Nazarene Compassionate Ministries Inc. will use the final two months of the agreement to close out under

the grant and transition its abstinence and being faithful (AB) activities from the funding support that it has

received under the New Partners Initiative, Cooperative Agreement No-GHH-A-00-07-00006-00. The

activities begun under the grant will not be fully phased out, but the ownership will shift to the local church

and community networks that have been trained and supported to maintain ongoing, sustainable AB

activities. As these sites are shifted to local leadership, NCMI plans to provide some ongoing support while

continuing the expansion of AB activities beyond the original project sites to increase the coverage of the

prevention program.

Activities under the Cooperative Agreement ending November 30, 2009 will be concluded through three

implementing partners: Nazarene Compassionate Ministries Zambia (NCMZ), operating in partnership with

sub-recipients Christian Reformed World Relief Committee (CRWRC) and World Hope International Zambia

(WHIZ). Separate closeout plans will be presented later for each implementing partner, reflecting the

differences in timelines. The closeout plans will incorporate discussions with the USAID Zambia Mission.

All the AB activities which were conducted through local churches and will be handed over to the church

leadership for the continuation of activities. The implementing partner organizations will continue to provide

training to volunteers and church leaders.

The AB prevention peer education model and the faithfulness curriculum will be utilized by the Church as

part of their ongoing activities. The model involves youth-to-youth (Y2Y) groups where trained promoters or

youth leaders will lead ongoing training to groups of 14 other peers.

NCM Zambia, CRWRC and WHIZ will continue to offer AB programs through its network of churches. The

trained peer educators will promote HIV/AIDS prevention through abstinence and faithfulness messages to

the peers. We plan to continue to maintain support to the local church networks in the existing coverage

areas while expanding the activities to new coverage sites with support from other sources.

The project design seeks to ensure sustainability by building ownership from within the local community and

local NGO levels. All project activities are designed to encourage independence and self-governance in the

planning, design, implementation of outputs, and outcomes. This local ownership and involvement has

been built into the program from the beginning with focus group discussions among all community

stakeholders that have been conducted in preparation of initiating a training cohort in each new geographic

location. The role of the non-governmental organization (NGO) partners is to build the capacity of

communities to do their own direct service with the skills and knowledge gained during their trainings in an

effective and quality manner. The church networks are essential to the ongoing sustainability of the

program as the local churches have a long term commitment to their local communities. The targeted

training of church leaders and utilization of key youth leaders, volunteers, and promoters from church youth

groups and schools will enable the program to continue beyond the initial investment under NPI.

At the same time, the indigenous NGO partners will continue to receive intensive capacity building support

from HHA and NCMI to strengthen their organizational, administrative, financial, human resource, and

technology infrastructure.

The enhanced capacity of NCM and partners will enable the consortium better prepared to secure additional

funding either from USAID or other donors to continue and expand the work. All the partners already have

plans on continuing with the program activities.

Since all of our primary partners are a part of international denominations, funds will be raised at both the

local and international level. However, long term sustainability is dependent upon the local contribution.

Churches are already supplying the volunteer caregivers to reach the targeted numbers within their

community. Much of the responsibility will fall to the local churches to continue reaching these same

numbers. We anticipate that they may have to scale back the package of services provided but they should

be able to maintain some services for all the current beneficiaries.

Coverage of AB activities will continue beyond the life of the grant because of the ongoing support of

existing sites and planned expansion of the AB activities. In view of this, NCMZ, WHIZ and CRWRC will still

need the equipment that was funded by USAID under the New Partners Initiative to support our continuing

AB activities.

New/Continuing Activity: Continuing Activity

Continuing Activity: 16756

Continued Associated Activity Information

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

System ID System ID

16756 16756.08 U.S. Agency for Nazarene 7535 7535.08 Nazarene $0

International Compassionate Compassionate

Development Ministries Ministries

Table 3.3.02:

Nazarene Compassionate Ministries Inc. will use the final two months of the agreement to close out under

the grant and transition its Palliative Care activities from the funding support that it has received under the

New Partners Initiative, Cooperative Agreement No-GHH-A-00-07-00006-00. The activities begun under

the grant will not be fully phased out, but the ownership will shift to the local church and community

networks that have been trained and supported to maintain ongoing, sustainable PC activities. As these

sites are shifted to local leadership, NCMI plans to provide some ongoing support while continuing the

expansion of PC activities beyond the original project sites to increase the coverage of the care and support

program.

Activities under the FY2008 workplan ending November 30, 2009 will be concluded through three

implementing partners: Nazarene Compassionate Ministries Zambia (NCMZ), operating in partnership with

sub-recipients Christian Reformed World Relief Committee (CRWRC) and World Hope International Zambia

(WHIZ). Separate phase out plans will be presented later for each implementing partner, reflecting the

differences in timelines. The Phase out plans will incorporate discussions with the USAID Zambia Mission.

