This activity relates to HVCT (#8907), HTXS (#8909), HBHC (#8908), HVAB (#8906), HVTB (#8914), HKID (#8912), and OHPS (#8911).

The Support to the HIV/AIDS Response in Zambia project (SHARe) will continue to provide a grant to the Comprehensive HIV/AIDS Management Program (CHAMP), a local NGO, to provide technical support to HIV/AIDS programs in eight private sector companies in two Global Development Alliances (GDAs) in the mining and agribusiness sectors. The Mining GDA includes Konkola Copper Mines, Mopani Copper Mines, Copperbelt Energy Company, Kansanshi Mines, Bwana Mkubwa Mining Limited. The Agribusiness GDA includes Dunavant Zambia Limited, Zambia Sugar and Mkushi Farmers Association.

SHARe will also continue to manage direct grants to the eight GDA companies for PMTCT services in health facilities in workplaces and communities. GDA target populations cover six provinces and 30 districts. The GDAs cover a population of 34,635 employees and 2.1 million community members. The two GDAs will leverage $2 million annually for HIV/AIDS activities.

This continuing activity has three components: PMTCT services at on-site facilities, referral to PMTCT sites where on-site facilities are not available, and linkages to supply inputs to the PMTCT process. On-site facilities will continue to be available at Konkola Copper Mines, Mopani Copper Mines, and Zambia Sugar. These facilities follow the national guidelines for PMTCT including opt-out CT for pregnant women, linkages for treatment and nutritional support, rapid testing, and laboratory support at Konkola Copper Mines for PCR testing of infants. In FY 2007, 1,650 pregnant women will receive CT as entrance to PMTCT directly through on-site services and 420 pregnant women will receive a complete course of ARV prophylaxis directly.

Program activities reduce stigma and discrimination related PMTCT and CT services, empower men and women to make informed choices about CT, PMTCT and ART, reduce the number of OVCs, and improve productivity. Workplace and community level IEC and mobilization driven by trained peer educators empower pregnant women to undertake CT and remove the stigma associated with testing and PMTCT. PMTCT counseling is integrated into antenatal care at on-site facilities. An emphasis on HIV care and treatment for parents and infants following the PMTCT program removes one of the common barriers facing PMTCT programs.

The GDA companies provide inputs to the PMTCT program directly and through links including technical expertise from the Center for Infectious Disease Research in Zambia (CIDRZ) and Zambia Prevention Care and Treatment Program (ZPCT) regarding HIV test kits, ART, and nutritional support. HIV-positive patients are referred to community and faith-based organizations for nutritional supplementation.

SHARe will increase the sustainability of its local NGO partner, CHAMP. Activities will include participatory analysis of its current level of sustainability, sharing of sustainability strategies of successful NGOs, development and implementation of a sustainability plan. SHARe will work with the GDA member companies to develop sustainability plans for PMTCT through its HIV/AIDS workplace and community outreach activities using private sector funds and linking to DATF and other government resources for PMTCT commodities and IEC material. SHARe will support Ministry of Health accreditation of GDA partner PMTCT clinics which will ensure sustainability of the GDA PMTCT programs and sites and access to government resources.

This activity relates to MTCT (#8913), HVCT (#8907), HKID (#8912), HBHC (#8908), HVTB (#8914), HTXS (#8909), HVSI (#8910), OHPS (#8911).

Support to the HIV/AIDS Response in Zambia (SHARe) will continue to strengthen the capacity of NGOs, public and private sector workplaces, two Global Development Alliances, District AIDS Task Forces (DATFs) and Rapid Response Grantees to implement AB programs that support the Government of Zambia's (GRZ) and the Presidents Emergency Plan on Aids Relief (PEPFAR) goals.

SHARe implements comprehensive AB programs in workplaces and communities. SHARe works in four public ministries: the Ministry of Agriculture and Cooperatives which includes permanent and migrant workers, Ministry of Home Affairs which includes the police and prisons, Ministry of Transport and Communications which includes truckers, and Ministry of Tourism/Zambia Wildlife Authority which will include wildlife scouts. SHARe also works with private sector businesses and 10 informal markets through four local NGO partners: Zambia Health Education and Communications Trust (ZHECT); ZamAction; Afya Mzuri; and Latkings. SHARe uses innovative community prevention programs using drama, peer group discussions and events. SHARe will involve communities through the rapid response grantees and chiefdoms in the program design to ensure that the programs are responsive to local needs. SHARe will make use of existing abstinence campaigns as well as take the lead in developing appropriate Be Faithful campaigns. Support to AB strategic planning and policy development will be provided to the Network of Zambian People Living with HIV/AIDS (NZP+) and the Zambia Interfaith Networking Group on HIV/AIDS (ZINGO) in support of AB prevention. SHARe works with 12 chiefdoms training the traditional initiators and traditional practitioners on HIV/AIDS prevention and supports AB activities during traditional ceremonies that include on-site CT and referrals for care and treatment. SHARe initiated mobile AB and CT services in the informal market places in Lusaka in FY 2005. At market places, SHARe conducts mass sensitization sessions and provides one-to-one interpersonal AB counseling with vendors. The informal market strategy has been very successful and will be expanded to markets outside of Lusaka in FY 2007.

SHARe works with the DATFs to assist in coordinating AB activities at the district level, specifically during World AIDS Day and VCT Day and for other events. SHARe provides technical assistance to the DATFs and PATFs to monitor and report AB activities and IEC material distribution through the national HIV/AIDS database at NAC. SHARe was instrumental in developing the national HIV/AIDS database and data collection tools for the provincial and district levels in partnership with the M&E Technical Working Group, CDC, CSO, and NASTAD.

