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USAID Zambia Community HIV Prevention Project Year 5 – FY20

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USAID Zambia Community HIV Prevention Project Year 5 – FY20 Quarter One Report 01 October 2019 to 31 December 2019 Contract/Agreement Number: AID-611-A-16-00001 Activity start and end date: November 23, 2015 – November 22, 2020 Total award amount: $59,999,859 Prepared for: Arlene Phiri, Agreement Officer’s Representative, USAID, Embassy Building, Kabulonga Road, Lusaka, Zambia Submitted by: Charles Ossey, ICD/Chief of Party, Pact Zambia, Plot 35186, Block A, Mass Media, Alick Nkhata Road, Lusaka, Zambia; telephone: +260 211 254 089/91; email: [email protected] Table of Contents Abbreviations and Acronyms ........................................................................................................... 3 1. Section 1: Program Background .............................................................................................. 4 ▪ Executive Summary .................................................................................................................. 4 ▪ Strategic Objective 1: Key determinants of risky behavior reduced among priority populations ............................................................................................................................................. 4 ▪ Strategic Objective 2: Increase in completed referrals from community programs to high impact services .............................................................................................................................. 4 ▪ Strategic Objective 3: Actions adopted by communities to reduce young women’s vulnerability to HIV, unintended pregnancy and Sexual and Gender-Based Violence ............. 5 ▪ Strategic Objective 4: Strengthened capacity of local stakeholders to plan, monitor, evaluate and ensure the quality of HIV preventions ....................................................................... 5 2. Section 2: Major Accomplishments towards Program Objectives ............................ 5 2.1 Strategic Objective 1: Key determinants of risky behavior reduced among priority populations ......................................................................................................................... 5 2.2 Strategic Objective 2: Increase in completed referrals from community programs to high impact services .............................................................................................. 8 2.3 Strategic Objective 3: Actions adopted by communities to reduce young women’s vulnerability to HIV, unwanted pregnancy and SGBV ................................. 13 2.4 Strategic Objective 4: Strengthened capacity of local stakeholders to plan, monitor, evaluate and ensure the quality of prevention interventions .................... 17 3. Section 3: Cross-Cutting Activities and Updates ............................................................ 19 4. Section 4: Challenges and Opportunities for Improvement ...................................... 21 5. Section 5: Highlights of FY20 Quarter 2 Activities ........................................................ 22 SUCCESS STORY ................................................................................................................................. 23 SUCCESS STORY ................................................................................................................................. 24 Summary Indicator Table ................................................................................................................ 25 2 | P a g e ABBREVIATIONS AND ACRONYMS AGYW Adolescent Girls and Young Women ART Anti-Retroviral Therapy CHEP Copperbelt Health Education Program CMMB Catholic Medical Mission Board CSE Comprehensive Sexuality Education DHAC District HIV and AIDS Committee DQA Data Quality Assessment DREAMS Determined, Resilient, Empowered, AIDS-free, Mentored and Safe ECR Expanded Church Response EYL Enterprise Your Life FY Fiscal Year HIV Human Immunodeficiency Virus HTS HIV Testing Services ISP Institutional Strengthening Plan MoGE Ministry of General Education MoH Ministry of Health NAC National AIDS Council NGO Non-Governmental Organization OPI Organizational Performance Index OVC Orphans and Vulnerable Children PEPFAR U.S. President’s Emergency Plan for AIDS Relief PLHIV People Living with HIV PrEP Pre-Exposure Prophylaxis PSGBV Post Sexual and Gender-Based Violence Care RDQA Routine Data Quality Assessment SBCC Social and Behavior Change Communication SBPI School-Based Prevention Intervention SGBV Sexual and Gender-Based Violence SIA Sport in Action STI Sexually Transmitted Infection UNAIDS United Nations Program on HIV/AIDS USAID United States Agency for International Development VCT Voluntary Counselling and Testing YWCA Young Women’s Christian Association