Detailed Mechanism Funding and Narrative

Years of mechanism: 2008 2009

Details for Mechanism ID: 7459
Country/Region: Zambia
Year: 2009
Main Partner: Kara Counseling and Training Trust
Main Partner Program: NA
Organizational Type: NGO
Funding Agency: USAID
Total Funding: $0

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

The project is currently scheduled to end in November 2009. KCTT has projected October to November

2009 to be the close out period.

The KCTT Family Based Response (FBR) Project is a New Partner Initiative (NPI) project in Zambia. KCTT

has been working in Zambia for over ten years. With the NPI grant they will be able to continue their

programs, and enhance their own sustainability for the long term. The FBR Project will support the Zambia

National HIV/AIDS Prevention Strategy and campaigns, and will work with PEPFAR funds to reduce HIV

transmission accordingly, within its project mandate, and to the extent its resources permit

This activity has three components.

The first component will be education and dissemination of abstinence and being faithful (AB) messages to

youths and adults through two approaches. The first approach will be done through door to door campaigns

where the educators will speak to families and distribute brochures to these families. The educators will

reach 1,550 individuals in 387 families estimated at four people reached per family. In this component the

funds will be used to pay for transport, brochures, office rentals, and personnel costs.

This activity component will be carried out in fifteen districts from eight provinces of Zambia, namely,

Choma (KCTT site) and Mazabuka (Ndekeleni Home Based Care) in Southern Province; Chipata (Action for

Positive Change and Mthunzi Development Foundation) in Eastern Province; Lusaka (KCTT site and

Mututa Memorial Day Care Center); Kafue (Kalucha Home Based Care, Kafue Youth Care and Community

Prevention Program) and Chongwe (Umphawi Organization )in Lusaka Province; Mansa (Group Focused

Consultations) in Luapula Province; Kabwe (KCTT site), Chibombo (Mwelebi Keembe Home Based Care,

Chipulumutso counselling and Health Care Trust and foundation for Development of Children) in Central

Province; Mongu (Moliswa Children Foundation) Kaoma (Frontline Development Trust, Masaiti (Community

Health Restoration Programme), Luanshya (Happy Children) and Mufulira (Iluka Support Group) on the

Copperbelt Province; and Kasama (Northern Province Health Education Programme) in Northern Province.

The second component will be the education and dissemination of information to groups of people in

schools, colleges, farms, workplaces, churches, and market places. This will be done with the aim of

motivating youths and adults to either abstain from sex or be faithful to their partners. Video shows followed

by facilitated discussions will be conducted by the trained educators. A total of 2,326 individuals will be

reached. The funding will be used to cover expenses for transport, batteries and costs for venue. This

activity will be carried out in fifteen districts in eight provinces of Zambia, as above.

The third component will be the close out of the project. KCTT and sub partners will work with Residence

Development Committees and District AIDS Task Forces for support in the activity implementation after the

life of the project. KCTT and sub partners will conduct advocacy meetings promoting the continuation of

these activities and continued collaboration with the DHMT and other NGOs and CBOs as mentioned

above. KCTT and sub partners will hold meetings with community leaders aimed at preparing the target

communities for the end of activities. KCTT has been building capacity in project management -planning,

resource mobilization, financial management, Monitoring and evaluation of the sub partners. KCTT will

work with sub partners in devising plans for continuation of activities. The devised plans will also include

resource mobilization activities.

KCTT will collect and verify of all reports both financial and program reports from program outlets. KCTT

and sub partners will close out financially and complete all required deliverables and clarify plans for all

equipment / other inventory purchased with the USAID funds. KCTT will hold review meetings with all Sub

partners. KCTT will during the close out period prepare audit schedules and the final audit is scheduled to

be carried out in December 2009.

The PEPFAR NPI funds will be used for travel to the districts, stationary and printing and for the meeting

logistics.

All October to November 2009 targets will be reached by November 30, 2009.

New/Continuing Activity: Continuing Activity

Continuing Activity: 16549

Continued Associated Activity Information

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

System ID System ID

16549 16549.08 U.S. Agency for Kara Counseling 7459 7459.08 Family Based $0

International Centre Response

Development

Table 3.3.02:

Funding for Care: Adult Care and Support (HBHC): $0

ACTIVITY WILL BE MODIFIED IN THE FOLLOWING WAY

The project is currently scheduled to end in November 2009. KCTT has projected October to December

2009 to be the close out period.