In FY 2005, SHARe and its NGO, private and public sector partners reached 20,273 individuals with AB messages and by mid-FY 2006 trained a total of 2,268 peer educators within the SHARe service delivery network, excluding those in the GDAs. In FY 2007, rather than train new volunteers, SHARe will focus its efforts on improving supportive supervision to ensure quality of care and to encourage trained volunteers to intensify efforts to reach out to more individuals and improve reporting. SHARe will also use its resources to ensure that trained volunteers have the IEC and other materials they require. Trained educators in workplaces and communities will reach 45,360 individuals with AB prevention messages, about 20 persons per peer educator.

SHARe will also continue to provide a grant to the Comprehensive HIV/AIDS Management Program (CHAMP), a local NGO, to provide technical assistance in AB to two Global Development Alliances (GDAs) in the mining and agribusiness sectors, to establish M&E systems for GDA partners, and to maintain documentation of GDA inputs required by USAID. Private sector GDA partners include Konkola Copper, Mopani Copper, Copperbelt Energy, Kansanshi Mines, Bwana Mkubwa Mining, Dunavant Zambia, Zambia Sugar and Mkushi Farmers Association, and have a reach to 30 districts in six provinces and 34,635 employees and 2.1 million community members. SHARe will continue to receive proposals for and manage direct grants to the eight GDA companies for workplace and community AB programs. In FY 2006, GDA partners have submitted their proposals as per their need and in accordance with the SHARe guidelines.

During FY 2005 and FY 2006, CHAMP trained 8,155 volunteer peer educators in the GDA network. In FY 2007, CHAMP and the GDA members will focus on improving supportive

supervision to ensure quality of care and to encourage trained peer educator to intensify efforts to reach out to more individuals and improve reporting. CHAMP will ensure that GDA partners will have sufficient IEC resources for the trained volunteers to promote behavior change through individual counseling, group education, and drama. CHAMP and GDA members will reach 163,100 individuals with AB messages.

In total, SHARe will reach 208,460 individuals with AB messages through programs in public and private sector workplaces, communities, NGOs, Rapid Response Grantees, DATFs, and GDA members (45,360 SHARe and its partners, 163,100 CHAMP).

SHARe will increase the sustainability of its five local NGO partners working in AB prevention (Afya Mzuri, ZamAction, ZHECT, CHAMP and Latkings) through continued strengthening of technical and management capacities and mobilization of financial resources. Activities will include participatory analysis of their current sustainability levels, sharing of sustainability strategies of successful NGOs, development and implementation of sustainability plans. SHARe will work with its GDA companies to develop sustainability plans for HIV/AIDS workplace and community outreach activities using private sector funds and linking to government resources for IEC material. SHARe will work with public sector ministries and DATFs to ensure that HIV/AIDS policies, work plans, and budgets are developed to sustain their HIV/AIDS workplace activities through government and other donor funding after FY 2008.

With $800,000 in plus-up funding, SHARe will work in close collaboration with the NAC to support and strengthen the Afiya Mzuri Resource Center to print and distribute Real Man, Real Woman delayed debut prevention campaign, Safe From Harm, and other AB materials nationwide through DATFs, local partners, civil society, and schools. To facilitate the implementation of the national campaign, SHARe or its partner will print the Real Man, a Real Woman campaign material, which includes a set of four posters, DVDs, and guidelines in English, Nyanja, and Bemba for all 72 districts. SHARe will develop a training curriculum, guide for using material, and train 200 trainers from civil society organizations, USG sub-partners, and DAFTs in how to use the Real Man, Real Woman material. SHARe will increase availability and appropriate use of AB behavior change material among CBOs, FBOs, and the private sector, through: (1). strengthening the Afya Mzuri Resource Centers; (2) supporting AB activities during special social mobilization days such as VCT Day, World AIDS Day, Youth Day, Women's Day; (3). facilitating the broadcasting of Real Man, Real Woman Public Service Announcements; and (4). providing grants to women's organizations for the implementation of AB prevention activities such as the Real Man, Real Woman campaign, gender sensitive prevention activities, and other national abstinence and being faithful efforts.

With plus-up funding, the new total for this activity will be $1,438,000.

This activity relates to MTCT (#8913), HVCT (#8907), HKID (#8912), HBHC (#8908), HVTB (#8914), HTXS (#8909), HVSI (#8910), OHPS (#8911).

This continuing activity strengthens the capacity of local NGOs, public and private sector workplaces, two Global Development Alliances, District AIDS Task Forces (DATFs), and Rapid Response Grantees to implement Other Prevention activities and facilitate social change to reduce sexual transmission.

SHARe works in Other Prevention through four ministries (Ministry of Agriculture and Cooperatives which includes permanent and migrant workers, the Ministry of Home Affairs which includes the police and prisons, the Ministry of Transport and Communications which includes transport companies and truckers and the Ministry of Tourism/Zambia Wildlife Authority which will include wild life scouts and employees of lodges and tourism businesses). SHARe also works with private sector businesses and informal market places through four local NGO partners: Zambia Health Education and Communications Trust (ZHECT), ZamAction, Afya Mzuri and Latkings. Other prevention strategies will focus on innovative community prevention programs in areas with high migrant populations, miners, and market fish vendors. SHARe will support Rapid Response Grantees and Chiefdoms to design and implement Other Prevention activities in accordance with the OGAC ABC guidance to ensure that the activities are responsive to local needs. For example, traditional leaders will promote the discontinuation of harmful traditional practices, such as widow cleansing, dry sex, and early marriage.

