PSI/Zambia was established in 1992 to empower at-risk and underserved Zambians to lead healthier lives in line with the Government of Zambia’s health priorities. PSI/Zambia’s current portfolio contains programs in HIV/AIDS, reproductive health, malaria, safe water.
In 2009, PSI/Zambia estimates that it averted more than 118,000 unwanted pregnancies, more than 922,000 episodes of diarrhea and more than 1,628,000 cases of malaria.
SFH relaunched Maximum male condoms as Maximum Classic and Maximum Scented in 2004. Scented condoms play a critical role in providing choice and encouraging non-users and lapsed users to adopt the use of condoms and they provide cost recovery. SFH is the key organization focusing on sales and marketing activities for the female condom in Zambia. Care is distributed through several channels, including pharmacies, drug stores, hair salons, barbershops, and VCT centers and in partnership with nongovernmental organizations.
Voluntary Counseling and Testing (VCT)
In 2002, SFH began offering VCT services by opening a New Start center in downtown Lusaka. New Start now operates fixed sites in Kitwe, Chipata, Mansa, Solwezi, Ndola, Livingstone and two sites in Lusaka, as well as nine mobile VCT units. Together these sites counsel and test over 10,000 clients per month. SFH will launch a mass media campaign in 2009 to encourage couples to seek VCT services.
Voluntary Medical Male Circumcision
Clinical trials in South Africa, Uganda and Kenya estimate that a circumcised man is approximately 60 percent less likely to contract HIV than an uncircumcised man. Since 2007, SFH has offered male circumcision services through a combination of fixed sites, private sector franchises and mobile MC services through government hospitals and rural health centers.
Oral Contraceptives and Injectables
SFH’s portfolio comprises of MyChoice Microgynon oral contraceptives, MyChoice Injectable contraceptives, and SafePlan oral contraceptives. SFH assures the re-supply of both MyChoice products using a cost-recovery model. SFH works with private and public sector service providers as well as community-based distributors and health communications partners to improve the availability of contraceptive products.
SFH seeks to improve reproductive, maternal and child health through improved access to and use of long-term family planning methods. Over the next few years, SFH will improve access to and use of IUDs and implants by supporting overburdened urban and under-supported rural MOH clinics, piloting immediate post-partum IUD insertion in collaboration with UTH and MOH, and improving the quality and range of RH services offered by private providers.
Prevention of Post-Partum Hemorrhage
Post-partum hemorrhage is the leading cause of maternal deaths in Zambia. Most deliveries take place at home or in a rudimentary clinic that does not have sufficient trained staff, drugs or equipment to deal with the post-partum hemorrhage that contributes to 34% of all maternal mortality. Conclusive field studies have proven that a three-pill dose of the drug misoprostol, given to a woman immediately after she delivers, will significantly reduce PPH incidence. In addition to implementing its own PPH intervention, SFH will support the MOH’s pilot PPH prevention program.
SFH partners with the National Malaria Control Center in a nationwide project to distribute Mama Safenite LLINs in an effort to prevent malaria. As a national implementer of the Malaria in Pregnancy program, SFH has rolled out the program to all nine provinces. The program is managed throughout District Health Management Team centers and then through ante-natal clinics at district and ward levels, making free nets easily accessible to pregnant women and children under five.
Contaminated water is a leading cause of diarrheal disease in Zambia, where only 64 percent of the population has access to safe drinking water sources. Among children under five, 21 percent have had diarrhea in the past two weeks, regardless of water source or location. Mortality among children under five is particularly high, as attempts to rehydrate children, usually with more contaminated water, often fail. SFH launched Clorin in 1998 to protect low-income Zambians from contaminated water. Clorin is an inexpensive and simple-to-use household water treatment – a sodium hypochlorite disinfectant developed by the U.S. Centers for Disease Control and Prevention. To date, the program has sold or distributed over 17 million bottles of Clorin, each of which protects a family of six for a month.
