Detailed Mechanism Funding and Narrative

Years of mechanism: 2013 2014 2015

Details for Mechanism ID: 16903
Country/Region: Zambia
Year: 2014
Main Partner: Columbia University
Main Partner Program: Mailman School of Public Health
Organizational Type: University
Funding Agency: HHS/CDC
Total Funding: $200,000 Additional Pipeline Funding: N/A

NOTE: The following is taken from summaries released by PEPFAR on the PEPFAR Data Dashboard. They are incomplete summary paragraphs only and do not contain the full mechanism details. When the full narratives are released, we will update the mechanism pages accordingly.

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. 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 COP14/15 the contractor expects to conduct retrospective clinic record extraction and data analysis and dissemination of the first survey (including laboratory testing). The exposure being tested is scale up of combination prevention activities that 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 was submitted in COP13, though the activity was included in DAPP’s narrative for COP11. It did not appear in COP12 because the funding allocated during the 2011 reprogramming was sufficient for the first 2 years. This project continues to wait for full ethical clearance with field activities at a minimal level until that time.

Mechanism Allocation by Budget Code for Selected Year
Strategic Information (HVSI) $200,000
Mechanism Target Information

Since COP2014, PEPFAR no longer produces narratives for every mechanism it funds. However, PEPFAR has now included performance targets or indicator information for each mechanism based on the Monitoring, Evaluation, and Reporting (MER) system. The MER guidance is available on PEPFAR's website https://www.pepfar.gov/reports/guidance/. Note that COP years 2014-2015 were under a previous version of the MER system and the indicators and definitions may have changed as of the new 2.0 guidance.

This mechanism has no published performance targets or indicators.

Cross Cutting Budget Categories and Known Amounts Total: $114,320
Motor Vehicles: Purchased $114,320