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The President’s Emergency Plan for AIDS Relief
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
The U.S. PEPFAR Community Led Monitoring

Open Call for Applications until September 30, 2020

The U.S. President’s Emergency Plan for AIDS Relief Zambia (PEPFAR) announces an open competition for organizations to submit applications to carry out a Community Led Monitoring (CLM) program. This funding opportunity seeks to improve the quality of HIV care in Zambia through client feedback collected by trained community members. PEPFAR Zambia is seeking not-for-profit organizations that have the capabilities to collaborate on the national level with PEPFAR, key stakeholders, and neighborhood levels with clientele receiving PEPFAR supported services. Potential grantees should be able to implement a monitoring program to promote cooperation in addressing HIV, encourage constituencies to share their experience, and facilitate joint action that makes a difference in the HIV response.

Who is Eligible to Apply?
Not-for-profit organizations, including civil society, non-governmental organizations, and public and private educational institutions. For full eligibility requirements, please see the Notice of Funding Opportunity.

What are the objectives of the Program?
Beginning o/a November 2020, PEPFAR will support a community led monitoring initiative in each province in hopes of closing any client feedback gaps that might be accruing. In partnership with the National AIDS Council, PEPFAR will call quarterly reviews of patient and client feedback collected from all stakeholders to help PEPFAR programs and health institutions diagnose and pinpoint persistent problems, challenges, and barriers with service uptake at the site and facility level. To facilitate and ensure all provinces and patient constituencies are represented, PEPFAR is seeking a community organization from each province in Zambia to collect feedback of People Living with HIV/AIDS (PLHIV) experiences with service delivery in their provinces.

Funding Amount:
Award amounts: Awards may range up to the maximum of the Kwacha equivalent of $125,000

Total Available Funding: Up to $1,250,000 for all awards

Project Duration:  November 1, 2020 to September 30, 2021

To view the full Notice of Funding Opportunity and to apply:

  • Go to grants.gov and search for the following: Grant Opportunities and type PCLM-2020 in the keyword box or type in the following url: https://www.grants.gov/web/grants/search-grants.html?keywords=PCLM-2020
  • All application materials must be submitted electronically through Grants.gov.
  • If you are unable to submit your proposal on grants.gov, you may submit via email at lusakasmallgrants@state.gov before the deadline. 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.
  • Applications submitted without all required documents will not be considered.

Application Deadline: September 30, 2020.
Applications received after the September 30, 2020 deadline will not be held or reviewed.

PEPFAR Coordination Office – Embassy of the United States of America
P.O. Box 320065, Lusaka, Zambia
LusakaSmallGrants@state.gov or (+260) 211 357062


Please see answers below to questions received:

  1. Where can I find the full Notice of Funding Opportunity along with required documents?

All required documents as well as full Notice of Funding Opportunity (NOFO) can be found at:


  1. On page 3 under proposed “Proposed Program Schedule and Timeline” it states the applicant should include “the proposed timeline for the CLM activities. Include dates, times, and locations of planned activities and events.” Given that the province and partners may want to confirm times of events with the successful applicant, can DOS confirm what is meant by “times” is timeframe of when the event would occur?For the purpose of submitting your application, proposed dates, times and locations are sufficient.
  1. Can DOS confirm that PEPFAR Implementing partners, who currently work on service delivery at the site level are eligible to apply?

For eligibility requirements, please refer to Section Three: Eligibility Information listed in the Notice of Funding Opportunity (NOFO) posted here:


  1. Can DOS confirm that activities that may need consent/human subject review due to collection of personally identifiable information (e.g., focus group discussions, in depth interviews, questionnaires) can be funded as part of the project?

Please refer to Program Objectives section in the Notice of Funding Opportunity (NOFO) posted here:


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:


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.


Program Manager, Civil Society Engagement
PEPFAR Coordination Office
Embassy of the United States of America
P.O. Box 320065, Lusaka, Zambia
(+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