Products and Services
- Maximum condoms since 1992, with a 2004 relaunch as Maximum Classic
- Maximum Scented condoms since 2004
- Trust Studded male condoms since 2008
- Care female condoms since 1997, with a 2008 relaunch
- New Start voluntary counseling and testing (VCT) since 2002
- Male Circumcision since 2007
- SafePlan oral contraceptives since 1996
- MyChoice Microgynon oral contraceptives since 2007
- MyChoice Injectable since 2009
- Long-Term Method (IUD and Implant) service delivery since 2008
- Circle of Friends interpersonal communication (IPC) initiative since 2005
- Misoprostol for the prevention of post-partum hemorrhage since 2009
- Mama Safenite long lasting insecticide treated nets (LLINs) since 2001
- Clorin safe water system since 1998
- GoGo reading glasses since 2007
- Launch of MyChoice IUD
- Launch of MyChoice Implant
- Launch of MisoSafe misoprostol
- Launch of Diarrhea Treatment Kits (ORS/Zinc)
- U.S. Agency for International Development
- The Global Fund To Fight AIDS, Tuberculosis and Malaria
- President’s Emergency Plan for AIDS Relief
- Bill and Melinda Gates Foundation
- Global Women’s Health Project
- Zambian Ministries of Health and Education
- National AIDS Council
- National Malaria Control Center
- University Teaching Hospital
- Mwami Adventist Hospital
- Luapula Foundation
- Youth Alive
- Development Aid from People to People
- Comprehensive HIV/AIDS Management Program
- Zambia Health Education Communications Trust
- Health Communications Partnership
- Centre for Infectious Disease Research in Zambia
- Community-based NGOs such as CARE, Catholic Relief Services and Neighborhood Health Committees
- Using Commercial Marketing Techniques to Introduce New Contraceptive Products in Zambia and Malawi
PSI platforms in Zambia, Malawi and India are now marketing three new products: a contraceptive gel, diaphragm and female condom. This case study describes how PSI is working to make these new methods accessible and attractive to women.
- Enabling the Healthy Spacing and Limiting of Pregnancies: Programmatic Approaches to Expand Postpartum IUD Access
Under the Support for International Family Planning Organizations (SIFPO) project funded by USAID, PSI published a technical brief on 'Enabling the Healthy Spacing and Limiting of Pregnancies: Programmatic Approaches to Expand Postpartum IUD Access'. The brief introduces the need for expanded postpartum family planning options, reviews the advantages and disadvantages of the PPIUD, describes the components of successful initiatives to add PPIUD to the range of options for postpartum women, and illustrates three different models for PPIUD service delivery through case studies from the Democratic Republic of the Congo, Guinea, Zambia and Pakistan.
- Clorin Clean Drinking Water Animated TV Spot – Zambia
An animated TV spot for Clorin, a household water treatment product sold through social marketing, by the Society for Family Health, PSI's affiliate in Zambia.
- Understanding Private Sector Antimalarial Distribution Chains: A Cross-Sectional Mixed Methods Study in Six Malaria-Endemic Countries
This article presents evidence on the composition, characteristics and operation of private for-profit distribution chains in six malaria-endemic countries (Benin, Cambodia, Democratic Republic of Congo, Nigeria, Uganda and Zambia).
- The ACTwatch Project: Methods to Describe Anti-Malarial Markets in Seven Countries
This project was designed to provide a comprehensive picture of the anti-malarial market to inform national and international anti-malarial drug policy decision-making.
- Preventing Postpartum Hemorrhage in Rural Zambia
Overview of our program in rural Zambia, where we are distributing misoprostol and educating health facility staff and influential community members to promote the correct use of misoprostol for postpartum hemorrhage prevention.
- Monitoring Fever Treatment Behavior and Equitable Access to Effective Medicines in the Context of Initiatives to Improve ACT Access: Baseline Results and Implications for Programming in Six African Countries
Access to artemisinin-based combination therapy (ACT) remains limited in high malaria-burden countries, and there are concerns that the poorest people are particularly disadvantaged. This paper presents new evidence on household treatment-seeking behaviour in six African countries and provides a baseline for monitoring interventions to increase ACT coverage.
- Feasibility of training Zambian nurse–midwives to perform postplacental and postpartum insertions of intrauterine devices
This study explores the feasibility of competency-based training of Zambian nurse-midwives in postplacental and postpartum intrauterine device (PPIUD) insertion and estimates learning curves for this procedure.
- Success story: Helping women take control of their reproductive health
- Determinants of hanging and use of ITNs in the context of near universal coverage in Zambia
Roll Back Malaria recently recommended a policy of universal coverage with insecticide-treated nets (ITNs) so that all age groups can benefit from protection against malaria. This study examines ITN deployment and use in the context of mass distribution efforts towards achieving universal coverage in a malaria-endemic district in Zambia.