1. Country Program Update

2.  Lusaka CTC Program  Eastern Province CTC Program  Decentralized In-Patient Care Program  Integrated Paediatric ART Programs  Research

3. Partners Lusaka District Health Management Team Ministry of Health World Bank Development Marketplace Program Clinton Foundation  25 health centres successfully integrated CTC into routine primary health services  Over 300 health workers trained  Over 300 Community Volunteers trained  Valid CTC protocols adapted for the Lusaka program and in place to guide implementation  Referral linkages with the Central In-patient Unit (UTH) strengthened

4.  RUTF supplied by MoH through the Central Medical Stores and funded by Clinton Foundation  At least 2 trained health workers manage each OTP site  Valid continues to provide technical support while LDHMT manages the program  ‘ownership’ from the DHMT’  Additional funding from the World Bank to support 17 districts in Zambia to integrate nutritional screening during Child Health Week

5. Partners National Food and Nutrition Commission Ministry of Health UNICEF  CTC set up in three districts in Eastern Province  9 OTP clinics opened in 9 Rural Health Centres  66 health workers trained  264 Community volunteers trained

6. Partners Lusaka DHMT University Teaching Hospital Ministry of Health Food and Nutrition Technical Assistance (FANTA) and USAID UNICEF  Three decentralized Stabilization Centres opened at Matero Reference, Chipata and Chawama health Centers  Valid responsible for overall technical oversight  UNICEF provided equipment, medical and nutritional supplies  Valid trained 46 health workers in in-patient management  11 health workers from UTH, LDHMT, Valid and NFNC trained as facilitators

7.  260 children admitted in the 3 SCs to date  59 HIV Positive  150 (63%) discharged cured  26 (11%) death  60 (25%) transferred to UTH  An SC Success Story accepted by USAID to be published in the FY09 PEPFAR Annual Report!

8. Partners Lusaka DHMT Centre for Infectious Disease Research in Zambia (CIDRZ) Elizabeth Glazer Paediatric AIDS Foundation (EGPAF)  25 ART Clinics in Lusaka successfully integrated CTC  25 health workers trained  34 peer educators trained  Referral linkages strengthened between ART clinics and the ART clincs  Valid continued to support the LDHMT to supervise service delivery and provide technical support

9.  Lipid Study  SMS Study  Microbiological Assessment  HIV/AIDS Study

10.  Sustained supply of RUTF  RUTF pipeline breaks and supply chain management  High defaulter rates: Community Volunteers  Human resource issues  Delay in finalization of national guidelines

11.  CDC Grant to support EGPAF and JHPIEGO to integrate CTC into a comprehensive Peadiatric HIV Project in Choma district  Support World Vision to set up a Comprehensive CTC program in Sinazongwe District

12.  Imminent food by prescription RFA from the USAID mission office  UNICEF to support country roll-out of CTC into 30 districts  Upcoming PEPFAR 2 programs  Operational Research – DFID Child Survival Solicitation, Concern Worldwide Zambia  Finalization of country IMAM guidelines to facilitate for the rapid scale up of CTC

13. BEFORE AFTER