University Teaching Hospital One-Stop Centre — Lusaka's Integrated Model for Child Sexual-Abuse and GBV Care

Launched on 26 April 2006 in the paediatric department of the University Teaching Hospital (UTH) in Lusaka, the centre brought health workers, police investigators, social workers, psychiatrists and counsellors together under one roof for child sexual-abuse and GBV survivors, replacing a fragmented referral pathway used under a 2004-2005 pilot.
A peer-reviewed 2010 Journal of Tropical Medicine evaluation (Chomba et al.) recorded 2,863 children served between 2006 and 2008 (829 in 2006, 955 in 2007, 1,079 in 2008) and found the co-located model raised the share of eligible children completing the 28-day HIV post-exposure prophylaxis course from 23% under the pre-2006 pilot to 52% after the One-Stop Centre opened.
UTH subsequently trained staff from other provinces via a Trainer-of-Trainers model; Zambia now operates more than 30 One-Stop Centres nationally with government and UN Joint Programme on Gender-Based Violence support, and a separate Population Council multi-country evaluation (Kenya and Zambia, 2012) assessed the wider model's health, legal and cost outcomes.

Read the full analysis: https://zambia.unfpa.org/en/news/how-one-stop-centers-gbv-are-securing-health-and-rights-women-and-girls