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Development Aid from People to People

Total Control of the Epidemic – Monze West

Year Report 2014 January to December

To U-landshjelp fra Folk til Folk,

Norge

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Name of project: TCE Monze West

Development Aid from People to People in Zambia

Reporting Period: January to December 2014

1. INTRODUCTION

Development Aid from People to People runs the Total Control of Epidemic in Monze

district. During this reporting year the project worked with 40 field Officers who were

conducting door-to-door HIV counseling and testing, giving HIV and AIDS prevention

messages, following up those tested HIV positive and linking them to care and support.

The project aimed at empowering the communities with knowledge of how to defend,

protect, fight against stigma by encouraging all tested HIV positive to be linked to care and

support in order to achieve Zero HIV infection, zero AIDS related death and zero stigma and

discrimination.

2. PROJECT ACTIVITIES

2.1 HIV Prevention

In order to enhance preventive measures of HIV infection, reinfection and its spread the

project encouraged all men tested HIV negative to go for Voluntary Medical Male

Circumcision (VMMC) in the same way women were encouraged to go for cervical cancer

screening and couples were also encouraged to go with their spouses for both cervical or

VMMC.

To ensure that all the people referred for VMMC and cervical cancer screenings complete the

referral the Field Officers conducted more visit to those referred for VMMC and cervical

cancer screening. The Troop managed to refer 236 men and boys for VMMC and 214(90%)

men and boys completed the referral and the remaining 22 are still in the process of accessing

the service. Mobilization for VMMC started from the local leaders who are the custodians of

the tradition who themselves were in the forefront in accepting going for VMMC as a way of

leading by example, also the field officer managed to reach people during door to door, in

churches, in schools, during HIV counseling and testing, and during community gatherings

and ceremonies.

2.1.1 Organisation of people to Defend the Community Against the Epidemic

The 40 Field Officers made 116,557 visits during the period under review and managed to

register 97,254 people from 17, 122 registered households. Before registration, the Field

Officers together with 2,061 passionates had to introduce the all TCE programme in order for

people to have a clear understanding of the all TCE project.

2.1.2 Giving people knowledge about the epidemic in the community

Using the five steps approach mainly used during household visitation, the field officers

reached out to the community with information about the HIV epidemic and advocated for

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behavior change in the community among the targeted groups such as support groups,

community clubs and Anti AIDS clubs.

Information on correct condom use to prevent damage and spread of the virus, Voluntary

Medical Male Circumcision and Cervical Cancer information was disseminated to the

community. The support groups were provided with information on positive living in order to

maintain adherence to treatment and fight the epidemic.

2.1.3 School and youth programmes

During the reporting period under review, the youths were also among the people reached

with AB messages, through Anti AIDS clubs in schools, church programmes, door-to-door,

National events like Youth Day, traditional gatherings and community events. In order to

achieve this, passionates worked together with the Field Officers in reaching out to 57 Anti

AIDS clubs with 3,356 members in 63 schools.

2.1.4 Condom distribution

As a way of promoting safer sex, 1,272,646 condoms were distributed; the target was

achieved due increased demand for condoms in the communities as well as increased supply.

The condoms were distributed from the Field Workers to passionates who run 306

established condom distribution outlet, demonstrations on correct condom use were

conducted in different communities during the promotion as well as by the condom

distributors.

2.2 Care and Support to OVC and to People living With HIV

During the period under review the project worked with different partners in order to provide

support and care for people affected by HIV and AIDS through referral services these

partners were: Social welfare, support groups, Community AIDS Task Forces (CATF),

churches and Community Orphan committees. The project managed to provide care and

support to 400 pregnant women and 2,965 orphans.

2.2.1. Referral

The project together with the Field Officers and passionates (Treatment Supporters) managed

to help those referred to Highly Active Anti – retroviral Therapy (HAART) complete referral

and be linked for care and support through formation of ARV trios and support groups

through door to door visits. Those who missed dates of appointments at ART centers for

more than 1 month were declared lost to follow up and the Field Officers and Treatment

Supporters managed to trace them and the project gave the feedback to the ART centers at

Monze Mission Hospital.

2.2.2 Reaching hard to reach areas with services

The project is aiming at bringing health care services and ART services closer to the

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community by providing or lobbying mobile ART at strategic centers which are very far from

ART centers and those places which are hard to reach during rainy seasons in Monze west.

The project with support from District Community Medical Office reached the islands where

the community received different kind of health services thus Voluntary Medical Male

Circumcision VMMC, family planning HIV Counseling and Testing HCT, prevention of

Malaria by distribution of Treated Insecticide Mosquito Nets, and general health

examinations.

2.2.3 Treatment and Mobile ART services

Working In collaboration with Ministry of Community Development Mother and Child’s

Health in Monze west the project managed to lobby for mobile ART and to open centers for

mobile ART, thus Hamangaba and Hakunkula the centers provide ART services to islands,

game park and fish camps.

