The Zambian government envisions active participation of rural communities in health interventions. To support this goal, the USAID-funded, Abt-led Zambia Integrated System Strengthening Program (ZISSP) targeted Kalomo, a district with higher HIV prevalence (15%) than national and provincial rates, aiming to engage communities to improve HIV-related service uptake. 

The strategy of promoting community-owned plans and including local leaders in Kalomo District successfully increased uptake and awareness of HIV services. Sustainability of HIV-related behavioral interventions requires additional community orientation with behavior change strategies and income generation projects.