactory progress of the program, and a determination that continued funding would be in the best interest of the U.S. Department of State.

Questions:

For questions on this solicitation please submit questions ONLY to PEPFAR Zambia Grants Officer: lusakasmallgrants@state.gov. No questions received through phone calls will be answered.

Questions may be received until July 20, 2022, and the answers to all questions received will be posted by July 29, 2022 on the PEPFAR Zambia webpage: https://zm.usembassy.gov/our-relationship/pepfar/.  Please check back frequently for any updates.

For questions relating to grants.gov, please contact  +1-800-518-4726 or support@grants.gov.

Submission:

All application materials must be submitted electronically through Grants.gov. The subject line should be as follows –Applicant Organization name: Community Led Monitoring Grants Program.

All applications must be submitted digitally; Paper applications will NOT be accepted.

Application Deadline: August 29, 2022, by close of business.

Contact:
PEPFAR Coordination Office – Embassy of the United States of America
P.O. Box 320065, Lusaka, Zambia
LusakaSmallGrants@state.gov

What is a Country Operational Plan (COP)?

The Country Operational Plan (COP) is the U.S. government’s plan for annual investments in Zambia’s HIV response and are linked to specific results to ensure every U.S. dollar is maximally focused and traceable for impact. Data reported in a COP is essential to complying with PEPFAR’s commitment to transparency and accountability to all stakeholders. PEPFAR Zambia’s COPs are encapsulated in their annual Strategic Direction Summaries (SDS). Below are links to Zambia’s SDSs since 2015:

DREAMS Zambia

Three girls with DREAMS and Kozo Girls t-shirts.
Three girls with DREAMS and Kozo Girls t-shirts.

What is the PEPFAR-funded DREAMS program?

DREAMS is a global, public-private partnership between the U.S. President’s Emergency Plan for AIDS Relief (PEPFAR), Bill & Melinda Gates Foundation, Girl Effect, Johnson & Johnson, ViiV Healthcare, and Gilead. This interagency program seeks to reduce new HIV infections in adolescent girls and young women (AGYW) between 10 and 24 years old across 15 sub-Saharan African countries. DREAMS is designed to meet the complex needs of adolescent girls and young women by helping them become more determined, resilient, empowered, AIDS-free, mentored, and safe.

Why Adolescent Girls and Young Women?

Globally, AGYW are the most vulnerable to new HIV infections, unplanned pregnancy, and sexual violence. In southern Africa, 79% of new HIV infections among 10 and 19-year-olds were among females.1 In Zambia, HIV prevalence among young people between 15 and 24 years old is 3.4% with a disproportionate burden on girls and young women (4.9%) as compared to their male age counterparts (1.8%). Sixty-nine percent of Zambian girls and young women have had sex by age 18 and 26% report their first sexual experience as coerced. 2,3 Additionally, 20.3% of adolescent girls and young having experienced sexual abuse during childhood.4 Such violence has immeasurable negative health and social consequences for girls and young women throughout their lives.
______________________________________

1 UNAIDS 2019. Women and HIV – A spotlight on adolescent girls and young women.
2 Zambia Demographic and Health Survey (ZDHS) 2018.
3 Zambia Violence Against Children Survey (VACS) 2018.
4 Zambia VACS 2018.

DREAMS in Zambia

Young girl being handed a mask
Young girl being handed a mask

Since 2016, PEPFAR has steadily increased investment in DREAMS. As of 2020, PEPFAR invests $30 million per year in the DREAMS initiative in Zambia. Working across 14 districts in seven provinces, DREAMS Zambia targets the most vulnerable adolescent girls and young women in 77 health facility catchment zones with high HIV burdens. DREAMS Zambia has developed a unique model structured around DREAMS centers, where adolescent girls and young women meet in safe, confidential spaces to access a package of HIV prevention services tailored to their individual needs. These services include mentor-led safe spaces, gender-based violence care and support, HIV testing and counseling, family planning, pre-exposure prophylaxis, school scholarships, and economic strengthening. When combined with safe spaces, economic strengthening interventions, such as financial literacy and vocational training, can reduce the economic dependency that can lead to gender-based violence and sexual risk-taking behaviors.

