CARE ZAMBIA ANNUAL REPORT 2012-2013

Committed to Changing Lives

Defending Dignity. Fighting Poverty.

VISION AND MISSION

As a member of the CARE International confederation, CARE Zambia shares a common vision, of a world of hope, tolerance and social justice, where poverty has been overcome and people live in dignity and security. Working in 84 countries around the world, CAREs mission is to serve individuals and families in the poorest communities in the world and act as advocates for global responsibility. We hold ourselves accountable for being consistent in our universal core values of respect, integrity, commitment and excellence. To fulll our vision and mission, CAREs programming is guided by six principles: 1. 2. 3. 4. 5. 6. Promote empowerment Work with partners Ensure accountability and promote responsibility Address discrimination Promote the non-violent resolution of conicts Seek sustainable results

CONTENTS
Message from the Country Director About us Facts and gures from 2012/2013 Our work Success stories Project expenditures 4 5 6 7 16-18 19 Projects 8-15 Partners 19

MESSAGE FROM THE COUNTRY DIRECTOR

CARE began working in Zambia in 1992. Since then the country has progressed from a nation in economic crisis to one of sustained economic growth. Along with economic gains, progress has been made on many social fronts. Today, Zambia boasts increased school enrolment, with more girls attending primary school than ever before. The rates of HIV/AIDS have steadily decreased and access to life-saving anti-retroviral therapy is increasingly accessible to everyone who needs it. These are just some of the signicant achievements Zambia has made over the last two decades. Looking back from 1992 to today, I am proud of CAREs contributions. Through community-based programming, in all 10 provinces in both rural and urban areas, CARE has established a reputation as a leader and a trusted partner. In CARE Zambias rst Annual Report, we report on our work in 2012-2013. As you will read in the following pages, approximately one million vulnerable people have been reached through CAREs programmes in child health, nutrition, ghting the AIDS pandemic, and economic and gender empowerment. Our successes could not have been possible without the support of government at all levels, our partnerships with Zambian organizations and companies, the talent and dedication of our staff and the generosity of our donors. Because of your support for our mission, CARE Zambia is able to continue to improve the lives of those most in need. Looking ahead, we will strengthen our partnerships with civil society organizations, the private sector, and local and national government, and focus more on ghting gender-based violence, improving nutrition and social protection. We also recognize the importance of knowledge and innovation. Internally, we will strengthen our organizational learning culture, our business processes and staff capacity. Our goal is to remain a leading NGO in Zambia that is known for changing lives for the better. Sincerely,

Dennis OBrien Country Director

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ABOUT US
Founded in 1945, CARE International is a leading humanitarian organization committed to defending dignity and ghting poverty around the world.
We began operating in Zambia in 1992 at the invitation of the Zambian government, in response to the severe drought of the early 1990s and the effects of escalating ination and extreme poverty in urban areas. Since then, the emphasis of CAREs work has shifted to sustainable, community-based development programming. Today, we promote long-term development and economic empowerment to communities facing challenges like HIV and AIDS, poverty, gender inequality, inadequate water and sanitation, and natural disasters. We place special focus on working alongside women because, equipped with the proper resources, women and girls have the power to help whole families and entire communities escape poverty. Gender inequality is also one of the most signicant causes of poverty and injustice, particularly in a country such as Zambia, where half of women between 15 and 49 have experienced physical or sexual violence at the hand of an intimate partner. Women are at the heart of CAREs communitybased efforts to improve basic education, prevent the spread of HIV, increase access to clean water and sanitation, expand economic opportunity and protect natural resources.

OUR COUNTRY OFFICE

CARE Zambia has been registered under the Societies Act since July 12, 1994, operating under a three-year renewable agreement between CARE International and the Government of Zambia and its Ministry of Finance. The total number of staff as of October 2013 stands at 74 in Lusaka, a regional ofce in Chipata (Eastern Province) and 11 project-based locations throughout the country.

For more information about CARE Internationals work around the world, visit: www.care.ca or www.care.org.

