CDC Grant for Enhancing HIV/AIDS, TB, and STI Response in Zambia

CDC Project Description

a. Approach:

Activities

Outcomes

Short Term Outcomes
(1-2 Years)

Intermediate Outcomes
(3-4 Years)

Long Term Outcomes
(5+ Years)

Coordination of the response

Assess and address any organizational barriers to fulfilling NAC’s role in leading and coordinating the HIV/AIDS response in Zambia:

Conduct an assessment of organizational capacity relating to coordination and facilitation

Build capacity in existing and any subsequently hired staff in the identified areas

Improved competency levels within staff at NAC in coordination, facilitation and other skills necessary to fulfill NAC’s official role

Organizational barriers to fulfilling NAC’s role in leading and coordinating the HIV/AIDS response in Zambia addressed

Improved coordination and facilitation of the national HIV/AIDS response as envisioned in the National AIDS Strategic Framework

Reduced morbidity and mortality associated with HIV/AIDS through enhanced coordination of the response

Coordinate the response at the central level:

Strengthen existing theme groups/technical working groups by engaging actively with stakeholders to participate in monthly meetings

Create theme groups/technical working groups to address gaps in current structures and lead them to meet monthly

Form/reform a high level forum to synthesize and discuss high level issues brought up by the theme groups/technical working groups at least quarterly

Report accomplishments and recommendations of the theme groups at least quarterly

Publish minutes and reports on the web
Use results of discussions and recommendations to complete development plans, funding proposals and AIDS framework documents

In the context of the theme groups, compile and maintain a library of relevant funding, planning, operational and framework documents on the web

Improved coordination of the HIV/AIDS response at central level

Theme/ technical working groups in provide direction on the activities around the HIV/AIDS epidemic in Zambia regularly and comprehensively

Improved coordination leading to a more nimble, efficient, and cost-effective response to HIV/AIDS

Improved coordination leading to a more nimble, efficient, and cost-effective response to HIV/AIDS

Disseminating findings and facilitating its use for decision-making

Disseminate evidence and best practices around HIV prevention care and treatment to central and decentralized levels:

Facilitate at least twice yearly national meetings before international AIDS conferences (e.g., CROI and International AIDS) where all presentations and posters accepted for the requisite international conference are presented

Facilitate annual meetings for staff on the decentralized levels featuring key best practices and emerging evidence about the HIV/AIDS response

Host a website where manuscripts, conference presentations and abstracts and other latest evidence on HIV/AIDS is available and catalogued
Using evidence and discussions at theme groups, create, post on the web, and disseminate priorities for HIV evaluation and research in Zambia annually

Improved availability of best practices and scientific evidence of best practices on HIV prevention, care and treatment in Zambia

Improved availability of up to date information /literature on HIV/AIDS, especially work conducted in Zambia

Improved planning at both centralized and decentralized levels that is based on evidence

Improved concurrence of funding to the for research and evaluation activities with established priorities

Improved coherence and efficiency in HIV programming throughout Zambia

Improved quality of life of people living with HIV/AIDS

Training on use of data for decision-making

Increase capacity to use community level HIV data:

Integrate community level HIV data use into pre-service trainings

Integrate community level HIV data use into innovative, cost-effective, self-directed methods of data use trainings

Expand training capacity for data use including, but not limited to Epidemiology for Data Users (EDU) and Quality Improvement through Data Use (QIDU) Curricula

Build capacity of decentralized systems to be able to incorporate best practices into the local HIV response

Improved integration of community level HIV data use into pre-service trainings

Improved integration into community level HIV data use into at least one innovative, cost-effective, self-directed method of training on data use
Improved integration of community level HIV data use into at least one training targeting national level MOH/MCDMCH staff
Increased participation in the EDU steering committee

Improved use of community level HIV data by health service professionals, district, provincial, and national staff

Improved health status of the population as a result of interventions informed by timely and accurate data

Enhancing and maintaining integration of information systems used for HIV/AIDS program monitoring and evaluation

Build interface with national data warehouse for the inclusion of community-level HIV prevention data

Improved user interfaces that link NAC to the data warehouse

Improved Web-based data collection at all levels of the national health sector hierarchy
Improved reporting on UNGASS and other relevant community and clinical indicators

Improved health status of the population as a result of interventions and policy decisions informed by timely and accurate data from the data warehouse

Assess internal ICT oversight/management capacity and address any shortfalls

Improved capacity of the NAC to manage the internal ICT platform

Create and/or modify existing website to improve its usefulness as a resource for HIV in Zambia

Improved usefulness of the website as a resource for HIV information in Zambia

Assessing, reviewing and improving monitoring and evaluation of the HIV/AIDS response

Review the existing national strategic framework for monitoring and evaluating the HIV/AIDS response in Zambia:
Review the HIV/AIDS indicators in the current monitoring and evaluation framework in consultation with stakeholders

Convene stakeholders meeting to discuss the findings and recommendations of the review

Revise the M&E framework based on the recommendations from the consultative meetings

Improved monitoring and evaluation indicators that reflect both the measurement of the HIV/AIDS epidemic in general and the role of NAC in coordinating the response

Improved monitoring and evaluation system that provides timely and accurate data to GRZ in terms of NAC’s coordination of the HIV/AIDS activities and the status of the HIV/AIDS epidemic in Zambia

Coordinated effort that is based on evidence collected through the revised national M&E framework and corresponding data reporting systems

Build monitoring and evaluation capacity of staff at NAC’s national and sub national levels:

Conduct an M&E capacity assessment at NAC’s national and subnational levels
Develop an M&E strengthening action plan based on the findings of the M&E capacity assessment
Train both program and M&E staff in the new indicators and data collection methods
Develop an M&E mentoring plan for the provinces and districts

Improved monitoring and Evaluation capacity at national and sub national levels

Improved planning and coordination of HIV/AIDS interventions in Zambia
Improved delivery of HIV/AIDS services in Zambia

Improved quality of life of people living with HIV/AIDS in Zambia