With support from the Global Fund through UNDP, FACT was awarded funds to implement HIV Resilient and Sustainable Systems for Health (RSSH) interventions in 21 Global Fund Districts in Zimbabwe. Implementation of activities is done through three Sub-sub-Recipients: Jointed Hands Welfare Organization (JHWO), Regional Psychosocial Support Initiatives (REPSSI), and Zimbabwe Community Health Interventions Research (ZiCHIRE). Districts of Implementation are Marondera, Mutoko, Mudzi and UMP (Mashonaland East), Shamva, Muzarabani and Rushinga (Mashonaland Central), Shurugwi, Chirumhanzu and Gokwe North (Midlands), Umzingane and Mangwe (Mat South), Bubi, Umguza, Hwange and Binga (Mat North), Bikita (Masvingo), Chimanimani, Nyanga (Manicaland), Kariba Mashonaland West and Kwekwe.
Under this grant, FACT is implementing 3 modules related to HIV and Resilient and Sustainable Systems for Health (RSSH) which are: Module 1: Community Led/Based Monitoring (CLM), Module 2: Institutional Capacity Building, Planning and Leadership, and Module 3: Community Empowerment, Social Mobilisation and Advocacy.
Module 1: Community-Led/Based Monitoring (CLM)
Objectives and Expected Outcomes by 2023
Improve the quality of care for Malaria, TB, and HIV clients by collecting and acting on information on the user experience, coming directly from recipients of care and key stakeholders/networks through a systematic data collection process of e-community-based monitoring using the existing CTO tools and Scorecard Model.
To reduce barriers to access to quality HIV/TB services by priority populations at local clinics by 50 % in the 20 targeted districts by year 2023.
Empower key and priority populations to be champions in community-based monitoring of health care services by the year 2023.
Increase access to HIV/TB and Malaria quality health services to Key and priority populations in the 20 targeted districts.
Eradicate HIV-related stigma and discrimination at local health care centres by 2023 in the 20 targeted districts.
Module 2: Institutional Capacity building, Planning and leadership
Objectives /Expected Outcomes by 2023
Increased capacity to attract more support from funders to respond to the Malaria, TB and HIV pandemic
Increased capacity to self-mobilise, and support community investment in HIV, Malaria, and TB.
Better capacity of local institutions, and structures to self-govern and respond to local HIV, TB, and Malaria infections.
Module 3: Community Empowerment, Social Mobilisation and Advocacy
Objectives/Expected Outcome by 2023
Increase community participation in designing and implementing HIV, TB, and malaria programmes for better health outcomes.
To reduce stigma and fear by key populations and priority populations in demanding access to quality HIV, TB, and malaria Services, by 2023
To engage and mobilize key stakeholders within the HIV, TB and malaria community who will champion the development and implementation of HIV, TB, and malaria quality care services access by key populations.
To engage and mobilize key stakeholders within the HIV, TB and malaria communities who advocate for the removal of all structural and institutional barriers to access services by key and priority populations in 20 targeted districts by 2023.
Specific activities being Implemented by FACT with support from GFATM NFM3 grant across the 21 districts of Zimbabwe are as follows
Training of community-based cadres on e-community-based monitoring of HIV/TB services
Reorientation and training of national network on ZNASP 4, 95 95 95 targets, legal barriers, and human rights as UNAIDS
Orientation of 6 networks on social contracting and CBOs/CSOS training and capacity building.
Training on treatment literacy manual for HIV, TB, and Malaria
Sensitization sessions with community leaders on advocacy agenda agreed upon
National Policy Dialogues on Stigma, Human Rights, and VAW based on data generated from Community Monitoring (CLM) working directly with Health Facilities and Communities.
Quarterly dialogue forum with leaders on HIV, TB, and Malaria findings
Coaching community cadres on program quality tracking and demand generation for HIV/TB and Malaria
Coordination meetings: District Level with various Key population group representatives
Training of Adolescent Girls and Young Women (AGYW) Champions on accountability mechanisms/community monitoring using community scorecards for improved access to Sexual Reproductive Health services
Quarterly Community dialogues and interface meetings with health facility staff by AGYW champions on access to Sexual Reproductive Health
AGYW led Quarterly District Feedback and Review meetings engaging all relevant key stakeholders.
Community Led Monitoring (CLM) is a key component of the New Funding Model 3 (NFM3) CLM is being administered in 200 health facilities working through 600 community cadres (30 Community cadres per district). CLM is being rolled out using harmonized tools. The Focus of CLM is to address gaps and challenges encountered along the continuum of HIV care and treatment to achieve the 95-95-95 targets. At the core of the CLM tool is the need to:
Identify and bring to care groups of people with unmet HIV needs such as HIV Testing Services (HTS), Viral Load (VL) monitoring, and Tuberculosis Prevention Therapy (TPT)
Identify why Key Populations (PLHIV, Faith, LGBTQI & Young people) continue to face barriers to accessing HIV services in general,
Improve the quality of HIV prevention, care, and treatment services provided at health facilities in the 20 Global fund districts.
Strengthen the capacity of Civil Society Organizations (CSOs) to accelerate the quality of HIV prevention, care, and treatment services through facility and community monitoring.