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.

Zambia’s population is13, 046,508 with 1,707,731 people in Eastern Province. The HIV prevalence in the 15 to 49 year age group is 14.3% while Eastern Province is at 10.3% (ZDHS 2007).Knowledge about HIV/AIDS stands at 99% amongst the adult. Only 15 % know their HIV status.

Eastern Province has 8 districts with staffing in facilities standing at 57%; the project will aim at strengthening Health Systems and service delivery.

Eastern Provincial Health Office (EPHO) will continue to work towards accelerating of the national PMTCT program towards the goal of MTCT elimination by 2015.

Out of 227 health facilities only 196 are PMTCT sites. Using the PMTCT Base funds, EPHO will expand PMTCT services to the remaining 31 facilities. Annually 13,090 babies are exposed to HIV and MTCT is at12 %.( 2007, ZDHS).Tuberculosis is a major cause of morbidity and mortality in people living with HIV/AIDS. TB patients will be tested for HIV and vice versa.TB notification stands at 2623 and 89% of patients were counselled and tested for HIV in 2010 (EPHO, TB report 2010).

Sexually Transmitted Infections (STIs) constitute 10% of outpatient attendances. Emphasis will be on sensitizations, early detection, effective treatment of STIs and screening for HIV. Partner tracking and data management will be strengthened.

Other prevention activities are in 42 facilities of Chipata; EPHO will scale up to 15 health facilities in each of these districts: Chama, Chadiza, Mambwe and Nyimba.

Despite improvement in C&T there is need to conduct more trainings for untrained health workers.

COP12PMTCT PLUS UP $165,000 will be used to implement one-off activities intended to strengthen the base of the PMTCT program in the province for a more effective MTCT elimination drive.

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.