Zimbabwe’s HIV epidemic is declining but remains generalized, with a national prevalence of 14%, incidence among adults 15-64 years of 0. 45% (~32,000 new infections annually) and a mother to child transmission (MTCT) rate of 5. 2%despite prevention of mother-to-child transmission (PMTCT)
coverage of 93%.
There are approximately 1. 4 million people living with HIV (PLHIV), steadily increasing as PLHIV live longer on treatment.
However, testing, treatment, and viral suppression coverage lag behind the 90-90-90 targets; in particular, the“first 90” where 74% of PLHIV know their status.
Zimbabwe’s Ministry of Health and Child Care (MOHCC) has highlighted human resource challenges across the entire continuum of HIV service delivery.
As Zimbabwe has adopted the UNAIDS Fast Track strategy for epidemic control, differentiated care becomes increasingly necessary to increase convenience and access and decongest clinical facilities.
These strategies have been piloted in different settings, but require rapid scale-up.
This NOFO aims to reach epidemic control in the challenging, resource-constrained environment of Zimbabwe.
Through a comprehensive approach addressing facility and community-based services, the recipient will provide direct support and technical assistance (TA) to accelerate the HIV service delivery cascade and improve data quality and utilization for decision-making.
The NOFO is also an opportunity to partner with the MOHCC to develop creative and sustainable solutions.
Global AIDSDepartment of Health and Human Services