John Snow, Inc. - Region

Zambia

Projects are listed by award date. Alternatively, list projects by title.

Global Fund Voluntary Pooled Procurement (VPP)
The Global Fund to Fight AIDS, Tuberculosis and Malaria is a major financing institution in the fight against these diseases in 140 countries. The Global Fund established a Procurement Support Service for its Principal Recipients, with Voluntary Pooled Procurement and Capacity Building Services aimed at ensuring a cost-effective and efficient procurement process. These services provide support to countries to resolve procurement bottlenecks and supply chain management challenges and facilitate timely access to pharmaceuticals and health products.

In March 2009, the Global Fund selected the Partnership for Supply Chain management (PFSCM) as its Voluntary Pooled Procurement Service Agent. JSI is a managing partner of PFSCM.
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MTCT-Plus Data Management Center
JSI's clinical data management and quality assurance experience is internationally recognized. For five years, JSI has been contracted as the Data Management Center for the Mother to Child Transmission Plus (MTCT-Plus) Initiative, developed in response to the UN Secretary General's Call to Action. Managed by the Mailman School of Public Health at Columbia University (the Secretariat), the center serves demonstration sites in 8 countries in Africa and Asia and as such handles data related to the care of over 9300 patients in 18 clinical facilities in Cameroon, Cote d'Ivoire, Kenya, Mozambique, Rwanda, South Africa, Uganda, Zambia and Thailand.

The clinical care paradigm for this initiative is family-centered and holistic, addressing the stigma and physical and mental health needs of HIV+ women and their family members, in addition to the distribution of anti-retroviral medications.

JSI has operated the programs Data Management Center for the Secretariat, helping sites manage and automate their medical record system for MTCT-Plus patients. Seven sites began record keeping on paper forms (in a variety of languages), which were processed at JSI into electronic format; now all 14 sites use an Access database developed by JSI. The database also has an appointment tracking system built into it. Each month, JSI's DMC staff work with sites to resolve discrepancies in their data - providing collaborative training/technical assistance in data entry, records management, and the clinical protocol in the process. Each month, the DMC returns clean data files to each site and to the Secretariat and also produces quality/performance indicators to help staff ensure all patients are being adequately managed. Some of the key performance indicators are: (a) the number and percent of patients who have not been to clinic or have missed appointments for over 3 (6) months; (b) the number and percent of patients who have had ARV regimen changes; (c) the number and percent of patients who are eligible for opportunistic infection prophylaxis but not currently receiving it.
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Supply Chain Management System (SCMS)
The Supply Chain Management System (SCMS) provides global procurement and distribution for essential HIV/AIDS medicines and supplies needed to provide care and treatment of people living with and affected by HIV and AIDS. Funded by the President's Emergency Plan for AIDS Relief (PEPFAR) through the U.S. Agency for International Development, SCMS is implemented by 13 organizations, lead by the Partnership for Supply Chain Management (PSCM), a partnership established by JSI and MSH.
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Maternal & Child Health Integrated Program (MCHIP)
The Maternal and Child Health Integrated program (MCHIP) is USAID's flagship maternal, neonatal and child health program, which focuses on reducing maternal, neonatal and child mortality. MCHIP is designed to accelerate progress toward achieving the Millennium Development Goals (MDGs) in USAID's 30 maternal and child health priority countries over five years.

Using data driven priority setting approaches, MCHIP will help countries determine which innovations will yield the most impact in reaching the MDGs and support capacity building and health systems development to take those interventions to scale. Parallel to strengthening central and district level health teams, MCHIP considers communities, households and individuals not only as recipients of health services, but as an integral part of health services implementation.

JSI leads MCHIP's work in the areas of child health, immunization and pediatric HIV/AIDS. Other MCHIP partners include Jhpiego, Save the Children, PATH, PSI, Broadbranch and JHU IIP. MCHIP is the follow-on project to BASICS and IMMUNIZATIONbasics, other USAID global technical assistance projects which were also implemented by JSI.
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New Partners Initiative Technical Assistance Project (NuPITA)
The New Partners Initiative Technical Assistance (NuPITA) project increases the quality of program implementation and strengthens the institutional capacity of 15 nongovernmental organizations that provide HIV prevention and care services in sub-Saharan Africa. These 15 organizations are New Partners Initiative (NPI) Round 2 and Round 3 grantees. Under NuPITA, JSI provides technical assistance to the NPI grantees in HIV prevention and care services, financial management and compliance with USG regulations, and organizational development (OD).

The New Partners Initiative (NPI) under the US President's Emergency Plan for AIDS Relief (PEPFAR) aims to increase the number, involvement and capacity of new partners, including community- and faith-based organizations.

