Expanded HIV Care and Treatment in Zimbabwe

I-TECH works hand-in-hand with the MoHCC to strengthen quality, comprehensive HIV and TB services for children, adolescents and adults, in Zimbabwe, with the goal of HIV epidemic control. I-TECH supports integrated programming in 17 districts.

Activities include site-level mentoring at health facilities to improve patient linkages between testing, initiation on treatment, and retention in care. Dedicated HIV Nurse Testers and Initiators test and initiate patients on treatment, alongside MoHCC staff.

I-TECH’s community linkages activities work to provide HIV testing services to family members of existing patients and link them to care and antiretroviral therapy. I-TECH supported cadres also work with facilities and communities to identify patients who have defaulted from treatment and return them to services.

I-TECH promotes differentiated care through differentiated HIV testing, ART initiation, and ART delivery through multi-month refills for stable patients, Family ART Refill Groups, and Community ART Refill Groups (CARGs). CARGs benefit both group members—through decreasing health center visits, offering peer support, and allowing clients to take responsibility for their health—and staff, by decreasing workload and allowing more time for patient care.

I-TECH also supports increased access to services for children and adolescents through Africaid’s Community Adolescent Treatment Supporters. Demand creation activities build community engagement, and targeted testing and outreach activities bring services to hard-to-reach populations.