Detailed Mechanism Funding and Narrative

Details for Mechanism ID: 11394
Country/Region: Zambia
Year: 2009
Main Partner: To Be Determined
Main Partner Program: NA
Organizational Type: Implementing Agency
Funding Agency: USAID
Total Funding: $0

Funding for Sexual Prevention: Abstinence/Be Faithful (HVAB): $0

This activity narrative is a draft and will be revised upon finalization of the follow on SHARe project

This activity will be a follow on to JSI SHARe project focusing on implementing comprehensive AB

programs in the workplace and outreach communities in the public, private and informal work places. This

activity will link to other program areas including HVCT, OHPS, HVOP. This activity will strengthen and

expand the capacity of the partners to implement AB programs that support the Government of the Republic

of Zambia (GRZ) and the United States Government (USG) goals

The new project will implement comprehensive AB programs in workplaces and communities targeting

adolescents, men, women, the business community, people living with HIV/AIDS (PLWHA) and mobile

populations including truckers, miners and agricultural workers. The project will in addition work with the

small and medium business and the informal workplaces. Appropriate AB prevention models will be

promoted to various groups of adults AB prevention will be closely coordinated with counseling and testing

(CT) mobilization, so that individuals know their status, and for those that are negative counseled on how to

maintain their negative status. The use of mobile AB and CT services in informal market places that was

initiated by SHARe which proved very successful will be expanded under the new project with the use of

mass sensitization sessions and the provision of one-on-one interpersonal AB counseling with vendors.

The partner communities will be involved in developing innovative community AB prevention approaches

such as drama, peer group discussions and social mobilization events ensuring that the programs are

responsive to local needs. Support to AB strategic planning and policy development will be provided to the

partners.

The project will work with all its partners 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 successful sustainability strategies and the development of

sustainability plans. The project will support sustainability plans for HIV/AIDS workplace and community

outreach activities using private sector funds and linking to government resources for information,

education, communication (IEC) material. The project will work with partners to ensure that HIV/AIDS

policies, work plans, and budgets are developed to sustain their HIV/AIDS workplace activities through

government, other donor funding and the private sector.

In FY 2009, the Project and its partners will train persons in AB. Trained educators will reach individuals

with AB prevention messages in workplaces and outreach communities. The project will all focus on

improving supportive supervision to ensure quality of care and to encourage trained peer educators to

intensify efforts to reach out to more individuals and improve reporting.

New/Continuing Activity: New Activity

Continuing Activity:

Emphasis Areas

Workplace Programs

Human Capacity Development

Public Health Evaluation

Food and Nutrition: Policy, Tools, and Service Delivery

Food and Nutrition: Commodities

Economic Strengthening

Education

Water

Table 3.3.02:

Funding for Sexual Prevention: Other Sexual Prevention (HVOP): $0

This activity narrative is a draft and will be revised upon finalization of the follow on SHARe project

This activity will be a follow on to JSI SHARe project focusing on strengthening the public and private sector

and informal workplaces to implement Other Prevention activities and facilitate social change to reduce

sexual transmission. Other prevention strategies will focus on innovative community prevention programs in

areas with high migrant populations, miners, and farmers. The project will design and implement Other

Prevention activities in accordance with the OGAC abstinence, being faithful and correct and consistent use

of condoms (ABC) guidance. Community involvement will 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 abstinence and being faithful (AB) and focus on partner reduction,

correct and consistent use of condoms and knowing one's status. Emphasis will be placed on information

on behavior change focusing on promoting respectful relationships between men and women. The Partners

will continue to address the needs of high risk workers in the public and private sector and the informal

workplaces. The Partners will provide Other Prevention messages to high risk public and private sector

employees and in the formal and informal sectors.

Peer educators trained under the former SHARe project will continue to implement Other Prevention

education, promote condom use, refer for sexually transmitted infections (STI) management, prevent and

treat sexual and gender-based violence, promote partner reduction, and create referral links to Post-

exposure Prophylaxis, counseling and testing (CT) and antiretroviral therapy (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. Global Development Alliance (GDA) members will continue to contribute directly

and through technical support, including access to free CT and ART.

Support will continue to support peer educators trained under the SHARe project to improve 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.

Sustainability of the Partners will be ensured 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. Both the private and public sector will ensure the sustainability of

their HIV/AIDS workplace activities using private sector funds, public sector and other donor funding.

New/Continuing Activity: New Activity

Continuing Activity:

Emphasis Areas

Workplace Programs

Human Capacity Development

Public Health Evaluation

Food and Nutrition: Policy, Tools, and Service Delivery

Food and Nutrition: Commodities

Economic Strengthening

Education

Water

Table 3.3.03:

Funding for Testing: HIV Testing and Counseling (HVCT): $0

This activity narrative is a draft and will be revised upon finalization of the follow on SHARe project

This activity will be a follow on to JSI SHARe project focusing on extending CT in the workplace and

outreach communities in the public, private and informal work places. This activity will link to other program

areas including HVAB, OHPS, HVOP. This activity will strengthen and expand CT the workplace capability

including quality assurance, quality improvement and supportive supervision to trained CT providers

provision of on site and mobile CT and linkages with other CT service providers.

The new project will seek creative ways to engage and connect the communities to CT through community

sensitization and mobile CT at traditional ceremonies. The project will focus on working with partners to

access rapid test kits through the District Health Management Teams and Medical Stores Ltd in order to

expand nationwide CT services. CT providers will link HIV positive clients to ART and palliative care

services in their respective communities to ensure continuity of care.

The Project will assist partners 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. The Project will work with partners 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.

The project will increase the sustainability of its partners by 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 of sustainability plans. The partners 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.

New/Continuing Activity: New Activity

Continuing Activity:

Emphasis Areas

Workplace Programs

Human Capacity Development

Public Health Evaluation

Food and Nutrition: Policy, Tools, and Service Delivery

Food and Nutrition: Commodities

Economic Strengthening

Education

Water

Table 3.3.14: