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Zimbabwe: HIV Care and Treatment

The Zimbabwe HIV Care and Treatment (ZHCT) is a five-year project funded by the United States Agency for International Development (USAID) and the U.S. President's Emergency Plan for AIDS Relief (PEPFAR). The project is led by Family Health International (FHI 360) as the prime partner and Plan International as a sub awardee. The goal of the project is to increase the availability and quality of care and treatment services for persons living with HIV (PLHIV), primarily through community-based interventions that complement the public health sector, as part of the multi-sectoral response led by the Government of Zimbabwe (GOZ). ZHCT’s specific objectives are to increase the availability of quality comprehensive care and treatment services for HIV-positives at community level, and to strengthen community-level health systems to monitor, track, and retain persons living with HIV (PLHIV) in care.

Plan creates an enabling environment for the provision of comprehensive HIV care and treatment services at district level and strengthens community-level connections for PLHIV to ensure linkage to and retention in care and treatment through the support of Plan Community Program Facilitators. Plan mobilizes and sensitizes the communities on the project and strengthens the improvement of treatment support systems. Other ZHCT project activities supported by Plan within the treatment cascade include linkage to care for the symptomatic, tracking of defaulters, and ensuring retention in care for those on HIV treatment. Plan also supports the active tracking of ART defaulters and linking them back to care, while supporting drug refills at community level through facilitating the formation of Community ART Refill Groups (CARGs).

ZHCT’s geographic focus is evolving and expanding over its tenure. When the project started, implementation was in eight districts in two provinces. These were: Buhera, Chipinge, Makoni, Mutare, and Mutasa districts in Manicaland province, and Gweru, Kwekwe, and Gokwe South in Midlands province. Informed by the national response framework and United States Agency for International Development (USAID) guidance, the project will expand to additional districts and provinces from year two (October 2016) onward. It is envisaged that by the end of the project period, ZHCT coverage will be in 22 priority districts of Zimbabwe.

USAID/Prime: FHI 360
Project Start Date
September 2015
Project End Date
September 2020
Technical Areas Covered
Household Index HIV Testing; Linkage to Care; Community Sensitization and Mobilization; Defaulter Tracking and Tracing; Retention in Care

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