Detailed Mechanism Funding and Narrative

Years of mechanism: 2008 2009

Details for Mechanism ID: 3023
Country/Region: Zambia
Year: 2009
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

ACTIVITY HAS BEEN MODIFIED FROM FISCAL YEAR (FY) 2008 AS FOLLOWS: Target 13.1 has been

changed to 2

This activity relates to: Ministry of Health (MOH) (#3713.08), and Centers for Disease Control and

Prevention (CDC) (#3714.08).

The FY 2009 plan aims to build-up and sustain the Central Statistical Office (CSO) and staff expertise in

vital registration in Zambia. An important FY 2009 activity is the continuation and expansion of the Sample

Vital Registration with Verbal Autopsy (SAVVY) System in selected regions in Zambia. The FY 2009

activity builds upon the Feasibility Study funded in FY 2007 and 2008 by CSO in collaboration with the CDC

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

Census Bureau, Measure Evaluation and the World Health Organization. In FY 2009, the CSO will

collaborate with the Ministry of Health (MOH), Ministry of Home Affairs Department of National Registration,

Ministry of Local Government and Housing (MLGH), and Ministry of Community Development and Social

Services (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, capture information on births and facilitate birth registration in selected areas,

collecting information on births and deaths from hospitals, clinics and councils close to the sample areas,

and evaluating the implementation processes of 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 and the number of births occurring in sampled areas with

baseline census information. In addition to establishing (and re-establishing) the infrastructure to obtain

mortality and births 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 health workers, community service

providers, verbal autopsy interviewers and supervisors, 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 estimated 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 captured. 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. The activity will also yield

information on the number of births occurring in selected areas, number of births occurring in hospitals and

the number of births that are registered by councils.

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

New/Continuing Activity: Continuing Activity

Continuing Activity: 15509

Continued Associated Activity Information

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

System ID System ID

15509 3717.08 HHS/Centers for Central Statistics 7165 3023.08 CSO SI $600,100

Disease Control & Office

Prevention

8997 3717.07 HHS/Centers for Central Statistics 5004 3023.07 CSO SI $400,000

Disease Control & Office

Prevention

3717 3717.06 HHS/Centers for Central Statistics 3023 3023.06 CSO SI $150,000

Disease Control & Office

Prevention

Emphasis Areas

Human Capacity Development

Estimated amount of funding that is planned for Human Capacity Development $100,000

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: $100,000
Human Resources for Health $100,000