DREAMS also works with adolescent girls’ and young women’s sexual partners, parents, schools, and communities. School-based HIV and violence prevention programs address gender and power relations and build prevention skills among youth. Community mobilization in DREAMS engages men and boys in community conversations about HIV, gender norms and sexuality to build community ownership of HIV risk reduction. These community-based interventions strengthen the supportive network necessary for girls and young women to thrive.

Since DREAMS inception, over 775,000 Zambian adolescent girls and young women have enrolled in the HIV prevention program, with nearly 725,000 completing at least one prevention service with support from DREAMS mentors. Girls and young women who have participated in DREAMS have demonstrated increased knowledge of healthy practices and behaviors that can reduce their risk of contracting HIV. Over time, DREAMS Zambia has observed improved use of modern contraceptive methods and pre-exposure prophylaxis through adolescent-friendly health services offered in DREAMS centers in partnership with government health facilities. Such prevention services are critical to reducing new HIV infections and achieving epidemic control in Zambia.

PEPFAR in Action

PEPFAR Zambia small grants recipient uses sport to sensitize adolescents on HIV prevention

Olympic Youth Development Centre (OYDC), one of PEPFAR Zambia’s 2019 small grant recipients, is using sports as an innovated method to educate youth about HIV. On December 2nd, OYDC hosted two events to commemorate World AIDS Day.  OYDC opened their gates to the general public to watch 8 hockey teams and 4 football teams play friendly games, peer educators trained with PEPFAR grant money distributed IEC materials on prevention, treatment and care to all the spectators of these sporting events.  Also, hundreds of youths from the local schools were invited at attend a “Champion Talk”.  Speaking at the event, former female world welterweight boxing champion, Esther Phiri, advised the youth to protect themselves from contracting HIV and other sexually transmitted illness by abstaining from sex, and if sexually active, use condoms for protection.  OYDC plans to host several more Champion Talks with Zambian athletes using PEPFAR grant funding to sensitize thousands of Zambia youth about HIV.

Ambassador Promotes HIV Self-Testing at the National HTCT Event

On August 15, 2019, Zambia commemorated HIV Testing, Counseling, and Treatment Day (HTCT) with a national event held at the Prince Takamado School, a Lusaka based primary school.  The program included remarks from Ambassador Foote and the Honorable Minister of Health Dr. Chitalu Chilufya.  In his good will message, Ambassador Foote emphasized the continued commitment of the U.S. government toward Zambia’s goal of reaching HIV epidemic control by 2020, and encouraged everyone, especially men to know their HIV status.  He noted that close to one million Zambians are accessing lifesaving HIV treatment, provided in large part by the U.S. government through U.S. President’s Emergency Plan for AIDS Relief (PEPFAR).  As part of the program, Ambassador Foote and the Minister Chilufya took an HIV self-test, demonstrating the simplicity of using an HIV self-test.  PEPFAR Zambia continues to use innovative methods to improve client-centered services to find Zambians living with HIV and retain them in HIV treatment.

Ambassador and Minister of Health Hold Joint Press Conference to Announce COP19 Approval

On June 17, 2019, Ambassador Foote and the Honorable Minister of Health, Dr. Chitalu Chilufya, held a joint press conference to announce the approval of PEPFAR Zambia’s 2019 Country Operational Plan, which will provide $421 million towards Zambia’s national HIV program.   Ambassador Foote used the press conference as an opportunity to remind men that there is strength in knowing your HIV status, and starting and staying on treatment if positive.  He also took the opportunity to appeal to religious leaders, encouraging them to create an environment that promotes staying on lifelong HIV treatment.  Minister Chilufya expressed his gratitude for the generosity of the American people, and confirmed the Zambian’s government’s commitment to reaching HIV epidemic control by 2020.  Ambassador Foote told journalists from radio, television, and print media that the U.S. government had already invested more than $4 billion towards controlling HIV in Zambia over the past 16 years, demonstrating the commitment of the American people to a strong and healthy Zambia.

Ambassador Foote and President Lungu Launch U=U Campaign in Zambia

Ambassador Foote and His Excellency the President of Zambia Edgar Lungu launched the U=U campaign in Zambia on May 8, 2019, in Lusaka.  U=U stands for Undetectable = Untransmittable, meaning that a person living with HIV who has undetectable levels of the virus (viral load less than 200 copies/ml) cannot sexually transmit HIV.  The U.S. Centers for Disease Control and Prevention (CDC) with PEPFAR funding partnered with the Zambian government to implement the U=U campaign for people living with HIV.  U=U is a global campaign, and through a collaborated effort between PEPFAR and the Ministry of Health was launched in Zambia.