Activity Narrative:

The "Family Based Response" (FBR) project of the Kara Counseling and Training Trust (KCTT) is a New

Partner Initiative (NPI) project in Zambia dating from late 2006. KCTT has been working in Zambia for over

ten years. With the NPI grant they are able to not only continue their programs, but also enhance their own

sustainability for the long term. Emphases will include increased linkages to and coordinating with other

palliative care activities funded by President's Emergency Plan For AIDS Relief (PEPFAR), such as

RAPIDS, as well as coordinating with Government of the Republic of Zambia (GRZ)-led palliative care

activities/initiatives. The program will continue to build upon the experiences of the FY 2007 scale-up

activities. KARA will collaborate with USG Zambia to develop and implement a food and nutrition strategy,

including shifting to a "Food by Prescription" approach.

This activity has several components.

One component of this activity is to provide palliative care to PLWHA using the family-based approach in

which care will be provided to clients in their own homes and appropriate linkages will be made for referral

to hospices for needy clients. The trained community home-based caregiver will continue to provide

education on personal hygiene and health to patients and immediate family members, and information on

how to prevent opportunistic infections. The caregivers will also provide ART adherence support to patients

on antiretroviral therapy in partnership with other trained family members. ART adherence support will aim

to ensure that patients on antiretroviral drugs take the medication as prescribed, without omitting any doses

for best treatment outcomes.

People infected with HIV will have different needs depending on the stage of HIV infection.

The PLWHA who will be manifesting HIV related signs and symptoms (usually in the symptomatic stage)

will continue to be referred for ART and the treatment of opportunistic infections. The funds will be spent on

transport and stationery. This component of the activity will provide support to 1,901 individuals And will be

implemented in 20 outlets: three Kara Counseling and Training Trust (KCTT) outlets, and 17 outlets from

partner organizations. These outlets are located in: Lusaka District (one KCTT outlet and one outlet for

Mututa Day Care Center) and Kafue District (one outlet for Kalucha Home Based Care [HBC] and one for

Kafue Youth Care and Community Prevention Program), Chongwe District ( One outlet for Umphawi

Organization) in Lusaka Province; Mansa District (one outlet for Group focused Consultations) in Luapula

Province; Chibombo District (Mwelebi HBC, Chipulumutso Counselling and Health Care Trust and

Foundation for Development of Children with one outlet each); Mongu District (one outlet for Moliswa

Children Foundation) and Kaoma District (one outlet for frontline Development Trust) in Western Province;

Kabwe District (one KCTT outlet) in Central Province; Kasama District (one outlet for Northern Health

Education Programme) in Northern Province; Choma District (one KCTT outlet) and Mazabuka District (one

outlet for Ndekeleni HBC) in Southern Province; and Mufulira District (one outlet for Iluka Support Group),

Luanshya District (one outlet for Happy Children) Chipata District (one outlet for Mthunzi Development

foundation and for Action for Positive Change) and Masaiti District (one outlet for Community Health

Restoration Programme) in the Copperbelt Province.

The second component of this activity is participation in the palliative care forums addressing palliative and

home-based care issues. KCTT will continue ongoing work with other U.S supported palliative care

NGO/CBO/FBOs, and agencies that support and are implementing palliative care programs to ensure

comprehensive palliative care service delivery to clients.

The third component will be the close out of the project. KCTT and sub partners will continue to work with

Residence Development Committees, District AIDS Task Forces, for support in the activity implementation.

KCTT and sub partners will also collaborate with Home Based Care Projects and the Network of People

Living With HIV/AIDS (NZP+). KCTT and sub partners will conduct advocacy meetings promoting the

continuation of palliative care in target communities after the end of the project period. KCTT and sub

partners will conduct advocacy meetings promoting the continuation of these activities and continued

collaboration with the DHMT and other NGOs and CBOs as mentioned above. KCTT and sub partners will

hold meetings with community leaders aimed at preparing the target communities for the end of activities.

