Zambia prevention, care & treatment partnership project II : mid-term evaluation report

To date, $82 million has been obligated into the award, spanning nine program areas. The five main objectives of ZPCT II are: (1) expanding existing HIV/AIDS services and scaling up new services, as part of a comprehensive package that emphasizes prevention, strengthening the health system, and supporting the priorities of the Ministry of Health (MOH) and the National HIV/ AIDS/Sexually Transmitted Infection (STI)/ Tuberculosis (TB) Council (NAC); (2) increasing the involvement and participation of partners and stakeholders to provide a comprehensive HIV/AIDS service package that emphasizes prevention, strengthens the health system, and supports the priorities of the MOH and the NAC' (3) increasing the capacity of the Provincial Medical Offices (PMOs) and District Medical Offices (DMOs) to perform technical and program management functions; (4) building and managing public-private partnerships (PPPs) to expand and strengthen HIV/AIDS service delivery, emphasizing prevention, in private sector health facilities; and (5) integrating service delivery and other activities, emphasizing prevention, at the national, provincial, district, facility, and community levels through joint planning with the GRZ, other United States Government (USG), and non-USG partners. Implementation of the ZPCT II Task Order reached its mid-point in December 2011. USAID Zambia has contracted with IBTCI to perform a mid-term external evaluation to assess the progress of the ZPCT II program towards meeting its intended results. The objectives of this mid-term evaluation are threefold: Part A (Retrospective): To evaluate the progress made toward achieving project objectives, including an assessment of project design (conceptual framework) in light of implementation experience to date; Part B (Prospective): Based on the above findings, to make recommendations for ZPCT II project implementation through 2014, including the optimal mix of activities and funding for achieving project objectives and sustainability; and Part C: Using the above findings, frame issues to debate/discuss/resolve at a level higher than the project, e.g. at the level of the Government of the Republic of Zambia (GRZ) and/or other donors. (Excerpt, modified)