PEPFAR's annual planning process is done either at the country (COP) or regional level (ROP).
PEPFAR's programs are implemented through implementing partners who apply for funding based on PEPFAR's published Requests for Applications.
Since 2010, PEPFAR COPs have grouped implementing partners according to an organizational type. We have retroactively applied these classifications to earlier years in the database as well.
Also called "Strategic Areas", these are general areas of HIV programming. Each program area has several corresponding budget codes.
Specific areas of HIV programming. Budget Codes are the lowest level of spending data available.
Expenditure Program Areas track general areas of PEPFAR expenditure.
Expenditure Sub-Program Areas track more specific PEPFAR expenditures.
Object classes provide highly specific ways that implementing partners are spending PEPFAR funds on programming.
Cross-cutting attributions are areas of PEPFAR programming that contribute across several program areas. They contain limited indicative information related to aspects such as human resources, health infrastructure, or key populations programming. However, they represent only a small proportion of the total funds that PEPFAR allocates through the COP process. Additionally, they have changed significantly over the years. As such, analysis and interpretation of these data should be approached carefully. Learn more
Beneficiary Expenditure data identify how PEPFAR programming is targeted at reaching different populations.
Sub-Beneficiary Expenditure data highlight more specific populations targeted for HIV prevention and treatment interventions.
PEPFAR sets targets using the Monitoring, Evaluation, and Reporting (MER) System - documentation for which can be found on PEPFAR's website at https://www.pepfar.gov/reports/guidance/. As with most data on this website, the targets here have been extracted from the COP documents. Targets are for the fiscal year following each COP year, such that selecting 2016 will access targets for FY2017. This feature is currently experimental and should be used for exploratory purposes only at present.
Years of mechanism: 2007 2008 2009
THIS ACTIVITY IS A NEW ACTIVITY:
•To strengthen education at the facility and community levels and access to sexually transmitted infections
(STIs) information and treatment.
This activity will be linked to the LPHO activities #s 17359.08 and 9702.08.
This funding is for the LPHO to strengthen education and communication around STIs as well as strengthen
the treatment of STIs in Lusaka province especially in rural districts such as Chongwe, Luangwa, and Kafue
districts.
The funds will be used to build the capacity of Chongwe district facility to collaborate with TB/HIV to expand
community education and awareness regarding STIs and the risk they pose for HIV infection.
In order to ensure sustainability of the program and to promote lasting behavior change, STIs will be
supported and services provided as part of the regular health service provided by the district health offices.
Health education talks will also be supported to include STI topics in health facilities. Community leaders
will be engaged and educated to conduct community mobilization for the STI education. Districts will be
supported to adapt and translate existing information, education and communication materials to be used in
the trainings for the community health workers as well as for the community sensitization.
Targets set for this activity cover a period ending September 30, 2009.
New/Continuing Activity: New Activity
Continuing Activity:
Emphasis Areas
Construction/Renovation
Gender
* Addressing male norms and behaviors
* Increasing gender equity in HIV/AIDS programs
Health-related Wraparound Programs
* TB
Human Capacity Development
Estimated amount of funding that is planned for Human Capacity Development $10,000
Public Health Evaluation
Food and Nutrition: Policy, Tools, and Service Delivery
Food and Nutrition: Commodities
Economic Strengthening
Education
Water
Table 3.3.03:
•Increased access to Male Circumcision (MC) services
This activity will be linked to the TBD (former JHPIEGO MC) and SOM (MC training center activity).
From FY 2007 to FY 2009, Johns Hopkins Program for International Education in Gynecology and
Obstetrics (JHPIEGO) have trained provincial health offices to build their capacity to provide safe, quality,
and effective MC services. The expectation is that after training, the provincial health offices will take the
lead in scaling-up MC services at their district health facilities.
This funding is for the LPHO to expand provision of MC services at the Chongwe District Health office. The
funds will be used to build the capacity of Chongwe district facility to MC services as well as to renovate
space to provide MC at the district health facility and to procure necessary equipment as well as translate
and reproduce MC information, education and communication (IEC) materials. Supportive supervision will
be provided by the University of Zambia School of Medicine and JHPIEGO.
