Welcome to the Publication Archives of USAID-funded Health Policy Projects.

Browse Health Policy Project (2010-2016) Materials

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Zambia

  • This report summarizes the content and format of an advanced training on the OneHealth Tool (OHT) conducted by HPP for policymakers in Zambia. It also covers preliminary discussions on next steps for finalizing the reproductive, neonatal, maternal and child health projection in OHT, as well as solidifying the Ministry of Community Development and Mother and Child Health’s capacity to use OHT independently and analyze the results for program and policy decision making. 

  • Based on the UTETEZI Project curriculum, Advocacy for Improved Access to Services for MSM: A Workshop Curriculum for a Multi-Stakeholder Policy Advocacy Project, this advocacy for policy change guide is designed for use by MSM (men who have sex with men) groups, community-based organizations (CBOs), civil society organizations (CSOs), and individuals working in HIV and MSM health to help them advocate regionally, nationally, and locally for improved HIV and health-related MSM policies. In particular, this guide can serve as an important tool for CSOs working on MSM issues in hostile legal environments.

  • Costed Implementation Plans (CIPs) are concrete, detailed plans for achieving the goals of a national family planning program over a set number of years. A CIP details the program activities necessary to meet the goals and the costs associated with those activities, thereby providing clear program-level information on the resources a country must raise both domestically and from donors. The Health Policy Project, with various partners, has developed a collaborative, 10-step approach to creating a CIP that aligns with ongoing government planning and coordination efforts. This brief outlines these 10 steps, which when implemented, should result in a consensus-driven strategy, roadmap, and budget for achieving family planning targets under the Ouagadougou Partnership, FP2020, and/or other national programs. To date, the following countries have completed CIPs for family planning: Senegal, Burkina Faso, Niger, Togo, Mauritania, Guinea, and Zambia.

  • The Health Policy Project (HPP) helped countries achieve their health goals by building capacity for policy, advocacy, governance, and finance at multiple levels. The project developed global tools and best practices for policy work, promoted South-South sharing and collaboration, and carried out regional and country-specific policy initiatives. The files included in this zip document provide brief program overviews for each country highlighting key accomplishments. Individual briefs are available from the country pages.

  • The Sub-Saharan Africa MSM Engagement (SAME) Tool was developed based on literature reviews and expert/technical inputs from the USAID- and PEPFAR-funded Health Policy Project (HPP), the Johns Hopkins School of Public Health, amfAR, African Men for Sexual Health and Rights (AMSHeR), and USAID. In collaboration with eight leading MSM organizations—one each from Rwanda, Malawi, Togo, Mozambique, Zambia, Tanzania, Ghana, and Cameroon—HPP and AMSHeR piloted the tool from April to June 2013, in both English and French. This poster summarizes the pilot study, and was presented at the 20th International AIDS Conference in July 2014.

  • As part of the USAID-led PEPFAR Sustainable Financing Initiative to increase domestic resources for HIV, the USAID- and PEPFAR-funded Health Policy Project created 31 macro-fiscal and health financing profiles for 18 countries that are transitioning to a higher income status, have high HIV burdens, and/or rely heavily on donor funding. These country profiles assess past trends and future projections in key indicators related to a country's ability to grow economically and dedicate more financial resources to health, including HIV.

    The macro-fiscal profiles provide overviews of each country's economic growth, political economy, and government revenue and expenditure. The health financing profiles analyze government, external, and out-of-pocket spending on health; health financing functions, including revenue contribution and collection, pooling, and purchasing; and HIV financing trends.

    You may download individual briefs on this page.

  • Saving Mothers, Giving Life (SMGL) is five-year public-private partnership aiming to drastically reduce maternal mortality in sub-Saharan Africa. As part of the proof of concept, the USAID- and PEPFAR-funded Health Policy Project conducted an expenditure analysis to identify what additional expenditures were made to reduce maternal mortality in the eight SMGL pilot districts in Uganda and Zambia. The overall study findings showed that investments in infrastructure, transportation, training for healthcare workers, and demand creation for facility-based deliveries led to maternal mortality decreases in both countries in one year—30 percent in one, 35 percent in the other. HPP's expenditure analyses complement these evaluations, and help to inform budgeting and planning for scale-up of the district strengthening model.

  • The Saving Mothers, Giving Life partnership (SMGL) is a global partnership between governments, donors, and the private sector to accelerate reduction in maternal and neonatal mortality in sub-Saharan African countries.As part of the SMGL program, the USAID-funded Health Policy Project (HPP) has worked with Zambia’s Ministry of Community Development, Mother and Child Health (MCDMCH) and its Ministry of Health (MOH) to develop their capacity to use the OneHealth Tool (OHT) to model reproductive, maternal, neonatal, and child health (RMNCH) program scale-up and resource needs.In order to make further progress toward reducing maternal, neonatal, and child mortality, MCDMCH requested that HPP conduct a training on the Lives Saved Tool (LiST) (a component of OHT) with programmatic staff from the ministry’s maternal health, child health, and nutrition units. LiST is a computer-based modeling tool that uses input data such as demographic and service coverage levels to estimate the number of deaths that can be averted as a result of expanding effective maternal and child health interventions.

  • In sub-Saharan Africa (SSA), expected national fertility levels and country-level observations demonstrate repeated mismatches in magnitude and/or direction.Thus there is an unfulfilled demand for better explaining, understanding, and communicating how fertility changes. Accurately predicting fertility is critical for understanding how populations may be expected to change, and for managing expectations about the possible impacts of TFR-affecting policy levers. The USAID-funded Health Policy Project produced this poster for the 2015 Population Association of America conference to determine to what extent can the accuracy of predicting fertility in SSA using the proximate determinants framework be improved by implementing revisions, with emphasis on the contraception index.

  • In the past decade, the President’s Emergency Plan for AIDS Relief (PEPFAR) has committed significant technical and financial resources to the fight against HIV, working with local partners in target countries to promote prevention programs, increase the number of patients receiving antiretroviral therapy (ART), and strengthen national coordination and monitoring of programs. As donor funding stagnates and developing economies grow, it is critical to identify long-term, sustainable sources of domestic funding for HIV to maintain and build upon the successes achieved by low- and middle-income-countries in partnership with PEPFAR.

    As part of PEPFAR’s Sustainable Financing Initiative to increase domestic resource for HIV, the Health Policy Project (HPP) has created a baseline assessment of the current state of HIV financing in Zambia against which future achievements in domestic resource mobilization can be measured. The assessment analyzes current resource commitments from all sources, both domestic and external, against projected resource need under UNAIDS’ 90-90-90 target, to determine future need for new domestic resources in each country, as well examines efficiency and equity in the use of funds, with the goal of maximizing the impact of financial commitments.

  • It is estimated that 80,000 infants born annually in Zambia are at risk of acquiring HIV from their mothers. In 2011, more than 415,000 Zambians were on antiretroviral therapy (ART), but the number of children accessing ART services lagged significantly behind that of adults. Ensuring universal access to ART requires more information about the costs of scaling up services to reach every child in need. To inform the resource investment required to increase coverage of pediatric ART, the USAID- and PEPFAR-funded Health Policy Project (HPP), along with the Ministry of Health of the Government of the Republic of Zambia (MOH), examined the average additional cost to infant and child health services at the health facility level (incremental cost) of providing clinical pediatric ART services for children living with HIV. HPP and the MOH also analyzed the cost drivers of treatment to identify opportunities for increasing efficiencies. This poster shows the results of this work and was presented at the 20th International AIDS Conference in July 2014.