Detailed Mechanism Funding and Narrative

Years of mechanism: 2012 2013 2014

Details for Mechanism ID: 14392
Country/Region: Zambia
Year: 2012
Main Partner: Johns Hopkins University
Main Partner Program: JHPIEGO
Organizational Type: University
Funding Agency: HHS/CDC
Total Funding: $330,000

Jhpiego will build on past experience working with CDC/Zambia, Ministry of Health (MOH), and Eastern Province Health Office (PHO) to achieve the goal of strengthening the capacity of the provincial and district level MOH to deliver high-quality interventions to reduce HIV/AIDS and TB transmission among underserved populations of Eastern Province. To achieve this goal, the project will implement capacity building activities aimed at improving health systems through the scale-up of HIV/AIDS services at the district level. The specific goal is to increase the capacity of health workers to provide PMTCT, CT and TB/HIV services. The project will work with the PHO and District Health Office (DHO) to build human capacity of health providers and managers to ensure quality services

The project will focus on the three major program areas of PMTCT, CT and TB/HIV and will target beneficiaries at all district and facility levels to increase provider and manager capacity in order to deliver safe, high-quality services. The primary activities will include training, supervision, and mentorship of health care providers.

Jhpiego will continue to build the supervisory and technical capacity of the local management teams, trainers and local organizations so that they can provide post-training follow up and supportive supervision to the providers and to ensure that there is knowledge, skill and attitude transfer to the work place and also improvement in the quality of services provided. Jhpiego will use the training information monitoring system (TIMS) to track persons trained and trainers used to facilitate follow-up, record keeping and reporting.

Funding for Care: TB/HIV (HVTB): $135,000

Jhpiego will support the training of providers in TB infection control and will support the local PMO/DHO teams to provide post-training follow up, supportive supervision, and on the job training (OJT) to ensure implementation of TB infection control. Jhpiego will therefore train 40 health care providers in TB infection control management. Two trainings of 20 participants each will be conducted for five (5) days and will last 7 days, including two (2) travel days. The training will be conducted by two Jhpiego staff and two non-Jhpiego staff from MOH.

Jhpiego will support the training of providers in TB Management and will support the local PMO/DHO teams to provide post training follow up, supportive supervision, and on the job training (OJT) to ensure implementation of TB program. Jhpiego will therefore train 20 health care providers in TB infection control management. One training of 20 participants each will be conducted for five (5) days and will last 7 days, inclusive of two travel days. The training will be conducted by two Jhpiego staff and two non-Jhpiego staff from MOH

Jhpiego will support the training of 24 health care providers in On the Job Training (OJT) management of TB and other common opportunistic infections (OIs) and will support the local PMO/DHO teams to provide post-training follow up and supportive supervision to ensure quality delivery of TB/HIV services. The target group for this training comprise of medical officers, clinical officers, nurses, and paramedical staff. These healthcare providers will help to deal with complicated cases referred from health posts and health centres. Three (3) trainings for 8 providers each will be conducted.

Jhpiego will conduct joint supportive supervision with PMO/DMO teams in all TB/HIV program areas. This will be done on a quarterly basis. The TB/HIV quarterly review meetings will be part of support supervision to PMOs and DMOs.

Funding for Prevention: HIV Testing and Counseling (HVCT): $115,000

Jhpiego will continue to work with MOH and other partners to build capacity within Eastern PHO to provide Provider Initiated Testing and Counseling (PITC).

Jhpiego will train health care workers in order to increase access of the service to the majority of the community members. This will also allow the institution of preventive services to the clients attended to as early as possible. Jhpiego will therefore train 20 health care providers in PITC. One training of 20 participants will last for 7 days, inclusive of 2 travel days. The training will be conducted by two Jhpiego staff and two non-Jhpiego staff from MOH and Ministry of Defense (MOD).

Jhpiego will provide supportive supervision and mentorship to at least 10 previously trained health care providers in order to increase the transfer of knowledge and skills by performing follow-ups, participating in quarterly coordination meetings at PHO and DHO, and partaking in annual planning meetings.

Funding for Biomedical Prevention: Prevention of Mother to Child Transmission (MTCT): $80,000

Jhpiego will continue to strengthen and expand the capacity at the provincial and district level in training skills, supervision and monitoring. Jhpiego will train 15 new trainers who will be able to train in PMTCT. These trainers and those trained previously will support the scale-up of PMTCT trainings in the districts using resources from the MOH and other partners.

Jhpiego will train 20 health care providers in the provision of the full package of PMTCT services. This training will use the revised national PMTCT training package, which includes a refresher on HIV CT and couples counseling emphasizing the opt-out approach. The purpose of the training will be to increase the number of providers competently providing integrated ANC/RH/PMTCT services and EID in current PMTCT facilities.

Jhpiego will continue to undertake the training of provincial trainers in mentoring skills and will train 45 mentors (five per province) in supportive supervision and mentorship. Jhpiego will work with the PHO's in identifying existing district and provincial mentors currently trained in mentoring skills and will orient them to the new guidelines. In addition and where needed, additional mentors will be identified and trained in mentoring skills.

These provincial trainers will continue to be used to build mentoring capacity in the districts and to ensure effective interpretation and implementation of the new PMTCT guidelines using an on-site mentoring approach. It is expected that a total of 150 providers nationwide will be trained as mentors to provider mentorship at the district level.

Jhpiego will also train 20 PMTCT lay workers. The PMTCT lay workers will be used to strengthen the community component and to fulfill non-critical tasks at the facility level in order to reduce the stress on the health care workers.

Cross Cutting Budget Categories and Known Amounts Total: $330,000
Human Resources for Health $330,000