2.3 The Increased awareness of HIV/AIDS in the communities

During the period under review, the project worked with 2,061 active passionates to empower

the community to defend and deal with issues to do with HIV and AIDS. The Field Officers

continued working hand in hand with all community-based organization in order to create

effective linkages, good system for support and care for the people infected and affected with

HIV and AIDS.

2.4 Improved income for PLHIV and their families

The Field Officers managed to form new support groups and strengthened the existing ones

and they encouraged them to start income generating activities by mobilizing their own

resources. Orphans and people living with HIV were helped by providing nutritious foods

and transport to go for review at ART centers.

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3.0 EFFECTS OF THE PROJECT

During the period under review the field workers intensified on HIV counselling and

testing, as a result the number of people accessing prevention services such as female

and male condoms, male circumcision, counselling and testing, and family planning

services increased.

The project managed to distributed 1,276, 242(212% achievement) condoms to end

users; this was coupled with information on HIV prevention to about 200,000 people

and is expected to have significantly contributed towards reduced number of HIV

infections in the operation areas.

138% completion of referral for ART can be attributed to increased awareness of

HIV/AIDS in the communities and the number of people getting to know their HIV

status as couples.

The project recorded an increase in the numbers of both Positive and negative

pregnant women mobilized and referred for PMTCT services and completing the

referrals. This was because the number of husbands taking part in PMTCT increased

after being sensitized on the importance of male involvement in PMTCT hence

supporting and accompanying their pregnant wives in accessing the services.

The increase in the number of school Anti AIDS club members can be attributed to

AB information disseminated to youths in their respective clubs. During this period

under review, the project worked with 57 Anti AIDS clubs consisting 1553 members

in 63 schools.

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Annex 1: Output Table

Activities Planned Achievements Variance %

Achieved

1 No of People Registered 100,000 97,254 14,587 97.2%

2 No of household registered 17,000 17,122 122 101%

3 Total number of visits 50,000 116,557 66,557 233%

4 Total counselled and tested 40,000 44,773 4,773 112%

5 No couples tested 0 11,612 11,612 100%

6 No TCE compliant 20,000 67,339 47,339 337%

7 No condom outlets 300 310 10 103%

8 No condom distributed 600,000 1,272,646 672,646 212%

9 No of schools 65 63 -2 97%

10 No of children in school 5,000 3,356 -1,644 67%

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Number of pregnant women

mobilized for PMTCT 400 400 0 100%

12 People referred for ART 800 1,189 389 149%

13 People completed referred 750 966 216 129%

15 Orphans in the program 1,000 2,965 1,965 297%

16 Active as TCE passionates 1,000 2,061 1,061 206%

17 Trio for ARVs 400 557 157 139%

18 No of support groups 80 120 40 150%

19 Most at risk population reached 0 82 82

Comments to the numbers:

During the period under review, the project achieved most of the planned goals. This was

thanks to the efforts the Field Workers put during implementation. With regards to condom

distribution, demand increased in the community and the supply of condoms came from the

Ministry of Health and other organizations.

The project also conselled and tested couples and worked with most at risk populations even

if it was not planned for.

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Annex 2: Project Pictures

A TCE Field officer distributing condoms in workplaces and during community gatherings

DAPP/TCE staff & Clinic nurse discussing

support to client Condom demonstration

Training session for the Troop on quality Control Field Officers Providing AB information in school

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A Field Officer presenting the TCE goals and Partnership meeting

Achievements to the partner

Field workers during Golden jubilee cerebrations. Review meeting with the community

Stakeholders on the TCE program

World AIDS Day commemoration Review meeting in a clinic

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Project staff meeting with the local Chief

Provision of HIV information Counselling and testing

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Annex 3: Project Success Story

TCE A Solution to Gods People

Pastor Samson Mudenda of Keemba SDA Church who is a TCE passionate expressed

himself about how working as a Passionate helps him to carry out his call: During the camp

meeting which attracted 4000 people from more than 20 churches and about 24 TCE

Passionate workers attended.

“I am indeed happy to learn that working with DAPP-TCE as a passionate is really helping

me to do God’s work, since working for the Lord doesn’t only mean preaching the word or

praying for people but also getting physically involved in ensuring that church members and

the community at large have good health, care and support.

I am now convinced that being a TCE Passionate does not only mean giving lessons,

mobilizing people for various activities and forming support groups and TRIOs for people

living with HIV and AIDS but also finding ways of helping Orphans, the poor, vulnerable,

families, churches and the community to find targetable solutions.

Therefore, I would say TCE project has provided solution for me, for my church members

and other passionates to help in saving lives for God’s people, which requires someone to

have a Passionate Heart to change our communities for better and achieve Total Control of

the Epidemic. I am encouraging you all member to go for VCT today and my appeal to all

elders, deacons and members of the church is to join in the fight against the epidemic.’’

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Annex 4: Recommendation Letters

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