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

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

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) ZAMBIA

TBTEAM meeting, Geneva, June 2014 NTP Partners involved WHO, country office, IST and HQ UNAIDS TB CARE I KNCV CDC, Zambia USAID GF UNDP NAC CHAZ CSOs

TBTEAM meeting, Geneva, June 2014 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 ( ): – 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

TBTEAM meeting, Geneva, June 2014 Process: CN development April to 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)

TBTEAM meeting, Geneva, June 2014 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

TBTEAM meeting, Geneva, June 2014 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.

TBTEAM meeting, Geneva, June 2014 Acknowledgements Dr Seraphine Kaminsa, Project Director, TB CARE I, Zambia