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FACTS AND 2012 FIGURES 2013

Our programs were in 10 provinces, in both rural and peri-urban areas. CARE and our partners programming focused on: increasing access to water and sanitation services in urban areas by improving community-level management and governance of service providers; integrated management of childhood illnesses; community mobilization to create demand for health services to prevent and treat HIV & AIDS and tuberculosis; capacity strengthening of Zambian NGOs; ghting gender-based violence; and improved water, sanitation and hygiene in schools. We remained innovative in our programming by: piloting the introduction of a savings-based nancial service to the governments social cash transfer program for extremely poor and vulnerable households; integrating the views and involvement of adolescent girls in urban risk reduction planning; developing and getting government approval for a design for inclusive sanitation facilities for children, to ensure children with disabilities can access these services; and using community-based agents to extend the reach of reproductive health and hygiene products into remote rural communities. CARE Zambias programming reached approximately one million people. Nine out of 14 projects last year included a specic component to address womens empowerment and gender equality.

158,000 men and women were reached through the Private Sector Marketing project with health-related messages on family planning through door-to-door mobilization for the prevention of unplanned/unwanted pregnancies. Thanks to Schools Promoting Learning Achievement Through Sanitation and Hygiene, more than 91,000 primary school students were provided access to safe drinking water and educated on improved sanitation, hygiene and health practices. The Moyo wa Bana (Healthy Children) project, which wrapped up after six years, reached a total of 402,928 children with a holistic health system that focused on integrated management of childhood illnesses, reducing malaria, diarrhoea and pneumonia. Three projects Integrated Tuberculosis and AIDS Program, Private Sector Marketing and the Zambia Prevention, Care and Treatment Program - resulted in: 168,000 referrals for HIV testing 85,000 referrals for male circumcision 11,000 referrals for tuberculosis testing Thanks to projects like Community Markets for Conservation and Expanded Vegetable Production and Commercialization, more than 16,000 farmers were equipped with knowledge and training on better farming techniques, ensuring improved food security and nutrition and better environmental practices. Over 500 village savings and loans associations were established, empowering men and women with business skills that change lives. Through the Strengthening Community Schools and Other Related Services project, in partnership with Reformed Open Community Schools, access to education was increased by 53% across 30 community schools, from 4,117 in 2010 to 6,299 in 2013.

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OUR WORK
The what we do refers to the focus of our programming. The projects we undertake at CARE Zambia leverage our past experience and our solid in-country reputation with key partnerships to deliver meaningful programming that improves the lives of the most vulnerable. In the past year, CAREs programming supported vulnerable groups of society: 1. Vulnerable women and adolescent girls facing social injustice or exclusion, limited access to productive resources and education, burden of ill health, lack of voice and gender-based violence. 2. Children from poor households (under ve) who are vulnerable to chronic morbidity and early mortality. 3. Poor households whose members are vulnerable to chronic food insecurity caused by natural and human factors and inequity (ex. access to productive assets). 4. Populations most susceptible to life-threatening health issues such as HIV/AIDS, tuberculosis, malaria, diarrhea and malnutrition.

Our work at CARE Zambia can be categorized by what we do and how we do it.

The how we do it refers to our drive to be a learning organization, known for its critical thinking, knowledge-sharing and innovation. We know that our employees are our greatest strength. We want to ensure that were using their knowledge and experience to the highest potential, encouraging an environment where ideas are exchanged, our approaches are questioned and we can continuously improve our operations. In the last year, we have committed ourselves to formalizing a Knowledge Management, Learning and Innovation framework to guide us in everything we do. In doing so, we are promoting a corporate culture where knowledge and innovation can thrive, resulting in high-quality, sustainable programming that ultimately contributes to changing policies that affect the most vulnerable. In that spirit, we have launched a CARE Zambia facebook page and a Scribd account to share project updates and learning products with the public.
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PROJECTS
KAPUTA MPULUNGU PRISM MBALA MPOROKOSO MUNGWI MWENSE LUWINGU KASAMA CHINSALI

MUCHINGA LUAPULA
MWINILUNGA MPIKA

CHAMA

SOLWEZI

NORTHERN
LUNDAZI SERENJE

CHAVUMA KABOMPO

NORTHWESTERN
MUFUMBWE KASEMPA

LUFWANYAMA

COPPERBELT
MPONGWE

MASAITI MAMBWE CHIPATA KATETE CHADIZ

ZAMBEZI

KAPIRI MPOSHI

MKUSHI

PETAUKE

CENTRAL
KABWE

EASTERN
NYIMBA

CHIOMBO MUMBWA

WESTERN
LUSAKA

LUSAKA

SOUTHERN
SESHEKE KALOMO KAZUNGULA

Over the 2012/2013 nancial year, approximately one million people were reached through CARE Zambias 14 projects in 10 provinces across the country.

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Vulnerable women and adolescent girls facing social injustice or exclusion, limited access to productive resources and education, burden of ill health, lack of voice and gender-based violence.

