The USAID/Zambia Open Doors project will work toward an AIDS-free society by increasing access to comprehensive HIV prevention, care and treatment services for key populations in target provinces. FHI 360 is implementing this five-year project in partnership with two local organizations, Planned Parenthood Association of Zambia and Zambia Health Education and Communications Trust, as well as Howard University. The project is funded by the U.S. Agency for International Development (USAID) and the U.S. President’s Emergency Plan for AIDS Relief (PEPFAR).
This project builds on USAID’s previous efforts in the Corridors of Hope project, which focused on female sex workers and their clients. USAID/Zambia Open Doors extends its reach to additional key populations, including men who have sex with men and transgender people, concentrating on five provinces where HIV is highly prevalent: Central, Copperbelt, Lusaka, North-Western and Southern.
The project’s objectives are:
- To identify and address the main determinants of risky behavior among key populations in the target districts
- To increase the availability of high-impact HIV services and other health services for key populations in the target districts
- To strengthen the capacity of local stakeholders to plan, monitor, evaluate and assure the quality of interventions for key populations
USAID/Zambia Open Doors will use a social network strategy to identify the populations that are most at risk, recognizing that each group has specific ways in which age, gender norms and inequalities increase HIV risk and inhibit uptake of services. The project will then design and implement its tailored, targeted interventions with the key populations themselves, implementing innovative, holistic peer care management approaches to prevention, counseling and adherence. To inform new strategies, the project will generate evidence by moving from a process-focused monitoring and evaluation system to one that assesses epidemiological outcomes and the role of key populations in the control of the HIV epidemic.