Other Prevention programs will provide education to address HIV high risk behaviors among Most at Risk Populations (MARPs) that go beyond AB and focus on partner reduction, correct and consistent use of condoms and knowing one's status. Emphasis will be on behavior change to promote respectful relationships between men and women. SHARe will continue to address the needs of high risk workers in the public sector in the Ministry of Agriculture and Cooperatives, Ministry of Home Affairs, Ministry of Transport and Communications, and the Ministry of Tourism/Zambia Wildlife Authority. SHARe will continue to work with NGO partners to provide Other Prevention messages to high risk private sector employees and communities in the formal and informal sectors. SHARe will strengthen DATFs and Rapid Response grantees to promote Other Prevention messages which include topics such as prevention of gender based sexual violence, transactional sex, and intergenerational sex in their communities, and the impact of alcohol abuse on HIV transmission. In addition to leveraging private sector resources, SHARe will assist the four government ministries in effectively utilizing and coordinating resources from USG, the Global Fund, and the World Bank-funded to carry out activities in Other Prevention.

FY 2006 was the first year that SHARe has integrated Other Prevention activities into both public and private workplaces. SHARe is working towards achieving their target of reaching 135,780 individuals with Other Prevention services. As of mid-FY 2006, SHARe and its partners have trained a total of 2,268 peer educators within the SHARe service delivery network, excluding GDAs. These trained peer educators will target high risk populations with Other Prevention messages and activities. In FY 2007, SHARe will focus its efforts on improving supportive supervision to existing volunteers to ensure quality of Other Prevention information and activities and improve reporting to the project. SHARe will also use its resources to ensure that trained volunteers have the IEC, condoms, and other materials they require. Trained educators in workplaces and communities will reach 8,000 individuals with Other Prevention messages.

SHARe will also continue to provide a grant to the Comprehensive HIV/AIDS Management Program (CHAMP), a local NGO, for Other Prevention programming in two Global Development Alliances in the mining and agribusiness sectors. Private sector partners include Konkola Copper, Mopani Copper, Copperbelt Energy, Kansanshi Mines, Bwana Mkubwa Mining, Dunavant Zambia, Zambia Sugar and Mkushi Farmers Association, that reach 30 districts in six provinces and 34,635 employees, including miners and thousands of seasonal laborers.

SHARe will manage direct grants to eight GDA members for workplace and community Other Prevention efforts to reach the Most at Risk individuals among GDA companies (migrant laborers and miners). CHAMP and GDA companies have already trained 8,155 peer educators in the GDA network. In FY 2007, CHAMP and GDA members will continue

to support the trained peer educators through improved supportive supervision to ensure quality of care, to encourage that trained volunteers intensify efforts to reach out to more individuals, and report accurately. Resources will also be used to ensure that trained volunteers have the IEC, condoms, and other materials they require. CHAMP and GDA members will reach 52,000 individuals with Other Prevention messages.

Trained peer educators will continue to implement Other Prevention education, promote condom use, refer for STI management, prevent and treat sexual and gender-based violence, promote partner reduction, and create referral links to Post-exposure Prophylaxis, CT and ART. Sites with high risk groups will be linked to socially marketed and free condoms through collaboration with the District Health Management Team and the Society for Family Health. Companies with clinical facilities will expand the provision of STI diagnosis and treatment services, and will be encouraged to provide Post-exposure Prophylaxis for health workers and victims of sexual violence. CT will continue to be made available on-site during training and sensitization activities. Information on prevention, care and treatment services will also continue to be provided. GDA members will continue to contribute directly and through technical support, including access to free CT and ART.

SHARe will increase the sustainability of its five local NGO partners working in Other Prevention (Afya Mzuri, ZamAction, ZHECT, CHAMP and Latkings) through strengthening of technical and management capacities and mobilization of financial resources. Activities will include participatory analysis of their current sustainability levels, sharing of sustainability strategies of successful NGOs, development and implementation of sustainability plans. GDA companies will ensure the sustainability of their HIV/AIDS workplace activities using private sector funds, while public sector ministries and DATFs will ensure the sustainability of their HIV/AIDS workplace activities through public sector and other donor funding.

In total, SHARe will reach 60,000 individuals with Other Prevention education and services through public and private sector workplaces, communities, NGOs, Rapid Response Grantees, DATFs, and GDA members (8,000 SHARe and its partner CHAMP 52,000).

With $50,000 in plus-up funding, SHARe will work with key stakeholders to advocate for and build national consensus on the Gender-based Violence Bill through three consultative meetings. Key stakeholders include organizations working on GBV, Ministry of Gender, Ministry of Justice, Ministry of Home Affairs, Ministry of Sports, Youth and Child Development, and the Ministry of Community Development and Social Services. This will bring the total amount of this activity to $262,000.

This continuing activity links to HVAB (#8906), HVCT (#8907), HKID (#8912), HTXS (#8909), HVSI (#8910), HVTB (#8914), and OHPS (#8911).

Support to the HIV/AIDS Response in Zambia (SHARe) and its partners have gained considerable experience in introducing palliative care into HIV/AIDS workplace programs and into outreach programs supported by private companies in surrounding communities. SHARe partners with private sector businesses and markets through three local NGO partners: Zambia Health Education and Communication Trust (ZHECT), Comprehensive HIV/AIDS Management Program (CHAMP), ZamAction, and Afya Mzuri. SHARe also works with four public sector ministries: Ministry of Agriculture and Cooperatives (migrant workers); Ministry of Home Affairs (police and prisons); Ministry of Transport and Communications (transport companies and truckers), and Ministry of Tourism/Zambia Wildlife Authority (wildlife scouts and employees of lodges and tourism businesses). SHARe provides Rapid Response Grants to NGOs and FBOs such as Network of Zambian People Living with HIV/AIDS (NZP+) and the Zambia Interfaith Networking Group on HIV/AIDS (ZINGO) for community-based palliative care.

In FY 2006, SHARe provided direct palliative care to 1555 individuals and trained 359 palliative care providers. Palliative Care in the workplace includes psycho-social counseling and links to nutrition and medical care for opportunistic infections.