In order to ensure sustainability of the program and to promote lasting behavior change, MC services will be
integrated as part of regular health service provided by the district health offices. Community leaders will be
engaged and educated to conduct community mobilization for the MC services.
Table 3.3.07:
The funding level for this activity in FY 2009 will remain the same as for the FY 2008. Only minor narrative
updates have been made to highlight progress and achievements.
Activity Narrative:
This activity relates to activities in counseling and testing, laboratory infrastructure, palliative care, and basic
health support activity:
Lusaka province has four districts, with the largest and most populated district being the capital of Zambia,
the city of Lusaka. The other districts are Kafue, Chongwe, and Luangwa. The latter two districts being
predominantly rural districts. Lusaka Province notifies over 30% of the total tuberculosis (TB) cases
nationwide, though Lusaka district accounts for the largest proportion of these cases. Outside of the
provincial capital of Lusaka, access to health care facilities and services, especially in Chongwe and
Luangwa are limited, with many TB patients traveling 20-25 km to the nearest health facility. The
implementation of TB/HIV activities in these districts has lagged behind that of Lusaka and as of mid 2007
there were only 13 sites providing TB/HIV services. CIDRZ has been supporting TB/HIV activities in Lusaka
district since 2005.
In FY 2009, within Lusaka Province, TBD's (Former UTAP Tulane/CIDRZ act) primary focus will be Lusaka
District, while Lusaka PHO will concentrate on the remaining three districts (Chongwe, Kafue, and
Luangwa). However, TBD and Lusaka PHO decided to allocate certain activities to each organization to
conduct for all four districts in the province. Thus, in consultation with CDC-Zambia, it was decided that
TBD will concentrate on clinical trainings for health center staff from all four districts, while the PHO will
conduct community health worker trainings in all four districts. The PHO will also support district and health
center coordinating bodies and data review meetings while TBD will support training of lay microscopists
and strengthening of patient referral and sputum courier systems in all four districts. Working with
monitoring and evaluation staff at CDC-Zambia, indicators have been divided between the two
organizations to avoid double-counting.
By end of FY 2007 the USG would have directly funded the Lusaka Provincial Health Office (LPHO) to
expand and support the TB/HIV integration activities in the three districts of Kafue, Chongwe, and Luangwa.
This resulted in the expansion of the TB/HIV integrated activities, such as HIV counseling and testing for TB
patients, referral to ART care, and integrated management of TB/HIV co-infected patients, bringing the total
number of sites in the three districts to 25. By end of FY 2008, the number of sites is expected to have
increased to 40.
In FY 2008, the LPHO strengthened the provincial and district TB/HIV bodies by supporting coordination
meetings. In FY 2009 focus will be in the establishment and strengthening of the Health Center and
Community Coordinating bodies that have been tasked with the strategic direction and supervision of the
TB/HIV integration activities throughout the province. Membership on this committee includes
representation from the National TB Program, Clinical Care Unit (which oversees HIV/AIDS care),
antiretroviral therapy program, community care and HIV counseling/testing partners.
Limited human resources, coupled with an expected increase in patient-load as a result of TB/HIV
integration, have been a barrier to implementing and maintaining TB/HIV integration. This human resource
shortage negatively impacts morale, supervision, and technical support. By the end of FY 2007, support will
have been provided to employ four clinicians responsible for TB/HIV care and treatment. In FY 2008, PHO
will support the placement of TB/HIV coordinators at the district levels as well as continue support for the
provincial TB/HIV coordinating officer and the 4 clinical officers. This support will continue in FY 2009.
