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: 2008 2009
This activity has been modified in the following ways:
1.Significant expansion of HIV/AIDS leadership strengthening activities in abstinence and being faithful (AB)
for traditional leaders, Members of Parliament, Leaders in Industry, and young influential Zambians
2.Significant expansion in AB in private sector workplace programs through local Nongovernmental
Organization (NGO) partner LEAD Program Zambia and through business associations partners Zambia
Business Coalition on HIV and AIDS (ZBCA), Livingstone Tourism Association (LTA)
3.Phase-out of support to the Mining and Agri-business Public Private Partnership through SHARe
Activity Narrative:
This continuing activity links to JSI SHARe activities OHPS (#8911), HVOP (#8915), HVCT (#9605), and
Public Private Partnerships.
The SHARe project has collaborated with the National HIV/AIDS/STI/TB Council (NAC) and other partners
to provide and support abstinence/be faithful (AB) HIV prevention activities and messages; activities and
messages that are relevant for people living with HIV/AIDS (PLWHA), individuals who are HIV un-infected
and for individuals who do not yet know their HIV status.
SHARe has significantly scaled up support to prevention through abstinence/be faithful programs over the
past four years. In the two-year period between October 2004 to September 2006, SHARe reached
463,753 persons with AB messages and trained 4,251 persons in AB. From October 2006 through
September 2007, SHARe has reached 464,917 individuals with AB messages and trained 2,437 persons in
AB. From October 2007 through March 2008 SHARe reached 185,576 individuals with AB messages and
trained 707 persons in AB. As part of this scale up, SHARe will continue to incorporate AB messages at
social mobilization events through the Tourism HIV and AIDS Public Private Partnership (PPP) and other
national and traditional social mobilization events.
SHARe will continue to strengthen the capacity of NGOs, public and private sector workplaces, Provincial
AIDS Task Forces (PATFs) and District AIDS Task Forces (DATFs), and Rapid Response Fund Community
-based Organization (CBO)/Faith-based Organization (FBO) sub-grantees to implement AB programs.
In FY 2009 SHARe will continue to implement comprehensive AB programs in workplaces and communities
targeting adolescents, men, women, the business community, PLWHA, and mobile populations including
truckers, miners and agricultural workers, and incarcerated populations. The project will continue to work in
four public ministries: the Ministry of Agriculture and Cooperatives, which includes permanent and migrant
workers; Ministry of Home Affairs, which includes the police and prisons; Ministry of Transport and
Communications, which includes truckers and bus drivers; and the Ministry of Tourism Environment and
Natural Resources, which includes wild life scouts and employees of lodges and tourism businesses. As
part of its support to the Ministry of Transport and Communications workplace programs, SHARe will
expand its reach beyond the Ministry itself, and support selected minibus and taxi businesses in Lusaka to
implement comprehensive workplace AB programs.
Within each Ministry, SHARe will support peer educators training and provide technical support to peer
educators to provide AB messages in the workplace and/or defined outreach communities. The
subordinate role of women in the home, the cultural teachings that perpetuate the low status of women, and
the poor economic empowerment of women, make them more vulnerable to HIV infection, and this often
extends to the workplace. SHARe is currently implementing training programs focused on gender and
sexuality through its public sector workplace programs to address these issues through specifically tailored
life-skills workshops for employees and their spouses. The programs encourage and promote dialogue
between couples on issues of sexuality, gender, and culture, thus allowing for more gender-sensitive
workplace interventions. This intervention model has proved highly successful in breaking down the silence
on gender-specific vulnerabilities to HIV infection, and will continue in FY 2009. Additionally, SHARe will
continue to provide support for Positive Action for Workers (PAW), a support group that focuses on the
needs of PLWHA in the workplace. These two interventions will incorporate appropriate AB messages and
strategies.
The project will continue to build on its work with private sector businesses and markets through five local
NGO partners: Zambia Health Education and Communications Trust (ZHECT); LEAD Program Zambia,
ZamAction; Afya Mzuri; and Latkings. The informal sector and the very small businesses pose special
challenges as workers in these sectors are harder to reach, but are also at increased vulnerability to HIV.
