Detailed Mechanism Funding and Narrative

Years of mechanism: 2008 2009

Details for Mechanism ID: 3022
Country/Region: Zambia
Year: 2009
Main Partner: National AIDS Council - Zambia
Main Partner Program: NA
Organizational Type: Host Country Government Agency
Funding Agency: HHS/CDC
Total Funding: $630,000

Funding for Testing: HIV Testing and Counseling (HVCT): $80,000

THIS IS A NEW ACTIVITY:

•To support national testing days, the National VCT Day and the World AIDS Day

•To support radio programs to increase awareness in the community on the importance of knowing ones

status and next steps if one is negative or positive

This activity will be linked to the all CT, PMTCT, and prevention activities in the COP.

Part of these funds ($28,000) will be used to print and distribute Information Education and Communication

(IEC) materials to support the national testing days - VCT day and World AIDS day.

In 2008 before the VCT day, the planning technical working group lead by National HIV/AIDS/STI/TB

Council (NAC) conducted a one and half hour education program addressing counseling and testing (CT)

and responding to questions from callers. It was apparent this episode provided a good means for people

to call in ask questions, improve awareness as well as share experiences. Working in line with the NACs

goal of intensifying prevention through CT, in 2009, a 52 weeks radio program will be aired on radios 2 and

4. NAC will subcontract $ 52,000 of the funds to Media Works through Zambia National Broadcasting

Communication (ZNBC) to deliver the messages below throughout the year. Radio 4 casts a wide network

of listeners from Livingstone to Chisamba while radio 2 focuses on the line of rail listeners.

Topics to be covered include:

- Importance of CT

- Couples VCT

- PMTCT

- Youths and CT and prevention

- Prevention for positives and negatives

- Adherence including nutrition

- Alcohol and HIV

- STIs

- HIV and TB

- Domestic Violence

-Male circumcision

- Child sexual abuse

- CT in children and disclosure

These topics will be addressed in relation to risk behavior and behavior change. NAC in collaboration with

the national prevention theme group will identify experts in the areas above to lead the discussions. NAC

will work closely with USAID SHARe and HCP to ensure that messages are not duplicated and where

necessary re-in forced.

Media Works will also work with Provincial Health Officies planning radio programs to share experiences

and improve of how to best create community awareness through radio.

New/Continuing Activity: New Activity

Continuing Activity:

Emphasis Areas

Gender

* Addressing male norms and behaviors

* Reducing violence and coercion

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:

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

ACTIVITY HAS BEEN MODIFIED IN THE FOLLOWING WAYS: The narrative has been updated to reflect

activity progress and achievements.

Activity is related to National Alliance of State & Territorial AIDS Directors (NASTAD) (3719.08) and

University of Zambia (UNZA) monitoring and evaluation (M&E) (3720.08).

The USG will provide continued support to enabling "the Three Ones" principle for monitoring the response

to HIV/AIDS in Zambia by supporting the National HIV/AIDS/STI/TB Council (NAC) Strategic Information

activities. The funding level remains the same as in FY 2008.

The activity has six components. First, management information system (MIS) at national, provincial and

district levels will be strengthened. This will include the roll-out of the NAC management information system

(NACMIS), with web-based interconnectivity to the central system, to all the nine provincial centers and nine

pilot provincial districts. NAC M&E Directorate will also train 15 trainers of trainers in NACMIS applications

to facilitate roll-out of this national database to provincial and district levels. Further, the current

maintenance contract will be continued to re-engage a reputable ICT firm for a routine maintenance plan to

ensure a functional ICT system at all levels. The overall goal of this work is to create linkages between the

NACMIS with SmartCare, Health Management Information System (HMIS), Electronic Management

Information System (EMIS), USG-Zambia's Partner Reporting System (ZPRS), and CRIS software to

facilitate routine information sharing and data reconciliation between NAC and partners.

The second component of this activity is the monitoring of the HIV/AIDS response using the NAC Activity

Reporting Form (NARF) routine data collection system. This activity involves printing the NARF, its

distribution, data collection, input and analysis, and development of the Multisectoral Monitoring Report.

Quarterly monitoring supervisory visits aimed at carrying out data audits, verification and validation will be

conducted at all levels including at facility level to strengthen the NARF data collection system. The

supervisory monitoring will also facilitate coordination, alignment, and harmonization of stakeholder M&E

with the NAC M&E System.

