Detailed Mechanism Funding and Narrative

Years of mechanism: 2010 2011 2012 2013

Details for Mechanism ID: 10205
Country/Region: Zambia
Year: 2010
Main Partner: ICF International
Main Partner Program: ICF Macro
Organizational Type: Private Contractor
Funding Agency: USAID
Total Funding: $900,000

The 2010 Zambia HIV/AIDS Service Provision Assessment Survey (ZHSPA) is a health-facility survey that will be implemented by the Ministry of Health (MOH) and the Central Statistical Office (CSO) with technical support from the MEASURE DHS Phase III contract for which ICF Macro is the prime contractor. The ZHSPA will be carried out to assess the capacity of health facilities to provide quality preventive, diagnostic and treatment HIV/AIDS services. Information will be collected on the availability of services, existence of critical equipment, supplies and procedures (including management), provider capacity, performance and perceptions, and the client perspective. The ZHSPA will provide the data needed to report on key internationally mandated indicators relating to the capacity of facilities to provide basic- and advance-level HIV/AIDS services, the availability of record-keeping systems for monitoring HIV/AIDS care and support, the capacity to provide prevention of mother-to-child transmission services (PMTCT) and PMTCT+ services, and the availability of youth-friendly services. The survey will be conducted in a nationally representative sample of facilities, and the sample design will allow for disaggregation of the survey results by province, facility type, and managing authority (governmental and nongovernmental). A primary objective guiding the design of the content and the sample for the 2010 ZHSPA will be to facilitate the measurement of changes since the 2005 ZHSPA in the capacity of health facilities to provide quality HIV/AIDS services. Input into the survey design will be sought from a broad range of organizations involved in the delivery of HIV/AIDS services in Zambia, and the survey results will be widely disseminated through the preliminary and main survey reports, special policy briefs and at the national seminar. The ZHSPA data file will be made available to researchers for additional in-depth analyses. Efforts will be directed at all phases of the ZHSPA to develop the capacity of Zambian counterparts to design, implement, disseminate and use the survey results. The ZHSPA will contribute directly to health systems strengthening efforts by providing objectively-verified information about the functioning of HIV/AIDS services and pinpointing areas that are in need of improvement. The ability to examine trends between the 2005 and 2010 rounds of the ZHSPA will be particularly important in looking at both where there have been significant changes in the availability and quality of HIV/AIDS services and where there are continuing weaknesses. Data obtained through the ZHSPA, the basic infrastructure and on general systems in place in each of the surveyed facilities (e.g., management, logistics, and information) may be of use in looking at other service delivery areas including family planning, maternal and child health, and tuberculosis.

Funding for Strategic Information (HVSI): $900,000

The MEASURE DHS Phase III contract for which ICF Macro is the prime contractor will provide technical support for the 2010 Zambia HIV/AIDS Service Provision Assessment Survey (ZHSPA) to the local ZHSPA implementing partners, the Ministry of Health and Central Statistical Office. The Phase III DHS project will provide support to the ZHSPA in the areas of survey and sample design, fieldwork training and monitoring, data processing and tabulation, analysis and report writing, and dissemination and use of the survey results. MEASURE DHS Phase III project staff and consultants will make periodic visits to Zambia to provide the support and also closely monitor activities by email and telephone from the project headquarters in Calverton Maryland. ICF Macro will also manage a subcontract through which funding for the local costs of the data collection, analysis and dissemination will be provided to the local implementing partners. Key outputs from the 2010 ZHSPA will include the survey instruments and related training manuals and field forms, data entry and editing programs, preliminary and final reports, and PowerPoint presentations for the national ZHSPA seminar.