Zambia Prevention, Care and Treatment Partnership II (ZPCT II) Work Plan January 1, 2012 – December 31, 2012 Submitted December 1, 2011 This publication was prepared by Family Health International as per the terms of Task Order #GHH-I-01-07-0043-00 for review by the United States Agency for International Development/Zambia. Table of Contents Abbreviations ........................................................................................................................ iv I. Introduction ................................................................................................................... 1 For a full list of sub partners and roles and responsibilities see Annex C. ........ 3 II. Program Activities ........................................................................................................... 3 Objective 1: Expand existing HIV/AIDS services and scale up new services as part of a comprehensive package that emphasizes prevention, strengthens the health system and supports the priorities of the MOH and NAC ................................................. 3 A. Implementation Approach ................................................................................................ 3 B. Critical Issues and Challenges .......................................................................................... 4 C. Objective 1— Key Results for January 1, 2012 – December 31, 2012 ................ 5 D. Coordination ........................................................................................................................... 5 1.1: Expand Counseling and Testing Services .............................................................................. 5 A. Implementation Approach .......................................................................................................... 5 B. Key Targets and Activities .......................................................................................................... 6 1.2: Expand Prevention of Mother-to-Child Transmission (PMTCT) Services: ............... 7 A. Implementation Approach .......................................................................................................... 7 B. Key Targets and Activities .......................................................................................................... 8 1.3: Expand Treatment Services and Basic Health Care and Support .............................. 10 A. Implementation Approach ........................................................................................................ 10 B. Key Targets and Activities ........................................................................................................ 11 1.4: Scale up Male Circumcision Services ..................................................................................... 13 A. Implementation Approach ........................................................................................................ 13 B. Key Targets and Activities ........................................................................................................ 13 Objective 2: Increase the involvement and participation of partners and stakeholders to provide a comprehensive HIV/AIDS service package that emphasizes prevention, strengthens the health system, and supports the priorities of the MOH and NAC ................................................................................................. 14 A. Implementation Approach .............................................................................................. 14 B. Critical Issues and Challenges ........................................................................................ 15 C. Objective 2—Key Results for January 1, 2012 – December 31, 2012 ............... 16 D. Coordination ......................................................................................................................... 17 2.1: Strengthen Laboratory and Pharmacy Support Services and Networks ............. 17 A. Implementation Approach ........................................................................................................ 17 B. Key Targets and Activities ....................................................................................................... 18 2.2: Develop the Capacity of Facility and Community-based Health Care Workers .... 21 A. Implementation Approach ........................................................................................................ 21 B. Key Targets and Activities ........................................................................................................ 22 2.3: Engage Community/Faith-Based Groups ............................................................................ 23 A. Implementation Approach ........................................................................................................ 23 B. Key Activities .................................................................................................................................. 24 Objective 3: Increase the capacity of the PMOs and DMOs to perform technical and program management functions .................................................................................... 25 A. Implementation Approach .............................................................................................. 25 B. Critical Issues and Challenges ........................................................................................ 25 C. Objective 3 — Key Results for January 1, 2012 – December 31, 2012 ............. 26 D. Coordination ......................................................................................................................... 26 3.1: Increase the capacity of PMOs and DMOs to integrate the delivery of HIV/AIDS services with malaria programming as well as reproductive, maternal, newborn and child health services ............................................................................................................................... 26 A. Implementation Approach ........................................................................................................ 26 B. Key Activities .................................................................................................................................. 27 3.2: Increase the capacity to integrate gender considerations in HIV/AIDS service delivery to improve program quality and achieve inclusiveness........................................ 27 i A. Implementation Approach ........................................................................................................ 27 B. Key Activities .................................................................................................................................. 28 3.3: Increase the problem solving capabilities of PMOs, DMOs and health facility managers to address critical HIV/AIDS program and service delivery needs .............. 29 A. Implementation Approach ........................................................................................................ 29 B. Key Activities .................................................................................................................................. 29 3.4: Develop and implement strategies to prepare governmental entities in assuming complete programmatic responsibilities. ..................................................................................... 30 A. Implementation Approach ........................................................................................................ 30 B. Key Activities .................................................................................................................................. 31 Standardized Trainings ........................................................................................................................ 31 Objective 4: Build and manage public-private partnerships to expand and strengthen HIV/AIDS service delivery, emphasizing prevention, in private sector health facilities .............................................................................................................................. 31 A. Implementation Approach .............................................................................................. 31 B. Critical Issues and Challenges ........................................................................................ 32 C. Objective 4 — Key Result for January 1, 2012 – December 31, 2012 ............... 32 D. Coordination ......................................................................................................................... 32 E. Key Activities ........................................................................................................................ 32 Objective 5: Integrate service delivery and other activities, emphasizing prevention at the national, provincial, district, facility and community levels through joint planning with the GRZ, other USG and non-USG partners .................. 33 A. Implementation Approach .............................................................................................. 33 B. Critical Issues and Challenges ........................................................................................ 34 C. Objective 5 — Key Results for January 1, 2012 – December 31, 2012 ............. 34 D. Coordination ......................................................................................................................... 35 E. Key Activities .......................................................................................................................