Detailed Mechanism Funding and Narrative

Years of mechanism: 2008 2009

Details for Mechanism ID: 7616
Country/Region: Zambia
Year: 2009
Main Partner: Mothers2mothers
Main Partner Program: NA
Organizational Type: NGO
Funding Agency: USAID
Total Funding: $0

Funding for Biomedical Prevention: Prevention of Mother to Child Transmission (MTCT): $0

This activity is linked to Boston University (BU), Centre for Infectious Disease Research in Zambia (CIDRZ)

and Zambia Prevention, Care and Treatment Partnership (ZPCT).

Mothers2mothers (m2m) funding through the PEPFAR New Partners Initiative (NPI) is scheduled to

conclude November 30, 2009. Activities for FY2010 will be limited to the project close out and transition of

clients and employees to other programs.

Throughout the life of the program, activities have focused on improving the effectiveness of prevention of

mother-to-child transmission of HIV (PMTCT) services through facility and community based peer-to-peer

education, psychosocial support programs for pregnant women, and new mothers and caregivers living with

HIV/AIDS in Zambia. There have been four components to these activities: curriculum-based training and

education programs; psychosocial support and empowerment services; programs to increase uptake for

counseling and testing; and bridging services linking PMTCT treatment and care to anti-retroviral treatment

(ARV) and other health services.

The primary emphases areas for these activities and their related close out are: Local Organization

Capacity Development and Sustainability. Specific target populations include Pregnant Women; People

Living with HIV/AIDS (PLWHA); HIV+ Pregnant Women; and HIV+ Infants.

Mothers2mothers approaches sustainability in its programs primarily through developing the organizational

and technical capacity of our local partner organization and project staff. All program sustainability

planning and close-out activities are coordinated with our sub-grantee and local partner, Development AID

from People to People (DAPP). m2m and DAPP will negotiate the transition of clients and, where possible,

project employees in collaboration with healthcare workers at m2m sites and the PEPFAR-funded PMTCT

partners of: BU in Southern Province, CIDRZ in Lusaka Province, and Zambia Prevention, ZPCT in the

Copperbelt Province. Program close-out and transition will be facilitated at 50 health care facilities in

conjunction with central, provincial, and district Ministry of Health (MOH) authorities in the 11 m2m districts

of Southern, Lusaka and Copperbelt.

Mothers2mothers will build DAPP's capacity to implement identified sustainability and exit strategies.

Specific strategies include: formalizing linkages with other projects or partners to employ the capacity and

skills of Mentor Mothers in related areas of HIV education, peer support, and adherence counseling;

collaborating with existing community education groups to provide ongoing support to HIV+ mothers (e.g.

traditional birth attendants, adherence counselors, PMTCT volunteers); and strengthening linkages with

PLWHA support groups at community level to provide ongoing support for m2m clients.

Perhaps the most important way m2m ensures that program benefits are sustained is through the

partnership with, and empowerment of, mothers living with HIV. All Mentor Mothers and Site Coordinators

are trained according to a rigorous multi-week curriculum and receive ongoing mentorship at work

thereafter. In addition to supporting PMTCT services in health facilities, these HIV+ mothers serve as role

models and contribute to a change in attitudes at community level. Even after the conclusion of their

contracts as Mentor Mothers, these mothers continue to individually and collectively contribute to fighting

stigma, educating their peers, facilitating critical linkages to HIV care and treatment, and expanding relevant

services.

As part of the final stage of the project, m2m will provide information on the project close-out process to

DAPP and offer guidance and support throughout. The m2m Program Development Manager will work

alongside the DAPP project management team to implement detailed close-out action plans including the

following core activities: The project management team will prepare financial and narrative reports for the

institutional memory of project, facilitate the audit process and close the financial books, execute plans for

project equipment and supplies, make staffing decisions, debrief project stakeholders, submit final reports,

and update and store important records.

Although NPI funding is expected to come to a close in November 2009, mothers2mothers is actively

exploring options to mobilize additional funds for the program in Zambia. Additional funding is being sought

from a range of sources, including US Government and private foundations, to sustain the 50

Mothers2mothers sites and potentially further scale up the program where resources permit.

New/Continuing Activity: Continuing Activity

Continuing Activity: 16906

Continued Associated Activity Information

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

System ID System ID

16906 16906.08 U.S. Agency for Mothers 2 Mothers 7616 7616.08 Mothers 2 $0

International Mothers

Development

Table 3.3.01: