CHAZCHAZ Profile & Transition StatusProfile & Transition Status

CHAZ Profile and Status on the Transition

8th Annual CDC/HRSA Track 1.0 ART Program Meeting Avenida Hotel, Maputo

Mozambique 9th August 2010

CHAZ Background Information CHAZ Background Information

“He sent them to preach the Kingdom of God and heal the sick” Luke 9:2

Formation & Membership• Formed in 1970 ( Catholic and Protestant Medical Committees)

• Interdenominational (Catholic and Protestant) umbrella organisation for 146 CHIS in 9 Provinces and 56 Districts (out of 72):

• 36 Hospitals (including AIDSRelief Sites) & 81 RHCs & 9 Training Schools • 29 CBOs: 20 Community Based Programmes & 9 Catholic Dioceses

Health Services Coverage• National Coverage: 30% and over 50% in Rural Areas• MoU with the MoH: 75% Grant- Staff – Drugs

Principal Recipient Status

• PR for the Global Fund Mechanism in Zambia for all the 3 disease components: HIV/AIDS (including ART), Malaria & TB.

• CHAZ has successfully managed a grant value of $124 million out the total 159 million signed to date in the last 6 years.

CHAZ Departments & Sources of FundingCHAZ Departments & Sources of Funding

“He sent them to preach the Kingdom of God and heal the sick” Luke 9:2

CHAZ Departments implement a

number of Programmes funded

by different Partners, e.g. • Global Fund• JFA• AidsRelief/PEPFAR• CDC/PEPFAR• Dan Church Aid/ Danida• CORDAID/EU• Beit Trust• Fred K.

ART Programme Achievement (Global Fund) ART Programme Achievement (Global Fund) As @ March2010As @ March2010

“He sent them to preach the Kingdom of God and heal the sick” Luke 9:2

ARTART Services in 50 SiteServices in 50 Site

Media Trained in ART

541 vs. 54599%

CHWs trained in ART11,863 vs. 13,129

90%

Nutritional Supplements

4,385 vs. 7,00063%

Awareness Campaigns

722,337 vs. 734,95798%

ART Reach Static & Mobile

34,142 vs. 30,000 144%

SitesART: 50 vs. 50

PMTCT: 56 vs. 50100%

OIs Treatment52,131 vs. 31,675

165%

Active: 34,142Viral SR(≤ 500): 86%Survival Rate at 12 months: 87%Lost to follow up: 3%

CHAZ Role and Transition Model in ZambiaCHAZ Role and Transition Model in Zambia

“He sent them to preach the Kingdom of God and heal the sick” Luke 9:2

CHAZ :• Prime Local Partner

The transition Model –

Phased transfer of AIDSRelief units and site management to CHAZ. Human Resource – AR Staff hired by CHAZ Continue with technical expertise in AIDSRelief through Sub-Granting to

selected areas within CRS, IHV and Futures Group for long term support.

Key to this process:

The integration of the AIDSRelief Program into CHAZ’s existing structures

Current Status of Transition Current Status of Transition

“He sent them to preach the Kingdom of God and heal the sick” Luke 9:2

1. Leadership Forum established.

• Transition Road map developed and CHAZ Board approval obtained

2. A total of 4 Sustainability sub committees have been put in place

Developed and implementing respective unit workplans.

Sub committees:– Clinical Technical Area (Clinical, Community Based Treatment Services and

Laboratory support strengthening)– Supply Chain Management – Grant Management (Finance and Compliance)– Strategic Information.

 

3. Working toward initial transfer of 5 sites to CHAZ by Oct 1, 2010. Concurrent with movement of additional AR staff to CHAZ.

4. Work plan based on recommendations from HRSA visit developed and being implemented.

Current Status of Transition Cont’dCurrent Status of Transition Cont’d

“He sent them to preach the Kingdom of God and heal the sick” Luke 9:2

• Hiring of AR Staff AR Supply Chain Function now conducted by CHAZ AR Senior Medical Advisor now CHAZ ART Coordinator M&E Advisor hired

• Training of CHAZ Staff in:

– Site Capacity Assessment Tool (SCAT)

– USG Fund Management (CDC, USAID Policies and procedures)

– Strategic Information (SI)

– Pharmaceutical Management of ART Commodities

• Exchange Visits:– to South Africa visit the AR program to learn about their transition

model.

– AR-CHAZ joint sites visit initiated;

Challenges Challenges

“He sent them to preach the Kingdom of God and heal the sick” Luke 9:2

Sustainability Model • The sustainability model is open to new ideas.• No documented lessons to learn from• Initially, different understanding of sustainability from Consortium

members• Managing different models of care (AR: GF)

Human Resource• Staffing: Hiring vs. Secondment vs. Employment

Financing of Program• How long term is funding assured? How much?• Scale-up in a situation of flat-lined budget• Competitive process

Lesson learnt on TransitionLesson learnt on Transition

“He sent them to preach the Kingdom of God and heal the sick” Luke 9:2

1. Equal Partnership between AR and Local Partners fosters open dialogue in dealing with emerging/difficult issues.

2. The Transition Model needs to be consensual, flexible.

3. The establishment of an inclusive “Leadership & Governance Forum” is key in providing direction to the transition process

4. Functional inclusive “Sub Committees” - Clinical, Supply Chain Management , Grant Management and Strategic Information – is key for the design of the Transition Road Map and Detailed Work Plans.

5. The development of the Communication Strategy and the involvement of all Stakeholder at the very beginning – Board, HFs Managements, Partners’ Staffs, is a key to a smooth transition.

Promising PracticesPromising Practices

“He sent them to preach the Kingdom of God and heal the sick” Luke 9:2

To enhance country ownership and Sustainability, the Integration of

Programs being transitioned in the already existing Local Partners’

holistic programs

“He sent them to preach the Kingdom of God and heal the sick” Luke 9:2

Thank you

God bless