In FY 2007, SHARe will continue to work with partners to provide quality assurance, quality improvement and supportive supervision to trained palliative care providers in ministries, private and public sectors, and communities to provide direct care and/or link those in need of palliative care to existing services. SHARe will link community-based and workplace partners with the Care and Compassion Campaign initiated by ZINGO.

SHARe will also continue to provide a grant to CHAMP, a local NGO, to provide technical assistance to eight private sector companies in two Global Development Alliances (GDA) in the mining and agribusiness sectors. Private sector partners include Konkola Copper, Mopani Copper, Copperbelt Energy, Kansanshi Mines, Bwana Mkubwa Mining, Dunavant Zambia, Zambia Sugar and Mkushi Farmers Association, are able to reach 30 districts in six provinces and 34,635 employees and 2.1 million community members.

SHARe will continue to provide direct grants to the eight GDA companies in support of palliative care activities in workplace programs and surrounding communities. PC services will be delivered at 37 on-site facilities strengthened to provide PC. The standard package of PC care for HIV-infected adults and children includes pain relief, cotrimoxizole, psychosocial support, succession planning, legal services, treatment of opportunistic infections and strengthening of PC programs managed by physicians. The program emphasizes integrating prophylactic medications against opportunistic infections. Services at Mkushi Farmers Association sites, Kansanshi Mining, Bwana Mkubwa Mining and Copperbelt Energy include psychosocial counseling.

The GDA companies will also work with off-site facilities providing PC including those of the Ministry of Health, FBOs, and programs providing nutritional supplements. CHAMP and GDA members will provide technical support in palliative care to the trained PC providers in the GDA companies. Trained PC providers in the workplace and communities will provide direct HIV-related PC to PLWHA.

SHARe will increase the sustainability of its four local NGO partners providing technical support in palliative care to workplace programs, including Afya Mzuri, ZamAction, ZHECT and CHAMP, through strengthening of technical, management capacities, and mobilization of financial resources. Activities will include participatory analysis of their current levels of sustainability, sharing of sustainability strategies with successful NGOs, development and implementation of sustainability plans. GDA companies will ensure the sustainability of their HIV/AIDS workplace activities using private sector funds, while public sector ministries and District AIDS Task Forces (DATF) will ensure the sustainability of their HIV/AIDS workplace activities through public sector and other donor funding.

In total, SHARe will reach 2,776 individuals with palliative care directly through public and private sector workplaces, communities, Rapid Response Grantees, and GDA members.

This relates to activities in MTCT (#8913), HVAB (#8906), HVCT (#8907), HBHC (#8908), HKID (#8912), HTXS (#8909), HVSI (#8910) and OHPS (#8911).

Support to the HIV/AIDS Response in Zambia (SHARe) will continue to provide a grant to the Comprehensive HIV/AIDS Management Program (CHAMP), a local NGO, to provide technical assistance in PC/TB/HIV to eight companies in two Global Development Alliances (GDAs) in the mining and agribusiness sectors. Private sector partners include Konkola Copper, Mopani Copper, Copperbelt Energy, Kansanshi Mines, Bwana Mkubwa Mining, Dunavant Zambia, Zambia Sugar and Mkushi Farmers Association, reaching 30 districts in six provinces and 34,635 employees and 2.1 million community members. It is expected that over $2M will be leveraged from the private sector for the two GDAs.

SHARe provides direct grants to the 8 GDA companies to support HIV/TB care in workplaces and outreach communities. This activity has three components: TB prophylaxis/treatment at on-site facilities and in home-based care using DOTS in 3 of the companies; linkages between TB and CT, PC, and ART services at on-site facilities in 3 of the companies; and referral for TB services where no on-site facilities are available.

In FY 2006, SHARe and its partners directly provided 88 HIV infected clients with TB preventative therapy in 4 service outlets, 46 HIV-infected clients received TB treatment.

In FY 2007, SHARe will support TB/HIV care at 3 on-site facilities (Konkola Copper Mines, Mopani Copper Mines, and Zambia Sugar) to increase awareness of the high levels of TB/HIV co-infection and improve TB diagnosis and treatment based on national guidelines. SHARe will work with partners to include opt-out CT at TB clinics to increase the number of TB infected patients who access HIV care and treatment. A number of on-site posts, including the 6 Dunavant on-site health posts created with GDA support do not have the capacity to diagnose or treat TB, but will provide supportive services for patients on TB treatment, undertake DOTS activities, and include opt-out CT for patients on TB treatment. Where TB services are not available on-site, referral to an appropriate TB center will be made. TB and HIV treatment literacy and adherence are priorities in the scale-up of HIV related TB treatment. Patients receiving TB care are referred to partner services and organizations, including Ministry of Health, FBOs and community-based organizations for support services including nutrition. Activities help reduce the stigma associated with TB and HIV, and increase CT uptake. During this period, 455 individuals will receive direct TB treatment through on-site facilities.

SHARe trains healthcare providers, implements workplace and community-level IEC and mobilization through trained medical and peer educators, focuses on increasing the clinical association between TB/HIV and empowering people to access TB treatment and CT services early. Integration of TB testing, counseling and opt-out testing into mandatory annual medical examinations provides a proactive mechanism for entrance into TB/HIV treatment programs. For those who test positive, maintenance of good health is emphasized through positive living programs and palliative care services. Palliative care services provide a mechanism for monitoring HIV progress and guide patients to ART services when appropriate. The program results in PLWHA receiving TB treatment and links TB and CT services.

GDAs will continue to provide inputs to HIV/TB program directly and through linkages with community and FBOs such as Catholic Relief Services, CIDRZ, and ZPCT. Inputs into the program will include HIV test kits and nutritional support.

