REPUBLIC OF ZAMBIA MINISTRY OF HEALTH REPUBLIC OF ZAMBIA MINISTRY OF HEALTH NATIONAL OPERATIONAL PLAN FOR THE SCALE-UP NATIONAL OPERATIONAL PLAN FOR THE SCALE-UP OF VOLUNTARY MEDICAL MALE CIRCUMCISION OF VOLUNTARY MEDICAL MALE CIRCUMCISION (VMMC)(VMMC) IN IN Z ZAMBIAAMBIA ((20162016--2020)2020) June Ministry2016 of Health, Zambia | VMMC NATIONAL OPERATIONAL PLAN June Ministry2016 of Health, Zambia | VMMC NATIONAL OPERATIONAL PLAN (2016-2020) (2016-2020) Contents Tables ii ContentsFigures ................................ ................................................................................................................................ iii FOREWORD ................................................................................................................................................... iv Tables ii ACKNOWLEDGEMENTS ........................................................................................................................... v Figures ................................................................................................................................................................ iii LIST OF CONTRIBUTORS ......................................................................................................................... vi FOREWORD ................................................................................................................................................... iv ACRONYMS .................................................................................................................................................. viii ACKNOWLEDGEMENTS ........................................................................................................................... v A. EXECUTIVE SUMMARY ................................................................................................................. 1 LIST OF CONTRIBUTORS ......................................................................................................................... vi B. INTRODUCTION .............................................................................................................................. 3 ACRONYMS .................................................................................................................................................. viii C. SITUATION ANALYSIS ................................................................................................................... 4 A. EXECUTIVE SUMMARY ................................................................................................................. 1 D. STRATEGY AND OPERATIONAL PLAN BY PILLAR (2016-2020) .................................... 7 B. INTRODUCTION .............................................................................................................................. 3 PILLAR 1: LEADERSHIP AND ADVOCACY .................................................................................... 7 C. SITUATION ANALYSIS ................................................................................................................... 4 PILLAR 2: GOVERNANCE AND CORDINATION ....................................................................... 13 D. STRATEGY AND OPERATIONAL PLAN BY PILLAR (2016-2020) .................................... 7 PILLAR 3: SERVICE DELIVERY ......................................................................................................... 20 PILLAR 1: LEADERSHIP AND ADVOCACY .................................................................................... 7 PILLAR 4: COMMUNICATION AND DEMAND GENERATION ........................................... 36 PILLAR 2: GOVERNANCE AND CORDINATION ....................................................................... 13 PILLAR 5: MONITORING AND EVALUATION ........................................................................... 44 PILLAR 3: SERVICE DELIVERY ......................................................................................................... 20 PILLAR 6: IMPLEMENTATION SCIENCE ...................................................................................... 54 PILLAR 4: COMMUNICATION AND DEMAND GENERATION ........................................... 36 PILLAR 7: RESOURCE MOBILIZATION ......................................................................................... 59 PILLAR 5: MONITORING AND EVALUATION ........................................................................... 44 PILLAR 8: SUSTAINABILITY AND EARLY INFANT MALE CIRCUMCISION (EIMC) .... 62 PILLAR 6: IMPLEMENTATION SCIENCE ...................................................................................... 54 E. VMMC NATIONAL WORKPLAN (2016-2020) ........................................................................ 65 PILLAR 7: RESOURCE MOBILIZATION ......................................................................................... 59 Appendix 1: ANNUAL VMMC TARGETS BY DISTRICT .............................................................. 80 PILLAR 8: SUSTAINABILITY AND EARLY INFANT MALE CIRCUMCISION (EIMC) .... 62 Appendix 2: VMMC EQUIPMENT SET AND CONSUMABLE KIT CONTENTS ................. 86 E. VMMC NATIONAL WORKPLAN (2016-2020) ........................................................................ 65 Appendix 3: EIMC EQUIPMENT SET AND CONSUMABLE KIT CONTENTS .................... 88 Appendix 1: ANNUAL VMMC TARGETS BY DISTRICT .............................................................. 80 Appendix 2: VMMC EQUIPMENT SET AND CONSUMABLE KIT CONTENTS ................. 86 Appendix 3: EIMC EQUIPMENT SET AND CONSUMABLE KIT CONTENTS .................... 88 Ministry of Health, Zambia | VMMC NATIONAL OPERATIONAL PLAN i (2016-2020) Ministry of Health, Zambia | VMMC NATIONAL OPERATIONAL PLAN i (2016-2020) Tables Table 1 : VMMC Objectives by Pillar ...................................................................................................... 6 TableTables 2 : VMMC Service Delivery Models ........................................................................................... 22 TaTableble 31 :Provincial: VMMC Objectives target by yearby Pillar................................ .................................................................................................................................................................................. 25 6 Table 24 : VMMCDetailed Service M&E recommendations Delivery Models ................................ by stakeholder and................................ level of care ............................................................ 5022 Table 35: :ProvincialImplementation target scienceby year ................................prioritization ................................................................................................................................................................ 2555 Table 4 : Detailed M&E recommendations by stakeholder and level of care ................................. 50 Table 5: Implementation science prioritization .................................................................................... 55 Ministry of Health, Zambia | VMMC NATIONAL OPERATIONAL PLAN ii (2016-2020) Ministry of Health, Zambia | VMMC NATIONAL OPERATIONAL PLAN ii (2016-2020) Figures Figure 1: Annual VMMCs required for 90% target by 2020 ................................................................ 2 FigureFigures 2 : National Organogram for Advocacy .................................................................................... 11 FigureFigure 31: :Annual National VMMCs Level Governance required for & 90% Coordination target by 2020 structure ................................ for VMMC in................................ Zambia ............. 15 2 Figure 24: : ProvincialNational Organogram Level Governance for Advocacy & Coordination ................................ structure ................................for VMMC in Zambia.................... ........... 1711 FigurFiguree 35 : DistrictNational Level Level Governaces Governance & & Coordination Coordination Structures structure for VMMC in Zambia ............. 1519 Figure 4:6 :Provincial 2015 VMMC Level Outputs Governance by service & Coordination delivery model structure ................................ for VMMC ...............................in Zambia ........... 1723 Figure 57 : District Progress Level against Governaces old targets, & settingCoordination new targets Structures (2016 -for2020) VMMC ................................ in Zambia ...................... 1924 Figure 68: : Provincial2015 VMMC Targets Outputs Chart by (2016 service-2020) delivery ................................ model .................................................................................................................. 2325 Figure 79: : Deco Progressntamination against oldProcess targets, for settingDisposable new targetsVMMC (2016 Kits -................................2020) .............................................................. 2429 Figure 8:10: Provincial VMMC Health Targets Care Chart Waste (2016 Streams-2020) ................................ ....................................................................................................................................... 2530 Figure 9:11 Deco : Flowntamination Chart for new Process Supply for ChainDisposable Management VMMC SystemKits ................................ ..................................................................... 3429 Figure 10:12 :VMMC Seven Segments Health Care of VMMC Waste Streams Clients ................................in