Right to Care Zambia

Right to Care was registered as a Non-Profit Organisation (NPO) in Zambia in 2016. We are focused on strengthening and achieving UNAIDS’ 95-95-95 targets.

USAID is the lead funding agency, and our consortium partners are:

Right to Care Zambia supports the Zambian Ministry of Health by providing Technical Assistance and Direct Service Delivery programs.

Our goal is to create strengthened health care systems in these three provinces – Luapula, Muchinga and Northern, through sustainable and integrated interventions.

Our operations are based in Lusaka.

We have a decentralised technical team which operates at district hubs to provide support, supervision, technical assistance and roving teams. These teams are supported by a Regional Team based in Kasama Town.
We currently work in three provinces – Luapula, Muchinga and Northern.
To improve responsiveness and maximise impact, Right to Care Zambia has:
  • established four district hubs in each province which means our expertise and technical support is close to health facilities and communities and
  • set up a regional daily situation room which serves as an early warning indicator to direct technical assistance and resource allocation quickly.

Towards HIV epidemic control in Zambia

To control the HIV epidemic in Zambia, we focus on:

01. providing biomedical prevention packages of care to those at risk

02. ensuring early identification of new infections

03. prioritising early initiation of highly effective treatment regimens

04. retaining those on treatment in care, where:

    • 95% of HIV positive individuals know their HIV status,
    • 95% of those who tested positive are initiated on antiretroviral treatment (ART) and
    • 95% of those on ART are virally suppressed

To strengthen our work, Right to Care Zambia also focuses on building Monitoring and Evaluation (M&E) capacity at facility, district, hub and provincial levels.

Primary prevention methods

To expand Voluntary Medical Male Circumcision (VMMC) services, Right to Care Zambia has trained providers in facilities and adopted demand creation strategies that reach men in communities.

Our elimination of Mother to Child Transmission (eMTCT) programme seeks to ensure all women presenting for antenatal care are tested and those found to be HIV positive initiated on ART.

Pre-exposure prophylaxis (PrEP) has been targeted at key and priority populations at risk of HIV. We also trained providers in PrEP.

HIV testing services and HIV self-testing are helping more people to know their HIV status.

Cervical cancer screening, training staff to screen for cervical cancer and the provision of early treatment to help reduce cervical cancer in women.

Towards UNAIDS’ 95-95-95 targets

The first 95

Included in our efforts to ensure that 95% people know their HIV status, Right to Care Zambia focuses on:

  • targeted case finding,
  • index case testing, and
  • the use of mobile technology such as Lynx Community Testing App for testing and GeoSpatial mapping of high yield areas and communities

The second 95

In our efforts to ensure that HIV positive people in Zambia receive sustained antiretroviral treatment (ART), we focus on:

  • linking HIV patients to treatment and care,
  • tracking and tracing patients who have been lost to follow up,
  • Up-scaling DDD(differentiated drug delivery) such as
    • multi-month scripting and dispensing (MMSD) for a six month period;
    • establishing community medicine pickup points, and
    • supporting the CDU(Centralised Dispensing Unit) in Ndola, Copperbelt, which provides centralised dispensing services to patients. The CDU programme can dispense some 1.2-million repeat scripts per year. Its focus is on decongesting health facilities in Zambia.

The third 95

To achieve viral load suppression in 95% of patient on ART, we have:

  • increased viral load testing capacity in laboratories,
  • expanded the use of e-LABS,
  • implementing an early warning/alert system for patients with high viral loads,
  • introduced a viral load sample collection and courier system and
  • increased TB preventative treatment in patients with HIV.

Our healthcare interventions in Zambia


Nutrition Assessment Counselling and Support

The Nutrition Assessment Counselling and Support (NACS) programme offers nutritional support and counselling to 90% of people living with HIV in the supported provinces


Centralised Dispensing Unit

We also have a Centralised Dispensing Unit (CDU) programme, which provides centralised dispensing services to patients. The CDU programme can dispense 1.2-million repeat scripts per year. Its focus is on decongesting over-burdened health facilities.


eLABS

Right to Care Zambia’s eLABS project has been a highlight in Zambia. eLABS is a mobile health (m-Health) application that allows users to have a ‘bird’s eye’ view of the Viral Load (VL) value chain from facility through to laboratories.


Knowledge Centre

A Knowledge Centre is a cloud-based data management platform used to manage and access data. It powers daily situation rooms which allows healthcare workers at HQ, at Regional Office and at districts and at facilities to access data in real time and to quickly direct technical assistance and resource allocations appropriately and immediately.


Supporting Zambia’s GBV policy

Right to Care Zambia is committed to supporting the Zambian Ministry of Health’s Gender Based Violence (GBV) policy in order to:
  • address gaps in the response and care system,
  • identify HIV/AIDS vulnerability among women and adolescent girls,
  • provide medical services and counselling and
  • raise awareness of GBV in communities.


The scaling up early childhood development in Zambia

The scaling up early childhood development in Zambia (SUpErCDZ) project is funded by USAID Zambia and Grand Challenges Canada. Its focus is on community-based parenting groups using a theatre programme to speak to caregivers and their children. We want to establish the impact of parenting groups on key indicators for child growth and development with a view to expanding and scaling the project.


Our research

Together with Boston University, Right to Care Zambia has been involved in studies funded mainly by the National Institutes of Health and the Bill and Melinda Gates Foundation. Our intention is to:
  • expand knowledge about child survival and respiratory disease in children and
  • explore the introduction of maternal vaccines to prevent disease in new-borns.

Right to Care Zambia Board

Right to Care Zambia Success Stories

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A husband’s perception on parenting groups

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Zambia’s Covid-19 health response boosted by real-time data dashboard

Healthcare managers and technical teams working on the ground in Zambia have moved away from manual excel spreadsheets and are using a new Zambia Covid-19 dashboard to access live information about Covid-19 in districts and provinces across the country. With real-time data at their fingertips, they are ensuring that responses to the pandemic are quick…

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Decentralized healthcare improves adherence and empowers communities

Through Right to Care, USAID provides antiretrovirals (ARVs) to nearly 17,000 clients within the Copperbelt region of Zambia. Due to this endeavor by USAID, HIV patients who are adhering to their daily regimen are able to live full lives and plan for the future. The implementation of a community dispensing unit (CDU) infrastructure and the…

Treating health seriously, caring, making treatment available in South Africa and abroad.

Contact Us

Email : info@righttocare.org
Phone : +27 (0) 11 276-8850