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Strengthening Health Systems at Facility-Level: Feasibility of Integrating Antiretroviral Therapy into Primary Health Care Services in Lusaka, Zambia 1,2 1 1,2 1 3 Stephanie M. Topp *, Julien M. Chipukuma , Mark Giganti , Linah K. Mwango , Like M. Chiko , 4 3 1,2 Bushimbwa Tambatamba-Chapula , Chibesa S. Wamulume , Stewart Reid 1 Centre for Infectious Disease Research in Zambia, Lusaka, Zambia, 2 Schools of Medicine and Public Health, University of Alabama, Birmingham, Alabama, United States of America, 3 Lusaka District Health Management Team, Lusaka, Zambia, 4 Ministry of Health, Lusaka, Zambia Abstract Introduction: HIV care and treatment services are primarily delivered in vertical antiretroviral (ART) clinics in sub-Saharan Africa but there have been concerns over the impact on existing primary health care services. This paper presents results from a feasibility study of a fully integrated model of HIV and non-HIV outpatient services in two urban Lusaka clinics. Methods: Integration involved three key modifications: i) amalgamation of space and patient flow; ii) standardization of medical records and iii) introduction of routine provider initiated testing and counseling (PITC). Assessment of feasibility included monitoring rates of HIV case-finding and referral to care, measuring median waiting and consultation times and assessing adherence to clinical care protocols for HIV and non-HIV outpatients. Qualitative data on patient/provider perceptions was also collected. Findings: Provider and patient interviews at both sites indicated broad acceptability of