SBH_Zambia_Project_Brief_14_Jan_2016.docx

Overview The goal of USAID’s five-year Systems for Better Health (SBH) in Zambia activity is to improve health outcomes for Zambians by strengthening systems that underpin the delivery of high quality health services. The activity also seeks to increase the utilization of high impact health interventions. In target districts, SBH will assist the Ministry to:

· Increase retention of HIV patients on antiretroviral therapy to 85 percent,

· Increase the use of modern contraceptives by 10 percent,

· Increase the proportion of deliveries assisted by a medically trained provider by at least 20 percent,

· Increase the proportion of fully immunized children aged 12 to 23 months to at least 80 percent, and

· Reduce the prevalence of stunting among children under five by 15 percent.

To achieve these objectives, SBH will provide technical, financial, logistical and administrative assistance to the Government of the Republic of Zambia (GRZ) at the national, provincial, and district levels. The project will also work to strengthen the capacity of non-governmental and community-based organizations (NGOs and CBOs) to foster healthy behaviors and to deliver selected health services in remote areas.

Core Project Tasks Task One: Design and implement national level interventions to strengthen health stewardship by the Ministry of Health (MOH) SBH will provide technical assistance to strengthen MOH systems and skills to plan, implement, monitor health programs and evaluate performance. Project support under this task includes: strengthening human resource planning and management; improving health care financing and public financial management; and strengthening MOH systems for assuring the delivery of high quality health services and for coordinating stakeholders.

Task Two: Design and implement effective interventions to strengthen program management at provincial and district levels The project will assist the Ministry to strengthen linkages between the central MOH and the Provincial Medical Offices (PMOs); between PMOs and District Medical Offices (DMOs); and between DMOs and health facilities. The project’s support focuses on strengthening the leadership and management systems, tools and skills of the PMO and DMO teams – to improve planning, implementation, supervision, monitoring and evaluation. In addition, SBH will strengthen clinical skills with a focus on high-impact health interventions including: maternal, neonatal, child, and adolescent health, family planning, HIV, and nutrition.

Task Three: Assist the GRZ and local organizations to increase the quality, availability and use of priority health services at the community level In line with Zambia’s decentralization plan, the SBH team will work to increase the skills of district and facility level staff to plan, implement, monitor and evaluate effective community health programs. The project will assist health facilities to engage communities in planning for health services, reviewing performance, and participating in quality improvement teams. Working in collaboration with NGOs and CBOs, the project will also support social and behavior change communication to generate demand for and support of quality health services at community level.

Project Duration October 2015 – September 2020

Budget $53,925,452

Geographic Focus National Level Five Provinces: Central, Copperbelt, Eastern, Lusaka, and Southern Four districts in each province An average of 15 facilities and their catchment communities in each district

Implementer Abt Associates Inc.

Partners Akros Inc.

American College of Nurse-Midwives BroadReach Institute for Training and Education Imperial Health Sciences Initiatives Inc.

Save the Children

Project Office Incito II Office Complex Kabulonga Road Plot Number Rem/A/8/F377a Opposite Kabulonga Girls School Telephone 0211 26 99 46 to 49

Project Contacts Dr. Elijah Sinyinza, Chief of Party Kathleen Poer, Deputy Chief of Party Dr. Victoria Musonda, Director for Technical Support Kasubika Chibuye, Director for Finance and Administration

USAID Contact William Kanweka Senior Health Advisor/Health Systems USAID Zambia

SYSTEMS FOR BETTER HEALTH PROJECT

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