Through local NGO partner LEAD Program Zambia, SHARe will continue to support AB for very small
businesses such as charcoal burners and small-scale fishermen. Through local NGO partner ZamAction,
SHARe will continue to conduct mass sensitization around AB and provide one-on-one interpersonal AB
counseling with vendors in the informal sector markets in Lusaka and Lusaka peri-urban areas. The
informal market strategy has been very successful in taking prevention services to a very hard-to-reach
sector of the Zambian workplace. The project will continue to use innovative AB approaches such as
drama, peer group discussions, and social mobilization events to reach market vendors with AB messages.
SHARe will continue to ensure that community-based AB programs implemented by small CBO/FBO
grantees are not only technically appropriate, but are also responsive to local needs. The project will assist
to PATFs and DATFs to coordinate AB activities at the provincial and district levels. AB activities and
messages incorporated into other prevention activities during World AIDS Day, voluntary counseling and
testing for HIV (VCT) Day, and other commemorative events, through support to NAC, PATFs, DATFs, and
the Zambia Interfaith Networking Group on HIV/AIDS (ZINGO).
The project's work with the chiefdoms to facilitate dissemination of comprehensive AB messages during
traditional ceremonies will continue. SHARe will expand its effort to engage leaders and foster leadership at
national, district and community levels in the fight against HIV/AIDS. SHARe will work with Members of
Parliament, Traditional Leaders, Leaders in Industry and young influential Zambians (musicians, artists,
youth leaders) to increase the reach of appropriate AB messages. SHARe will provide support and/or
Activity Narrative: platforms for leaders to speak out more against practices that are known to fuel HIV transmission such as,
multiple and concurrent partnerships, gender-based violence, and alcohol and substance abuse, during
SHARe-sponsored and other HIV/AIDS social mobilization events, including World AIDS Day and VCT day.
SHARe will also provide training/ and or technical assistance in HIV/AIDS advocacy and ambassadorship to
Zambian leaders to enable them to have a fuller understanding of the HIV/AIDS epidemic in Zambia, and
how they can provide effective leadership in the national response. The project will work with the NAC and
other stakeholders to design a toolkit with appropriate HIV/AIDS messages to give guidance to Zambian
leaders as they become more engaged in the fight against HIV/AIDS and ensure that the messages they
give are consistent and scientifically sound. Share expects that leaders will also be key partners in
promoting interventions that can offer protections against HIV/AIDS such as PMTCT and male circumcision,
and in fighting stigma and discrimination against people living with HIV/AIDS. Additionally, the project will
work with leaders to help mobilize Zambians to access CT services so that they can know their HIV status
and take informed decisions regarding HIV prevention, including positive prevention, through AB
interventions.
SHARe will continue to support its six local NGO/FBO (Afya Mzuri, ZamAction, ZHECT, LEAD Program
Zambia, ZINGO and Latkings) and two business associations (ZBCA and LTA) partners working in AB
prevention to build sustainable programs through strengthening of technical and management capacities
and mobilization of resources through the SHARe OHPS (#8911) activities. Activities will include
participatory analysis of current sustainability levels, sharing of sustainability strategies of successful NGOs,
development of sustainability plans and facilitating linkages to potential donors and other capacity-building
partners/projects. SHARe will continue to work with public sector ministries, PATFs and DATFs to help
ensure that HIV/AIDS policies, work plans, budgets, and resource mobilization plans are developed to
sustain their HIV/AIDS workplace activities.
In FY 2009, SHARe and its partners will train 1,200 persons in AB. Trained educators will reach 215,000
individuals with AB prevention messages in workplaces, communities, during social mobilization events,
and traditional ceremonies across Zambia. SHARe will also continue to focus on improving training and
supportive supervision to ensure quality of care and to improve reporting. Peer educators trained through
this ongoing support will implement AB education, make appropriate referrals for sexually transmitted
infection (STI) management and Male Circumcision, provide information to prevent sexual and gender-
based violence and refer for treatment and other services where applicable, promote partner reduction, and
create referral links to Post-exposure Prophylaxis, counseling and testing (CT), prevention of mother-to-
child transmission of HIV/AIDS (PMTCT), and antiretroviral therapy (ART).
