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Zambia’s Country Approach

Zambia’s Country Approach. Ministry of Health. What Do We Focus On ?. Integrated Program with both targeted interventions and system strengthening HIV/AIDS (MTCT,VCT,OVC, X Border, etc) Child Survival (vit A, EPI, IMCI, Growth Monitoring) Infectious Diseases (Malaria)

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Zambia’s Country Approach

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  1. Zambia’s Country Approach Ministry of Health

  2. What Do We Focus On ? • Integrated Program with both targeted interventions and system strengthening • HIV/AIDS (MTCT,VCT,OVC, X Border, etc) • Child Survival (vit A, EPI, IMCI, Growth Monitoring) • Infectious Diseases (Malaria) • Reproductive Health (Family Planning and Maternal Health)

  3. What….. • Systems Strengthening • Health Policies • Health Financing and Planning • QA • HMIS • Health Planning • Drug Logistics • Communication • SPA

  4. What….. • Focus on both government sector, NGOs, and for-profit businesses • SPA, Global Fund, TA to MOH/CBOH, District Plans • NGO - Hard-to-Reach Populations • NGO Strengthening • Face AIDS, Zambia Sugar, Netmark, FP in the Workplace

  5. How Do We Do Business? • PAST - • Three separate “vertical” agreements and over 25 CAs • NOW - • One program with 4 bilateral agreements (ZIHP) • Churches Health Association of Zambia • SPA • Field Support CAs to fill the Gap

  6. Profile of ZIHP Organizations

  7. How did we build the program? • Transitional Overlap Period • One Name • One Place • One Joint Workplan and Annual Report • One Joint Management Meeting every two weeks with COP • Combined Retreats every 6 months • CTO’s share cross-cutting issues

  8. How…. • Central CAs fill gap in bilateral program • Development of MOU between CAs and ZIHP • Abt responsible for coordination of ZIHP as well as “expanded team” through ZAMCAM • Have 4 Technical Working Groups to focus on Impact with all components participating

  9. Factors Associated With Cooperation • Good relationships between key individuals • Shared importance & holistic thinking of results • Willingness to compromise • Co-location • Clearly defined leader • USAID vision for one ZIHP • Focus on same client/institution

  10. Factors Associated With Unrealized Cooperation • Parties could not agree • Failure of mechanism to resolve conflict • Immediate gain of participation not clear • Misperception and poor communication • Different degrees of importance • Big egos and personality clashes

  11. How Do We Work With Other Partners ? • MOU signed by 15 Cooperating Partners • One Hour Friday Cooperating Partner/GRZ Meeting • Quarterly Health Sector Steering Committee Meetings • Bi Annual Consultations between CPs and GRZ • Ad hoc Meetings on Specific Topics

  12. How... • Technical Groups (Expanded HIV/AID Theme Group, Malaria Coordination Group, etc.) • ZAMCAM - Quarterly meeting of all CAs - Issue Focused • Special Relation with Japan - Common Agenda

  13. Key Issues for the Future • Hard-ware vs. Soft-ware • Human Resource Development • Food Security Issues • Appropriate Engagement with MOH/CBOH • Where to Target • How do we approach Scale-Up • How best to strengthen NGOs • Future of Basket Funding

  14. Summary • Need to have balance of technical and system strengthening but this is an Art • A strong bilateral helps in supporting and targeting central CAs. • USAID must play an active leadership role in CA coordination • Personalities often drive collaboration

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