Expanded Integrated Management of Pediatric HIV and AIDS Care and Treatment (E-IMPACT)

IMPACT has already linked 1,974 HIV+ children to care and pediatric ART support services and initiated 1,369 children on pediatric ART across 8 districts in Zimbabwe.

E-IMPACT has already tested over 169,000 children for HIV and has linked 5,000+ of them to ART treatment.


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.[1]

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

E-IMPACT Randomized Control Trial >>


[1] Zimbabwe Ministry of Health (2016) ‘GARPR Zimbabwe Country Progress Report 2016’