New/Continuing Activity: Continuing Activity
Continuing Activity: 14396
Continued Associated Activity Information
Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds
System ID System ID
14396 3638.08 U.S. Agency for John Snow 6821 630.08 SHARE $1,628,000
International Research and
Development Training Institute
8906 3638.07 U.S. Agency for John Snow 4980 630.07 SHARE $1,438,000
3638 3638.06 U.S. Agency for John Snow 2968 630.06 SHARE $450,000
Emphasis Areas
Gender
* Addressing male norms and behaviors
* Increasing gender equity in HIV/AIDS programs
Human Capacity Development
Estimated amount of funding that is planned for Human Capacity Development $347,000
Public Health Evaluation
Food and Nutrition: Policy, Tools, and Service Delivery
Food and Nutrition: Commodities
Economic Strengthening
Education
Water
Table 3.3.02:
1. Significant expansion of HIV/AIDS leadership strengthening activities in Condoms and Other Prevention
2. Significant expansion in Condoms and Other Prevention in private sector workplace programs through
local Nongovernmental Organization (NGO) partner LEAD Program Zambia and through business
associations partners Zambia Business Coalition on HIV and AIDS (ZBCA), Livingstone Tourism
Association (LTA)
3. Phase-out of support to the Mining and Agri-business Public Private Partnership through SHARe
This continuing activity links to JSI SHARe activities HVAB (#8906), OHPS (#8911), HVOP (#8915), HVCT
(#9605), and Public Private Partnerships.
This continuing activity strengthens the capacity of local NGOs, public and private sector workplaces,
Provincial AIDS Task Forces (PATFs), District AIDS Task Forces (DATFs), and Rapid Response Fund
Community-based Organization (CBO)/Faith-based Organization (FBO) sub-grantees to implement
Condoms and Other Prevention activities, and facilitate social change to reduce sexual HIV transmission.
SHARe will continue to collaborate with the National HIV/AIDS/STI/TB Council (NAC) and other partners to
support implementation of Condoms and Other Prevention programs.
SHARe and its partners have significantly scaled up support to other prevention beyond AB over the past 3
years. From October 2004 to September 2005, SHARe and its partners had no target for persons reached
or trained relating to other prevention beyond AB. The next year, from October 2005 to September 2006,
the project reached 50,271 persons with other prevention messages beyond AB and trained 727 individuals.
From October 2006 through September 2007, SHARe and its partners reached 347,567 individuals with
other prevention messages beyond abstinence and being faithful (AB) and provided training to 1,745
individuals. From October 2007 through March 2008, SHARe reached 119,100 individuals with other
prevention messages beyond AB and trained 644 persons in other prevention beyond AB.
In FY 2009 SHARe will continue its work to support Condoms and Other Prevention activities. The project
will continue to work in four public ministries: the Ministry of Agriculture and Cooperatives, which includes
permanent and migrant workers; Ministry of Home Affairs, which includes the police and prisons; Ministry of
Transport and Communications, which includes truckers and bus drivers; and the Ministry of Tourism
Environment and Natural Resources, which includes wild life scouts and employees of lodges and tourism
businesses. As part of its support to the Ministry of Transport and Communications workplace programs,
SHARe will expand its reach beyond the Ministry itself, and support selected minibus and taxi businesses in
Lusaka to implement comprehensive workplace Condoms and Other Prevention programs.
educators to provide Condoms and Other Prevention messages in the workplace and/or defined outreach
communities. SHARe training programs focused on gender and sexuality provided through its public sector
workplace programs to address issues of gender inequality and harmful cultural practices and norms that
increase women's vulnerability to HIV infection through specifically tailored life-skills workshops for
employees and their spouses will continue. These programs encourage and promote dialogue between
couples on issues of sexuality, gender, and culture, thus allowing for more gender-sensitive workplace
interventions. This intervention model has proved highly successful in breaking down the silence on gender
-specific vulnerabilities to HIV infection, and will continue in FY 2009. Additionally, SHARe will continue to
provide support for Positive Action for Workers (PAW), a support group that focuses on the needs of
PLWHA in the workplace. These two interventions will incorporate appropriate Condoms and Other
Prevention messages and strategies.
Work with private sector businesses and informal market places through five local NGO partners: Zambia
Health Education and Communications Trust (ZHECT), ZamAction, LEAD Program Zambia, Afya Mzuri,
and Latkings will also continue. The informal sector and the very small businesses pose special challenges
as workers in these sectors are harder to reach, but are also at increased vulnerability to HIV. Through
local NGO partner LEAD Program Zambia, SHARe will continue to support Condoms and Other Prevention
interventions for very small businesses such as charcoal burners and small-scale fishermen. Through local
NGO partner ZamAction, SHARe will continue to conduct mass sensitization around Condoms and Other
Prevention interventions and provide one-on-one interpersonal counseling with vendors in the informal
sector markets in Lusaka and Lusaka peri-urban areas. The informal market strategy has been very
successful in taking prevention services to a very hard-to-reach sector of the Zambian workplace. Support
for Condoms and Other Prevention strategies that focus on innovative community prevention such as
drama, peer group discussions, and social mobilization events, in areas with high migrant populations and
market vendors will be supported.
