Expanded Integrated Management of Pediatric HIV and AIDS Care and Treatment (E-IMPACT)
In 2015, 84% of pregnant women living with HIV in Zimbabwe received antiretroviral treatment to prevent mother to child transmission. However, only 54.9% of infants born to HIV-positive mothers received an HIV test within the first two months of life.
Virtually all new HIV infections among infants in Zimbabwe acquire HIV from their HIV-infected mothers during pregnancy, birth, or breastfeeding (mother-to-child transmission).
Since 2010, Bantwana’s IMPACT program has ensured that HIV-infected children in Zimbabwe receive treatment and follow-up care immediately after HIV testing. Under the Expanded IMPACT Program (E-IMPACT), even more HIV-positive children are being reached with critical care.
E-IMPACT trains community health workers (CHWs) to mobilize and educate communities about pediatric ART and how to access treatment. CHWs reach out to women of child-bearing age or who have recently given birth through prevention of mother to child transmission (PMTCT) groups and counseling services at local community centers. CHWs also link mothers to Bantwana-supported Internal Savings and Lending groups, which layer healthy parenting education onto financial literacy and savings skills to support their children.
E-IMPACT is currently testing and linking HIV-positive children to ART across 17 districts in Zimbabwe, reaching over 100,000 children a year. Bantwana also supports the Ministry of Health to provide lifelong antiretroviral treatment to HIV-positive mothers, regardless of their CD4 counts.
Early Childhood Stimulation
 Zimbabwe Ministry of Health (2016) ‘GARPR Zimbabwe Country Progress Report 2016’