Detailed Mechanism Funding and Narrative

Years of mechanism: 2011 2012 2013 2014 2015

Details for Mechanism ID: 12988
Country/Region: Zambia
Year: 2011
Main Partner: CARE International
Main Partner Program: Zambia
Organizational Type: Implementing Agency
Funding Agency: HHS/CDC
Total Funding: $1,155,000

Goal: To support HIV/AIDS/STI and TB prevention, care and treatment among underserved populations in the six districts of Eastern Province in order to ultimately reduce transmission of HIV/AIDS/STI.

In the FY 2011, CARE will expand to 115 from 90 communities. CARE will continue improve access to and delivery of HIV/AIDS services by strengthening activities aimed at creating demand for TB/HIV/PMTCT and CT services in the six districts and also to address the challenges on client follow ups, TB case finding, contact tracing, TB DOTS, ART adherence, follow up of exposed infants and testing in those districts.

Partnership

Under partnership ITAP 2 will build on lessons learnt in FY 2010 in strengthening community health systems and ability to tap community channels for referral, linkage and communication beyond the formal health system. Neighborhood Health Committees (NHCs) and trained volunteers including Community Health Workers (CHWs) are the main community structures to be tapped and supported.

No significant changes are expected.

PMTCT and Linkages with Maternal Child Health and Family Planning

In FY 2011, ITAP 2 will contribute 10% (3, 500) through referrals of pregnant women by trained volunteers and other support groups in the community of the targeted 35,000 pregnant women with known HIV status (includes women who were tested and received their results) in the six districts.

Other changes will include capacity building of community based distributors to increase unmet needs in family planning especially in HIV positive clients.

Cross cutting issues

ITAP 2 in FY 2011 will largely involve participation of males, traditional leaders and local marriage counselors in addressing gender inequities such as polygamy, early marriages, and the perception of women as obedient sexual partners, leading to increased vulnerabilities for women

No significant changes will be made from what was proposed in FY 2010.

Monitoring and Evaluation

ITAP 2 in FY 2011, will build on lessons learnt during FY 2010 implementation to strengthen Monitoring and Evaluation based on community mobilization, community based information system and strengthened community structures. In addition, documentation of internal assessment findings, lessons learnt and best practices on Community mobilization will be prioritized to enhance evidence based for future programming.

Funding for Testing: HIV Testing and Counseling (HVCT): $490,000

None

Funding for Biomedical Prevention: Prevention of Mother to Child Transmission (MTCT): $425,000

None

Funding for Care: TB/HIV (HVTB): $240,000

None

Key Issues Identified in Mechanism
Addressing male norms and behaviors
Increasing gender equity in HIV/AIDS activities and services
Increasing women's access to income and productive resources
Safe Motherhood
Tuberculosis
Family Planning