SHARe will expand its effort to engage leaders and foster leadership at national, district and community
levels in the fight against HIV/AIDS. SHARe will work with Members of Parliament, Traditional Leaders,
Leaders in Industry and young influential Zambians (musicians, artists, youth leaders) to increase the reach
of appropriate Condoms and Other Prevention strategies and messages. SHARe will provide support
and/or platforms for leaders to speak out more against practices that are known to fuel HIV transmission
such as, multiple and concurrent partnerships, gender-based violence, and alcohol and substance abuse,
during SHARe-sponsored and other HIV/AIDS social mobilization events, including World AIDS Day and
VCT day. SHARe will also provide training/ and or technical assistance in HIV/AIDS advocacy and
ambassadorship to Zambian leaders to enable them to have a fuller understanding of the HIV/AIDS
epidemic in Zambia, and how they can provide effective leadership in the national response. The project
will work with the NAC and other stakeholders to design a toolkit with appropriate HIV/AIDS messages to
give guidance to Zambian leaders as they become more engaged in the fight against HIV/AIDS and ensure
that the messages they give are consistent and scientifically sound. Share expects that leaders will also be
Activity Narrative: key partners in promoting interventions that can offer protections against HIV/AIDS such as PMTCT and
male circumcision, and in fighting stigma and discrimination against people living with HIV/AIDS.
Additionally, the project will work with leaders to help mobilize Zambians to access CT services so that they
can know their HIV status and take informed decisions regarding HIV prevention, including positive
prevention, through Condoms and Other Prevention interventions
Condoms and Other Prevention programs will provide education to address HIV high risk behaviors among
Most at Risk Populations (MARPs) that go beyond AB and focus on partner reduction, correct and
consistent use of condoms and knowing one's status. The project will continue to address the needs of
high-risk workers in the public sector and private sector. The project will provide information on behavior
change to promote respectful relationships between men and women. Project partners and sites with high-
risk groups will be linked to socially marketed and free condoms through collaboration with the District
Health Offices and the Society for Family Health.
The project will work with and support its six local NGO/FBO partners working in Condoms and Other
Prevention (Afya Mzuri, ZamAction, ZHECT, ZINGO, LEAD Program Zambia, and Latkings) to build
sustainable programs through strengthening of technical and management capacities and mobilization of
resources through the SHARe OHPS (#8911) activities. Activities will include participatory analysis of
current sustainability levels, sharing of sustainability strategies of successful NGOs, development of
sustainability plans and facilitating linkages to potential donors and other capacity-building partners/projects.
Public sector ministries and DATFs will be supported to develop HIV/AIDS policies, work plans, budgets
and resource mobilization plans to ensure the sustainability of their HIV/AIDS workplace activities through
public sector and other donor funding.
In FY 2009, SHARe and its partners will train 1,000 persons in prevention beyond AB. Trained educators
will reach 100,000 individuals with condoms and other prevention messages beyond AB in workplaces,
communities, during social mobilization events, and traditional ceremonies across Zambia. SHARe will
continue to focus on improving training and 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.
Peer educators trained through this ongoing support will implement Other Prevention education, promote
condom use, make appropriate referrals for STI management and Male Circumcision, provide information to
prevent sexual and gender-based violence and refer for treatment and other services where applicable,
promote partner reduction, and create referral links to Post-exposure Prophylaxis, CT, and ART.
Continuing Activity: 14397
14397 6570.08 U.S. Agency for John Snow 6821 630.08 SHARE $352,000
8915 6570.07 U.S. Agency for John Snow 4980 630.07 SHARE $262,000
6570 6570.06 U.S. Agency for John Snow 2968 630.06 SHARE $200,000
Workplace Programs
Estimated amount of funding that is planned for Human Capacity Development $45,300
Table 3.3.03:
1.Significant expansion of HIV/AIDS leadership strengthening activities in HIV counseling and testing for
traditional leaders, Members of Parliament, Leaders in Industry, and young influential Zambians
2.Significant expansion in HIV counseling and testing in private sector workplace programs through local
Nongovernmental Organization (NGO) partner LEAD Program Zambia and through business associations
partners Zambia Business Coalition on HIV and AIDS (ZBCA), Livingstone Tourism Association (LTA)
4. The SHARe-Tourism HIV and AIDS Public Private Partnership activity has been folded into this activity
for FY 2009.
