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PROGRAM CASE STUDY
Open Access

Preventing Disruptions in HIV Service Delivery to Key Populations During Project Transition From an International to a Local Implementing Partner: A Case Study From Zambia

Edward Adekola Oladele, Maurice Musheke, Florence Mulenga, Alick Samona, Ihoghosa Iyamu, Arlene Phiri, Ngaitila Phiri and Otto N. Chabikuli
Global Health: Science and Practice December 2025, 13(2):e2400186; https://doi.org/10.9745/GHSP-D-24-00186
Edward Adekola Oladele
aFHI 360 Zambia, Lusaka, Zambia. Now with Cutting Edge Public Health Solutions.
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  • For correspondence: edward.a.oladele{at}gmail.com
Maurice Musheke
bCentre for Infectious Disease Research in Zambia, Lusaka, Zambia.
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Florence Mulenga
cFHI 360 Zambia, Lusaka, Zambia. Now an independent consultant.
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Alick Samona
dCentre for Infectious Disease Research in Zambia, Lusaka, Zambia. Now an independent consultant.
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Ihoghosa Iyamu
eSchool of Population and Public Health, University of British Columbia, Vancouver, Canada.
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Arlene Phiri
fU.S. Agency for International Development Zambia, Lusaka, Zambia. Now an independent consultant.
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Ngaitila Phiri
fU.S. Agency for International Development Zambia, Lusaka, Zambia. Now an independent consultant.
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Otto N. Chabikuli
gFHI 360, Eastern and Southern Africa Regional Office, Pretoria, South Africa. Now with the Centre for Infectious Disease Research in Zambia.
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Figures

  • FIGURE 1
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    FIGURE 1

    Conceptual Temporal Location of the Transition Phase in the Projects’ Lifespan

  • FIGURE 2
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    FIGURE 2

    Depiction of the Different Levels of Communication for Smooth Transition Between Two Projects

    Abbreviations: CHEKUP, Controlling HIV Epidemic for Key and Underserved Populations; DHMT, district health management team; IP, implementing partner; MOH, Ministry of Health; USAID, U.S. Agency for International Development.

  • FIGURE 3
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    FIGURE 3

    Actual and Projected HIV Service Uptake During Project Transition, Zambia, August to November 2022

    September 2022 marked the point when USAID Open Doors (the closing project) ended service delivery and USAID CHEKUP I (the follow-on project) started providing services.

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Global Health: Science and Practice: 13 (2)
Global Health: Science and Practice
Vol. 13, No. 2
December 31, 2025
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Preventing Disruptions in HIV Service Delivery to Key Populations During Project Transition From an International to a Local Implementing Partner: A Case Study From Zambia
Edward Adekola Oladele, Maurice Musheke, Florence Mulenga, Alick Samona, Ihoghosa Iyamu, Arlene Phiri, Ngaitila Phiri, Otto N. Chabikuli
Global Health: Science and Practice Dec 2025, 13 (2) e2400186; DOI: 10.9745/GHSP-D-24-00186

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Preventing Disruptions in HIV Service Delivery to Key Populations During Project Transition From an International to a Local Implementing Partner: A Case Study From Zambia
Edward Adekola Oladele, Maurice Musheke, Florence Mulenga, Alick Samona, Ihoghosa Iyamu, Arlene Phiri, Ngaitila Phiri, Otto N. Chabikuli
Global Health: Science and Practice Dec 2025, 13 (2) e2400186; DOI: 10.9745/GHSP-D-24-00186
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    • ABSTRACT
    • INTRODUCTION
    • PROJECT DESCRIPTIONS
    • PROJECT TRANSITION APPROACH
    • ACTIVE TRANSITION MANAGEMENT OUTPUTS
    • LESSONS LEARNED
    • RECOMMENDATIONS
    • CONCLUSION
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