ZAMPHIA: Helping Zambia Attain 7NDP, Without Leaving Anyone Behind

Chief Luchembe of Mpika District (seated in middle) poses for a photo at his palace with the ZAMPHIA survey Community Mobilisation team.

The goal of the Zambia Population-Based HIV Impact Assessment (ZAMPHIA) aligns with the country’s Seventh National Development Plan (7NDP), a plan which includes a goal to end the HIV/AIDS epidemic by 2030.

Among other aims in the 7NDP is increasing development efforts without leaving anyone behind. ZAMPHIA is a national survey that satisfies the requirements of 7NDP’s objectives and as it (ZAMPHIA) will provide valuable data for the government to understand how effective their HIV programs are and be able to make informed decisions on where future efforts should be focused.

Zambia now has over 1.2 million people on lifesaving antiretroviral treatment and has achieved a significant milestone in HIV epidemic control having reached the UNAIDS 90-90-90 target — 90 percent of people living with HIV (PLHIV) know their status, 90 percent of people who know their status are accessing treatment, and 90 percent of people on treatment have suppressed viral loads.

Now, the ZAMPHIA survey is working to provide updated data to focus HIV services and resources to the areas of greatest need and help move Zambia closer to epidemic control, just as envisioned in the 7NDP.

The Objectives of ZAMPHIA

The ZAMPHIA is surveying the prevalence and incidence of HIV, assessing the coverage and impact of HIV services, and characterizing HIV-related risk behaviours using a nationally representative sample of adults aged 15 years and older. 

The survey is collecting data to measure the HIV incidence and prevalence and viral load suppression, which will help stakeholders assess the effectiveness of past and current HIV prevention and treatment programs.

The project is combining a novel linkage-to-care approach to ensure that HIV-positive individuals identified through the survey are, without leaving anyone behind, efficiently linked to care and treatment and assess progress towards achievement of the UNAIDS 90-90-90 targets on national and subnational levels.

The ZAMPHIA survey has dedicated all resources towards ensuring that the data that will be collected will be representative of the actual national picture. In so doing, not a single Zambian will be left behind in the process of appreciating the national healthcare picture.

Th project is being led by the Government of Zambia through the Ministry of Health (MOH), conducted with funding from the U.S. President’s Emergency Plan for AIDS Relief (PEPFAR) and technical assistance through the U.S. Centers for Disease Control and Prevention (CDC) and the University of Maryland, Baltimore.

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