SHARe will increase the sustainability of its local NGO partner CHAMP through establishing TB/HIV integrated services at private clinical facilities, strengthening technical and management capacities, and mobilization of financial resources. Activities will include participatory analysis of their current level, sharing of sustainability strategies with successful NGOs, and development and implementation of a sustainability plan. GDA companies will ensure the sustainability of their HIV/AIDS workplace activities using private sector funds.

This activity is linked to HVAB (#8906), HTXS (#8909), HVCT (#8907), HVOP (8915), HBPC (#8908), HVSI (#8910), HVTB (#8914), MTCT (#8913) and OHPS (#8911).

Support to the HIV/AIDS Response in Zambia (SHARe) will continue to strengthen both workplace and community support for OVC and their caretakers. SHARe will continue to partner in OVC support with private sector businesses and markets through three local NGO partners: Zambia Health Education and Communications Trust (ZHECT), ZamAction and Afya Mzuri. SHARe supports workplace and community OVC, public sector programs through four ministries (the Ministry of Agriculture and Cooperatives both permanent and migrant worker, the Ministry of Home Affairs which includes both the police and prisons, Ministry of Transport and Communications which includes transport companies and truckers, and Ministry of Tourism/Zambia Wildlife Authority which includes wildlife scouts and employees of lodges and tourist businesses). SHARe will provide support to community OVC through Rapid Response Grantees which will include the Zambia Interfaith Network Group on HIV/AIDS (ZINGO), NZP+, and chiefdoms. Efforts will focus on developing the skills and capacities of individuals and the communities in self reliance and supporting sustainability. Trained OVC providers will continue to provide direct care and work with USG-funded programs such as Reaching HIV/AIDS Affected People with Integrated Development and Support (RAPIDS), Catholic Relief Services Success Project, and the Quality Education Services through Technology project (QUEST) to link OVC with additional services available in their communities.

With many employees caring for OVC, beneficiaries of SHARe's workplace activities have expressed the need to integrate support for OVC into normal workplace policies and services. In response, in FY 2006 SHARe provided technical assistance to private and public partners to incorporate OVC care and support into workplace programs and expects to reach 4800 OVC. While the full results will be reported in the annual report, a number of innovative practices in OVC programming have emerged. For example, First Quantum, one of the GDA companies, with technical support from SHARe has set up an OVC support group which provides food, vocational and skills development, and refers to other USG partners for care and medical treatment.

In FY 2007, SHARe will continue its efforts to review workplace policies and encourage NGO and public sector partners to include OVC support. SHARe and its implementing partners will provide quality assurance, quality improvement and supportive supervision to trained OVC providers to address the needs of OVC and their caretakers. Trained OVC providers will reach 1,270 OVC directly during this period through NGOs, public sector workplaces and outreach communities, and Rapid Response grantees.

SHARe will also continue to provide a grant to the Comprehensive HIV/AIDS Management Program (CHAMP), a local NGO, to provide technical assistance to eight companies in two Global Development Alliances in mining and agribusiness sectors. Private sector partners include Konkola Copper, Mopani Copper, Copperbelt Energy, Kansanshi Mines, Bwana Mkubwa Mining, Dunavant Zambia, Zambia Sugar and Mkushi Farmers Association, reaching 30 districts in six provinces and 34,635 employees and 2.1 million outreach community members. It is expected that over $2.0 million will be leveraged from the private sector for the two Global Development Alliances (GDAs).

SHARe will continue to manage direct grants to the eight GDA companies that support OVC activities through workplace and community programs. This activity consists of strengthening of OVC programs, support improving the quality of OVC care, links to opportunities for income generation for caregivers, in particular orphan-and grandparent-household heads, and links to interventions to improve nutrition.

Support to OVC builds upon opportunities identified by GDA companies. Using a support group model, caregivers learn about child development, OVC psychosocial issues, and HIV prevention. Community providers have been trained in care and support of OVC which includes counseling and testing, palliative care, basic health support, and TB/HIV ART treatment for caregivers, youth, and children. Providers promote testing to ensure that children who test positive access care and pediatric ART services, while those who test negative are provided with prevention information. OVC providers link OVC and their households to educational assistance, agricultural support, and microfinance to enhance sustainable household resilience. Older OVC are linked to companies for possible jobs,

on-the-job training, and internships. The GDAs partners will establish OVC funds in the workplace and OVC support groups for guardians. The GDAs will in addition provide inputs to the OVC program directly and through linkages. In FY 2007, it is expected that GDA partners will reach 2230 OVC.

SHARe will increase the sustainability of its four local NGO partners providing technical support on OVC care within and through workplace programs, including Afya Mzuri, ZamAction, ZHECT and CHAMP, through strengthening of technical and management capacities, and mobilization of financial resources. Activities will include participatory analysis of their current levels of sustainability, sharing of sustainability strategies of successful NGOs, development and implementation of sustainability plans. GDA companies will ensure the sustainability of their OVC activities using private sector funds and linking to existing OVC programs. SHARe will ensure that Public sector ministries and District AIDS Task Forces (DATF) sustain OVC activities through employees, public sector financing, and other donor contributions.

SHARe will also continue to implement a comprehensive M&E system that gathers data on the number of individual OVC served and people trained in OVC care and support from their partners primary data collection level of trained volunteers through to partner consolidation, electronic submission to the project, and reporting to GRZ and USG.

In FY 2007, SHARe and its partners will reach 3500 OVC directly through NGOs, public and private sector workplaces, communities, and Rapid Response Grantees.

This continuing activity links to HVAB (#8906), HKID (#8912), HBHC (#8909), HVTB (#8914), HTXS (#8909), HVSI (#8910),OHPS (#8911), HVOP (#8915), MTCT (#8913), and HVCT (#9605) Public Private Partnership.

