Detailed Mechanism Funding and Narrative

Details for Mechanism ID: 11080
Country/Region: Zambia
Year: 2009
Main Partner: To Be Determined
Main Partner Program: NA
Organizational Type: Implementing Agency
Funding Agency: USAID
Total Funding: $0

Funding for Biomedical Prevention: Injection Safety (HMIN): $0

Reprogramming funds to HXTD for ARV Gap (SCMS)

New/Continuing Activity: New Activity

Continuing Activity:

Emphasis Areas

Human Capacity Development

Estimated amount of funding that is planned for Human Capacity Development

Public Health Evaluation

Food and Nutrition: Policy, Tools, and Service Delivery

Food and Nutrition: Commodities

Economic Strengthening

Education

Water

Table 3.3.05:

Funding for Treatment: Adult Treatment (HTXS): $0

This activity narrative is a draft and will be revised upon the award of the USAID health systems

strengthening follow-on in FY 2010. Targets will be adjusted based on the actual starting date of the new

project. A two-month overlap between current and the new project has been planned to ensure a smooth

transition.

A new procurement on health systems strengthening to follow the Health Services and Systems Project

(HSSP) project is being developed and will be awarded in 2009. The activity will relate to activities in the

Zambia Prevention, Care and Treatment Partnership (ZPCT), Health Communication Partnership (HCP),

and Centre for Infectious Disease Research in Zambia (CIDRZ).

The lack of skilled health care workers is the most significant factor hampering the scale-up of the ART

services in Zambia. This activity will support the Ministry of Health (MOH) retain critical health care

personnel in areas of greatest need and provide support in performance improvement and quality

assurance of anti-retroviral therapy (ART) services.

This activity will increase access to ART services through financial and technical assistance to the retention

of 119 skilled health workers (doctors, nurses, clinical officers, laboratory personnel, and others) in rural

areas where the human resource crisis is most acute. This activity will also support the nine clinical care

specialists (CCS), placed in each of the nine provincial health offices (PHO), through payment of salaries

and provision of fuel expenses for the supervision, monitoring and coordination of ART scale-up in

hospitals, health centers and out-reach mobile posts.

This activity will assist MOH to support implementation of the performance assessment tools and the

minimum quality assurance standards for HIV services, and to strengthen supervisory services that focus

on case management and quality improvement. This activity will also collaborate with the Medical Council

of Zambia to strengthen and monitor the accreditation mechanism for certification of private ART providers

to ensure that the services and treatment protocols meet national standards.

An important component of this activity will be to strengthen the management capacity of District Health

Offices and health facilities for the planning, implementation, monitoring and evaluation key health

interventions, including HIV/AIDS services.

To ensure sustainability, this activity will be implemented within the existing Government of Republic of

Zambia GRZ structures and plans. The activity will facilitate the development and dissemination of

appropriate standard guidelines, protocols, plans, and budgets. The tools and guidelines will be

disseminated for use by relevant MOH structures. The activity will also assist GRZ in implementing a

facility-level quality improvement program. All the components of this activity will be integrated into the

existing programs and structures to ensure continuity of services after the activity concludes.

New/Continuing Activity: New Activity

Continuing Activity:

Emphasis Areas

Human Capacity Development

Estimated amount of funding that is planned for Human Capacity Development

Public Health Evaluation

Food and Nutrition: Policy, Tools, and Service Delivery

Food and Nutrition: Commodities

Economic Strengthening

Education

Water

Table 3.3.09:

Funding for Strategic Information (HVSI): $0

This activity narrative is a draft and will be revised upon the award of the new USAID health systems

strengthening activity in FY 2010. Targets will be adjusted based on the actual starting date of the new

project. A two-month overlap between the current and new project has been planned to ensure a smooth

transition.

A new procurement on health systems strengthening to follow the Health Services and Systems Project is

being developed and will be awarded in 2009. This activity will be linked to the new HIV Care and

Treatment activity and current activities carried out by the Centers for Disease Control and Prevention

(CDC), and Centre for Infectious Disease Research in Zambia (CIDRZ).

