Reducing HIV among 15–24-year-old adolescent girls and young women in Zambia through youth-friendly care and community support.

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Charles R. Drew University of Medicine and Science Zambia & Drew HealthCare Limited (Rise UP!) — Ministry of Health Zambia.

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Our Work

Rise UP! Impact

III. Rise UP! Impact 2020–2025

We built upon the successes of the 2019–2020 Scale Up and 2020–2021 Expansion phases. During the Impact Phase we maintain our nine (9) sites in Lusaka and the Copperbelt and enhance programming so HIV+ AGYW are the primary focus. We improve youth-friendly services (YFS), engage and retain in care all known and to-be-identified HIV+ AGYW, improve linkages to HIV testing, shift ARV distribution for stable HIV+ AGYW to the community (Rise UP! House and Youth Friendly Spaces), offer psychosocial support and quality PrEP services, and work closely with community partners.

Clinical sites

Lusaka District
  • Chawama General Hospital
  • Chilenje General Hospital
  • Matero General Hospital
  • Kanyama General Hospital
Ndola District
  • Chipokata Mayamba Urban Health Centre
  • Masala Urban Health Centre (New Masala)
Kitwe District
  • Chimwemwe Urban Health Centre
  • Ipusukilo Urban Health Centre
  • Buchi Urban Health Centre

Rise UP! Project – Innovative Strategies

Expected Outcomes (2026 and beyond)

The Rise UP! Project will work closely with the Ministry of Health and community stakeholders to ensure a sustainable approach to primary care and that health care workers benefit from improved capacity to meet AGYW needs in terms of mental health, gender-based violence, community engagement, and effective clinical and wrap-around service delivery. These outcomes will demonstrate the effectiveness of the Rise UP! Model to improve ART/PrEP distribution, adherence, and retention in care among AGYW living with HIV in Zambia.

Rise UP!

Pre-Exposure Prophylaxis (PrEP) Care System

The system identifies HIV test history, engages screening, reviews PrEP initiation, and follows up every 3 months.

01

HIV Test History

Confirms HIV status.

Step 1
Step 2
02

PrEP Talk & Risk Assessment

Engagement: HIV risk assessment, PrEP indication assessment, PrEP basics education. LAB tests: blood, STIs, kidney function, pregnancy.

03

Initiation

Within 7 days after screening. Review PrEP basics. Prescribe PrEP (≤ 90 days).

Step 3
Step 4
04

Follow Up

Every 3 months: HIV blood test, symptoms review (acute HIV infection, STIs & STDs, side effects), prescribe PrEP.

Assessment Counseling

  • HIV risk behavior
  • Adherence
  • Pregnancy intent

Every 6 months: Labs, STI testing (more frequently for high-risk patients), kidney function

For more information

info@riseuphouse.org
What We Do

Rise UP! Activities

Rise UP! delivers services through two complementary arms: clinic-based care and community-based programming.

Clinic-Based Arm

  • Peer Facilitated Adolescent Friendly HIV and MCH Services
  • Baseline assessment and personalized counselling
  • Management of clinical appointments
  • Expedited triage at clinic service entry point
  • Escorted Referrals
  • Management of Health Care Records
  • Laboratory Work Support

Community-Based Arm

  • Movie Nights, Games and Sports, Traditional Corner and Gardening
  • Positive Health Support Groups / One-on-One Counselling (for HIV+)
  • ARV Dispensary
  • Sexual Health Education and STI/HIV Prevention
  • Maternal and Child Health Support Groups / One-on-One Counselling
  • HIV Testing Services
  • Study Hall
Let’s Start Something For Them

Explore our impact and objectives.

Our Work
Impact at a Glance

Where We Serve

Rise UP! operates across nine clinical sites in two provinces, with clinic-based and community-based arms reaching AGYW where they live and seek care.

9

Clinical sites across Lusaka and Copperbelt

2

Provinces: Lusaka District and Copperbelt (Ndola & Kitwe)

2

Service arms: clinic-based care and community-based programming