KCTT has been building capacity in project management -planning, resource mobilization, financial

management, Monitoring and evaluation of the sub partners. KCTT will work with sub partners in devising

plans for continuation of activities. The devised plans will also include resource mobilization activities.

KCTT will collect and verify all reports both financial and program reports from program outlets. KCTT and

sub partners will close out financially and complete all required deliverables and clarify plans for all

equipment / other inventory purchased with the USAID funds. KCTT will hold review meetings with all Sub

partners.

The PEPFAR NPI funds will be used for travel to the districts, stationary and printing and for the meeting

logistics.

All October to November 2009 targets will be reached by November 30, 2009.

New/Continuing Activity: Continuing Activity

Continuing Activity: 16730

Continued Associated Activity Information

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

System ID System ID

16730 16730.08 U.S. Agency for Kara Counseling 7459 7459.08 Family Based $0

International Centre Response

Development

Emphasis Areas

Gender

* Increasing gender equity in HIV/AIDS programs

Health-related Wraparound Programs

* TB

Human Capacity Development

Public Health Evaluation

Food and Nutrition: Policy, Tools, and Service Delivery

Food and Nutrition: Commodities

Economic Strengthening

Education

Water

Program Budget Code: 09 - HTXS Treatment: Adult Treatment

Total Planned Funding for Program Budget Code: $45,624,407

Total Planned Funding for Program Budget Code: $0

Table 3.3.09:

Funding for Care: Orphans and Vulnerable Children (HKID): $0

ACTIVITY WILL BE MODIFIED IN THE FOLLOWING WAY.

The KCTT FBR HIV/AIDS project is scheduled to end in November 2009. The period between October

2009 and November 2009 has therefore been projected to be the close out phase of the FBR. KARA will

collaborate with USG Zambia to develop and implement a food and nutrition strategy, including shifting to a

"Food by Prescription" approach.

Activity Narrative:

Kara Counseling and Training Trust (KCTT) Family Based Response (FBR) project is a New Partner

Initiative (NPI) project in Zambia. KCTT has been working in Zambia for over ten years. With the NPI grant

they have been able to not only expand their programs, but also build capacity of local partner organizations

in systems strengthening and enhance their own sustainability for the long term.

HIV/AIDS Project. The FBR HIV/ AIDS project emphasize on consolidating linkages and coordinating with

Government of the Republic of Zambia (GRZ) led OVC activities/initiatives.

This OVC activity has several components: The first component of this activity is the provision of holistic

care and support to 923 identified OVC. This care and support will be in the forms of health care,

psychosocial support, and educational support following OGAC and GRZ guidelines. Under this

component, access to medical care for children living with HIV/AIDS will be facilitated through linkages with

the government hospitals and health centers. KCTT and the implementing partners will pay for medical

fees, medicines, and transport to health facilities for ailing OVC. Trained caregivers will provide

psychosocial support to the 923 OVC through one-to-one counseling; the counseling process will involve

other family members. KCTT and KCTT and the implementing partners will facilitate peer support among

the OVC.

The implementation of this activity component will be in eight provinces and will be carried out in 20 outlets

which include three KCTT sites located in three districts, Lusaka, Choma and Kabwe from Lusaka Province,

Southern Province and Central Province respectively. The sites from seventeen partners (Ndekeleni Home

Based Care, Moliswa Children's Foundation, Foundation for Development of Children, Happy Children,

Northern Health education Project, Mthunzi Development Foundation, Action for Positive Change, Iluka

Support, Community Health Restoration Program, Kalucha home Based Care, Kafue Youth Care and

Community Prevention Program, Umphawi Organization, Group Focused Consultations, Mwelebi Keembe

HBC, Chipulumutso Counseling and Health Care Trust, Kuomboka Youth Group and Frontline Development

Trust) in thirteen districts and eight provinces (Lusaka, Southern, Central, Western, Northern, Eastern,

Luapula and Copperbelt) and in the districts, Mazabuka, Kasama, Chipata, Mongu, Kaoma, Chibombo,

Luanshya, Mufulira, Masaiti, Kafue, Chongwe, and Mansa from Southern Province, Northern Province,

Eastern Province, Western Province, Central Province, Copperbelt Province Lusaka Province and Luapula

Province respectively.

