Detailed Mechanism Funding and Narrative

Years of mechanism: 2008 2009

Details for Mechanism ID: 3023
Country/Region: Zambia
Year: 2008
Main Partner: Central Statistical Office - Zambia
Main Partner Program: NA
Organizational Type: Host Country Government Agency
Funding Agency: HHS/CDC
Total Funding: $600,000

Funding for Strategic Information (HVSI): $600,000

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: Ministry of Health (MOH), and Centers for Disease Control and Prevention (CDC).

The FY 2008 plan aims to build-up and sustain the Central Statistical Office (CSO) and staff expertise in

vital registration in Zambia. An important FY 2008 activity is the continuation and expansion of the Sample

Vital Registration with Verbal Autopsy (SAVVY) System in selected regions in Zambia. The FY 2008 activity

builds upon the Feasibility Study funded in FY 2007 by CSO in collaboration with the CDC Global AIDS

Program (GAP) in Zambia, utilizing SAVVY tools and materials developed by the US Census Bureau and

Measure Evaluation. In FY 2008, the CSO will collaborate with the Ministry of Health (MOH), Ministry of

Home Affairs National Registrar's Office, Ministry of Local Government and Housing, and the Ministry of

Community Development and Social Welfare (MCDSS) to expand its surveillance of vital events in Zambia

by increasing areas of coverage, examine and support the existing data sources and data capture systems,

refining and validating the verbal autopsy questionnaire, and evaluating the implementation process of the

SAVVY system in Zambia. This vital registration system builds upon current expertise of the CSO and that

of other line Ministries in demographic surveillance to estimate the number and causes of deaths in

sampled areas with baseline census information. In addition to establishing (and re-establishing) the

infrastructure to obtain mortality data alongside census data in additional targeted samples, this effort will

aim to validate the verbal autopsy interview instrument used, and train 80 staff from CSO and other

ministries. These will include office staff, interviewers, census enumerators, community workers, verbal

autopsy interviewers and supervisors, nosologists, and other health workers. Beyond training of individuals

in SAVVY methods, this activity will yield information on the number of deaths ascertained by the

community informants, number and quality of verbal autopsy forms completed by interviewers, the number

and quality of verbal autopsy forms coded with cause of death. The estimate of duration of time from death

to notification and completion of verbal autopsy, and time to cause of death coding, will also be captured.

The estimated mortality rate observed in the SAVVY areas and communities will be calculated. The ability

to capture specific causes of death of interest using the verbal autopsy form will also be examined, with

observed strengths and weaknesses of the verbal autopsy form used in Zambia.