In FY 2008, Ministry of Health (MOH) will have embarked on recruitment of health workers and we
anticipate new staff in the districts will need training in TB/HIV integrated activities as stipulated in the
Ministry of Health guidelines for TB/HIV integration. We will coordinate with TBD for the training of new
health workers in TB/HIV integration in FY 2009 as well as refresher trainings and/or technical updates for
selected health workers. There is an expected rise in patient load as a result of TB/HIV integration which
may further negatively impact staff morale. In such circumstances the role of the community in patient care
becomes more critical and hence the need to train more treatment supporters and to keep existing ones
motivated. In FY 2009, support will be provided for capital investment in income generating activities. These
activities will be site specific depending on the prevailing circumstances in the different communities.
Treatment supporters will have received training in project management and will identify specific projects to
be supported.
In FY 2009, LPHO will work with TBD to continue strengthening linkages; between TB testing and
treatment and anti-retroviral therapy and between TB programs and other USG funded home based care
programs to ensure continuum of care for the anticipated large number of patients that will result from this
program scale-up. Technical support and supervision will be maintained in these districts. The provincial
team will make two visits per month to districts while transport and per diems will be provided for weekly
district to health facilities supervision. The Provincial Health office will conduct quarterly TB and TB/HIV
technical review meetings to share information and validate the provincial data.
In FY 2009, we will also focus on implementation of TB screening for all clients testing positive for HIV in
settings such as ART services, Prevention of Mother to Child Transmission (PMTCT) and Sexually
Transmitted Infections (STI) clinics.
PHO will conduct training for staff at the hospital level in the Prevention of TB in Health Care in the 3 target
districts in the Province. It is estimated that an additional 15 staff will be trained in the national infection
control guidelines. We will continue support for minor renovations to improve ventilation and allow in
sunlight as TB infection prevention measures. This will be done on 2 sites for each district in FY 2009. The
renovations will be specific for the site and will be chosen after needs assessment is done by the Ministry of
Health.
LPHO will continue to foster links between TB and other USG funded home based care programs in order
Activity Narrative: to ensure a continuum of care for the HIV infected TB patients.
LPHO will continue providing support for monthly meetings between the TB and ART departments to share
information. Of 1,500 patients estimated to be newly enrolled into HIV services, 90% will receive routine
screening for TB disease at least once and 200 will be referred for and receive TB treatment. Of 1200 TB
patients in the 3 districts, 80% will receive HIV counseling and testing by the end of the year. This data will
be collected using national registers and communicated to national level as per MOH guidelines Isoniazid
preventive treatment (IPT) for HIV positive individuals does not currently form part of the national guidelines
for TB/HIV activities and hence will not be implemented. However, should the Ministry of Health adopt this
intervention, the PHO will implement IPT. The National program has guidelines on the use of IPT in children
under the age of five whose mothers are sputum smear positive for TB.
Health centers will be supported to facilitate the formation of support groups for TB/HIV patients.
To ensure sustainability, the activities will be enshrined in the Government of the Republic of Zambia district
health plans.
Targets set for this activity cover a period ending September 30, 2010.
New/Continuing Activity: Continuing Activity
Continuing Activity: 15533
Continued Associated Activity Information
Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds
System ID System ID
15533 9702.08 HHS/Centers for Lusaka Provincial 7174 5252.08 Lusaka $275,000
Disease Control & Health Office Provincial
Prevention Health Office
(New
Cooperative
Agreement)
9702 9702.07 HHS/Centers for Lusaka Provincial 5252 5252.07 Lusaka $170,000
Estimated amount of funding that is planned for Human Capacity Development $100,000
Program Budget Code: 13 - HKID Care: OVC
Total Planned Funding for Program Budget Code: $18,709,893
Total Planned Funding for Program Budget Code: $0
Program Area Narrative:
Managing the orphans and vulnerable children (OVC) situation in Zambia is a mammoth task requiring concerted effort by the
government and all stakeholders. Remarkable progress is being made in OVC policy and OVC programming.
Zambia has achieved annual targets and continues rapidly scaling up OVC services. The U.S. Mission in Zambia has been
instrumental in strengthening the capacity of the government, local organizations, communities, schools, workplaces, and families
to provide care and support to OVC, facilitating policy changes, and leveraging non-PEPFAR donor and private sector resources.
