Detailed Mechanism Funding and Narrative

Years of mechanism: 2014 2015 2016 2017

Details for Mechanism ID: 17356
Country/Region: Zambia
Year: 2014
Main Partner: FHI 360
Main Partner Program: NA
Organizational Type: NGO
Funding Agency: USAID
Total Funding: $1,292,384 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.

FANTA will support GRZ integration of NACS into care and treatment of ART, ANC, pediatric, and TB clients in Kitwe and Mansa districts, strengthen the continuum of care between facility-based NACS and community services, and contribute to evidence that nutrition screening and referral increases demand for and uptake of NACS services and leads to better nutrition outcomes.

Activities link to PF and GHI strategies by strengthening district planning and management of nutrition care of PLHIV and OVC, strengthening nutrition data management & use, increasing access to quality treatment of malnutrition, strengthening patient tracking and referral, enhancing health worker performance, strengthening performance measurement, and contributing to improved MCHN nutrition indicators.

Strategy to transition to the GRZ: NACS providers are government staff. During NACS training, participants draft action plans that are incorporated into annual facility and district workplans. These are synchronized with GRZ policies in advocacy meetings with senior provincial and district staff.

To improve cost-efficiency, FANTA will help district health offices cost NACS equipment and supplies for annual budgeting, use QI to streamline procedures for nutrition assessment and M&R, and encourage private sector procurement of NACS commodities and equipment for non-government sites.

M&E: FANTA will pilot a national nutrition register that will support an expanded electronic IMAM database, strengthen the district health information systems to ensure routine monitoring and reporting of nutrition data, monitor health facility and community volunteer capacity to collect and report quality data. and possibly measure improvement in health outcomes among clients treated for malnutrition in select sites.

Mechanism Allocation by Budget Code for Selected Year
Care: Adult Care and Support (HBHC) $400,000
Care: Orphans and Vulnerable Children (HKID) $750,000
Care: Pediatric Care and Support (PDCS) $142,384
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_THER Age: <1 2015 426
FN_THER Age: 1-4 2015 2,227
FN_THER Age: 15-17 2015 1,453
FN_THER Age: 18+ 2015 7,422
FN_THER Age: 5-14 2015 4,264
FN_THER Aggregated Age: <18 2015 8,369
FN_THER Aggregated Age: 18+ 2015 7,423
FN_THER Number of clinically malnourished PLHIV who received therapeutic and/or supplementary food during the reporting period 2015 15,792
FN_THER Number of PLHIV who were nutritionally assessed and found to be clinically undernourished 2015 15,792
FN_THER Sum of Age disaggregates 2015 15,792
FN_THER Sum of Aggregated Age disaggregates 2015 15,792
SITE_SUPP By program area/support type: Food and Nutrition Direct Service Delivery (DSD) 2015 47
Cross Cutting Budget Categories and Known Amounts Total: $792,384
Human Resources for Health $200,000
Food and Nutrition: Policy, Tools, and Service Delivery $542,384
Water $50,000
Key Issues Identified in Mechanism
Child Survival Activities
Tuberculosis