Ongoing activities from FY2008 will not change and NCM Zambia will support 1050, CRWRC 1750 and

WHIZ 1050 PLWHA with services that include frequent home visits, basic nursing, health and nutrition

support, symptomatic treatment, psychosocial counseling, and end of life planning. NMCI to indicate its

willingness:

a)To collaborate with OGAC and USG Zambia on an effort to shift to a Food by Prescription approach,

which is client focused rather than family focused; and

b)To support the development and implementation of a USG Zambia food and nutrition strategy, as well as

to consider adopting a common technical approach to food and nutrition support (or at least to adopt the

major elements of a common approach)

The coverage areas for NCM Zambia will include three locations in Lusaka Province including Kafue,

Chongwe, and Lusaka districts; Solwezi, Mufumbwe, Kabompo, Zambezi, and Chavuma district will be

covered in North-Western Province. CRWRC's coverage areas will include Lundazi and Chipata districts in

Eastern Province, and Kalulushi and Kitwe on the Copperbelt Province while WHIZ will offer palliative care

services in Mazabuka, Choma, Gwembe, Kazungula, Livingstone, and Kalomo districts in Southern

Province.

Sustainability of the program will be maintained through the design of an in-built sense of ownership at local

community and local NGO levels. All project activities are designed to encourage independence and self-

governance in the planning, design, implementation of outputs, and outcomes. A local commitment of

resources is part of the planning and implementation process. This local ownership and long-term

commitment has been achieved by establishing local coordinating committees of key community leaders.

These volunteers have received training in home based care. In nearly every community served by the

project, local churches and church leaders have been sensitized and trained to take an active role in

mobilizing additional volunteers, obtaining local resources, and participating in the local coordinating

committees serving PLWHAs. The involvement of the local churches in serving PLWHA has been an

essential strategy for the sustainability of the program since the church is a local grassroots institution with a

spiritual mandate to reach out to the suffering and the sick. Each of the partners has a unique and

extensive network of several hundred churches that has been trained and mobilized for the long term care

of PLWHA that will last beyond the initial investment of the NPI. NCMZ aim to ensure that all program

activities are gender responsive; promote equal participation of women and men, girls and boys and that

there is equity of access to resources by women, men, girls and boys.

NCMI affiliate, NCM-Zambia will continue to offer palliative care to PLWHA through its network of churches.

Services such as home visits, basic nursing, health and nutrition support, symptomatic treatment,

psychosocial counseling, and end of life planning will be provided although at a lower rate than what is

currently supported under the grant. The frequency of visits and the extent of services to be maintained will

depend to some extent on the availability of ongoing donor support and funding streams. The coverage

areas for NCM Zambia will be maintained since these are areas that the church is operating.

CRWRC will also continue to serve PLWHA with palliative care through its sub-partners, namely, Church of

Central Africa Presbyterian - Relief and Development (CCAP - R&D), The Reformed Church of Zambia

(RCZ), Reformed Community Support (RCS), The Reformed Church in Zambia Eastern Diaconia Services

(RCZ EDS).

WHIZ through the community trust managed by the Church will continue to provide care to PLWHA with

palliative care services as part of their ongoing outreach programs.

At the end of the project each partner organization will be in a position to sustain and enhance their role in

home-based care through their own networks.

The enhanced capacity of NCM and partners will make all of us better prepared to secure additional funding

either from USAID or other donors to continue and expand the work. All the partners already have plans on

continuing with the program activities.

Since all of our primary partners are a part of international denominations, funds will be raised at both the

local and international level. However, long term sustainability is dependent upon the local contribution.

Churches are already supplying the volunteer caregivers to reach the targeted numbers within their

community. Much of the responsibility will fall to the local churches to continue reaching these same

numbers. We anticipate that they may have to scale back the package of services provided but they should

be able to maintain some services for all the current beneficiaries.

After closeout of NPI components, each faith-based network and communities they impact will have

changed the way they function, with new structures, skills, and practices in place. Communities will be able

Activity Narrative: to maintain their strategies and service delivery through coordination and collaboration.

In order not to drastically reduce the number of targets, NCMZ, WHIZ and CRWRC will still need the

equipment that was funded by USAID under the New Partners Initiative.

It is expected that $15,000 will be spent on food and nutrition- commodities during the remaining months of

the project.

New/Continuing Activity: Continuing Activity

Continuing Activity: 17718

Continued Associated Activity Information

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

System ID System ID

17718 17718.08 U.S. Agency for Nazarene 7535 7535.08 Nazarene $0

International Compassionate Compassionate

Development Ministries Ministries

Emphasis Areas

Gender

* Addressing male norms and behaviors

* 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 3.3.08: