Detailed Mechanism Funding and Narrative

Details for Mechanism ID: 12269
Country/Region: Zambia
Year: 2010
Main Partner: Tearfund
Main Partner Program: NA
Organizational Type: NGO
Funding Agency: USAID
Total Funding: $0

Tearfund provides HIV prevention-abstinence and behavior change services through individual and small group interventions that are evidence based. Tearfund is supporting four sub-partners from among the faith based organizations, Brethren in Christ Church (BICC), Evangelical Fellowship of Zambia (EFZ), Scripture Union Zambia (SUZ) and Jesus Cares Ministries (JCM), to provide HIV prevention services in 17 districts in six provinces of Zambia.

The objective s of Tearfund Zambia are to:

1) Reach 100,000 young people with abstinence and behavior change (AB) by 2011;

2) Provide access to prevention of mother to child transmission (PMTCT) services to 15,500 expectant mothers by 2011;

3) Reach 18,950 people in 17 districts will HIV counseling and testing services; and

4) Provide care and support to 35,000 orphans and vulnerable children (OVC) and 8000 people living with HIV and AIDS (PLWHA) and their families.

AB services are targeting in and out of school youths aged 10 to 24 years. The program will support the training of trainers (TOT), such as teachers, church leaders, volunteers, and the training of peer educator youths in carrying out abstinence and behavior change services among youth. The program supports the establishment of school youth clubs, holding of fellowship meetings, seminars, and youth rallies as well as hiring of musical instruments for concerts.

The program will seek to increase the uptake of TC in both boys and girls, in and out of school youths, couples and pregnant women as well as any other individuals. Church leaders and traditional birth attendants (TBAs) will be trained as lay counselors and caregivers to provide counseling and link individuals ready to be tested to testing facilities and thereafter provide ongoing post test counseling services and referral to other services such as PMTCT, prevention, support care and ART. The program will also support the contracting of TC service providers, setting up of mobile VCT and procurement of HIV test kits. PMTCT mothers will also have access to infant feeding counseling.

The program will provide care and support services to OVC in targeted communities in 14 districts through payment of tuition fees, purchase of school uniforms, books, pens, and pencils as well as offer child protection and psychosocial support. The program will link PLWHA and OVC to livelihood and food security programs, including linkages with nutrition activities as appropriate. The program will support the basic care nursing services for PLWHA and provide home-based care kits.

The monitoring and evaluation events will focus on six specific areas which include: (1) Keeping track of the inputs, processes and the first level achievements; (2) Monitoring of outcomes-behavior and system changes and case studies and human interest stories; (4) Context, risks and assumption monitoring. The program was developed through an assessment of the environment. Risks and assumptions were identified and these formed the basis upon which decisions for strategy and scale of achievements was determined. As the environment can change, it is important for the program to track and assess the environment to enable adjustment to assumptions, strategies and results. Tearfund and the four sub-partners will use a method that will integrate the assessment during an annual review session in the form of participatory sessions with all key programs staff and partner staff; and (5) Monitoring of overall goal. The mechanism is contributing to the achievements of an overall national goal of the Government of Zambia and the PEPFAR NPI goals.

Evaluation will focus on the assessment of whether the program is generating its planned activities and the extent to which it is achieving its stated objectives through these activities. The funding will support monitoring visits to project sites, trainings on data quality and data management, data quality audit visits, trainings of data collectors-the volunteers and trainers/ implementers, contracting project evaluation consultants, and the printing of monitoring tools.

Key Issues Identified in Mechanism
Addressing male norms and behaviors
End-of-Program Evaluation
Increasing gender equity in HIV/AIDS activities and services
Increasing women's legal rights and protection