This continuing activity links to JSI SHARe activities HVAB (#8906), OHPS (#8911), HVOP (#8915), and
The provision of HIV counseling and testing (CT) is an important part of any national HIV prevention
program. It is widely recognized that individuals living with HIV who are aware of their status are less likely
to transmit HIV infection and that through CT, HIV-infected individuals can be linked to care and support
services that can help them stay healthy. CT also provides benefit for those who test negative, in that they
are likely to make behavior change decisions, to allow them to remain HIV un-infected. The USG through
SHARe and other USG projects has allocated a significant proportion of support to the Zambian
government's response to HIV/AIDS aimed at increasing CT coverage and uptake. The SHARe project has
worked very closely with National HIV/AIDS/STI/TB Council (NAC), to make CT more widely available in
Zambia.
SHARe and its partners have significantly scaled up support to CT over the past three years. From October
2004 to September 2005, SHARe provided CT and test results to 321 and trained 73 persons in CT. The
next year, from October 2005 to September 2006, SHARe and its partners provided CT and test results to
34,535 individuals, and trained 357 persons in CT. From October 2006 to September 2007, SHARe and its
partners provided CT and test results to 73,825 individuals, and trained 415 individuals in CT. From
October 2007 through March 2008, SHARe and its partners provided CT and test results to 39,369
individuals, and trained 185 individuals in CT.
In FY 2009, SHARe will continue to provide and expand CT in private sector businesses, markets, faith-
based institutions, and communities through six local NGO/FBO partners: Zambia Health Education and
Communications Trust (ZHECT), ZamAction, Afya Mzuri, LEAD Program Zambia, Latkings and the Zambia
Interfaith Networking Group on HIV/AIDS (ZINGO). SHARe will continue to support workplace and
community CT through four government ministries: the Ministry of Agriculture and Cooperatives which
includes permanent and migrant workers; the Ministry of Home Affairs which includes police and prisons;
the Ministry of Communications and Transport which includes transport companies and truckers; and the
Ministry of Tourism, Environment and Natural Resources which includes wildlife scouts and employees of
lodges and tourism businesses. As part of its support to the Ministry of Transport and Communications
workplace programs, SHARe will expand its reach beyond the Ministry itself, and support selected minibus
and taxi businesses in Lusaka to implement comprehensive workplace programs that incorporate provision
of CT.
Leaders in Industry and young influential Zambians (musicians, artists, youth leaders) to promote and
advocate for increased uptake of CT within communities. SHARe will provide training/ and or technical
assistance in HIV/AIDS advocacy and ambassadorship to Zambian leaders to enable them to have a fuller
understanding of the HIV/AIDS epidemic in Zambia, and how they can provide effective leadership in the
national response. SHARe will work with the NAC and other stakeholders to design a toolkit with
appropriate HIV/AIDS messages to give guidance to Zambian leaders as they become more engaged in the
fight against HIV/AIDS and ensure that the messages they give are consistent and scientifically sound.
SHARe will also provide support and/or platforms for leaders to speak out against practices that are known
to fuel HIV transmission (multiple and concurrent partnerships, gender-based violence, and alcohol and
substance abuse) and promote interventions that can offer protections against HIV/AIDS (PMTCT, male
circumcision, condoms). Leaders will use these platforms to help fight stigma and discrimination against
people living with HIV/AIDS and to mobilize Zambians to go for HIV testing and make informed decisions
regarding HIV prevention and/or timely access to HIV Care and Treatment, as appropriate, during SHARe-
sponsored and other HIV/AIDS social mobilization events, including World AIDS Day and VCT day.
Through continued partnerships with local NGO and public sector partners, SHARe will expand CT services
in private and public workplace programs. The project will provide both on-site and mobile CT work through
other partnerships including Provincial AIDS Task Forces (PATFs), District AIDS Task Forces (DATFs),
Chiefdoms, and ZINGO, in an effort to expand coverage. Given the low numbers of people who know their
HIV status in Zambia, social mobilization around CT will continue to be an important strategy in encouraging
higher uptake of CT services. The project will continue to support CT social mobilization activities including
activities on Voluntary Counseling and Testing Day (VCT) and World Aids Day (WAD), in collaboration with
the NAC.