Integrating Adolescent Girls into Peri-Urban Risk Reduction in Zambia (IAG) The IAG project focused on integrating adolescent girls into disaster risk reduction and preparedness planning in the Kanyama settlement in Lusaka, which is considered one of the poorest and most densely populated urban areas in Zambia. Kanyama is prone to ooding due to its at, rocky terrain and poor surface drainage systems, causing damage to property, leading to outbreaks of water-borne diseases and creating highrisk situations for girls who can become victims of abuse. Approximately 300 adolescent girls and boys from the Twashuka and New Kanyama primary schools in Kanyama took part in the program, gaining the necessary knowledge and skills to help them advocate for positive change in their communities.

Most signicant achievements: a change in mindset of parents and public ofcials, integrating girls into disaster risk reduction planning in the community; involvement of community structures in the process, such as the Disaster Risk Reduction Committee, which is now inclusive of adolescents in seasonal planning processes; and commitment to the construction of ushable toilets, following lobbying by students and project staff. The Ofce of United States Foreign Disaster Assistance (OFDA) Partners: Ministry of Education, African Centre for Disaster Studies at North-West University in South Africa, Kanyama Ward 10 Development Committee Budget: US $173,779 Timeframe: September 2012 to September 2013 Donor:

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Strengthening Community Schools and Other Related Services (SCORES) SCORES improved access to, and quality of, social services in education and health through the empowerment of local communities and Reformed Open Community Schools, our local NGO partner, reaching more than 6,000 students. The project was implemented in 30 communities in Chama district in Muchinga Province, and Lundazi district in Eastern Province. The following successes were reported: strengthened capacity of 30 parent community school committees to manage their community schools, and to mobilize resources to improve the education provided in their communities; establishment of community-based health networks; and increased student enrolment, from 4,117 to 6,299 pupils. Donors: European Union, Medicor Foundation and CARE Deutschland-Luxemburg Partners: CARE Germany, Reformed Open Community Schools, and Parent Community School Committees Budget: US $1,214,953 Timeframe: January, 2010 to June 2013

Schools Promoting Learning Achievement through Sanitation and Hygiene (SPLASH) SPLASH is a water, sanitation and hygiene project targeting 240,300 primary school students, their parents, teachers and communities. It seeks to improve student health and learning performance by increasing access to safe drinking water and ensuring improved sanitation, hygiene and health practices. Key project activities include supporting district education authorities, government and community schools in the construction and rehabilitation of water points, sanitation facilities and hand-washing facilities. The project is being implemented in four districts of the Eastern Province (Chadiza, Chipata, Mambwe and Lundazi). Some achievements so far include: increased school enrollment; improved access to clean and safe drinking water, for over 150,000 pupils and their families; better sanitation for girls and boys, with over 120,000 pupils accessing improved services. United States Agency for International Development (USAID) Partners: Family Health International (FHI), Ministry of Education Budget: US $3,902,800 Timeframe: September 2010 to June 2015 Donors:

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Children from poor households (under ve) who are vulnerable to chronic morbidity and early mortality.

Moyo wa Bana Capacity Building Initiative Moyo wa Bana strengthened the capacity of the Ministry of Health to deliver a gender-sensitive, holistic health system that focused on integrated management of childhood illnesses, beneting 402,928 children in 11 districts of the Central, Luapula and Northern provinces. The project contributed to: a reduction in cases of malaria, diarrhoea and pneumoniarelated illnesses; more effective case management among health workers and community-level volunteers through training; and improved program supervisory skills at provincial, district and health centre levels. Donor: Partners: Canadian International Development Agency (CIDA) CARE Canada, Directorate of Technical and Support Services, Ministry of Health, Ministry of Community Development, Mother and Child Health, Provincial and District Health Ofces Budget: CAD $10,310,555 Timeframe: March 2007 to May 2013