SHARe will continue to partner in CT with private sector businesses and markets through three local NGO partners (Zambia Health Education and Communications Trust (ZHECT), ZamAction, Afya Mzuri), and support workplace and community counseling and testing (CT) through the four government ministries. SHARe provides support to the Ministry of Agriculture and Cooperatives which includes permanent and migrant workers, the Ministry of Home Affairs which includes police and prisons, the Ministry of Transport and Communications which includes transport companies and truckers, and Ministry of Tourism/Zambia Wildlife Association which includes wildlife scouts and employees of lodges and tourism businesses. SHARe and its partners will provide mobile CT services within communities through the Rapid Response Grantees and chiefdoms.

In FY 2005 and by mid-FY 2006, SHARe and its partners reached 24,034 individuals with direct CT services through mobile and static services.

In FY 2007, SHARe will continue to work through local NGO and public sector partners to expand CT services in private and public workplace programs through strengthening of workplace capabilities including quality assurance, quality improvement and supportive supervision to trained CT providers, provision of on-site and mobile CT services, and linkages to other CT service providers. SHARe will continue to expand CT beyond the workplace through partnerships with others including District AIDS Task Forces (DATFs), Chiefdoms, the Zambia Interfaith Networking Group on HIV/AIDS(ZINGO), and social mobilization activities including Voluntary Counseling and Testing Day (VCT) and World Aids Day through the National HIV/AIDS/STI/TB Council (NAC).

SHARe will also continue to provide a grant to a local NGO (Latkings) to provide mobile CT services linked to urban and rural mobile populations throughout Zambia. SHARe will seek creative ways to engage and connect the communities to CT through community sensitization. SHARe will continue to work with the District Health Management Teams and Medical Stores Ltd to increase the supply of rapid test kits to organizations that provide CT in order to expand nationwide CT services. In this period, 12,875 clients will be tested through on-site and mobile CT services. CT providers will link HIV positive clients to ART and palliative care services in their respective communities to ensure continuity of care.

SHARe will also continue to provide a grant to the Comprehensive HIV/AIDS Management Program (CHAMP), a local NGO, to provide technical assistance in CT to eight companies in two Global Development Alliances in the mining and agribusiness sectors. Private sector partners include Konkola Copper, Mopani Copper, Copperbelt Energy, Kansanshi Mines, Bwana Mkubwa Mining, Dunavant Zambia, Zambia Sugar and Mkushi Farmers Association, and reach 30 districts in six provinces and 34,635 employees and 2.1 million outreach community members. It is expected that over $2 million will be leveraged from the private sector for the two GDAs.

SHARe will continue to provide direct grants to the eight GDA companies for mobile workplace and community CT. GDAs will support 27 CT sites (11 onsite and 16 offsite), provide quality assurance, quality improvement and supportive supervision to trained CT counselors, and provide CT services directly to 26,500 persons.

CHAMP assists GDA members to provide on-site, facility-based and mobile CT services, create links for referrals to off-site services where on-site facilities are not available, link to the District Health Management Teams logistic management system and other sources for a consistent supply of CT test kits and reagents, and network with prevention, care and treatment sites. CHAMP also works with GDA members and the Ministry of Health to promote adoption of the CT opt-out/provider-initiated approach to offer CT within all antenatal services, at TB clinics, and during annual medical exams.

SHARe will increase the sustainability of its five local NGO partners working in CT, through strengthening of technical and management capacities and mobilization of financial resources. Activities will include participatory analysis of their current situation, sharing of

sustainability strategies of successful NGOs, and development and implementation of sustainability plans. GDA companies will ensure the sustainability of their HIV/AIDS workplace activities using private sector funds and establishing strong linkages with the District Health Management Team. Public sector ministries and DATFs will ensure the sustainability of their HIV/AIDS workplace activities through public sector and other donor funding.

In FY 2007, SHARe will directly reach 39,375 individuals with on-site and mobile CT through NGOs, public and private sector workplaces, Rapid Response Grantees, social mobilization activities, and GDA members.

This continuing activity is linked to HVAB (#8906), HKID (#8912), HBPC (#8908), HVCT (#8907), HVSI (#8901) and OHPS (#8911).

Support to the HIV/AIDS Response in Zambia (SHARe) will continue to provide support to ART in private sector health facilities, public and private sector workplaces, and communities through its three NGO partners (Zambia Health Education and Communications Trust (ZHECT), ZamAction, and Afya Mzuri) and four ministries: the Ministry of Agriculture and Cooperatives which includes permanent and migrant worker, the Ministry of Home Affairs which includes the police and prisons, the Ministry of Transport and Communications which includes transport companies and truckers and the Ministry of Tourism/Zambia Wildlife Authority which includes wildlife scouts and employees of lodges and tourism businesses.

In FY 2005, SHARe's private partners directly provided 791 individuals with ART services. By mid-FY 2006, SHARe's private partners provided direct ART Services to more than double that of the year before at 1,738 individuals served.

In FY 2007, SHARe will expand support to 10 new private sector clinic sites with the training of 10 health workers in ART using national training curricula and standards. SHARE will also continue to work to leverage the provision of free ARVs for the private companies serving the general public and assist these private facilities to be accredited by the Ministry of Health. In addition, SHARe will intensify efforts to enroll eligible workers and community members in treatment programs.

In FY 2007, SHARe will continue to use a social mobilization and mobile CT approaches to increase enrollment in treatment. SHARe will support efforts to raise awareness about ART and will engage its partners including the Zambian Interfaith Networking Group on HIV/AIDS (ZINGO), the chiefdoms, and the network of Zambian People Living with HIV/AIDS (NZP+) to support and promote access of ART services throughout the country. SHARe will provide funding and resources to ZINGO, NZP+, and chiefdoms to conduct ART literacy sessions and ART promotion activities.