The Government of the Republic of Zambia (GRZ) estimates that there are 1.2 million orphans, of which 801,000 are AIDS
orphans. The same estimates put the numbers of children living on the street at 14,000. The OVC problem has not spared any
sector including the armed forces. The Zambia Defense Force (ZDF) has lost key personnel and family heads as the impact of the
AIDS epidemic increased. Many military families often take in AIDS orphans even if they lack sufficient resources. Low military
salaries and the high costs of school fees, books, and uniforms limit the number of children military families can send to school.
Coordination of OVC in Zambia is still below the desired level largely because multiple ministries are involved and no agency has
coordination powers. While the Ministry of Sport Youth and Child Development (MSYCD) leads child policy, the Ministry of
Community Development and Social Services (MCDSS) works in child protection. The National AIDS Council (NAC) recently
recruited an OVC Specialist to assist in coordinating OVC programs.
Lack of coordination has greatly hampered efforts to reach most OVC. The GRZ with technical support from USAID and UNICEF
has developed the National Plan of Action for Children (NPA). The NPA is strongly linked to the Fifth National Development Plan,
the Child Policy and the National HIV/AIDS/TB/STI second Strategic Plan of Interventions. The NPA will be piloted in 2009 and
2010 and will see the establishment of the Zambia Child Council (ZCC) if approved by the cabinet. The ZCC will coordinate all
interventions for children including OVCs as well as engage in resource mobilization, monitoring and evaluation.
The U.S. Mission in Zambia is the largest contributor to OVC support in Zambia. Other donors that support OVC include: the
Development Corporation of Ireland, U.K. Department for International Development, Swedish International Development
Cooperation Agency, GTZ and the World Bank's small grant mechanism
U.S. support for OVC is implemented and managed across several sectors through numerous government agencies, including:
the NAC; Ministry of Education (MOE); MSYCD; Ministry of Health (MOH); and the MCDSS as well as through non-governmental
organizations as prime or sub-partners.
Faith-based organizations provide the most organized institutional response to the orphan crisis. The U.S. Mission in Zambia has
been working with a number of umbrella organizations and networks that fund and build the capacity of local OVC programs.
In FY 2007, the U.S. Mission in Zambia reached 397,307 OVCs with essential services and trained 25,922 caregivers in all 72
districts. All U.S. activities are coordinated through the U.S. Mission in Zambia OVC forum to avoid overlap and duplication. The
forum meets on a monthly basis and is a platform for partners and U.S. staff to share information, PEPFAR guidance and best
practices, and to map activities. In FY 2005, this forum developed a Zambia U.S. Mission in Zambia OVC Strategy which is in line
with the PEPFAR OVC guidelines (the U.S. Mission in Zambia/Zambia team ensures that all OVC programs are implemented in
accordance with OGAC OVC guidance). In 2009, the OVC Forum will continue to carefully coordinate and map OVC activities
and provide a platform for OVC partners to share good practices, lessons learned, materials, and M&E tools and strategies.
In FY 2008, the U.S. Mission in Zambia continued to scale up support to OVC throughout the 72 districts. By mid FY 2008, the
U.S. Mission in Zambia had reached 341,220 OVC with direct support and had trained 17,662 caregivers in all 72 districts.
The U.S. Mission in Zambia has strengthened OVC interventions both at the family and community level. The partners working
with OVC have strengthened referrals between the community and the health centers to ensure that the health needs of OVC are
attended to expeditiously. In addition, OVC are able to access pediatric ART through the strengthened referrals. The U.S. Mission
in Zambia continues to train and engage caregivers in enhancing OVC ART compliance.