ZCCP Zambia Center for Communication Programs Z-CHPP Zambia Community HIV Prevention Project ZHECT Zambia Health Education and Communication Trust 3 | P a g e 1. Section 1: Program Background ▪ Executive Summary Pact hereby submits the FY20 quarter one report for the United States Agency for International Development Zambia Community HIV Prevention Project (USAID Z-CHPP). Pact implements the project with Plan International, Sport in Action (SIA), Copperbelt Health Education Project (CHEP), Zambia Health Education Communication Trust (ZHECT), Zambia Center for Communications Program (ZCCP), Catholic Medical Mission Board (CMMB) and Young Christian Women Association (YWCA). The project’s goal is to reduce new HIV infections in Zambia. It focuses on People Living with HIV (PLHIV); Adolescent Girls and Young Women (AGYW); Mobile and Migrant Populations (MMP), Non-Injecting Drug Users (NIDUs) and Discordant Couples (DCs). The report is for the period of 01 October 2019 to 31 December 2019. It covers progress towards project objectives, achievements, challenges and opportunities for improvement. It summarizes human resource; grants and finance management. It ends with an outline of activities for quarter 2 of FY20; two success stories and an indicator summary table reflecting FY20 quarter one progress towards targets. The project successfully mobilized priority population individuals for high-impact HIV services. Behavioral, biological and structural approaches were employed to mitigate determinants of risky behavior; facilitate uptake of HIV services; reduce AGYW vulnerability to HIV and increase stakeholders’ capacity for HIV response. Project implementation was on track with progress made towards meeting targets. The key achievements for the period were: ▪ Strategic Objective 1: Key determinants of risky behavior reduced among priority populations USAID Z-CHPP used pre-recorded radio programs, community dialogues and popular theatre to create demand and mobilize 156,700 priority population clients for high-impact HIV services. The clients completed a standardized HIV prevention intervention package which is based on evidence and meets required minimum standards. 1,870,026 condoms were distributed out of which 168,631 were accessed by AGYW in Safe Spaces including DREAMS Centers. ▪ Strategic Objective 2: Increase in completed referrals from community programs to high impact services The project identified 1,074 HIV positive clients and referred them for ART; out of which 1,050 initiated treatment. This represented a linkage rate of 98%. With and without DREAMS, the 4 | P a g e positivity rate was, respectively, 17% and 31%. The project distributed 9,976 HIV Self-Test Kits (HIVST) to priority population clients. ▪ Strategic Objective 3: Actions adopted by communities to reduce young women’s vulnerability to HIV, unintended pregnancy and Sexual and Gender-Based Violence 57,429 AGYW were enrolled into DREAMS Safe Spaces where they accessed a gamut of services including HIV prevention; family planning; referrals for ART, STI screening and Post Gender- Based Violence Care; education and economic strengthening. Through DREAMS, 77 AGYW were found positive and referred for ART out of which 75, representing 97%, initiated treatment. 49,519 AGYW graduated from Safe Spaces; accounting for 86% of those enrolled. 6,215 priority population individuals were trained in savings out of which 5,237 were AGYW. 204 savings groups were formed out of which 154 were specific to DREAMS. ▪ Strategic Objective 4: Strengthened capacity of local stakeholders to plan, monitor, evaluate and ensure the quality of HIV preventions Pact facilitated organizational and technical development exercises for sub-partners. It trained, mentored, backstopped and provided financial support to sub-partners and stakeholders to enable them to plan, implement and monitor the HIV response. The result was coordinated and effective response to HIV in 14 districts where the project is implemented. ▪ Key Challenges The key challenges faced in the quarter were stockouts of condoms and HIVST kits that slowed down HIV prevention activities; delayed data entry and reporting due to DHIS2 system challenges and erratic power supply; delayed roll-out of SMARTCARE Lite and non-implementation of the parenting program. Pact brought these challenges to the attention of USAID and worked with AKROS, MoH and USAID to address them. 2. Section 2: Major Accomplishments towards Program Objectives 2.1 Strategic Objective 1: Key determinants of risky behavior reduced among priority populations To reduce key determinants of risky behavior for priority population individuals, the project created demand for high-impact HIV services by employing SBCC interventions. It reached the target priority population with standardized information on protective
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