The project will continue to provide a grant to local NGO partner Latkings to provide mobile CT services
linked to urban and rural mobile populations throughout Zambia and in workplaces. The project will also
continue to seek and support innovative approaches to engage and connect communities to CT through
community sensitization and mobile CT at traditional ceremonies. The informal sector and the very small
businesses pose special challenges as workers in these sectors are harder to reach, but are also at
increased vulnerability to HIV. Through local NGO partner LEAD Program Zambia, SHARe will continue to
Activity Narrative: provide CT services for very small businesses such as charcoal burners and small-scale fishermen.
Through local NGO partner ZamAction, SHARe will continue to provide mobile CT services to vendors in
the informal sector markets in Lusaka and Lusaka peri-urban areas. The informal market strategy has been
very successful in taking CT services to a very hard-to-reach sector of the Zambian workplace. The project
will continue to use innovative approaches such as drama, peer group discussions, and social mobilization
events to encourage market vendors to access CT services.
In order to continue facilitating and supporting expanded nationwide CT services coverage, the project will
continue to support its partners working in CT to access rapid test kits through the District Health Systems
and the Zambia Medical Stores Ltd. 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 work with and support its four local NGO partners (ZamAction, ZHECT, LEAD Program
Zambia, and Latkings) working in CT to build sustainable programs through strengthening of technical and
management capacities and mobilization of resources. Activities will include participatory analysis of
current sustainability levels, sharing of sustainability strategies of successful NGOs, and development of
sustainability plans. Public sector ministries, PATFs and DATFs will ensure the sustainability of their
HIV/AIDS workplace CT activities through public sector and other donor funding.
In FY 2009, SHARe and its partners will train 100 persons in CT. Trained CT provides will reach 40,000
individuals with CT services and provide test results, in workplaces, communities, during social mobilization
events, and traditional ceremonies across Zambia. SHARe will provide technical and other support to NGO
partners engaged in provision of CT services with a view of strengthening capabilities in CT, including in
quality assurance, quality improvement, and medical waste management.
In FY 2009, the USG will continue its support to the Tourism HIV and AIDS Public-Private Partnership
(PPP) in Zambia, through the SHARe Project. This activity is a unique Public Private Partnership to reduce
sexual HIV transmission implemented through a partnership between USAID/Zambia, NAC, hotel and
tourism operators and related businesses, defined outreach communities and the Ministry of Tourism
Environment and Natural Resources, with technical support from the PEPFAR-funded SHARe Project. This
partnership emerged as a result of a study conducted by Boston University on "The Impact of HIV/ AIDS on
the Tourism Industry in Zambia", which found that illnesses associated with HIV/ AIDS are reducing labor
productivity by as much as 50% for those employees living with AIDS who are not on treatment and who
stay employed.
The PPP aims at strengthening and building the capacity of hotel and tourism operators and other
businesses in Livingstone and other parts of the country to provide leadership in the fight against HIV/AIDS.
It also aims at supporting HIV/AIDS workplace programs with a view to minimizing the effects of HIV/AIDS
on staff and defined outreach communities. The workplace programs of the PPP educate staff and
communities on the risks related to HIV/AIDS through the dissemination of information and development of
workplace policies. Further, the workplace programs encourage and support the involvement of the tourism
sector partners in corporate social responsibility activities and large HIV/AIDS social mobilization events
advocating for prevention of HIV transmission, increasing uptake of CT and timely linkages to HIV care
services where necessary, including Anti-retroviral Therapy (ART) services.
SHARe will continue to use the Tourism HIV and AIDS PPP social mobilization events as a rallying point for
training and building capacity for HIV/AIDS involvement, advocacy and ambassadorship among a core
group of young, popular and influential opinion leaders in the arts and music arena. The key objective is to
enable them to reach out to their target audiences with appropriate HIV/AIDS messages. These influential
young people will speak out to their audiences more and more against practices that are known to fuel HIV
transmission including, multiple and concurrent partnerships, gender-based violence, and alcohol and
substance abuse. They will also be key partners in promoting interventions that can offer protections
against HIV/AIDS such as PMTCT and male circumcision, and in fighting stigma and discrimination against
people living with HIV/AIDS.