Sustainability Through Economic Strengthening, Prevention and Support for Orphans and Vulnerable Children, Youths and Other Vulnerable Populations (STEPS OVC) The STEPS OVC project targeted the most vulnerable populations ensuring they received a minimum of one core service: care and shelter, education and training, food and nutrition, protection and legal support, psycho-social, economic strengthening, and/ or HIV prevention. The project worked in 13 districts (Chililabombwe, Chipata, Kabwe, Kalomo, Katete, Kazungula, Livingstone, Lundazi, Mambwe, Masaiti, Ndola, Petauke and Sesheke). By the end of the project, STEPS OVC had reached: 74,275 orphans and vulnerable children with food and other nutritional services; 7,7401 with psychosocial and spiritual services; 41,263 with economic strengthening services; 33,669 with protection and legal services; 54,518 with education and training services; and 60,806 with counselling and testing for HIV. United States Agency for International Development (USAID) through the Presidents Emergency Fund for AIDS Relief Partners: World Vision, Copperbelt Health Project (CHEP), Diocese of Chipata, HODI Budget: US $8,101,750 Timeframe: July, 2010 to July, 2013
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Donor:

Poor households whose members are vulnerable to chronic food insecurity caused by natural and human induced factors and inequity (ex. access to productive assets).

COMACO (Community Markets for Conservation) The COMACO project seeks to improve natural resource management and rural livelihoods, enabling impoverished households to better protect themselves against climate-induced shocks, such as prolonged drought. It focuses on empowering farmers to own, lead, participate and benet from fair market opportunities by adopting sustainable agricultural and land management practices. COMACO targeted 9,196 farmers in the Chama and Lundazi districts of the Luangwa valley. Reported outcomes include: farmers reported a 40% increase in variety of produce sold (rice, groundnuts, honey, maize); reduced poaching and environmentally harmful practices such as deforestation; and improved access to markets, training and leadership opportunities for women. Independent surveys concluded that women COMACO farmers reported 50% more personal control over household resources. Donor: Canadian International Development Agency (CIDA) and US private donors Partners: CARE Canada, Wildlife Conservation Society, COMACO Ltd. Budget: CAD $896,073 and US$ 240,000 Timeframe: January, 2008 to May 2014

Expanded Vegetable Production and Commercialization (EVPC) The EVPC project improved the livelihood of more than 2,400 farmers in food insecure communities in the Kalomo and Kazungula districts of the Southern Province by providing access to quality inputs such as seeds, fertilizers and pesticides, equipment and by facilitating market linkages. The project also promoted community savings groups to provide access to savings and loans services. Some outcomes reported by project participants include: improved savings culture amongst the poorest households, especially women; better control by women of household resources, allowing funds for medical and education-related expenses; reduced intensive labour on women and girls engaged in farming thanks to the water pump irrigation equipment; and higher self-esteem, sense of belonging and hope for the future. Donors: Partners: US private donors Ministry of Agriculture and Livestock, Copperbelt Health Project (CHEP) Budget: US $199,750 Timeframe: November 2011 to October 2013

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Local And Global Action for Food Security in Africa (LAGAFA) LAGAFA aimed to develop better food security, nutrition policies and programs by strengthening the Civil Society Organizations (CSO) networks to inuence key decision-makers at national, regional and international levels. The project specically focused on small scale and peasant farmers (both men and women) who had not been contributing effectively to food security and nutrition policies. The project worked in Burundi, Malawi and Zambia, focusing on Kalomo and Kazungula districts of Southern Province. Reported outcomes include: improved food security and nutrition; increased participation of women by 130% in civil society organizations; and strengthened capacity of these organizations to engage in food nutrition security policy advocacy initiatives by building and mobilizing networks at local and national levels. Donor: Partner: Budget: Timeframe: European Union Livingstone Civil Society Organization Forum 639,000 October 2009 to September 2012

Strengthening Cash transfers for Access to Finance Livelihoods and Entrepreneurship (SCALE) SCALE aims to strengthen civil society in Zambia by working on social protection as a precondition for a more equitable, inclusive and democratic society. Working with the Platform for Social Protection (a leading civil society organization working on social protection), its focus is to contribute to effective pathways to graduation from social cash transfers for extremely vulnerable households by supporting recipients to organize into village savings and loans associations and receive training in business planning. The project targets the Kazungula, Kalomo, Katete, and Kaputa districts in the Southern, Eastern and Northern provinces. Over four years, SCALE will help: 10,000 vulnerable households receiving social cash transfers from the government and 15 member organizations of the Platform for Social Protection (a leading civil society organization working on social protection); strengthen Zambian civil societys capacity to generate and use evidence to inuence national social protection policy and practice; and enable civil society to contribute to effective pathways to graduation from social cash transfers for extremely vulnerable households. Donors: Partners: European Union, CARE Deutschland CARE Deutschland, Platform for Social Protection, Ministry of Community Development, Mother and Child Health Budget: US $1,070,981 Timeframe: January 2013 to January 2016
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Populations most susceptible to life-threatening health issues such as HIV & AIDS, tuberculosis, malaria, diarrhea and malnutrition.