This activity will assist the Ministry of Health (MOH) to support and supervise districts and hospitals to

improve data quality and enhance utilization of data for informed decision making. This will be

accomplished by strengthening competencies of Provincial Health Offices (PHO) in supervision and

technical backstopping for Anti-Retroviral Therapy Information System (ARTIS) which has now been

integrated into the revised Health Management Information System (HMIS). PHO and MOH headquarters

staff will be trained for this purpose. Additionally, the activity will provide support to the MOH to develop an

integrated package of HMIS reference materials for HIV/AIDS services.

This activity will collaborate with CDC to aggregate facility data using SmartCare and facilitate overall

integration into the HMIS. It will also collaborate with World Health Organization (WHO) and European

Union, which currently provides HMIS support to MOH.

To ensure sustainability, the activity will be implemented with the MOH, Provincial Data Management

Specialists, and other partners (ZPCT, CDC, CIDRZ, EU and WHO) to develop, disseminate, and maintain

the HIV/AIDS reporting systems which are integrated into the overall Zambian Government HMIS.

New/Continuing Activity: New Activity

Continuing Activity:

Emphasis Areas

Human Capacity Development

Estimated amount of funding that is planned for Human Capacity Development

Public Health Evaluation

Food and Nutrition: Policy, Tools, and Service Delivery

Food and Nutrition: Commodities

Economic Strengthening

Education

Water

Table 3.3.17:

Funding for Health Systems Strengthening (OHSS): $0

This activity narrative is a draft and will be revised upon the award of the new USAID health systems

strengthening activity in FY 2010. Targets will be adjusted based on the actual starting date of the new

project. A two-month overlap between current and the new project has been planned to ensure a smooth

transition

A new procurement on health systems strengthening to follow the Health Services and Systems Project is

being developed and will be awarded in 2009. This will link with the new Strategic Information activity.

The new activity will assist the Ministry of Health (MOH) to strengthen policies and systems that support

HIV/AIDS services in general planning, human resource (HR) planning and management. In the area of

planning, the activity will support the MOH to produce technical updates for the annual health sector

planning meetings based on priorities and objectives of the National Health Strategic Plan. The activity will

also facilitate the compilation of a summary of national health priorities integrating information on HIV/AIDS.

Furthermore, a desk review of the 72 district and 22 hospital action plans will be conducted to assess the

quality of the plans and the extent to which HIV/AIDS services have been incorporated into these plans.

District level managers and planners will improve their skills in using data for planning especially as it

relates to HIV/AIDS services to ensure efficient use of scarce resources.

In the area of HR planning and management, the activity will support the MOH and the Provincial Health

Offices (PHO) to strengthen technical support supervision to districts in HR planning and management.

Specifically, 72 district and 22 hospital action plans will be reviewed to determine the level of inclusion of

HR requirement. Technical support supervision will be provided to districts that do not comply with the HR

planning guidelines. It is expected that the support system for the utilization of HR planning guidelines will

be strengthened in all nine PHOs.

To ensure sustainability, this activity will be implemented within the existing Government structures and

plans. The activity will support the MOH to provide leadership in planning; thereby, paving the way for the

activity's termination. The activity will collaborate with the MOH Planning Unit to strengthen and further

decentralize the district planning process. The PHOs will be encouraged to play a stronger role in the

review and monitoring and evaluation of their respective district action plans.

All FY 2010 targets will be reached by September 30, 20010.

New/Continuing Activity: New Activity

Continuing Activity:

Emphasis Areas

Human Capacity Development

Estimated amount of funding that is planned for Human Capacity Development

Public Health Evaluation

Food and Nutrition: Policy, Tools, and Service Delivery

Food and Nutrition: Commodities

Economic Strengthening

Education

Water

Table 3.3.18: