Detailed Mechanism Funding and Narrative

Years of mechanism: 2008 2009

Details for Mechanism ID: 3022
Country/Region: Zambia
Year: 2008
Main Partner: National AIDS Council - Zambia
Main Partner Program: NA
Organizational Type: Host Country Government Agency
Funding Agency: HHS/CDC
Total Funding: $550,000

Funding for Strategic Information (HVSI): $550,000

The funding level for this activity in FY 2008 has increased since FY 2007. Narrative changes include

updates on progress made and expansion of activities.

This activity relates to National Association for State and Territorial Directors (NASTAD), SHARe, University

of Zambia (UNZA), and Centers for Disease Control and Prevention (CDC).

Increased funding is being requested to ensure that the National AIDS/HIV/STI/TB Council (NAC) can

mobilize in-country monitoring and evaluation (M&E) experts to reach all districts and provinces with M&E

training and supervision, with a focus on data utilization for service delivery improvement. Additional funds

will be used to cover staffing needs in provinces and districts. To ensure long term sustainability, USG is

also in the process of developing a strategic plan for further conceptual and operational integration of data

systems in Zambia which will ultimately link NAC and PEPFAR systems and processes with the MOH's

HMIS/Smartcare systems and processes. During FY 2008, additional funds will be used by NAC to

coordinate the implementation of the integration strategy. NAC will also be encouraged to contract UNZA

as a sub-partner for capacity building with appropriate funding level.

The United States Government (USG) supports the NAC in assuring strong M&E centrally and to promote it

across sectors in Zambia. NAC is charged with establishing and maintaining Zambia's HIV/AIDS information

as reported by provincial and district levels. At the policy level, research and evaluation capability has

become its own strategic theme in the 2006-2010 HIV/AIDS Strategic Plan. This elevates the importance of

strong information and M&E capability to a higher level of priority. The wide span of M&E responsibilities

under NAC requires continued support for information systems as well as sustainable workforce

development to ensure a trained and competent cadre of M&E specialists. Specifically, in 2008, this activity

will continue to support key staff positions within the NAC's M&E Unit, which may include positions such as

an M&E Director, M&E Specialist, Information Technology Specialists, and others based on NAC's needs.

The continued support of activities in relation to directives of the National Monitoring and Evaluation Theme

Group convened by NAC are provided by this funding. A primary focus of activities in FY 2008 is to

continue to strengthen existing systems for continued training and performance support at district,

provincial, and national levels in the deployment of national integrated M&E system and Information

Systems/Information Technology strategy. In FY 2005 and FY 2006, USG facilitated a process which

resulted in a joint capacity building plan to harmonize M&E capacity building efforts across USG agencies

and cooperating partners such as SHARe and National Association of State and Territorial AIDS Directors

(NASTAD). A single M&E training manual and training package was developed with technical assistance

from CDC-Atlanta. By the end of FY 2007, all Provincial AIDS Coordinating Advisors (PACAs) and district

level HIV/AIDS focal points will have been trained with the material.

In FY 2008, USG will continue to support in-depth M&E training focused on localized data use for

improvement of service delivery, planning, and reporting. This activity will continue an enhanced focus on

building proficiency with data use and retrieval from anchor national information systems such as the

NACMIS of community and non-clinical indicators and the Health Management Information Systems (HMIS)

and SmartCare from the health sector. Additionally, USG will continue to provide ongoing technical

assistance to NAC on information and communications infrastructure planning, development, and the

deployment of the national monitoring and evaluation system. NAC's goal is to reach over 75 people in

trainings on strategic information, as well as to continue to assist every District AIDS Task Force (72), and

Provincial AIDS Task Force (9) in M&E implementation and skill-building. CDC-Zambia will also continue to

support NAC to build its Resource Center by facilitating linkages with key research tools and services. In

FY 2008, funding will also support the NAC to clarify and increase its participation and coordination of

research activities such as sentinel surveillance, and including the implementation, reporting, and

dissemination of key national surveys such as the Zambia Antenatal Clinic Sentinel Surveillance of HIV and

Syphilis, the Zambia Demographic and Health Survey, Zambia Sexual Behavior Survey, Zambia Service

Provision Assessment, HIV surveillance of HIV/AIDS in children and in prison populations. The funding will

also assist in the coordination and implementation of a multi-agency working group to improve Zambia's

geographic data layers and data infrastructure needed to utilize geographic information and geographic

mapping to support HIV/AIDS monitoring, evaluation, and response.

Targets set for this activity cover a period ending September 30, 2009.