In this report, MEASURE Evaluation provides the results from scale-up assessments of interventions that integrated early childhood development (ECD) and prevention of mother-to-child transmission (PMTCT) as part of PEPFAR-funded OVC programs in Eswatini, Lesotho, and Zimbabwe. The report includes suggestions and recommendations related to scaling up these interventions in each country; and lessons learned from working on these assessments.
Overall, the results from scale-up assessments reveal broad support for the integrated programs and scaling of the programs to additional geographic areas. Respondents saw the programs as successful ways to target an at-risk population in need of services to support ECD and increase HIV prevention, testing, and treatment. According to respondents, the intervention designs increased community linkages to health services, especially for HIV/AIDS. Challenges remain because of both funding needs and lack of coordination around ECD at the central government level.