SHARe will continue to work with GDA partners and private providers to improve the quality of ART services as per government guidelines and standard protocols. Through support to private sector clinics and hospitals, SHARe will provide direct ART results. Where on-site ART services are not available, SHARe will assist its public and private partners to create strong linkages and referral networks to existing ART service delivery sites. SHARe and its partners in both the public and private sectors will encourage HIV-positive employees and family members, including children, to seek ART.

SHARe will also continue to provide a grant to the Comprehensive HIV/AIDS Management Program (CHAMP), a local NGO, to provide technical assistance in ART to eight companies in two Global Development Alliances in the mining and agribusiness sectors. Private sector partners include Konkola Copper, Mopani Copper, Copperbelt Energy, Kansanshi Mines, Bwana Mkubwa Mining, Dunavant Zambia, Zambia Sugar and Mkushi Farmers Association, reaching 30 districts in six provinces and 34,635 employees and 2.1 million outreach community members. It is expected that over $2 million will be leveraged from the private sector for the two GDAs.

SHARe will continue to provide direct grants to the eight GDA companies to support workplace and community programs for ART service delivery. CHAMP will provide technical assistance to GDA companies to implement ART services, including pediatric ART, at on-site facilities in three of the companies. Where no on-site facilities exist, CHAMP assists GDA companies to create referral linkages to off-site ART centers. CHAMP provides technical assistance to GDA members to implement treatment literacy activities, and link to existing palliative care and PMTCT activities. An emphasis on treatment literacy and adherence reduces the incidence of dropout from ART programs. Additional technical support to GDA members for ART services, equipment, and supplies are provided by other USG partners such as CIDRZ, Catholic Relief Services, and Zambia Partnership for Care and Treatment (ZPCT).

At the end of FY 2007, GDA private companies with clinical facilities providing ART will reach a total of 4,562 individuals who have ever received ART, 3,000 individuals will be

receiving direct ART at the end of the period, while 2,200 of those will be new clients.

SHARe will increase the sustainability of its five local NGO partners working in ART, through strengthening their technical and management capacities and providing them with the skills to mobilize financial resources. Activities will include participatory analysis of their current levels, sharing of sustainability strategies of successful NGOs, development and implementation of sustainability plans. GDA companies will ensure the sustainability of their HIV/AIDS workplace activities using private sector funds and having their clinical facilities become officially affiliated and certified by the MOH to obtain drugs and some supplies. SHARe will work with public sector ministries to ensure that HIV/AIDS policies, work plans, and budgets are developed to sustain their HIV/AIDS workplace, in particular, ART support facilities through government and other donor funding after FY 2008.

This continuing activity links to HVAB (#8906), HVCT (#8907), HBPC (#8908), HTXS (#8909), and OHPS (#8911).

In collaboration with CDC and the National HIV/AIDS/STI/TB Council (NAC) Technical Working Group (TWG) on monitoring and evaluation (M&E), Support to the HIV/AIDS Response in Zambia (SHARe) will continue to strengthen the national HIV/AIDS information system at national and provincial/district levels in order to improve monitoring, tracking and reporting on all HIV/AIDS projects and activities in all program areas. SHARe will assist NAC in its planned M&E activities in coordination with other partners and in line with the national HIV/AIDS M&E Strategic Plan.

In FY 2005 and FY 2006, SHARe has worked closely with NAC, the M&E TWG, CDC, CSO, and NASTAD to assist the GRZ in achieving "The 3 Ones", including one HIV/AIDS M&E System. SHARe assisted the NAC to pilot its first HIV/AIDS decentralized database through District AIDS Task Forces throughout the country. SHARe has also been part of the development of the HIV/AIDS M&E Framework development. In FY 2006, both SHARe and NASTAD are providing training to DATF staff using the M&E training curriculum CDC assisted NAC to develop. SHARe was also very involved in the Joint Annual Review conducted by NAC and has become a key partner to the GRZ in decentralizing and operationalizing the one HIV/AIDS M&E system.

In FY 2007, SHARe will also continue to provide support to strengthen SI including monitoring and evaluation and reporting in private sector health facilities, public and private sector workplaces and communities through its four NGO partners ((Zambia Health Education and Communications Trust (ZHECT), ZamAction, Afya Mzuri and Latkings) and four ministries (Ministry of Agriculture and Cooperatives, Ministry of Home Affairs, Ministry of Transport and Communications, and Ministry of Tourism/Zambia Wildlife Authority). Through its partners, SHARe will continue efforts to implement quality information systems from the primary data collection level of volunteers and health workers, to consolidation by partner organizations, through to reporting of achievements.

SHARe will also continue to provide a grant to the Comprehensive HIV/AIDS Management Program (CHAMP), a local NGO, to provide technical assistance in SI to eight companies in two Global Development Alliances (GDA) in the mining and agribusiness sectors. Private sector partners include Konkola Copper, Mopani Copper, Copperbelt Energy, Kansanshi Mines, Bwana Mkubwa Mining, Dunavant Zambia, Zambia Sugar and Mkushi Farmers Association, reaching 30 districts in six provinces and 34,635 employees and 2.1 million outreach community members. It is expected that over $2 million will be leveraged from the private sector for the two GDAs. SHARe will continue to provide direct grants to the eight GDA companies to support workplace and community SI activities, including primary data collection by trained volunteers and health workers, consolidation of data, and reporting to both the GRZ and USG.

SHARe will ensure the sustainability of SI activities within NAC and its decentralized structure by leaving behind a well function national HIV/AIDS reporting system that collects data from the community through the district to the national level. SHARe will increase the sustainability of its five local NGO partners, Afya Mzuri, ZamAction, ZHECT, Latkings, and CHAMP, through continued strengthening of technical and management capacities and mobilization of financial resources. Activities will include participatory analysis of current levels, sharing of sustainability strategies with successful NGOs, development and implementation of sustainability plans. GDA companies will ensure the sustainability of their HIV/AIDS workplace activities using private sector funds, while public sector ministries will ensure the sustainability of their HIV/AIDS workplace and community activities through public sector and other donor funding.

