Detailed Mechanism Funding and Narrative

Years of mechanism: 2013 2014 2015 2016 2017 2018

Details for Mechanism ID: 13911
Country/Region: Zimbabwe
Year: 2013
Main Partner: New York State Department of Health AIDS Institute
Main Partner Program: NA
Organizational Type: Other USG Agency
Funding Agency: HHS/HRSA
Total Funding: $250,000

This activity is to be conducted under the leadership of the MOHCW Quality Assurance Directorate in close collaboration with CDC Zimbabwe and the US-based HIVQUAL team for technical support. The program will be started in 15 districts of Zimbabwe and will target at least five health centers offering HIV care through the Integrated Management of Adolescent and Adult Illness (IMAI) strategy. Activities in COP12 will focus on program set up, policy development and quality program implementation in these sites. 1) Quality Improvement (QI) training. The USG-MOHCW HIVQUAL team will continue to build capacity for QI in public healthcare facilities and among MOHCW technical staff and healthcare providers. 2) Assessment of quality management programs at the participating clinics. An assessment tool to measure the capacity of the quality management program at each facility will be used to measure the growth of quality management activities as well as the quality of staff members skills. 3) Performance measurement (at six-month intervals) on selected core indicators. 4) Ongoing QI coaching and mentoring at participating sites. The program will continue to invest in transferring knowledge and skills to local technical advisors in the MOHCW. The transfer of QI skills will be accomplished through coaching and mentoring for MOHCW staff and health care providers. 5) Promotion of consumer engagement in HIV care. HIVQUAL will provide technical assistance to the MOHCW on strategies to develop local, regional, and national strategies and programs to increase consumer (patient) involvement in HIV/AIDS programs. Vehicle requirements unknown at this time.

Funding for Treatment: Adult Treatment (HTXS): $250,000

1) QI training. Advanced in-service trainings will be provided to staff who have received training in prior years. Basic training in QI will be provided to all relevant new staff. Specifically activities will include Training of Trainers workshops to promote decentralization of QI trainings throughout Zimbabwe, and to support the expanded national quality program. 2) Assessment of quality management programs. The findings from these assessments will guide coaching interventions. Aggregated facility-specific data will provide population-level performance data to indicate priorities for national quality improvement activities and campaigns. Similarly, local performance data will be used to identify facility-specific gaps in the delivery packages of care and then devise customized interventions to improve services at local facilities.3) Performance measurement on selected core indicators. HIVQUAL will continue to develop providers skills for collecting and using performance data within their own organizations to improve their HIV treatment and care. Indicators will track the provision of the basic treatment and care package. Selected national core indicators will monitor proportions of pediatric patients receiving HAART, ART adherence, Cotrimoxazole prophylaxis, pediatric nutrition, immunizations, growth monitoring and TB screening. Facility-level data derived from the national health information system will be used to improve quality. 4) QI Coaching and Mentoring at participating sites. These QI skills will include performance data interpretation skills, quality program planning and design of quality improvement projects and implementation through improvement project cycles. 5) Consumer engagement in HIV care. This activity, which was started in two sites in late 2009, will include working with the MOHCW to devise a written national plan for consumer involvement. The plan will outline structures to ensure active participation of people living with HIV/AIDS in the development and improvement of HIV/AIDS programs. This will also include a needs assessment to determine local, regional, and national priorities. Regional civil society groups will be engaged at local facility level to identify and solicit diverse community opinions.

Cross Cutting Budget Categories and Known Amounts Total: $150,000
Human Resources for Health $150,000
Key Issues Identified in Mechanism
Increase gender equity in HIV prevention, care, treatment and support