PEPFAR Implementing Partners Step Up

From September 9-14, 2019, PEPFAR Zambia partnered with Public Affairs Section and ECA-sponsored Arts Envoy Step Afrika! in six outreach performances in Kabwe and Lusaka.  Six USAID and CDC PEPFAR funded implementing partners made HIV screening available to the estimated 4,000 in attendance. These events reinforced PEPFAR Zambia messaging encouraging every Zambian to know their HIV status and get on treatment if necessary to help Zambia reach HIV epidemic control by 2020, especially young people.

PEPFAR Implementing Agencies in Zambia

Useful Links

PEPFAR has invested more than $4 billion dollars in Zambia’s HIV response through the following U.S. government agencies:

PEPFAR Small Grants Program

The U.S. Embassy is pleased to announce a new round of funding for the United States President’s Emergency Plan for AIDS Relief (PEPFAR) Small Grants Program.

Background: The PEPFAR Small Grants Program is highly competitive and supports projects in three thematic areas: HIV prevention, the care of orphans and vulnerable children (OVC), and projects that promote democracy and governance in Zambia’s HIV response. The HIV prevention-focused small grants will fund projects that mitigate the spread of HIV. The OVC-focused small grants will fund innovative projects that provide care and support to OVC and their households, so as to improve OVCs’ standards of living through financially sustainable, community-led projects. Lastly, the democracy and governance-focused small grants will fund projects that center democracy and governance in Zambia’s HIV response by supporting rights-based approaches, increased transparency, and strengthened collaboration with respect to HIV-related issues.

Who is Eligible to Apply? Community and faith-based organizations, neighborhood groups, and institutions of learning are encouraged to apply.

What are the objectives of the Program?
HIV Prevention Small Grants

  • Address stigma and discrimination, especially among key populations.
  • Promote behavior change and practices in individuals to prevent the spread of HIV.
  • Build capacity and empower communities to sustainably reduce the spread of HIV.
  • Support income-generation to sustain HIV prevention activities at the community level.

OVC Small Grants

  • Strengthen caregivers’ knowledge and skills to better provide for their children’s basic needs.
  • Ensure OVCs’ continued access to food, shelter, education, and psychosocial, medical, and legal services.
  • Develop sustainable economic support for households of OVCs.

Democracy and Governance Related to Zambia’s HIV Response

  • Educate community members on their rights regarding HIV-related health services, and how to ensure their rights are upheld.
  • Ensure organizations that provide HIV-related health services are transparent and accountable to those populations whom they serve.
  • Collaborate with other community/civil society groups with common themes and interests to improve HIV-related health services.

Funding Amount:
Up to the Zambian Kwacha equivalent of $25,000.00 maximum may be requested. Detailed budgets must be submitted with the application. Funding amounts to successful organizations will be dependent on the results of pre-award risk assessments conducted on all selected organizations.

Applicants must provide recommendations from previous funding agencies indicating successful implementation of projects.

Project Duration: October 1, 2022, through September 30, 2023

Application forms can be downloaded here.

Applications submitted without all required documents will not be considered.

Contact:

Program Manager, Civil Society Engagement
PEPFAR Coordination Office
Embassy of the United States of America
P.O. Box 320065, Lusaka, Zambia
LusakaSmallGrants@state.gov
(+260) 211 357062

Open period for receipt of applications: January 3 through February 28, 2022
Applications received after the February 28 deadline will not be held or reviewed.

Contact Information

Country Coordinator:
Tel: +260-211-357-000
Fax: +260-211-357-224

The U.S. President’s Emergency Plan For AIDS Relief,
Embassy of the United States of America
Suddivision 694/Stand 100
Kabulonga District, Ibex Hill Road
Lusaka District
P.O. Box 320065
Lusaka, Zambia

For media related queries, contact the External Engagement Advisor:
Tel: +260-211-357-000
Fax: +260-211-357-224
Email: PEPFARZambia@state.gov