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* * * Home: Where MSH Works: Africa: Zambia

Zambia

A mother and her sleeping baby at the George Health Centre in Lusaka, Zambia. (c) 2004 Emmanuel 'Dipo Otolorin. Courtesy of Photoshare.

Formerly known as Northern Rhodesia, Zambia gained independence from Britain in 1964. Zambia is a major producer of copper and is politically stable, but the vast majority of the population lives in poverty and is burdened by unemployment; outbreaks of diseases such as polio, malaria, and yellow fever; and an ineffective health care system. MSH is developing partnerships in Zambia to improve clinical training efforts and strengthen management systems in support of Zambia's goal of achieving a nation-wide sustainable and accessible health care system.

Zambia Map
COUNTRY PROFILE
Population1 11,900,000
Infant Mortality Rate per 1,000 live births1 92
Maternal Mortality Rate per 100,000 live births2 750
HIV/AIDS Adult Prevalence1 17%
Population Living Below US$2 per day1 94%
Life Expectancy at Birth, Both Sexes1 37 years
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1 PRB 2006 World Population Data Sheet
2 WHO Global Health Atlas
EXPERIENCE IN THIS COUNTRY
ZAMBIA PREVENTION, CARE, AND TREATMENT (PCT) PROJECT 2004 – present *
RATIONAL PHARMACEUTICAL MANAGEMENT PLUS (RPM PLUS) PROGRAM 2000 – 2005 *
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2004 to present

ZAMBIA PREVENTION, CARE, AND TREATMENT (PCT) PROJECT

Zambia PCT is working closely with the Ministry of Health and Government of Zambia in an effort to expand HIV/AIDS services in Zambia, implement program and management strategies to scale up clinical care services, increase access to HIV counseling and testing, prevent mother-to-child transmission, and strengthen diagnosis and prevention of HIV/AIDS. Working in five provinces, this project also provides technical assistance and supervisory support to laboratory and pharmacy staff by training them in inventory control and assistance to pharmacies, which improves the infrastructure in laboratories, diagnostic rooms, and storage space.

As a subcontractor to Family Health International (FHI), MSH’s role in the project is to assure that drug and commodity supply systems for antiretroviral medicines (ARVs) and treatment of sexually transmitted infections (STIs) are in place to support the project’s integrated response to the HIV/AIDS epidemic. The project also provides technical assistance in the setup and maintenance of high-quality laboratory services, as well as leadership and management training for national district-level health staff. Pharmacy support and laboratory service activities are a critical part of this comprehensive HIV prevention, care, and support program.

2000 – 2005

RATIONAL PHARMACEUTICAL MANAGEMENT PLUS (RPM PLUS) PROGRAM

RPM Plus works in more than 40 developing countries to provide technical assistance to strengthen pharmaceutical and health commodity management systems. The program works to improve the availability and use of quality medicines, supplies, and basic medical equipment in the public and private sectors and to promote practical, sustainable changes in pharmaceuticals management by developing capacity within cooperating countries and fostering collaboration between countries.

From 2000 to 2006, the RPM Plus program worked with the Zambian Ministry of Health on a variety of pharmaceutical management initiatives, including development of a national essential medicines list and standard treatment guidelines; training in procurement, quantification, and rational use of medicines; and voluntary testing and counseling for HIV, prevention of mother-to-child transmission of HIV, and development of an HIV/AIDS commodities and information management system. Subsequent work has focused on antimicrobial resistance (AMR) including advocacy to preserve effectiveness of existing antimicrobials, revision of standard treatment guidelines for infectious diseases, improvements to the country’s drug product quality assurance system, and reform of the medical curriculum to include an AMR component.

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