In FY 2009 the U.S. Mission in Zambia will continue working on: (1) expanding OVC care and support geographically in the areas
with the most OVC; (2) integrating OVC support into home-based and hospice care, ART, and in military, and workplace
programs; (3) increasing CT access for OVC and linking children living with HIV to ART; (4) improving the quality and
comprehensiveness of OVC services; and (5) integrating OVC programs into community and local government structures to
ensure sustainability of the OVC programs once the projects end. The services provided to OVC will include: education and
vocational training; health, shelter, care, and psychosocial support; food and nutrition; and protection and economic
empowerment. The U.S. Mission in Zambia will continue to coordinate all OVC activities to maximize program coverage, avoid
overlaps and duplicative efforts, and ensure quality care and support.
Children too young to attend school (0-5 years) are usually left out of PEPFAR-funded OVC service delivery plans in Zambia. In
2008, U.S. Mission in Zambia with its partners conducted a rapid assessment to understand the current state of under-5 OVC
services in Zambia, and provided recommendations on the way forward to develop and/or strengthen these services. In 2009, the
U.S. Mission in Zambia and its partners will strengthen and support the development of quality comprehensive strategies for the
under-5 age group, including: psychosocial support materials for under-5 children; an under-5 curriculum for Early Childhood Care
and Development (ECCD), to be used at health facilities and within the community; and guidelines for USG partners to utilize
these materials to implement OVC core interventions.
The U.S. Mission in Zambia will continue to provide support to OVCs on the street with skills training and community reintegration
programs. The U.S. Mission in Zambia will continue to work with the MCDSS and MSYCD to avert streetism in at-risk children.
The U.S. Mission in Zambia will also continue to work with OVC in military camps and surrounding communities.
The U.S. Mission in Zambia will continue to support Zambia's unique education and OVC wraparound approach by working with
the MOE through two NPI partners. The NPI partners will link with the ABY program and will focus on provision of scholarships to
OVCs in high schools as well as build on the OVC HIV/AIDS Life Skills Education interventions which involve interactive radio
instruction broadcasts for OVC who are unable to access formal education. The programs will continue to leverage resources
from the African Education Initiative (AEI) girl's scholarship program in the four target provinces and be part of a larger education
development program funded by USAID.
The U.S. Mission in Zambia will continue to leverage Food for Peace and World Food Program food assistance for malnourished
and food insecure OVC. The U.S. Mission in Zambia will further leverage private resources for OVC support through U.S. and
Zambian public-private partnerships.
In order to serve the most vulnerable OVC, U.S. partners will focus on providing support to OVC from child- and grandparent-
headed households. All OVC efforts will ensure that the essential needs of each child are met in accordance with OGAC
guidance through direct support and linkages to needed services.
The U.S. Mission in Zambia will continue to put more emphasis on increasing the capacity of local partners to implement quality
OVC programs. The U.S. Mission in Zambia will strengthen the capacity of OVC families and caregivers, including child-headed
households, to meet the needs of OVC at household level. At the national level, the U.S. Mission in Zambia will continue working
with the Central Statistics Office, the MSYCD, MCDSS and NAC to strengthen the national M&E system to enable it to track OVC
inputs, outputs, and outcomes, and to use GIS technology to map OVC programs and services. The U.S. Mission in Zambia will
continue to work with government partners in setting standards for OVCs.
Table 3.3.13:
The following activity was introduced for fiscal year (FY) 2008. The funding level for FY 2009 is the same as
that for FY 2008.
HIV counseling and testing (CT) is the entry point for antiretroviral therapy (ART) services and offers an
opportunity for health promotion including education on prevention of HIV and other sexually transmitted
infections The HIV prevalence in Lusaka Province is estimated to be 21 % among adults aged 15-49 years
(DHS 2007). These rates continue being the highest in the country despite a decline in the national rates.
Lusaka Province Health Office (LPHO) is working in collaboration with partners to curb these high figures.
One strategy is to encourage all residents to know their HIV status by going for voluntary CT. Another is
scaling-up provider initiated counseling and testing (PICT) in all health centers. The United States
Government (USG) aims to support LPHO to build capacity to coordinate and oversee CT services in the
province, provide training to various levels of health care providers, and expand CT services in three
districts; namely Kafue, Chongwe, and Luangwa. Lusaka district is covered by the Centre for Infectious
Diseases Research in Zambia (CIDRZ).