Anti-retroviral Treatment (ART) Study The ART study aimed to understand which transfer mechanism (cash or food) ensures adequate nutrition improvement for those initiating anti-retroviral treatment, and increases adherence in a more effective way. The study was implemented by the National Food and Nutrition Commission, in Katete district of Eastern Province, where HIV affects 16% of the population. Reported outcomes of both cash and food transfers included: improved adherence to antiretroviral therapy among patients; signicant increases in CD4 count, signifying a stronger immune system; and better overall nutrition of patients and their families, as measured by Body Mass Index. Donor: United Kingdom Department for International Development (DFID) Partners: National Food and Nutrition Commission (NFNC), University of Zambia (UNZA), St. Francis Hospital and University of the Free States in South Africa Budget: US $ 790,000 Timeframe: March 2010 to December 2012

Integrated Tuberculosis and AIDS Program (ITAP) Through ITAP, CARE Zambia is supporting the Zambian government in reducing the transmission of HIV & AIDS, sexually transmitted infections and tuberculosis among the most vulnerable populations in the Petauke, Chadiza and Chama districts of the Eastern Province, reaching more than 540,000 people. The project focuses on three areas: tuberculosis and HIV linkage, counseling and testing for HIV positive individuals, and prevention of mother to child HIV transmission. To date, ITAP has facilitated: 1,421 referrals of patients for TB testing 5,285 referrals for HIV testing 696 referrals for antiretroviral treatment 695 referrals of HIV-positive patients for TB testing 3,742 referrals of women to antenatal services (important for reducing mother/child transmission) 200 referrals of HIV-exposed children for testing United States Centers for Disease Control and Prevention Partners: Ministry of Health Budget: US $3,642,655 Timeframe: September 2011 to September 2013 Donor:

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Private Sector Social Marketing Project (PRISM) PRISM improves the overall level of health of remote communities by reducing the prevalence of HIV & AIDS, water-borne diseases and unplanned pregnancies in 27 districts of four provinces: Luapula, Northern, Eastern and Southern. The project equips community volunteers with social marketing expertise to sell essential health products and promote healthier lifestyles in remote villages throughout Zambia. Key achievements to date include: 2,225 volunteers have been trained in social marketing and business skills, and have actively conducted awareness campaigns on high-risk behaviours; 158,736 community/household members were reached with safe water and good hygiene campaigns; 158,216 (53,160 men and 105,058 women) were reached with health messages on family planning through door-todoor mobilization for the prevention of unplanned/unwanted pregnancies; 63,348 individuals were referred for HIV counseling and testing; and 32,357 men were referred for circumcision. Donor: United States Agency for International Development (USAID) Partner: Society for Family Health, Ministry of Health Budget: US $3,641,745 Timeframe: October 2009 to July 2014

Tuberculosis Health Activities in Zambia (THANZI good health in Chewa) THANZI aimed to decrease the mortality and morbidity caused by tuberculosis (TB) in the context of HIV co-infection by training community health workers in raising awareness, identifying potential infections, referring patients for testing and monitoring their progress. The project focused on four districts of the Eastern Province: Chipata, Lundazi, Petauke, Chadiza. Over ve years, THANZI reported: an increased demand for health services among suspected TB patients; and the number of TB suspected cases identied and examined increased from 4,767 to 9,196 during the project period. United States Agency for International Development National Tuberculosis and Leprosy Program, Churches Health Association of Zambia, Chamber of Commerce (Eastern Province), Traditional Health Practitioners Association of Zambia Budget: US $1,138,330 Timeframe: October 2007 to September 2012 Zambia Prevention, Care and Treatment Program (ZPCT II) ZPCT II aims to expand existing HIV & AIDS services, as part of a comprehensive package that emphasizes prevention, strengthens the health system and supports the priorities of the Ministry of Health and National AIDS Council. The project focuses on accessibility, equity and sustainability by training community volunteers to mobilize counseling and testing, creating referral networks and sensitizing communities. The project is in 42 districts in the Central, Copperbelt, North-Western, Luapula and Northern provinces. In the last year, community-based volunteers have mobilized: 40,340 referrals for voluntary counseling and testing; 13,832 referrals for antenatal testing to prevent mother/child transmission; and 11,900 referrals for male circumcision (of which 4590 were circumcised). United States Agency for International Development (USAID) Partners: Family Health International, Ministry of Health, National AIDS Council Budget: US $11,327,185 Timeframe: June 2009 to May 2014 Donor: Donor: Partners:

