Delika Rama

Lead technical and strategic work for the Gates-funded HARTZ grant supporting Zimbabwe's HIV/TB health systems transition, prevention sustainability, and domestic financing strengthening in response to 40% PEPFAR funding reductions. Coordinate MoHCC response analytics, resource allocation strategies, and continuity planning to maintain service delivery. Co-lead development of a three-tiered minimum service package framework for HIV/TB, enabling MoHCC to sustain epidemic control under varying donor scenarios (0%, 25%, 50% external funding). Framework applies evidence-based prioritization to safeguard essential, high-impact interventions; align financing, health system capacity, and public health returns with initial modelling projecting ~70% epidemic control impact under 25% funding. Leading new product introduction strategies for MoHCC across Global Fund GC7 (3,512 clients) and PEPFAR (271,000 clients over three years). Developed costed implementation plans, phased rollout roadmap, and

Led data analysis and synthesis across the HIV prevention portfolio; presented findings at technical forums (Prevention Partnership Forum, Technical Working Groups, Sustainability Workshops, Strategic Planning Sessions) to support MoHCC decision-making on resource allocation, program optimization, and investment priorities. Led resource mapping tracking $120M across donor and government HIV prevention funding streams, providing expenditure analysis and costing framework inputs for UNAIDS-supported sustainability roadmap development. Spearheaded development of national PrEP program targets (2024-2028) for oral, injectable (CAB-LA), and long-acting (Lenacapavir) products through epidemiological modelling and capacity assessments. Targets adopted into Zimbabwe's National HIV/AIDS Strategic Plan and informed commodity forecasting, quantification, and supply planning for Global Fund and PEPFAR procurement. Served as South-South Learning Network champion for HIV prevention, facilitating peer

Conducted scenario modelling and sensitivity analyses projecting HIV prevention interventions scale-up trajectories under varying resource envelopes, informing national target-setting and investment prioritization. Developed evidence-based investment case for Global Fund 2024-2026 HIV prevention allocation that secured 41% funding increase ($3.2M additional), with enhanced targeting toward key population and integration within SRHR platforms. Designed and implemented sustainability maturity model assessing Zimbabwe's VMMC program across the six health system pillars (governance, financing, supply chain, service delivery, human resources, information systems), facilitating transition of 48 districts to intermediate sustainability levels.