THE INTEGRATE
PROGRAM

Funded by The Bill and Melinda Gates Foundation in Zimbabwe to test models for sustainability in the transition of voluntary medical male circumcision from vertical partner-led programming to horizontal Government of Zimbabwe-led programming.

The program has five objectives

The program seeks to integrate VMMC into the subnational health system after over a decade of partner-led programming, and with HIV biomedical prevention more broadly.

Strengthen GoZ-led Management and Coordination
Integrate VMMC Into Subnational Health System Pillars and with Biometrical Prevention

Demonstrate Shang Ring Device method safety, acceptability, and cost-effectiveness for youth ages 13-14

Strengthen COVID-19 and pandemic resilience

Influence the community of practice

The program tests models for sustainability across system pillars:

Maintaining efficient and effective service delivery, including models for decentralized delivery and
device method services for younger adolescents.

Transforming demand creation to community-led demand which strengthens the ecosystem for demand between facilities, schools and community structures, including models for community results-based financing.

Shifting input and output financing to channel input financing through Ministry of Health and Child Care and output financing through existing Results-Based Financing systems and structures.

Developing GoZ-owned digital innovations for supporting health workforce learning, quality and job support.

Strengthening subnational District and Facility management and coordination.

Our Purpose

Integrate is designed to share the lessons learned, tools developed and best practices emerging in Zimbabwe, the fifteen VMMC priority countries and beyond to influence the broader community of practice.

Explore our site to access the research materials and to join the conversation about transitioning vertical partner-led programming towards more sustainable models for delivery.

The Integrate Team

We collaborate closely with

The program seeks to integrate VMMC into the subnational health system after over a decade of partner-led programming, and with HIV biomedical prevention more broadly.
The UCSF-led OPTIMISE activity which seeks to inform the transformation of the HIV prevention program, with a focus on the VMMC program, into a sustainable program and support and capacitate the MoHCC in working with stakeholders to develop and implement sustainability plans.

Research partners