Turning the Tide on HIV and Health through capacity Building March 19 – 21, 2013

1. Turning the Tide on HIV and Health through capacity BuildingMarch 19 – 21, 2013 Community Volunteers at the Center of the HIV Response through Effective Capacity Building Initiative By Chrispin Chomba SAFAIDS Country Representative-Zambia chrispin@safaids.co.zm

2. Vision: People in Africa realize Sexual and Reproductive Health & Rights and are free from the burden of HIV, TB and other related health developmental issues. Goal: Is to complement national efforts to increase uptake of ART through enhanced community preparedness and increased advocacy efforts About SAFAIDS

3. SAfAIDS’ Programmes are based on a Social Ecological Model that recognises the inter-linkages between individual, families, organisations, communities and public policy. Our Model of Change

4. Goal: Catalyzing National Efforts to reduce child mortality and improve maternal health services through Community Preparedness and Increased Advocacy Efforts Objective 1:Strengthen the capacity of communities, policy makers, key stakeholders and parliamentarians to understand the importance of Maternal, Neonatal Child Health (MNCH), and advocate for increased access to services (including SRHR and MTCT). Objective 2: Strengthen community systems to support MNCH, (including SRHR and PMTCT) and referrals for women to access MNCH services. • Community Based Volunteers (CBVs) orientation meetings • Develop a referral card and Orient CBVs on referral system • Record and air thirteen (13) series pre-recorded radio programme • Focus group discussions with MPs Project in Summary

5. SAfAIDS Cascade Model for Capacity Strengthening • 24 ToTs conducted • Three District Training • 150 CBVs trained • 2132 males and 4046 females reached • 215 males and 409 females were referred and accessed services N a t i o n a l T r a i n e r s D i s t r i c t T r a i n e r s V o l u n t e e r s D o o r t o d o o r w i t h f a m i l i e s C h u r c h m e e t i n g s C o m m u n i t y m e e t i n g s Schools etc

6. SAFAIDS Coverage • All Nine Provinces • 4 Implementing Partners • 5,585 CBVs • About 3,700,000 individuals reached

7. Increased Knowledge on linkages between MNCH and HIV • Traditional leaders discouraging harmful cultural practices • Increased engagement of Traditional, Parliamentarians and Civic leaders • Increased uptake of MNCH services Key Results

8. Community driven responses involving policy makers yield far reaching results. Distribution of referral tools that could be tracked up to the health center point strengthened the programme M&E. • CBVs remain critical in community mobilisation, and demand creation for increased uptake of MNCH services • Involving Traditional leaders remain key entry point to addressing cultural practices that negatively affect uptake of services • The Cascade Model is an effective model for capacity development • Using Multiple strategies which are mutually re-enforcing is critical Key Lessons

9. Motivation • Retention • No policy to standardize incentives for CBVs • Cultural and Religious practices are difficult to change • Short period of project implementation • Sustainability • Funding Challenges

10. Thank You