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Zimbabwe HIV/AIDS Partnership Project & Behaviour Change

Zimbabwe HIV/AIDS Partnership Project & Behaviour Change

• To further promote

• To further promote the female condom product, PSI/Z should explore additional strategic partnerships withwomen’s groups such as the Women’s Action Group (WAG), Women’s Trust, Zimbabwe Women’sResource Centre and Network, and Padare.• The donors should facilitate programmatic and referral linkages between PSI/Z programs and other efforts(livelihood programs, care and support, OVC activities, youth and reproductive health) that can broaden theimpact of project activities.• Although the project disseminates its work by participating in national working and technical groups (forcondoms, commodity security, and comprehensive condom programming) and strives to disseminateinnovative program approaches through presentations at international conferences, it should increaseopportunities to share with others in Zimbabwe that are active in HIV/AIDS work the knowledge it hasgained from its BCC and counseling and testing activities. With the innovative use of analyses and its MIS forevidence-based implementation, the project has documented impressive lessons about what approaches workbest that could benefit similar activities in Zimbabwe.• Given the complementary nature of donor funding for PSI/Z-implemented activities, DFID and USAIDshould meet at least annually to review PSI/Z progress and their support. This is especially important ifPSI/Z continues to achieve its objectives ahead of schedule.• For the partnership fund within the USAID-supported HIV/AIDS Partnership Project, existing agreementsshould be modified to acknowledge that the partnership fund functions as a grants-under-contract activity forgrantees delivering core project services and cannot achieve sustainability or spin-off status by the end of theimplementation period. Similarly, there should be no expectation that the fund will become a central channelthrough which donors support HIV/AIDS efforts for NGOs in Zimbabwe.• FP/PMTCT activities in the Partnership Project should better document results in terms of greater servicedelivery capacity or improvements in FP/PMTCT services. Otherwise it is not clear the current interventionsare making a noticeable difference. For PSI/Z’s Behaviour Change Communication Programme supported by DFID, there is a need for amentoring program for local staff, both managers and others, to reinforce current capacity-building efforts.Zimbabwe HIV/AIDS Partnership Project & Behaviour Change Programme: A Joint USAID/DFID Assessment 29

7. SUGGESTIONS FOR FUTURE DIRECTIONSBased on the information gained during the assessment and observations on HIV/AIDS efforts generally inZimbabwe, the assessment team considered options for the future that go beyond current agreements andimplementation mechanisms. The following suggestions also take into account the recent power-sharing accordthat may change the political environment. The team also attempted to anticipate various scenarios for how theeconomy could evolve.• As the public sector becomes a more eligible recipient of assistance, provide support to revitalize HIV/AIDSservices within the national health service-delivery network.• Even with more vibrant public services, there will still be a role for the private sector and social marketing tospeed achievement of national health goals. Continued support of private initiatives is warranted to morerapidly achieve substantive results.• Given the success and synergistic benefits of joint funding, DFID and USAID should identify otheropportunities to jointly finance the work of a single entity. Such financing approaches allow for a larger effortand greater flexibility in achieving innovation and progress.• If the new political setting should bring additional funding for USAID, the agency could consider using IQCmechanisms like PSP and TASC 3 to rapidly mobilize greater capacity. Some IQC mechanisms that offeroptions for pass-through funding could be used to expand the work of organizations that are already active incountry and possess capacities on the ground.• Central projects (contracted from Washington) may also be able to accept field support funds to more quicklyrespond to USAID/Zimbabwe needs. However, a directly contracted bilateral mechanism might offer themission more flexibility to obtain the institutional strengths best suited to new health sector programs.Since one of the most promising measures to combat HIV/AIDS is male circumcision, donors should movequickly to provide additional support for the introduction of a male circumcision program in Zimbabwe. There isalready considerable interest among host-country counterparts, and the MOHCW appears ready to undertake anational effort. Such a countrywide program will be a long-term intervention so that there are a sufficient numberof circumcised males to substantially reduce the rate of new infections. Ultimately, the contribution of a malecircumcision program could be quite dramatic. The MOHCW has expressed a preference for providing malecircumcision primarily through the public sector. NGOs like PSI could have an important role in generatingdemand and raising awareness through the project’s evidence-driven communications techniques.In a national program for male circumcision, social marketing can help raise awareness of circumcision benefits andthe acceptability of the procedure, although caution may be needed to avoid any negative impact on consistentcondom use once a male is circumcised. Careful integration of communication strategies may be required to keep themessages (condom use and circumcision) complementary.30 Zimbabwe HIV/AIDS Partnership Project & Behaviour Change Programme: A Joint USAID/DFID Assessment

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