Reaching HIV/AIDS Affected People with Integrated Development and Support (RAPIDS)

Category 1

The RAPIDS approach consists of a systematic scale-up of successful community-based palliative care models of home-based care and support to orphans and vulnerable children as well as interventions targeting youth economic stability and life skills, as part of the strategy of increasing prevention mainly through abstinence messages. The RAPIDS program strategy is guided by the following needs: to develop a sustainable, community-led response to the HIV/AIDS crisis; to bring multi-sectoral interventions to bear on HIV/AIDS-related problems; and to work with ever-greater numbers of partners in a coordinated manner in order to achieve the multiplying effects needed to respond on a scale equal to the magnitude of the crisis.

Goal of the Practice
  • To improve the quality of life of Zambians affected by HIV/AIDS through a systematic scale up of successful household focused models of home based care (HBC), including palliative care; support to orphans and vulnerable children (OVC).
  • Interventions targeting youth livelihood opportunities and life skills, including abstinence, prevention and testing initiatives.
Core Components
  • Improve quality of life and resilience of OVC and their household
  • Improve health, quality of life and resilience of people living With HIV/AIDS and their households
  • Improve livelihoods and healthy norms for youth
  • Increase capacity of household and communities to cope with HIV/AIDS
Noteworthy Results
  • In the first 6 months of 2008; 6,553 community-based OVC caregivers provided care and support to 228,537 children (114,664 females and 113,871 males).
  • 24,939 clients (9,654 males and 15,285 females) were reached with Antiretroviral Treatment (ART) adherence support and nutrition through information sharing, trainings, referrals, direct assistance with transportation and follow-up client monitoring and care.
  • The project provided examination fees, books, Gifts-in- kind and life skills training to 88,257 children. The life skills program reached 62,752 youth.
  • More than 300 Community Care Coalitions have been trained, equipped and mobilized to spearhead communities' responses to OVC and PLWHA care and support.
Lessons Learned
  • Ensure effective integration into national instruments and advocacy for allocation of resources for OVC.
  • Provide training to caregiver groups to meet needs of affected households.
  • Monitor quality as program goes to scale.
  • Create an OVC­caregivers database to enable information sharing with government central statistics office.
  • Create partnerships for additional resource mobilization to supplement PEPFAR.
Focus Areas
Care and Support
Implemented By
World Vision
Participating Organization
  • Catholic Relief Services
  • Africare
  • Salvation Army
  • Expanded Church Response and CARE
Target Population
  • Adults (over 18)
  • Adolescents (ages 13-17)
  • Children (ages 2-12)
  • Infants (newborn to 24 months)
  • Males
  • Females
  • General Public
  • People Living with HIV (PLWH)
> 50000
Implementation Years
08/2004 - ongoing