SFH currently executes the following projects:

Sexual and Reproductive Health for All Initiative (SARAI)

Effective 20th April 2015, the United States Agency for International Development (USAID) awarded SFH to provide support for a program in integrated family planning and reproductive health, titled Sexual and Reproductive Health for All Initiative (SARAI). Over five years, SFH will combine efforts with the Ministry of Health (MOH) and its implementing partners DAPP, Child Fund and PSI to increase the modern contraceptive prevalence rate in the implementation sites by 2% annually through increased access to and improved quality of Family Planning and Reproductive Health services. Through extensive technical assistance and capacity building the SARAI project will cover 15 districts in 3 provinces with reproductive health and family planning programs in the following;

Copperbelt Province: Chililabombwe, Chingola, Kalulushi, Kitwe, Mufulira, Ndola

Muchinga Province:  Mpika, Mafinga, Shiwa Ngandu, Nakonde

Luapula Province: Mansa, Chienge, Lunga, Nchelenge, Kawambwa

Zambia Defense Force (ZDF) Voluntary Medical Male Circumcision Scale-Up

The purpose of this Grant is to fund HIV/AIDS Prevention Program in support of the Naval Health Research Center, Executive Agent for the U.S Department of Defense HIV/AIDS Prevention Program (DHAPP).  This program named “Zambia Defense Force (ZDF) Voluntary Medical Male Circumcision Scale-Up” will contribute to the goal of reducing the incidence of HIV among military personnel, their families, and the surrounding communities in provinces with high HIV prevalence working in approximately 40 health facilities to reach uncircumcised men in the target age group (15-29 years). Capacity building will be emphasized to ensure the military personnel have the skills to improve and sustain long- term HIV prevention through VMMC. To do so PSI and SFH will work in close collaboration with Zambia Defense Forces (ZDF) and DHAPP.  SFH has been working with DOD on similar projects since 2011.

The Expanding Effective Contraceptive Options (EECO)

More than 220 million women have an unmet need for modern family planning (FP) and more than 100 million women cite method-related reasons for non-use,1 underscoring the need for new and improved methods and greater method choice. The Expanding Effective Contraceptive Options (EECO) project is designed to support the introduction of five new contraceptive methods that will address method-related reasons for non-use and better meet the reproductive health needs of women and girls.

With funding from USAID, WomanCare Global (WCG), leads the project and will bridge the private sector and non-profit worlds, linking upstream product developers/suppliers and downstream marketing and distribution partners. WCG will lead regulatory and quality assurance efforts, register products, and pilot highly intensive medical detailing with providers. By project’s end, EECO will have produced roadmaps for introducing and creating demand for new, woman-initiated FP methods. Pilots in Zambia, Malawi and India will provide women with greater choice to prevent unplanned pregnancy, through access to three new product lines: a contraceptive gel; new barrier methods; and intra-vaginal rings (IVR). The products include Amphora, a contraceptive gel developed by team partner Evofem; the SILCS diaphragm and the Woman’s Condom developed by PATH; and Progering, a progesterone vaginal ring, and the Nestorone®/ethinylestradiol (NES/EE) ring, a contraceptive vaginal ring, developed by The Population Council.

Efficient, Effective, and Innovative Male Circumcision Service Delivery

Through support from Bill and Melinda Gates Foundation (BMGF), PSI and SFH implemented a Male Circumcision project “Efficient, Effective, and Innovative Male Circumcision Service Delivery”, in Lusaka, Southern and Central provinces of Zambia. The project introduced various innovations in all the provinces to showcase cost efficiencies in demand creation and MC service delivery.

HIV Self-Testing Africa

The HIV Self-Testing Africa (STAR) Project is a four-year initiative started in 2015, funded by UNITAID, to catalyze the market for HIV self-testing (HIVST). The project will be implemented in two phases, each lasting two years. Phase One will generate crucial information about how to distribute HIVST products effectively, ethically and efficiently. Nearly 750,000 HIV self-tests will be distributed across Malawi, Zambia and Zimbabwe. Phase Two of the project will scale up successful distribution models and demonstrate the population-level health impact of HIVST. The project will generate multi-country public health evidence to inform WHO normative guidance and support development of national-level policy on HIVST. The evidence generated by the project will inform estimates of market size, encourage market entry among potential HIVST manufacturers and inform the future scale up of HIVST globally. In Zambia the project is currently being implemented in Ndola, Kabwe, Lusaka and Choma.

Population Services International (PSI) heads the STAR consortium, in close collaboration with the World Health Organization and leads implementation of HIVST distribution in each country. London School of Hygiene and Tropical Medicine, Liverpool School of Tropical Medicine, and University College London lead the overall research agenda. In-country HIVST research activities are implemented by local research institutions (Malawi-Liverpool-Wellcome Trust Clinical Research Programme, ZAMBART, and the Centre for Sexual Health and HIV/AIDS Research Zimbabwe).

Read more:   STAR Brochure (96 downloads)

Support for International Family Planning Organizations (SIFPO)

Through the USAID’s Support for International Family Planning Organizations 2 (SIFPO2), PSI and SFH are studying the Knowledge, Attitudes, and Practices Around Emergency Contraceptive Pills in Zambia. Findings will contribute to bridging the knowledge gap on Emergency Contraceptive Pills (ECP’s), bring to light the need for Emergency Contraceptive Pills (ECP’s) and contribute to designing a catalytic intervention on ECP’s that is expected to bring information and awareness on ECP utilization among the population.



Location: Lusaka & Copperbelt