Including NAC, a total of 48 organizations including NGOs, Provincial AIDS Task Forces (PATFs), District AIDS Task Forces (DATFs), private sector companies, GDA companies and ministries will be reached with support in SI to improve data collection, analysis and use of data for decision-making.

This activity links to HVAB (#8906), HVCT (#8907), HBPC (#8908), HTXS (#8909), HVSI (#8910) and HKID (#8912).

With its partner Initiatives, Inc., Support to the HIV/AIDS Response in Zambia (SHARe) will continue to strengthen the capacity of 50 organizations to mitigate the impact of HIV/AIDS. This will include the strengthening of civil society organizations, private formal and informal sector companies and markets, and public sector bodies in HIV/AIDS policy advocacy, social mobilization, and systems strengthening.

Support to civil society includes institutional strengthening of NGOs receiving small Rapid Response Funds (RRF) grants for the implementation of innovative prevention, care, and treatment activities, support to key NGO partners (Afyz Mzuri, ZamAction, ZHECT, Latkings) receiving medium sized grants for work with the private and public sector, and institutional strengthening TA to key coordinating bodies, including the Network of Zambian People Living with HIV/AIDS (NZP+), the Zambian Interfaith Networking Group on HIV/AIDS (ZINGO), and chiefdoms. Support to the private sector includes strengthening of private sector companies and markets to respond to the impact of HIV/AIDS through technical support from local NGOs. Support to the public sector includes institutional strengthening of four ministries in HIV/AIDS workplace programming: Ministry of Home Affairs, Ministry of Agriculture, Ministry of Transport, and the Ministry of Tourism/Zambia Wildlife Authority. SHARe provides technical support to the National HIV/AIDS/STI/TB Council (NAC) and its decentralized structures: Provincial AIDS Task Forces (PATFs) District AIDS Task Forces (DATFs), Provincial AIDS Coordinating Advisors (PACA), and District AIDS Coordinating Advisors (DACA formally United Nations Volunteers). In collaboration with NASTAD, SHARe supports NAC in HIV/AIDS planning, monitoring, and evaluation and contribute further to capacity building.

In FY 2007, with its partner Abt Associates, SHARe will continue to work with legal and regulatory bodies and NAC to improve and enforce laws and policies related to HIV/AIDS and create enabling environments. SHARe will work with a total of 40 organizations in HIV-related policy in FY 2007. Organizations will include the NAC, the Ministry of Justice, Ministry of Labor, and organizations in the workplace program including four ministries, NGOs (Afyz Mzuri, ZamAction, ZHECT, Latkings), private sector companies and markets. SHARe will work in the drafting, refinement, approval, and dissemination of codified laws and regulations critical to HIV/AIDS such the Employment Act and Morphine Policy.

SHARe will also continue to assist NAC and its coordinating structures to mobilize Zambia and its leadership during nationwide campaigns and social mobilization events, and through routine district and partner activities. This will include assistance during VCT Day, World AIDS Day and other events. SHARe will also work with key national and local leaders (e.g. political leaders, traditional, and religious leaders) to encourage them to take a public stand in relation to HIV/AIDS including prevention and CT.

SHARe will also continue to provide a grant to the Comprehensive HIV/AIDS Management Program (CHAMP), a local NGO, to provide technical assistance to eight companies in two Global Development Alliances (GDA) in the mining and agribusiness sectors. Private sector partners include Konkola Copper, Mopani Copper, Copperbelt Energy, Kansanshi Mines, Bwana Mkubwa Mining, Dunavant Zambia, Zambia Sugar and Mkushi Farmers Association, reaching 30 districts in six provinces and 34,635 employees and 2.1 million outreach community members. It is expected that over $2 million will be leveraged from the private sector for the two GDAs.

CHAMP provides support to the eight GDA companies in workplace policy development or review and institutional capacity building. CHAMP builds the capacity of GDA members to increase employee use of prevention, care and treatment services in workplaces and communities. CHAMP also provides TA to GDA companies to accelerate workplace programs by leveraging other USG technical support for mining and agribusiness, and assists GDA members to maintain service networks in prevention, care, and ART on-site or through referral. CHAMP also assists GDA members to develop strong relationships with District Health Management Teams and the MOH to access free ARVs, HIV test kits, and coordinate activities and services for community programs.

CHAMP and its GDA partners also provide technical assistance to trained educators and

providers in the GDA companies in stigma and discrimination and community mobilization. SHARe and CHAMP report all contributions from private sector and program activities as per USAID GDA requirements and will assist the USG in monitoring the progress of the GDAs, ensuring that quality data is captured with supporting documentation and that both quantitative results and success stories are reported.

Laws and policies developed by NAC with assistance from SHARe will become part of the national legal and policy systems, and will therefore be fully sustainable through public sector and other donor funding. The institutional capacity building provided through SHARe to NAC, its decentralized structures, other coordinating bodies such as ZINGO and NZP+, NGO partners and GDA companies will result in improved capacities which are also fully sustainable by those organizations using their own resources. SHARe will increase the sustainability of its local NGO partners, Afya Mzuri, ZamAction, ZHECT, CHAMP, Latkings, ZINGO and NZP+, through continued strengthening of technical and management capacities and mobilization of financial resources. Activities will include participatory analysis of current levels, sharing of sustainability strategies of successful NGOs, development and implementation of sustainability plans.

In total, SHARe and its partners will provide 106 organizations with technical assistance in HIV-related policy development or institutional capacity building. Of these, 48 organizations will be provided with technical assistance in HIV-related policy development, and 58 will be provided with technical assistance in HIV-related institutional development.