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Zambia

Zambia. Joint TB/HIV Concept note Submission date: 15 June 2014 Mwendaweli Maboshe, NPO/TB TBTEAM meeting, Geneva, 18-19 June 2014. ZAMBIA. Population: 14.1 million TB notifications: 45,793 (2013) CNR: 325/100,000 (2013) Paediatric TB: 8% (2013) Rx success rate: 85% (2012)

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Zambia

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  1. Zambia Joint TB/HIV Concept note Submission date: 15 June 2014 Mwendaweli Maboshe, NPO/TB TBTEAM meeting, Geneva, 18-19 June 2014

  2. ZAMBIA • Population: 14.1 million • TB notifications: 45,793 (2013) • CNR: 325/100,000 (2013) • Paediatric TB: 8% (2013) • Rx success rate: 85% (2012) • Death rate: 5% (2013) • Default rate: 4% (2013) • Transfer out rate: 6% (2013) • HIV testing: 90% (2013) • Co-infection rate: 63% (2013) • Co-trimoxazole: 93% (2013) • ARV: 66% (2013)

  3. NTP Partners involved • WHO, country office, IST and HQ • UNAIDS • TB CARE I • KNCV • CDC, Zambia • USAID • GF • UNDP • NAC • CHAZ • CSOs

  4. Process: NSP revision • Nov 2013, 5 staff from MoH, MCDMCH, WHO, TBCARE I and CSO oriented in NSP development, Italy • Jan 2014, national stakeholders briefing/meeting on NSP • Feb to April 2014, writing team developed NSP (2014-2016): • Local consultant hired to finalize NSP • International consultant conducted epi analysis • GF PMU held three NSP evaluation meetings with key stakeholders for TB, HIV and malaria • Consultative meetings held with Fund Portfolio Manager

  5. Process: CN development • Aprilto June 2014, CN development • Identification and hire of two international consultants for narrative and budget formulation • NTP and partners provided input through multiple workshops convened by the CCM and GF PMU • Civil Society organizations and PLHIV fully engaged ((country dialogue) • Submission done June 15, 2014 • PFM and GF team provided input with Local Funding Agency (LFA)

  6. Lessons learned • Planning - development/revision of NSP and CN may be long, tedious & demanding, requires leadership, resources, extra commitment and dedication. • The local writing team for NSP and CN identified early in the process • Timely engagement of local and external experts working closely with writing team

  7. Lessons learned continued • Coordination of the process; defined/agreed roles of key players e.g. CCM secretariat, PMU, GF, writing teams esp. convening of meetings, communication of information, hiring of consultants, finalization & submission of documents including submission of CN.

  8. Acknowledgements • Dr Seraphine Kaminsa, Project Director, TB CARE I, Zambia

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