Detailed Mechanism Funding and Narrative

Years of mechanism: 2011 2012 2013 2014 2015 2016

Details for Mechanism ID: 13152
Country/Region: Zimbabwe
Year: 2012
Main Partner: University of Zimbabwe
Main Partner Program: NA
Organizational Type: University
Funding Agency: HHS/CDC
Total Funding: $1,830,000

The goal of this partnership is to support MOHCW in the implementation of health related surveys, program evaluations, operations research, assessments and program specific monitoring that would contribute data to guide health related policy decisions for Zimbabwe. The activities will support the HIV/AIDS national strategy in the areas of survey design, data collection, data analysis and data dissemination. Activities include: the HIV prevalence survey among ANC attendees, national population surveys, National HIV Estimates, TB and HIV drug resistance prevalence, and data triangulation. The key contributions of these activities to HSS will be updated information for health related policy decisions and improved resource allocation. This project will require collaboration with National Institute of Health Research (NIHR), the University of Zimbabwe, ZIMSTAT, as well as, with UN agencies, bilateral, multilateral and local NGOs. The project will continue to support secondments of three key MOHCW positions in the AIDS and TB Program. Cost-efficiency strategies will be based on close coordination with the MOHCW so that most of the activities will be organized by existing MOHCW staff. External technical expertise will only be requested for targeted activities that require specialized technical assistance. M&E will involve regular supervision of data collection, data quality assessments, input of partners on draft documents and final reports. VEHICLES a. Purchased from the start of the mechanism through COP FY2011 = 0 b. New requests in COP FY 2012 = 3 Total vehicles =3 Justification: Basic program operations and transport of personnel for survey activities. One will be dedicated to MDR TB surveillance.

Global Fund / Programmatic Engagement Questions

1. Is the Prime Partner of this mechanism also a Global Fund principal or sub-recipient, and/or does this mechanism support Global Fund grant implementation? Yes2. Is this partner also a Global Fund principal or sub-recipient? Neither3. What activities does this partner undertake to support global fund implementation or governance?

Budget Code Recipient(s) of Support Approximate Budget Brief Description of ActivitiesHTXS MOHCW 800000 Complementary support for HIV DR Survey/surveillance

Funding for Care: TB/HIV (HVTB): $255,000

This program will set up the National MDR TB surveillance System as a continuation of the MDR TB survey supported with FY10 funds. Health personnel from the 65 district hospitals will participate in active surveillance for MDR TB. The two reference laboratories (the National Microbiology Reference Laboratory in Harare and the TB Reference Laboratory in Bulawayo) will be strengthened to provide culture and sensitivity analysis for suspected MDR TB cases.

Funding for Strategic Information (HVSI): $525,000

This program will support the completion of the 2011 ANC survey as a priority. Funding will also support the HIV Estimates Process, data triangulation, program assessments,evaluations and provide start up funding for population based surveys as required by the MOHCW and partners.

Funding for Treatment: Adult Treatment (HTXS): $1,050,000

These funds will contribute to the continuation of HIV Drug Resistance activities being implemented in the country as part of the National HIV Drug Resistance Strategy that includes three key components:

1) HIV Threshold survey - assessing the spread of HIV drug resistant mutants in newly infected individuals-

2) Early warning indicators survey- collection of a set of indicators that are meant to provide information for action in strengthening and instituting corrective measures at individual sites offering Antiretroviral Therapy (ART).

3) Monitoring surveys - prospective cohort survey among patients initiating ART for the purpose of reducing or preventing HIV drug resistance while on treatment. Additionally this survey will monitor behavioral indicators among people on ART treatment (Prevention with Positives). Monitoring will be expanded to include women accessing PMTCT services and their babies.

Cross Cutting Budget Categories and Known Amounts Total: $600,000
Human Resources for Health $600,000
Key Issues Identified in Mechanism
Safe Motherhood
Tuberculosis