We document and disseminate various results, trainings, and resources from our research, programs, and projects.
Immunization Service Experience includes the factors within and beyond the interactions between a health worker and an immunization client which influence the delivery and experience of the immunization service. This document contains a series of discussion questions designed to engage stakeholders in dialogue about implementing a positive, person-centered immunization service experience within their country's context. …
In December 2021, with a national vaccination coverage of 12.5%, the Zambian government launched a COVID-19 vaccination campaign to get 2 million doses in arms by the end of the year. In addition, the government introduced new COVID-19 vaccination guidelines, which included requiring vaccination proof for public-sector workers to access public buildings. When this unleashed…
In 2018 in Zambia, the JSI-implemented USAID DISCOVER-Health project was one of the first to roll out pre-exposure prophylaxis (PrEP). In October 2018, the project developed an unstructured supplementary service data (USSD) information management system, accessed through peer-to-peer interaction on social platforms, to support PrEP self-risk assessment and improve linkage to services. This abstract was…
In December 2021, the USAID DISCOVER-Health Project, implemented by JSI, supported the Ministry of Health (MOH) to increase demand for and uptake of COVID-19 vaccination through a national campaign. The government planned to vaccinate 2 million people by the end of the year and each district was assigned a target according to its population. This…
With over 90% of people living with HIV (PLHIV) already diagnosed in Zambia (MoH-ZAMPHIA, 2019), it has become increasingly difficult to reach those who remain untested and undiagnosed. The JSI-implemented USAID DISCOVER-Health Project embarked on a robust initiative to identify potentially untested PLHIV. Between July and August 2021, USAID DISCOVER-Health offered index testing to clients…
In Zambia, girls and young women ages 15–24 and men ages 20–34 years are among the most vulnerable to HIV (ZAMPHIA 2019). COVID-19 has decreased access to HIV testing and treatment services (Ministry Of Health [MOH], Jan 2022). In response, the USAID ZAM-Health and DISCOVER-Health projects, implemented by JSH and JSI respectively, in collaboration with…
Following global trends, Zambia anticipated a fourth COVID-19 wave in December 2021. As of November 2021, only 12.5% of the eligible population were fully vaccinated, and 4.6% had received their first dose. To get more people vaccinated and help protect against severe forms of COVID-19 and the associated mortality, the Ministry of Health (MOH) launched…
USAID SAFE increased cervical cancer screening and treatment through two main strategies: enhanced screening and treatment of precancerous lesions through outreach activities in hard-to-reach and hardly reached facilities, and enhanced support for the same-day treatment of precancerous lesions. This included training and mentoring service providers in visual inspection with acetic acid and loop electro-surgical excision….
The USAID Supporting an AIDS-Free Era (SAFE) program supports the Ministry of Health (MOH)’s HIV program by providing clients who have been exposed to HIV with pre-exposure prophylaxis (PrEP) to prevent transmission and target HIV-negative PBFW, among people at high risk. PrEP for PBFW has slowly been provided in USAID SAFE facilities and surrounding communities….
The HIV viral load suppression rate in USAID Supporting an AIDS Free Era (SAFE)-supportedZambian facilities differs by age. Children below 15 years have a lower suppression rate than adults, attributed to health facility-related factors such as suboptimal regimens, drug under-dosing, and underlying infections. Client-related factors include poor drug storage, missing dosages, under-dosing, and lack of…
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