Detailed Mechanism Funding and Narrative

Years of mechanism: 2014 2015 2016 2017

Details for Mechanism ID: 17355
Country/Region: Zambia
Year: 2014
Main Partner: University Research Corporation, LLC
Main Partner Program: Applying Science to Strengthen and Improve Systems Project
Organizational Type: Private Contractor
Funding Agency: USAID
Total Funding: $500,000 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.

In FY 14 ASSIST will work with FANTA and LIFT II to strengthen the capacity of the District Community Medical Offices (DCMOs) in Kitwe District (Ndola Province) and Mansa District (Luapula Province) as well as health care workers to apply quality improvement principles to integrate NACS into health services for pediatric ART and TB clients. ASSIST will continue to work in Kitwe District providing QI technical assistance to original 8 learning sites as well as new sites in Kitwe and expand to Mansa District. ASSIST will improve management and nutritional status of malnourished HIV clients by applying improvement principles to integrate NACS into facility-based ARTand TB services and strengthen the capacities of district and provincial managers and care providers to apply improvement skills. The starting point for the QI model is for the teams to define the problems in their work and brainstorm solutions which would improve services to patients. This model by design strengthens staff capabilities and system capacity to continuously improve thereby increasing sustainability of the QI model. The role of the MOH national and district coaches will be to continuously provide support to facility teams. ASSIST will strengthen the capacity of these coaches to be able to plan and conduct visits to support the teams using the available government resources. ASSIST will support the MOH and MCDMCH to organize stakeholder meetings which shall provide a forum for discussing existing gaps and how to address the gaps.

Mechanism Allocation by Budget Code for Selected Year
Care: Adult Care and Support (HBHC) $300,000
Care: Orphans and Vulnerable Children (HKID) $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.

MER Indicator MER description Target Fiscal Year Target
FN_SITE By site support type: Technical Assistance-only (TA): Number of PEPFAR-supported sites achieving 90% nutrition assessments that result in accurate categorization of malnutrition 2015 26
FN_SITE By site support type: Technical Assistance-only (TA): Total number of PEPFAR-supported sites providing nutrition assessment, counseling and support (NACS) services 2015 49
FN_SITE Number of PEPFAR-supported sites achieving 90% nutrition assessments that result in accurate categorization of malnutrition 2015 26
FN_SITE Sum of Numerator Support Type disaggregates 2015 26
FN_SITE Total number of PEPFAR-supported sites providing nutrition assessment, counseling and support (NACS) services 2015 49
FN_SITE_den Sum of Denominator Support Type disaggregates 2015 49
Cross Cutting Budget Categories and Known Amounts Total: $300,000
Human Resources for Health $200,000
Food and Nutrition: Policy, Tools, and Service Delivery $100,000
Key Issues Identified in Mechanism
Child Survival Activities