With a regional headquarters in Kampala, Uganda, NuPITA supports NPI grantees who are implementing programs in Uganda, Kenya, Tanzania, South Africa, Rwanda, Zambia, and Nigeria. The JSI NuPITA consortium also includes Initiatives Inc.
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USAID | DELIVER PROJECT
The USAID | DELIVER PROJECT, a U.S. Agency for International Development (USAID)-funded project, improves essential health commodity supply chains by strengthening logistics management information systems, streamlining distribution systems, identifying financial resources for procurement and supply chain operation, and enhancing forecasting and procurement planning. Health programs cannot operate successfully without a full supply of essential commodities. The project encourages policymakers and donors to support logistics as a critical factor in the overall success of their health care mandates.

Implemented by John Snow Inc., the project designs, develops, strengthens, and, upon request, operates safe, sustainable, and reliable supply systems that provide a range of affordable, quality essential health commodities, including drugs, diagnostics, and supplies, to clients in country programs. The project's technical support strengthens all aspects of in-country supply chains, including forecasting, procurement, distribution, management information systems, quality assurance, storage and infrastructure, and medical waste disposal.

The USAID | DELIVER PROJECT works on a range of health commodities, including contraceptives and condoms, essential drugs, as well as select commodities for HIV/AIDS, malaria, maternal and child health, infectious diseases, and avian influenza (AI). The project currently supports USAID's efforts to improve product availability through task orders in strengthening integrated in-country supply chains, avian and pandemic influenza preparedness, and the President's Malaria Initiative (PMI).

To support the three task orders, the USAID | DELIVER PROJECT partners with many organizations including: 3i Infotech, Abt Associates, Center for International Health and Development at Boston University School of Public Health, Crown Agents Consultancy, Inc., Family Health International, Fuel Logistics Group (Pty) Ltd., The Manoff Group, MAP International, PATH , UPS Supply Chain Solutions, and U.S. Pharmacopeia.

Read the following success story about the project: Logistics Plays Key Role in Zambia's Effort to Reduce Maternal Mortality
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ZAMBIA: Support to the HIV/AIDS Response in Zambia (SHARe) Program
The Support to the HIV/AIDS Response in Zambia (SHARe) Project serves as a catalyst to reduce the impact of HIV and AIDS and improve the quality of life for persons affected by HIV and AIDS in Zambia. By strengthening leadership, building local capacity, and improving the policy environment, the Project supports the institutional response to HIV and AIDS. SHARe is working with the public and private sectors to establish workplace programs that strengthen HIV prevention, treatment, care and support services for employees, families and the community at large.

In addition to supporting workplace initiatives, SHARe supports the Zambia government and nongovernmental organizations to improve the management and coordination of HIV activities, including improved data collection and decision making. The program also works closely with policymakers to strengthen the legal and regulatory environment as it relates to HIV and the national HIV/AIDS performance monitoring and evaluation system. SHARe is implemented by JSI in partnership with Abt Associates, Inc., Initiatives, Inc., the Zambian Health, Education and Communication Trust (ZECHT) and CHAMP, along with other local partners.
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MTCT-Plus Implementation and Quality Assistance (IQA) Project (2004 - 2006)
Under a subcontract with Columbia University, JSI provided site-monitoring services for the MTCT-Plus Initiative, an HIV/AIDS intervention program, through the Implementation and Quality Assistance (IQA) project from 2002-2006. HIV/AIDS is decimating populations and threatening livelihoods across resource-poor countries. Mothers and children, the most vulnerable members of society, are suffering the heaviest toll from HIV/AIDS, particularly in Sub-Saharan Africa. Global efforts to prevent mother-to-child transmission (pMTCT) of HIV have expanded rapidly in recent years, but these efforts have not incorporated care and treatment for mothers or other family members. Recognizing this, the Columbia University Mailman School of Public Health implemented the MTCT-Plus Initiative, with funding from private foundations and support from a number of collaborators. The MTCT-Plus Initiative, an innovative family-centered program, built on pMTCT efforts using a well-established package of low-cost and effective practices in providing comprehensive HIV primary care (and anti-retroviral therapy when indicated) for HIV-infected mothers, infants, and other household members in 14 programs in nine resource-poor countries. As it currently stands, the MTCT-Plus Initiative will support lifetime HIV care for 750 individuals at each of the 13 programs, enrolling 250 individuals per year over the next three years. The MTCT-Plus IQA project highlighted JSI's expertise in HIV Quality Improvement. Though JSI's involvement with MTCT-Plus ended in August 2006, please contact us if you would like further information regarding JSI's Quality Improvement initiatives.
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JSI/Europe Zambia Technical Assistance in Logistics Management Curriculum Development (2003 - 2003)
Responding to a new policy, drugs, contraceptives, vaccines, and laboratory supplies previously supplied through vertical programmes were integrated into one comprehensive public health logistics system. JSI/Europe provided TA to the Government of Zambia to strengthen its logistics management systems, and enhance its logistics management training programs.
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Zambia Integrated Health Program Service Delivery Component (ZIHP-SERV) (1998 - 2004)
JSI, through the Zambia Integrated Health Program (ZIHP-SERV), worked with the Government of Zambia and local partners to strengthen health service delivery in the public and private sectors. ZIHP-SERV, which ended in 2004, had four priority technical areas: HIV/AIDS, child health and nutrition, integrated reproductive health, and malaria. The project's main strategies were to improve training and supervisory systems - particularly at the regional, district, and sub-district levels - by emphasizing twelve "demonstration districts;" expanding channels in the private sector (particularly large employers) for delivering integrated packages of health care; and providing technical assistance to other recipients and sub-grantees by strengthening networks among nongovernmental organizations (NGOs) and community-based organizations (CBOs).

