Detailed Mechanism Funding and Narrative

Years of mechanism: 2012 2013 2014 2015 2016 2017 2018 2019 2020

Details for Mechanism ID: 14452
Country/Region: Zambia
Year: 2013
Main Partner: Population Services International
Main Partner Program: NA
Organizational Type: NGO
Funding Agency: USDOD
Total Funding: $1,314,718

Population Services International (PSI), through its locally-registered Zambian affiliate Society for Family Health (SFH), will support comprehensive HIV prevention services within all three branches of the Zambia Defense Forces (ZDF), working closely with the Zambia Defense Forces Medical Services (ZDFMS) and existing NGO partners to offer integrated voluntary medical male circumcision (VMCC) services as well as targeted condom social marketing and related behavior change communications activities. SFH will scale-up VMMC to reach 8,000 or more ZDF personnel and their families by the end of the period. VMMC activities will be integrated with HIV counseling and testing (CT) activities, with an emphasis on female involvement through couples HIV counseling and testing as part of the VMMC process. ZDF-specific VMMC educational materials will be developed and disseminated aimed at increasing informed demand for the service. A unique approach to capacity building will enable ZDFMS teams to conduct their own VMMC outreach activities, reaching distant outposts with comprehensive VMMC services. SFH will also strengthen ZDFs ability to conduct effective VMMC-specific HTC as well as risk behavior mitigation; to manage VMMC stocks and supplies; to collect VMMC client data for rapid and informed decision-making; to conduct VMMC-specific quality assurance and quality improvement activities; to perform routine VMMC-related infection prevention protocols; and to conduct effective demand creation activities independently. SFH will also develop a ZDF-specific male condom line extension, which will be based on formative understanding of the unique needs of active ZDF personnel.

Funding for Biomedical Prevention: Voluntary Medical Male Circumcision (CIRC): $1,206,239

PSI/SFH will continue to scale-up VMMC services to reach an additional 9,000 male ZDF personnel age 15-49 and their families during October 2013 September 2014, in line with national priorities and guidelines. SFH will use a phased approach to scaling-up comprehensive male circumcision (MC) services within the ZDF that will initially involve direct involvement of SFH personnel, and will gradually involve more ZDF clinicians and other personnel in MC service delivery. SFH will partner with Project Concern International (PCI) to provide on-site HIV counseling and testing, along with MC-specific behavioral counseling, as part of the minimum service package for all ZDF personnel.

During this period, PSI/SFH will: conduct joint SFH-ZDF facility-level quality assurance and supportive supervisory visits; reach 25,000 or more members of the ZDF personnel and their families with troop-level education to raise awareness of voluntary male circumcision as an HIV/STI prevention method; conduct individual behavior change counseling with 9,000 or more ZDF MC clients and their female partners;

In order to make service provision more consistent within the military cantonments, SFH will train additional 16 or more ZDF clinicians in MC service provision who will work with SFH providers. These clinicians will take up the routine service provision even when SFH providers are not on site. In collaboration with Project Concern International, 16 or more ZDF and/or PCI HIV counselors and clinicians will be trained in the in the use of SFH/MoH MC counseling and opt-out HIV testing approach. As part of the infection prevention program 16 or more ZDF personnel will receive training in MC-specific infection prevention and instrument processing protocols & guidelines. SFH will continue providing training and technical support to fifteen or more ZDF facilities in the use of facility-level QA and QI systems. SFH will also conduct training with 16 or more ZDF and/or PCI HIV/AIDS peer educators on basic information and promotional techniques related to voluntary MC demand generation. An additional 3 or more ZDF data personnel will be trained on management of MC data files. SFH will continue providing training and technical support to fifteen or more ZDF facility personnel on management of MC inventory and supply chain management (SCM).

SFH will continue working with ZDF and ZDFMS leadership to integrate all components of the proposed intervention with existing ZDF activities and according to ZDF protocols and regulations. Site-specific work plans will be developed after joint SFH-ZDF site assessments are completed, and these will be refined through continuous consultations with ZDF officials and any participating NGO partners.

Funding for Sexual Prevention: Other Sexual Prevention (HVOP): $108,479

Population Service International/Society for Family Health (PSI/SFH) will have developed and produced Zambia military-specific packaging for a branded male condom, to be promoted and distributed specifically among the Zambia Defense Force (ZDF) military personnel. PSI/SFH will continue promotional activities and distribution of 2,000,000 military-specific branded condoms during the third year of the program, sufficient to provide one year of coverage for the estimated 22,000 active military personnel. PSI/SFH will continue to leverage the existing Zambia Defense Force (ZDF) distribution channels for more cost-efficient distribution and consistent supply of the product. PSI/SFH will also continue exploring (with approval from ZDF authorities) the use of promotional and informational activities within military installations to promote the use of condoms together with messages about combination prevention; including demonstrations on correct condom use.

Cross Cutting Budget Categories and Known Amounts Total: $105,000
Human Resources for Health $60,000
Motor Vehicles: Purchased $45,000
Key Issues Identified in Mechanism
Military Populations