Previously, the focus has been on Lusaka district which has the highest population in the province and
therefore the greater disease burden. The provincial population is 2,151,945 (CSO 2000). The population
per district is distributed as follows; Lusaka 1,617,843, Luangwa 26,650, Kafue 266,168, Chongwe 196,999.
Lusaka and Kafue Districts have an estimated HIV prevalence of 22 percent while Chongwe and Luangwa
Districts both have 19 percent. With such high-prevalence rates throughout the province, it is evident that
prevention and treatment efforts should be spread out to all areas in the province. The Provincial Health
Office would like to scale-up CT services to Kafue, Chongwe, and Luangwa Districts by expanding quality,
confidential HIV CT and care through training of staff and community volunteers in counseling skills and
improving infrastructure to enhance the counseling environment.
Limited human resources, coupled with an expected increase in patient-load as a result of increased
community mobilization, are a barrier to implementing and maintaining services. This human resource
shortage negatively impacts morale, supervision, and technical support. Work-related stress and fatigue of
counseling staff is another factor affecting service delivery. We estimate that by the end of FY 2009 with
training and infrastructure support 9 additional centers will provide counseling and testing services in the
target districts.
By the end of FY 2008, 40 health care workers and 75 lay counselors would have been trained in CT for
HIV. An estimated 30% of the adult population (92,933) would have received sensitization messages
through various forms of media. An estimated 8% (7435) of the total sensitized people would receive
counseling and testing and 5,500 would receive their test results. Linkages/referrals between the CT
programs and the ART services would have been established.
In FY 2009, the PHO will train 10 health workers and 50 lay counselors in CT for HIV. In FY 2008 it was
discovered that the cost of training in general counseling (psychosocial counseling) had greatly increased
hence we have reduced the target for this year in order to fit in our budget. Of the 10 health workers, five
will be trained in child counseling in order to scale-up pediatric HIV care. We will continue sending
sensitization messages through various forms of media such as radio, TV, drama and information,
education, and communication (IEC) materials to the target population i.e.30% of the adult population
(92,000).
It is expected that 5% (4600) of the target population will seek and receive counseling and testing services
and 3,500, will receive their results. The LPHO will work with other USG Zambia President's Emergency
Plan for AIDS Relief implementing partners, such as, IntraHealth International in Luangwa and the Zambia
Emory HIV/AIDS Project in Kafue in achieving their goal of all residents knowing their HIV status. LPHO will
hold bi-annual meetings with partners involved with HIV care and support as a means of enhancing
coordination and will continue supporting the strengthening of the linkages and referral systems with the
ART programs.
In order to enhance the counseling environment, LPHO will continue support for minor infrastructure
development in one site each of the three (3) districts. LPHO will provide onsite technical support and
supervision. Quarterly supportive supervision will be done with a view of mentoring district supervisors and
thereby building supervisory capacity and ensuring quality of counseling and testing services. In addition
support will be provided for quarterly meetings for counselors meetings in each district. This will be done to
encourage counselors to deal with work stresses amongst themselves.
To facilitate motivation among the community volunteers, income generating activities will be supported in
each district to as an incentive. Treatment supporters will have been trained in project management and will
be encouraged to choose suitable activities according to prevailing circumstances. This will reduce the fall-
out rate among this cadre and promote sustainability.
Continuing Activity: 17359
17359 17359.08 HHS/Centers for Lusaka Provincial 7174 5252.08 Lusaka $50,000
Estimated amount of funding that is planned for Human Capacity Development $30,000
Table 3.3.14:
ACTIVITY UNCHANGED FROM FY2008
This activity is linked to the TB/HIV (#0724) activity in Lusaka Provincial Health Office (LPHO), Comforce
(#8996), Chest Diseases Laboratory (CDL#15510), Centers for Disease Control and Prevention - Technical
Assistance (CDC-TA #9022), EGPAF-CIDRZ (# 16956), Supply Chain Management Systems (SCMS #
9524) and University Teaching Hospital (UTH #9042) within the Laboratory section.
