
National stakeholder mobilisation and systems assessment.
Ministry of Health
National HIV programmes
Procurement agencies
Civil society
Healthcare providers
Development partners
Community organisations
Stakeholders described multiple organisations working on FC2 with limited coordination and inconsistent strategic leadership.
Supply reaches some facilities and communities while others experience prolonged shortages, limiting confidence among both providers and users.
Training gaps and limited demonstration opportunities reduce provider willingness to recommend FC2.
Recent donor funding changes have increased concern regarding future procurement and community programming.
Zambia has the institutional architecture required for national FC2 programming but requires stronger coordination, more reliable procurement and sustained investment in provider capacity.
Establish stronger national coordination.
Improve procurement forecasting.
Invest in provider training.
Expand community-led demand creation.
Strengthen routine data systems.
Integrate FC2 into broader HIV prevention programming.