The Tourism HIV and AIDS PPP workplace programs (including the large social mobilization events), will
reach over 8,000 individuals with AB messages and will result in 1,500 individuals receiving CT services.
This activity represents the USG matching contribution of $75,000 for the Tourism HIV and AIDS PPP in FY
2009 and is expected to result in 1,500 individuals receiving CT services and test results.
Continuing Activity: 14400
14400 3639.08 U.S. Agency for John Snow 6821 630.08 SHARE $1,325,909
8907 3639.07 U.S. Agency for John Snow 4980 630.07 SHARE $675,000
3639 3639.06 U.S. Agency for John Snow 2968 630.06 SHARE $575,000
* Increasing women's legal rights
Estimated amount of funding that is planned for Human Capacity Development $132,000
Table 3.3.14:
1.Significant expansion of HIV/AIDS leadership strengthening activities for traditional leaders, Members of
Parliament, Leaders in Industry, and influential young Zambians
This continuing activity links to JSI SHARe activities HVAB (#8906), HVOP (#8915), HVCT (#9605) and
The activity has two major components: Strengthening the capacity of HIV/AIDS coordinating structures and
strengthening the HIV/AIDS policy and regulatory environment.
Since the mid-1980s, the Zambian government has supported a range of programs to prevent the spread of
HIV/AIDS. According to the government, these programs began with a focus on AIDS education and blood
screening, and later expanded to include counseling, Clinical Care, epidemiology and research, home-
based care, information/education campaigns, condom promotion and recently, HIV care and treatment. In
subsequent years, the GRZ sought to involve Non-governmental Organizations (NGO), churches, and the
private sector in the HIV/AIDS response. In 2002, the Government enacted the HIV/AIDS/STI/TB Act,
which led to the creation of the National HIV/AIDS/STI/TB Council (NAC). Later in 2005, Cabinet approved
the national HIV/AIDS/STI/TB policy. While political commitment to combating HIV/AIDS has significantly
increased, concentrated political investment and leadership by the Government of Zambia (GRZ) are still
critically needed and essential.
Through its HIV/AIDS coordinating structures component, SHARe has provided significant technical
assistance for HIV-related institutional strengthening over the past three years. In FY 2006, SHARe
provided 54 organizations with support and trained 1,387 individuals in institutional strengthening; through
March 2007, SHARe provided support to 28 organizations. From April 2007 through March 2008, SHARe
provided 185 organizations with support and trained 312 individuals in HIV-related institutional
strengthening. Organizations receiving HIV-related institutional strengthening include the NAC, Provincial
AIDS Task Forces (PATF), District AIDS Task Forces (DATF), line ministries, civil society organizations,
private sector companies, and chiefdoms.
In FY 2009, SHARe will continue to give critical and valuable institutional capacity-building support to the
NAC, PATFs and DATFs, including support to carry out annual organizational capacity assessments (OCA).
While NAC receives funding to carry out its activities from many donors and partners, SHARe will continue
its current role as the only current USG partner, and indeed the only NAC partner, that is working with the
PATFs and DATFs to help build systems and institutional capacity at the local levels to effectively respond
to the HIV/AIDS epidemic. The project will work directly with the PATFs and DATFs to assess current
functional capacity in responding to the HIV/AIDS epidemic and identify gaps in functional capacity.
Further, the project will work with the teams at these two levels to develop plans for implementing guided
and evidence-based institutional strengthening, and monitor progress in organizational growth and
development over time. USG support through SHARe builds the capacity of the PATFs and DATFs to use
available resources for HIV/AIDS from NAC and other funding sources, rationally and effectively.
Based on the successes and achievements made at the PATF and DATF levels through SHARe support,
the NAC Secretariat requested for similar institutional capacity assessment and strengthening from SHARe
and this support will continue. SHARe will continue to work with NAC to build NAC's capacity to develop its
annual action plan and budget, and provide support for the Joint Annual Program Review (JAPR). As part
of its Memorandum of Understanding with NAC, and to enhance the support the project provides to NAC,
key technical staff from the project will be seconded to NAC to help NAC carry out its mandate, and as part
of the sustainability strategy to transfer key technical competencies to counterparts in NAC.
