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Good practice Imported

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

Zambia · Lusaka · See the Zambia profile · See the Lusaka profile

Evidence: Observational / pre–post Top 26% 85/100 · Ask Evidence Copilot about this practice

Since 2006, Lusaka's University Teaching Hospital has co-located medical, police, psychosocial and legal care for sexual-abuse survivors, lifting HIV post-exposure prophylaxis completion from 23% to 52% and becoming the model behind Zambia's 30-plus national centres.

2,863 children
Children served (2006-2008)
23 %
HIV post-exposure prophylaxis completion rate, pre-2006 pilot (2004-2005)
52 %
HIV post-exposure prophylaxis completion rate, after One-Stop Centre opened (2006-2008)
University Teaching Hospital One-Stop Centre — Lusaka's Integrated Model for Child Sexual-Abuse and GBV Care

Details

Maturity
Scaling
Promoter
University Teaching Hospital, Lusaka
Period
2006–present
Keywords
health, gender-based violence, child protection, policing

Context

Launched on 26 April 2006 in the paediatric department of the University Teaching Hospital (UTH) in Lusaka, the One-Stop 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.

Objectives

To improve access to integrated medical, legal, psychosocial and law-enforcement care for child sexual-abuse and GBV survivors, and to increase completion of time-sensitive medical protocols such as HIV post-exposure prophylaxis.

Activities

Health workers, police, social workers, psychiatrists and counsellors were co-located under one roof. UTH subsequently trained staff from other provinces via a Trainer-of-Trainers model.

Results

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.

Conclusions

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.

Implementation
Indicative cost
Medium (€50k–€500k) — Multi-disciplinary staffing (medical, police, social work, psychiatry, counselling) co-located at a hospital site; specific unit costs are not reported in available sources.
Time to results
Long (> 3 years) — Piloted 2004-2005; One-Stop Centre launched April 2006; expanded via a Trainer-of-Trainers model to more than 30 centres nationally with government and UN Joint Programme on GBV support.
Staffing & skills
Health workers, police investigators, social workers, psychiatrists and counsellors co-located at University Teaching Hospital; staff from other provinces trained via a Trainer-of-Trainers model

Conditions for success

  • Co-locating medical, police, psychosocial and legal services under one roof to replace a fragmented referral pathway
  • A Trainer-of-Trainers model enabling replication across provinces and growth into a 30+ centre national network

Commonly funded by

National / regional programmes Philanthropic / foundation funding

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Data sources

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