Zimbabwe’s Ministry of Health and Child Care (MoHCC) implemented 3HP within Zimbabwe in 2020. Identifying a feasible and acceptable implementation strategy to scale up TPT with 3HP for PLHIV in Zimbabwe was an urgent priority. MoHCC strongly endorsed the use of differentiated service delivery (DSD) for HIV treatment, and scaled up multiple DSD models, including facility-based services for individual patients such as fast-track (FT), which reduces time spent at the facility during visits.
The scale-up of 3HP has the potential to miss the large number of PLHIV who are already enrolled in DSD models. Integrating TPT into one of the most utilized DSD models, the FT model, could ensure PLHIV enrolled in FT are included in the rollout of 3HP and leverage the convenience of multi-month dispensing of both ART and TPT. This may increase demand for TPT among recipients of care, leading to enhanced coverage and completion of TPT. Therefore, ICAP partnered with MoHCC, the Zimbabwe National Network for People Living with HIV (ZNNP+), the Health Resources and Services Administration (HRSA), and the Centers for Disease Control and Prevention (CDC) to conduct a pilot project to integrate 3HP into FT models.