Voluntary counseling and testing (VCT)

1
Managing
Experiences from Zambia
July 1st 2006, GF Partnership Durban, South
Africa
2
Selected population, health and health
expenditure indicators for Zambia
3
HIV Prevalence,Ages 15 to 49 - 2002
Male 13, Female 18 Urban 25 Rural
13 Overall 16
4
Global Fund Process

• CCM Constituted in 2002
• March 2002- 5year proposal
• Zambias proposal approved in the first round in
  2003
• Approval 4th Round 2004 (HIV/AIDS, TB and
  Malaria) in 2005

5
CCM Membership
6
Local Fund Agent
CCM
Price Water House
Principal recipients
MOH/Central Board of Health
Ministry of Finance
CHAZ
ZNAN
Districts
Line Ministries
Implementing FBOs
Implementing NGOs/private
7
Global Fund Award to ZambiaUS
8
Approved split of funds among PRs for Round 4
HIV Years 1 and 2

• CBoH - 11,680,720
• CHAZ - 8,487,920
• ZNAN - 4,814,840
• MoF - 1,816,520
• TOTAL GRANT APPROVED US 253,608,070

9
Approved split of funds among PRs for Round 4
Malaria Years 1 and 2

• CBoH - 14,455,288
• CHAZ - 5,834,662
• TOTAL GRANT APPROVED US 43,495,950

10
Strengths for the Model

• Speed in the disbursement of funds
• Capacity building for PR and Sub-recipients
• 4 PRs provide lesson learning between different
  disbursement models

11
What has made it work?

• Willingness of government to share
  responsibilities for decision making and
  resources at highest levels--- STRONG PARTNERSHIP
• Long history of civil society involvement in
  HIV/AIDS, TB and Malaria
• Participatory process in the proposal formulation
  process

12
Challenges

• Timings among the PRs
• Procurement
• Capacity of NAC to coordinate particularly in the
  initial two years