A significant component of the institutional capacity building provided through this project to NAC will also
focus on line ministries, civil society, and the private sector and will result in improved multi-sectoral
capacities to effectively respond to the HIV/AIDS epidemic. The project will work with national NGOs and
institutions including Zambia Interfaith Networking Group on HIV and AIDS (ZINGO), Network of People
Living with HIV/AIDS (NZP+), Forum for Youth Organizations in Zambia (FYOZ), Zambian Chapter of
Commonwealth Association of Parliamentarians on HIV and AIDS (CAPAH), Football Association of Zambia
(FAZ), National Royal Foundation of Zambia (NRF), and selected Chiefdoms to improve HIV/AIDS
institutional capacities. SHARe will also work with private sector business associations, Zambia Business
Coalition on HIV and AIDS (ZBCA), Livingstone Tourism Association (LTA), and SHARe-supported local
NGO/CBO partners, to build sustainable programs through continued strengthening of technical and
current sustainability levels, and development of sustainability plans.
Through its policy and regulatory environment component, SHARe has provided significant support to
improving the policy and regulatory framework related to HIV/AIDS over the past three years. In FY 2006
through March 2007, SHARe provided support to 105 organizations and trained 810 individuals in HIV-
related policy development. From April 2007 to March 2008, SHARe provided support to 56 organizations
including NAC, Line Ministries, Parliament, the Judiciary, and civil society, and trained 57 individuals in HIV-
related policy development.
In FY 2009 SHARe will continue to support programs designed to address the link between sexual violence
and coercion and HIV/AIDS. This support will include working with partners to enhance protection of girls'
rights and to develop mechanisms to monitor abuse to these rights and providing technical assistance to
civil society organizations that seek to address abuses against girls, including legal services, counseling
and testing, and medical assistance. The project will work with the Women and Justice Empowerment
Partners to ensure a coordinated response to addressing gender-based violence (GBV) and HIV/AIDS
programming in Zambia.
Activity Narrative: SHARe will continue to engage Zambian leaders including Members of Parliament and traditional leaders to
highlight the importance of including education about violence against girls and women in broader AIDS
prevention programs. Weak policies, laws, and legal practices that discriminate against women reinforce
many of the norms and practices that increase women's vulnerability to HIV/AIDS and limit their capacity to
deal with its consequences. The project will support efforts to review, revise, and enforce policies and laws
relating to sexual violence and women's property and inheritance rights; enhance women's access to legal
assistance; and eliminate gender inequalities in civil and criminal codes. Activities include, policy advocacy
that targets policymakers and opinion leaders for adoption of legal protections for women and girls who
have been victims of GBV; increasing access to legal aid; and increasing public awareness of the links
between GBV and HIV/AIDS.
Alcohol misuse increases the risk of exposure to HIV through its association with high risk sexual and
substance abuse behaviors. Alcohol use also plays a major role in perpetuating the behaviors that increase
both HIV infection and GBV. Studies indicate that intimate partner violence increases when the perpetrator
has abused alcohol. The project will support the development of a substance abuse policy through the
Ministry of Health. It will work with organizations that work with youths, men, and women on alcohol abuse
and violence prevention activities. The rates of alcohol abuse in Zambia are particularly high among men
and SHARe will support programs that address the linkages between gender-based violence and alcohol
consumption.
SHARe will continue to work with legal and regulatory bodies and the NAC to improve and enforce laws and
policies related to HIV/AIDS and create enabling environments. The project will work in partnership with
organizations including the NAC, the Ministry of Justice, Ministry of Labor and Social Security. The project
and its partners will continue work in the drafting, refinement, approval, and dissemination of codified laws
and regulations critical to HIV/AIDS such as the draft amendment of the Employment Act, Part X, and
Morphine use guidelines.
In FY 2009, SHARe will provide 50 organizations with technical assistance in HIV-related policy
development and 150 organizations in HIV-related institutional capacity building. SHARe and its partners
will train 250 individuals in HIV-related policy development, 1,000 in HIV-related institutional capacity
building, and 300 in prevention of HIV-related stigma and discrimination, and 150 in community mobilization
for prevention care and/or treatment.
Continuing Activity: 14403
14403 3643.08 U.S. Agency for John Snow 6821 630.08 SHARE $2,650,000
8911 3643.07 U.S. Agency for John Snow 4980 630.07 SHARE $1,650,000
3643 3643.06 U.S. Agency for John Snow 2968 630.06 SHARE $1,950,000
* Reducing violence and coercion
Estimated amount of funding that is planned for Human Capacity Development $240,000
Table 3.3.18:
