04/04/2026
“Communities are not beneficiaries, they are co creators, advisors and accountability actors,” said Carol Nawina Nyirenda, Board Member representing the Communities Delegation to Unitaid. “SCALE-IT pairs innovation with dignity, accountability and country ownership. It was designed with community engagement embedded, not added later.”
Through close collaboration with the Ministry of Health and the University Teaching Hospital, the project demonstrates how co-creating with countries strengthens adoption, supports scale up and lays the foundation for long term sustainability.
By embedding innovation within national systems and working alongside governments, communities and partners, SCALE-IT is testing how locally-led, community-centered models can accelerate equitable access to long acting HIV prevention like lenacapavir, while building stronger, more resilient health systems.
Find out more: https://unitaid.org/project/decentralized-and-community-based-delivery-of-lenacapavir-to-expand-access-to-long-acting-hiv-prevention-in-zambia/