In FY 2007-2008, LPHO received support from PEPFAR to support the national laboratory quality
assurance programs within the rural districts of Lusaka Province (Chongwe, Kafue, and Luangwa) in
collaboration with the MOH, its partners and CDC Zambia. However, difficulties were encountered in fully
implementing the 2007/08 plans due to the late release of funding, human resources, and coordination with
multiple partners.
In FY 2009, building upon FY 2008 funds this activity will continue to build capacity and sustainability at the
local level by training and providing support for activities to be conducted by local staff within the province
for PMTCT and VCT as well as care and treatment support. It will assist in the integration of the National
TB/HIV activities in the Province. The goal will be to reach the 14 laboratories within rural Lusaka province
districts by the end of the FY 2009. Availability of laboratory services in districts outside of Lusaka district is
limited due to several factors, which include a lack of human resources, suitable infrastructure and power
supply, geography, and the increasing numbers of persons participating in PMTCT and VCT programs at
local levels. Sample preparation and transport support can alleviate the lack of services due to laboratory
infrastructure and technical limitations.
In FY 2009, to improve the quality of laboratory testing within Lusaka Province, the LPHO will coordinate
closely with the Ministry of Health (MOH), UTH, EGPAF/CIDRZ, and the CDC Lusaka Provincial contact
(and other partners) to conduct the following activities: 1) select appropriate trainees from the province to be
trained as trainers for rapid HIV testing organized by the MOH, UTH, CDC, and other partners; 2) support
coordination for the national quality assurance (QA) and external quality assurance (EQA) programs, with
attendance at regular meetings for both HIV and TB and related laboratory topics; 3) continue to support a
provincial laboratory manager and one laboratory technologist; 4) support the national HIV rapid test roll
out program within the Lusaka Province; 5) identify training sites, participants, and dates; 6) liaise with the
Zambian National Blood Transfusion Service (ZNBTS) for testing panels; 7) support participant
transportation to training sites and training materials to ensure smooth, effective and efficient subsequent
roll out in the rural districts of Lusaka Province; 8) support monitoring and evaluation of sites through the
provincial lab manager, and other LPHO staff with technical support from CDC using MOH standardized
forms; 9) support attendances of laboratory staff for continued training, conferences and workshops; and
10) communicate with partners involved in the laboratory program regularly, co-ordinate and support regular
meetings with CDC and other partners, to allow dissemination of activity and improve collaboration to avoid
duplication of activities and encourage feedback.
In addition, in FY 2009, the LPHO will assist the MOH, UTH, and CDC with its national QA activities in other
laboratory testing including CD4 testing; continue support for trainings in HIV/TB, acid fast bacilli (AFB)
smear microscopy, specimen collection and transportation (included in the HIV/TB and dried blood spots
training programs), assist and support a needs assessment for providing an alternative source of power for
facility sites in the rural districts of Lusaka Province; LPHO will work with SCMS for commodity procurement
to prevent stock-outs in the region and assist in data collection and report dissemination. LPHO will
coordinate with the Department of Defense for the expansion of the Early Infant Diagnosis services at
Maina Soko Military Hospital. Finally, the LPHO and CDC Provincial contact will meet regularly for updates,
assistance and to include information on target review, finances etc for COP reports.
To establish a sustainable program, LPHO will work with existing clinical facilities, MOH, CDC and other
partners and strengthen their capacity to provide continual quality Lab services and programs.
The activities will compliment and support the MOH National Lab QA program, to continue to build local
capacity and sustainability.
Continuing Activity: 15534
15534 9796.08 HHS/Centers for Lusaka Provincial 7174 5252.08 Lusaka $350,000
9796 9796.07 HHS/Centers for Lusaka Provincial 5252 5252.07 Lusaka $370,000
Workplace Programs
Estimated amount of funding that is planned for Human Capacity Development $50,000
Table 3.3.16:
