Improving and Expanding Access to and Uptake of HIV Testing and Counseling (HTC) Project

Since 2007, IntraHealth has been strengthening HIV counseling and testing services in Zambia in rural and underserved districts. The HIV Testing and Counseling (HTC) Project will target the Southern, Lusaka, and Western provinces—all of which have particularly high HIV rates—to expand access and use of testing and counseling services; link individuals, couples, and families to referral and follow-up services; and improve service quality. IntraHealth will build on its previous work in Zambia that included training and deploying 140 lay counselors and 85 health workers, who have since provided HIV testing and counseling to more than 190,000 people.

Selected initiatives

  • Supporting districts to scale up individual and couples HTC for facilities, district mobile services, and lay counselor door-to-door services
  • Strengthening existing Ministry of Health systems by offering grants to increase districts’ roles in service implementation
  • Collaborating with districts to expand service availability so that more people living with HIV receive and adhere to antiretroviral therapy
  • Promoting prevention interventions for both the general population and vulnerable groups, including alcohol and drug users, mobile populations, and those engaged in transactional sex
  • Strengthening referral and follow-up systems by developing referral maps and partners, refining referral mechanisms and testing new approaches, including use of cell phones