The second component of this activity is to engage government at national and local level in dialogue for

holistic OVC care and support. Fourteen meetings will be held with key stakeholders and jointly engage

government on issues relating to orphan and vulnerable children.

The third component will be the close out of the project. KCTT and sub partners will work with Residence

Development Committees and District AIDS Task Forces for support in the activity implementation after the

life of the project and The District Health Management Teams (DHMT) for continued supply HIV test kits

and other testing materials. KCTT and sub partners will conduct advocacy meetings, promoting the

continuation of these activities and continued collaboration with the DHMT and other NGOs and CBOs as

mentioned above. KCTT and sub partners will hold meetings with community leaders aimed at preparing

the target communities for the end of activities. KCTT has been building capacity in project management -

planning, resource mobilization, financial management, Monitoring and evaluation of the sub partners.

KCTT will work with sub partners in devising plans for continuation of activities. The devised plans will also

include resource mobilization activities.

KCTT will collect and verify of all reports both financial and program reports from program outlets. KCTT

and sub partners will close out financially and complete all required deliverables and clarify plans for all

equipment / other inventory purchased with the USAID funds. KCTT will hold review meetings with all Sub

partners. KCTT will during the close out period prepare audit schedules and the final audit is scheduled to

be carried out in December 2009.

The PEPFAR NPI funds will be used for travel to the districts, stationary and printing and for the meeting

logistics.

All October to November 2009 targets will be reached by November 30, 2009.

New/Continuing Activity: Continuing Activity

Continuing Activity: 16729

Continued Associated Activity Information

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

System ID System ID

16729 16729.08 U.S. Agency for Kara Counseling 7459 7459.08 Family Based $0

International Centre Response

Development

Emphasis Areas

Gender

* Increasing gender equity in HIV/AIDS programs

Human Capacity Development

Public Health Evaluation

Food and Nutrition: Policy, Tools, and Service Delivery

Food and Nutrition: Commodities

Economic Strengthening

Education

Water

Table 3.3.13:

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

The project is scheduled to end in November 2009.

Activity Narrative:

The Kara Counseling and Training Trust (KCTT) Family Based Response (FBR) project is a New Partner

Initiative (NPI) project in Zambia which began operations in FY 2007. However, KCTT has been working in

Zambia for over ten years This activity has four components, offering a family-based approach to families in

their homes; offering CT through mobile approach and advocacy and lobbying for continuation of improved

counseling and testing services in Zambia. The period will also include close out activities.

Under the first component KCTT and implementing partners will in 20 outlets provide counseling and testing

to individuals. This will be done with a family-based approach by providing counseling and testing to

families in their homes. The agreement to undergo counseling and testing as a family will enhance support

for members of the family that would test HIV positive. Seven Hundred and seventy five individuals will be

counseled in their homes. KCTT estimates that about 1 in 5, 155 of these individuals, will be tested and

receive their results. The caregivers will provide counseling to individual families with special needs,

especially those who will test HIV positive. In this activity component the funds will be used to pay for HIV

testing materials, transport, office rentals, and personnel costs.

The counseling and testing will be carried out by the trained care givers in fifteen districts from six provinces

of Zambia, namely, Choma(KCTT outlet), Mazabuka (Ndekeleni Home Based Care) in Southern Province,

Chipata (Mthunzi Development Foundation and Action for positive change) in Eastern Province, Lusaka

(KCTT outlet and Mututa), Kafue (Kalucha Home Based Care and Kafue Youth Development Project) and

Chongwe (Umphawi Organization) in Lusaka Province, Mansa (Group Focused Consultations) in Luapula

Province, Kabwe (KCTT outlet) and Chibombo (Mwelebi Keembe Ranch Home Based Care, Foundation for

Development of Children and Chipulumutso Counselling and Health Trust) in Central Province, Mongu

(Moliswa Children's Foundation and Kuomboka Youth Group) and Kaoma (Frontline Development Trust) in

Western Province; Masaiti (Community Health Restoration Programme), Mufulira (Iluka Community Support

Group) and Luanshya (Happy Children on the Copperbelt Province; and Kasama (Northern Health

Education Programme in Northern Province.

