Detailed Mechanism Funding and Narrative

Years of mechanism: 2013 2014 2015

Details for Mechanism ID: 16903
Country/Region: Zambia
Year: 2013
Main Partner: Columbia University
Main Partner Program: Mailman School of Public Health
Organizational Type: University
Funding Agency: HHS/CDC
Total Funding: $280,000

This mechanism is a CDC-Atlanta Epidemiology and Strategic Information Support (ESIS) task order that was awarded to Columbia University. It aims to determine the change in estimated HIV incidence in Sinazongwe District after rollout and scale-up integrated evidence-based HIV interventions (also known as combination prevention) in home and clinic settings. Sinazongwe is an underserved, remote rural district in the Southern Province of Zambia.

The evaluation includes household surveys to ascertain behavior and use of HIV prevention, care and treatment services at baseline and three years later. Additionally, district health clinic logs will be extracted retrospectively, at mid-line and after scale-up of interventions to document change in service utilization among residents. Clinical data will also be drawn from SmartCare electronic medical records where possible.

During this budget period, the contractor expects to conduct retrospective clinic record extraction and implement the first survey (including laboratory testing). The exposure being tested is scale up of combination prevention. Prevention activities will be conducted by Development Aid People to People (DAPP) and the Southern Provincial Health office and include home and clinic-based VCT, VMMC, PMTCT (particularly B+), treatment of the negative partner in discordant couples. Prevention scale-up is funded separately from this evaluation.

This mechanism has not been submitted in a previous COP, but the activity was included in DAPPs narrative for COP11. When the ESIS task order was made available in 2011, it was funded as a separate activity using reprogrammed funds. It did not appear in COP12 because the funding allocated during the 2011 reprogramming was sufficient for the first 2 years.

Funding for Strategic Information (HVSI): $280,000

The evaluation includes household surveys to ascertain behavior and use of HIV prevention, care and treatment services at baseline and three years later. Additionally, district health clinic logs will be extracted retrospectively, at mid-line and after scale-up of interventions to document change in service utilization among residents. Clinical data will also be drawn from SmartCare electronic medical records where possible. During this budget period, the contractor expects to conduct retrospective clinic record extraction and implement the first survey (including laboratory testing). The exposure being tested is scale up of combination prevention. Prevention activities will be conducted by Development Aid People to People (DAPP) and the Southern Provincial Health office and include home and clinic-based VCT, VMMC, PMTCT (particularly B+), treatment of the negative partner in discordant couples. Prevention scale-up is funded separately from this evaluation.