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A Tiered Strategy: Lead, Build, Enable

Rather than spreading thin across many themes, we concentrate our strongest capabilities where we have proven credibility and community trust, while building carefully in emerging areas where the need is rising.

Core Priorities — Where We Lead

Our flagship pillars

SRHR & HIV Prevention

Our flagship pillar: prevention literacy, demand generation, and access to youth-friendly, rights-based, choice-based services. Our interventions span the full HIV prevention menu and the broader SRHR agenda:

  • Biomedical HIV prevention product literacy — oral PrEP, long-acting injectable Cabotegravir, Lenacapavir, the PrEP Ring, post-exposure prophylaxis (PEP), and HIV testing
  • Peer-led community demand generation, including digital SRHR and HIV prevention campaigns tailored to young people's realities
  • School and community-based Life Skills and Health Education (LSHE)
  • Community referral systems, service linkage, and capacity strengthening for healthcare workers and peer educators

The biomedical interventions include: HIV testing services · condom use · voluntary medical male circumcision · prevention of mother-to-child transmission · STI screening and treatment · post-exposure prophylaxis (PEP) · treatment as prevention (U=U) · needle and syringe programmes · medication-assisted treatment and clean injection equipment · pre-exposure prophylaxis (PrEP).

Community Advocacy & Systems Accountability

We implement solutions and influence the systems that shape their delivery — making systems more accountable and empowering communities to hold them to account through:

  • Community-led monitoring and accountability mechanisms
  • Youth advocacy and leadership development
  • Multi-stakeholder accountability dialogues, including on domestic resource mobilisation
  • Evidence-based policy advocacy on HIV prevention, SRHR, youth health, and climate-health intersections
  • Community feedback and client experience platforms
Strategic Growth Priorities — Where We Build

Phased, evidence-led expansion

Climate & Health Intersection

AFF advances climate and health resilience by promoting sustainable healthcare practices, strengthening community preparedness, supporting climate-informed health advocacy, and empowering young people and women to lead locally relevant climate solutions. Key contributions include:

  • Climate-resilient health systems
  • Sustainable and low-carbon healthcare
  • Climate, gender, and health equity
  • Youth leadership and community climate action

Child Protection & Gender Justice

AFF works to prevent and address sexual and gender-based violence through gender-transformative approaches, survivor-centred health and support services, youth and women's leadership, and strengthened policies, systems, and community-led accountability mechanisms:

  • Prevent and respond to sexual and gender-based violence (SGBV)
  • Promote women's and girls' rights and bodily autonomy
  • Strengthen young women's and girls' leadership and meaningful participation
  • Challenge harmful gender norms and practices such as child marriage and teenage pregnancy
  • Improve equitable access to health information and services centred on women and girls
  • Engage men and boys as partners in transforming harmful norms
  • Advocate for policies and institutions that advance gender equality and accountability
Cross-Cutting Enablers

Research, Innovation & Community Engagement

These run underneath everything we do — strengthening evidence generation, adaptive implementation, policy influence, and community ownership rather than sitting as standalone programmes.

Digital Innovation

We strengthen the use of digital platforms for health information dissemination, mobile outreach and referral systems, community digital literacy, and technology-enabled peer support across all available interventions.

MERL & Adaptive Learning

Routine monitoring, operational research, rapid assessments, learning platforms, and data utilisation for adaptive, evidence-informed programming.

Community Participation

Peer-led and community-led approaches, participatory planning and feedback, youth co-creation models, and community ownership mechanisms.

Where We Work

12 districts across 7 provinces

Our secretariat office is in Lusaka, while we implement programmes in 12 districts across 7 provinces of Zambia — working with 25 health facilities within rural and peri-urban communities affected by poverty, stigma, gender inequality, and barriers to equitable health service access.

See Our Programmes Our Impact