The second approach under this component is the mobile counseling and testing. Counseling and testing

under this approach will be done through group counseling of youth and adults aimed at encouraging

testing for HIV. This will be carried out in schools, colleges, farms, churches, and market places. For

individuals opting to undertake an HIV test, additional individual counseling will be provided. KCTT and its

partners from each of its twenty sites will provide this counseling and testing. Two thousand five hundred

and eighty four (2584) individuals will be reached through group counseling; KCTT estimates that about

1,033 of these individuals will be counseled and tested for HIV, and receive their results, with a proportion of

50% females and 50% males. Caregivers who are HIV positive and open about their status will be involved

and will share their testimonies to demonstrate the benefits of testing. In this activity the funds will be used

to pay for HIV testing materials, transport, office rentals, and personnel costs.

The counseling and testing will be carried out by the trained care givers in fifteen districts from six provinces

of Zambia, namely, Choma(KCTT outlet), Mazabuka (Ndekeleni Home Based Care) in Southern Province,

Chipata (Mthunzi Development Foundation and Action for positive change) in Eastern Province, Lusaka

(KCTT outlet and Mututa), Kafue (Kalucha Home Based Care and Kafue Youth Development Project) and

Chongwe (Umphawi Organization) in Lusaka Province, Mansa (Group Focused Consultations) in Luapula

Province, Kabwe (KCTT outlet) and Chibombo (Mwelebi Keembe Ranch Home Based Care, Foundation for

Development of Children and Chipulumutso Counselling and Health Trust) in Central Province, Mongu

(Moliswa Children's Foundation and Kuomboka Youth Group) and Kaoma (Frontline Development Trust) in

Western Province; Masaiti (Community Health Restoration Programme), Mufulira (Iluka Community Support

Group) and Luanshya (Happy Children on the Copperbelt Province; and Kasama (Northern Health

Education Programme in Northern Province.

The third component of this activity is advocacy and lobbying for improved counseling and testing services

in the country. This will be carried out through participation in national level counseling and testing

meetings and reaching 20 key persons per meeting monthly. PEPFAR funding will be used to pay for

transport for those coming from outside the district and for meeting expenses.

KCTT and sub partners will work with Residence Development Committees and District AIDS Task Forces

for support in the activity implementation after the life of the project and The District Health Management

Teams (DHMT) for continued supply HIV test kits and other testing materials. KCTT and sub partners will

conduct advocacy meetings promoting the continuation of these activities and continued collaboration with

the DHMT and other NGOs and CBOs as mentioned above. KCTT and sub partners will hold meetings with

community leaders aimed at preparing the target communities for the end of activities. KCTT has been

building capacity in project management -planning, resource mobilization, financial management,

Monitoring and evaluation of the sub partners. KCTT will work with sub partners in devising plans for

continuation of activities. The devised plans will also include resource mobilization activities.

KCTT will collect and verify of all reports both financial and program reports from program outlets. KCTT

and sub partners will close out financially and complete all required deliverables and clarify plans for all

equipment / other inventory purchased with the USAID funds. KCTT will hold review meetings with all Sub

partners. KCTT will during the close out period prepare audit schedules and the final audit is scheduled for

December 2009.

The PEPFAR NPI funds will be used for travel to the districts, stationary and printing and for the meeting

logistics.

All October to November 2009 targets will be reached by November 30, 2009.

New/Continuing Activity: Continuing Activity

Continuing Activity: 16728

Continued Associated Activity Information

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

System ID System ID

16728 16728.08 U.S. Agency for Kara Counseling 7459 7459.08 Family Based $0

International Centre Response

Development

Table 3.3.14:

Subpartners Total: $0
Foundation for Development of Children: NA
Umphawi Organization: NA
Moliswa Development Foundation: NA
Mthuzi Development Foundation: NA
Action for Positive Change: NA
Iluka Community Support Group: NA
Ndekeleni Development Foundation: NA
Happy Children Foundation: NA
Mwelebi Keembe Ranch Home Based Care: NA
Kalucha Home Based Care: NA
Mututa Memorial Day Care Center: NA
Group Focused Consultation: NA
Northern Cape AIDS Forum: NA
Community Health Education Program: NA