Technical Assistance to the Eastern Province Health Office (EPHO) in Zambia to Support Optimized HIV Case Finding, Treatment, Viral Suppression, Retention and HIV Epidemic Control under the U.S. President's Emergency Plan for AIDS Relief (PEPFAR)

FHI 360 provides technical assistance to the Eastern Provincial Health Office (EPHO) of Zambia, supporting efforts to reduce new HIV infections in 14 districts of Eastern province. With funding provided by the U.S. Agency for International Development, under the President's Emergency Plan for AIDS Relief, and the U.S. Centers for Disease Control and Prevention, the EPHO project bolsters capacities at the provincial and district levels in sustainable HIV epidemic control and provides comprehensive HIV prevention, care, treatment and support across 316 facilities for adults and children living with HIV and tuberculosis.

Objectives

Increase the technical and programmatic capacity of district health offices through strategic information use, data visualizations and knowledge management by institutionalizing Total Quality Leadership and Accountability (TQLA©) approaches
Improve HIV prevention services and optimize index testing to increase newly identified HIV positive cases by 75 percent
Increase linkage to treatment for children and adults (including key populations) with HIV and/or co-infections with TB to more than 95 percent and decrease attrition to less than 4 percent per year
Increase viral load monitoring coverage and viral load suppression to more than 95 percent among all adults and children with HIV
Strengthen health care and lay worker capacity and improve the quality of service delivery

Technical assistance approach

FHI 360 adopts an evidence-based technical approach reliant on TQLA©, which strengthens leadership capacity for accountability at the provincial and district levels and builds capacity among implementing partners and facilities. The TQLA© model is an innovative and adaptive management approach proven to drive performance, strengthen the capacity of implementers at all levels to be more accountable, use data to strategically prioritize local solutions to development challenges and improve outcomes at a lower cost. This approach enables FHI 360 to prioritize and provide adaptive management support to health offices and facilities with the greatest needs.