Read the following success story about the project: Building Trust between Traditional Healers and Health Workers in Zambia
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MotherCare (1998 - 2000)
MotherCare was USAID's flagship global maternal health project, for more than a decade, from 1989 to 2000. Implemented by John Snow, Inc., MotherCare's mission was to improve the health, nutrition, and survival of women and newborns through a continuum of care devoted to women and their families. MotherCare focused its assistance on the pregnant mother, the birth process and the immediate postpartum period to improve pregnancy outcomes through household, community, and health service related interventions. MotherCare developed and documented evidence-based programmatic approaches to reproductive health through safer motherhood. The MotherCare Project ended in 2000.
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Family Planning Service Expansion and Technical Support (SEATS) (1995 - 2000)
The focus of SEATS was on expanding and improving family planning and other reproductive health services in developing countries by strengthening both public-sector and private-sector organizations.

SEATS worked with its U.S. partners and local, in-country organizations to promote the development and expansion of high quality, client-centered, sustainable family planning and reproductive health services in developing countries and enhance access to these services. Working with communities where there was an expressed need, SEATS helped build capacity to sustain a better future. By offering innovative approaches and new perspectives, SEATS increased the efficiency, effectiveness, and quality of programs and helped reach groups of people who would otherwise remain underserved. Between 1989 and 2000, when the project ended, SEATS worked in 16 countries in Africa, Asia, Eastern Europe, and the Near East.
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Astarte Project (1995 - 2010)
The Astarte Project enhances access to quality reproductive health (RH) services by fostering leaders in communities affected by crisis.

Today, there are approximately 70 million refugees and displaced people globally. Conflict, natural disasters, and other crises are becoming increasingly frequent and long-lasting. In fact, the average displacement lasts 17 years. Despite the growing need to provide lifesaving RH services to displaced populations, RH is often neglected in crisis response.

In 1995, a groundbreaking report surveyed the RH needs of refugees. In response to this research, the Reproductive Health Response in Crisis (RHRC) Consortium (formerly known at the Reproductive Health for Refugees Consortium) formed to promote sustainable, comprehensive RH services for all women, men and adolescents affected by crisis. The Consortium continues to work in a number of areas, including service provision; advocacy; design, monitoring and evaluation; research; training; assessment; and documentation and dissemination.

On behalf of the RHRC, JSI administers the Astarte Project (formally known as the Small Grants/Capacity Building Program). The Astarte Project works to strengthen grassroots efforts to provide RH services in crises. Over time, the Astarte Project has met the evolving needs of local non-governmental organizations (NGOs) that seek to provide RH services to crisis-affected communities. Along with granting seed money to these grassroots groups, the Astarte Project takes a 3-pronged approach in strengthening local initiatives:

Provide technical RH information and assistance

Offer organizational strengthening

Link and form regional networks of local NGOs that provide RH services

For the past 15 years, the Astarte Project has granted over $1 million to local NGOs in nearly 20 countries. The impact of supporting local initiatives has made an invaluable impact on the lives of those affected by crisis. The increased availability of reproductive health services has saved lives both in the crisis and during recovery.

The Astarte Project advocates that the very basic RH services be provided at the onset of a crisis. These services are outlined in the Minimum Initial Service Package (MISP) for Reproductive Health. As the situation stabilizes, comprehensive RH services should be provided. These include: maternal and newborn health, family planning, clinical and psychosocial care for survivors of gender-based violence, adolescent-friendly services, and treatment and prevention of STIs, including HIV.

The Astarte Project is part of JSI's Reproductive Health for Refugees Project which encompasses multiple initiatives that seek to increase quality RH services in crisis-affected areas.
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