NOTE: The following is taken from summaries released by PEPFAR on the PEPFAR Data Dashboard. They are incomplete summary paragraphs only and do not contain the full mechanism details. When the full narratives are released, we will update the mechanism pages accordingly.

The goal of the ‘Improving and Expanding Access and Uptake of HIV Testing and Counseling (HTC) for Individuals, Couples and Families in selected Urban and Rural Populations in Lusaka, Western, and Southern Provinces’ project is to build Zambian capacity to provide individuals, couples and families with quality, accessible HTC services. The project’s objectives: expanding HTC services and referring sero-discordant couples; linking individuals that test positive or negative to prevention, treatment, care, and support services; promoting and expanding Positive Health Dignity and Prevention (PHDP) services and promoting sexual prevention interventions targeting the general population and vulnerable subgroups are in line with the NHSP (2011-2015) to accelerate and intensify prevention in order to reduce the annual rate of new HIV infections and GRZ’s National Strategy for Prevention of HIV and AIDS 2009 (prioritizes prevention of HIV through sexual transmission).

GRZ has created new districts so the HTC project is implemented in 12 rather than 7 districts in 3 provinces (Southern, Lusaka and Western). Increased funding is needed to support additional district community health offices (DCHOs). The general population will be targeted but reaching key populations with a higher risk of HIV infection will be prioritized. Cost efficient strategies include a decentralized, onsite training model, leveraging resources with other partners and building capacity of DCHOs and local NGOs. In FY15, IntraHealth will develop a transition team to manage the transition process to DCHOs and communities. M&E will oversee project data collection and reporting; the technical team will ensure quality services through joint supportive supervision and data quality audits (DQAs) with DCHOs.

Since COP2014, PEPFAR no longer produces narratives for every mechanism it funds. However, PEPFAR has now included performance targets or indicator information for each mechanism based on the Monitoring, Evaluation, and Reporting (MER) system. The MER guidance is available on PEPFAR's website https://www.pepfar.gov/reports/guidance/. Note that COP years 2014-2015 were under a previous version of the MER system and the indicators and definitions may have changed as of the new 2.0 guidance.