The third component of this activity is the capacity building and provision of technical assistance to PATF,

DATF, Community AIDS Task Forces (CATF), Civil Society, Private Sector and Public Sector in NARF data

management, M&E and documentation. NAC will train 30 PATF members, 200 DATF members and a

group of 25 Data Officers each from Civil Society, Private Sector and Public Sector in NARF data

management, M&E and documentation. Further, NAC M&E Directorate also intends to train 500

Community AIDS Task Force (CATF) members in NARF data management in order to strengthening

community response to HIV/AIDS; the M&E Directorate plans to improve capacity for M&E by linking up the

NAC capacity building program with the UNZA M&E training so that 20 M&E officers can be supported to

receive professional level training in M&E. Similarly the decentralized capacity building efforts will continue

through support to provincial and district capacity building teams. NAC also intends to create partnerships

with In-Service training institutes at sub-national levels to facilitate training of M&E Officers in M&E and

documentation using the standard M&E curriculum. Other activities will include routine updating of the

national M&E training modules.

The fourth component of this activity is aimed at improving access to NAC information resources through

the rollout of a NAC Resource Center in all nine provincial centers. This activity will also involve

establishment of partnerships with other resource centers. Central NAC staff will support provincial centers

by providing ICT and media equipment, training of local staff in MIS, production of directories and materials,

development of virtual resource center and production and distribution of CD-ROMs with all key NAC

documents. The central NAC resource center unit will also support the implementation of the standardized

HIV/AIDS indexing system at all levels

The fifth component of this activity is aimed at strengthening the feedback loop and data use at all levels.

This will be through facilitation of evidence-based decision-making and planning based on the monitoring

and evaluation data. Support will be provided to provinces and districts to improve data presentation and

information packaging to tailor it for various audiences. Districts will be supported to set their targets and

use projections to arrive at target groups to make the routine data collected more meaningful when

considering progress achieved. Routine stakeholder mapping will also be undertaken to ensure that all

stakeholders are identified and engaged in the development of the District Multisectoral plan. NAC M&E

Directorate will support and facilitate the conducting of routine stakeholder meetings at district levels to

promote information sharing and data use.

Finally, as a sixth component, focuses coordination of HIV/AIDS research activities and implementers in-line

with the research agenda developed in 2008. NAC will provide material and technical support to the main

surveys namely Zambia demographic health survey (ZDHS), sentinel surveillance survey (SSS), ZSBS, and

Health Facility Survey. NAC also intends to work closely with research institutions to ensure that research

priority areas are pursued by these implementers. One of the key areas of this component will be the

linking of M&E findings with operations research. NAC, in collaboration with The Central Statistical Office

(CSO), intends to revise the HIV/AIDS epidemiological projections to facilitate the determination of national

as well as sub-national targets for the national response.

Funding, in FY 2009, supports the development of a sustainability plan and support for staff to achieve the

above components to include the M&E and Research Director, M&E Specialist, MIS Specialist, Statistician

and 9 Provincial IT/M&E Officers. In 2009, NAC will develop a sustainability plan to chart the organization's

growth and functions through 2012. It is envisioned that this support to the M&E Unit will enable NAC to

demonstrate the critical nature of these positions and begin to incorporate them through NAC's government

and Joint Financing Agreement budget lines.

Targets set for this activity cover a period ending September 30, 2010.

New/Continuing Activity: Continuing Activity

Continuing Activity: 15539

Continued Associated Activity Information

Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds

System ID System ID

15539 3716.08 HHS/Centers for National AIDS 7176 3022.08 NAC - $550,000

Disease Control & Council, Zambia U62/CCU02341

Prevention 3

9011 3716.07 HHS/Centers for National AIDS 5011 3022.07 NAC - $400,000

Disease Control & Council, Zambia U62/CCU02341

Prevention 3

3716 3716.06 HHS/Centers for National AIDS 3022 3022.06 NAC SI $139,969

Disease Control & Council, Zambia

Prevention

Emphasis Areas

Human Capacity Development

Estimated amount of funding that is planned for Human Capacity Development $75,000

Public Health Evaluation

Food and Nutrition: Policy, Tools, and Service Delivery

Food and Nutrition: Commodities

Economic Strengthening

Education

Water

Table 3.3.17:

Cross Cutting Budget Categories and Known Amounts Total: $75,000
Human Resources for Health $75,000