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SUCCESS

STORIES

Planting seeds of hope

Driving down the endless stretch of dusty road to the small village of Kanchele, located roughly 65 km outside of Kalomo in Southern Province, one has the distinct sense of being in the middle of nowhere, far from the bustle of urban economic growth that has been so dynamic in Zambia over the last decade.
After an hour and a half on the road, Kanchele presents itself. It is a bustling community of a few hundred people, many of whom are gathered along the main road. It is here that we meet Livinia Siachoobe, a small business owner, who invites us to her shop, displaying her inventory of seeds, herbicides, fungicides, fertilizer and medication for livestock. Livinia is one of many women mentored through CARE Zambias Expanded Vegetable Production and Commercialization (EVPC) project, which focuses on developing agro dealers business skills, supporting smallhold rural farmers and connecting them to larger markets to sell their produce. In line with CAREs focus on gender equality and empowerment of women, the project aims to develop the skills of women and girls in particular, but is also inclusive of the men who work with them.
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Livinia tells us of the impact that CARE, through the EVPC project, has had on her life. I received training to learn how to run my shop, explains Livinia, whose family used to struggle to meet its basic needs, often depending on handouts. I learned about different seeds and animal medicines and I share this through presentations. Its made my relationship with farmers stronger. Thanks to CAREs resources and training, Livinia sees anywhere from 30 to 40 farmers each week. They come to her not only for agricultural goods, but also for important information about improved seed use, crop diversication and proper administration of medicine to animals. In addition to her training, the one thing Livinia stresses has made a huge difference in her life, is the established market linkages through CARE, meaning she no longer has to make the arduous trek to Lusaka, more than 300 km away. She can now buy her stock in neighboring towns like Kalomo, which has signicantly reduced her transportation costs.

I learned about different seeds and animal medicines and I share this through presentations. Its made my relationship with farmers stronger.

I had many problems before I had to walk long distances and often I didnt receive my products, says Livinia. Now I dont have to worry. My business has improved. The impact of CAREs work doesnt stop with Livinia. It extends to the farmers, many of whom are women, who proudly show the vegetables they are growing in the gardens: cabbage, green maize, okra, onion, rape and tomatoes. Today, thanks to newfound access to markets, their focus has shifted from growing food for their immediate needs, to farming as a means to a stable income. This represents an important change in a culture where farming has traditionally been viewed as a way of life, and not as a business. The money they earn from increased yields helps buy food, animals, and, most importantly, allows the families to send their children to school, which they recognize as a way of escaping poverty. Many such villages have also established informal nancial services such as village savings and loans associations (VSLAs), and have received training in selection, planning and management of income-generating activities.

These savings groups allow farmers to pool their cash, and then lend this amongst the group, to buy farming equipment, fertilizer or medicine if, for instance, a child falls ill. Observing Livinia and the farmers suggests an important benet of CAREs work in projects such as EVPC: its profound impact on the lives of women and girls in particular. Whereas many have in the past been deprived of opportunities to engage themselves in protable enterprises, they are now empowered with knowledge and skills that increases their potential to escape poverty and its associated challenges, such as HIV/AIDS, gender inequality and marginalization. Kanchele may be remote, but it isnt isolated. It is like hundreds of other remote villages across Zambia, where access to critical agricultural inputs and a connection to larger markets, as well as stronger linkages through village groups such as VSLAs, can mean the difference between poverty and sustainable livelihoods, between marginalization and a community full of hope.

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SUCCESS

STORY

Riding motorbikes to save lives

A typical day for Benson Phiri starts early in the morning. He reports to work to pick up his motorbike, reviews his daily route and ensures he has enough fuel to last him the long distance hell cover that day.
He fastens a cooler box to the back of his bike, puts on his helmet and sets off. If youre thinking Benson is a distributor of cold soft drinks, you couldnt be more wrong. Benson is employed through CARE Zambias Integrated Tuberculosis and AIDS Program (ITAP), and his work as one of two courier drivers helps to (literally!) save lives. After a day of driving, Bensons cooler is lled with dozens of samples sputum, blood, stool which he delivers to the Chipata diagnostic centre for testing. ITAP is a very good program, says Benson. It is helping us reach those who are most in need. We nd people who cannot afford to bring samples in for testing because of high travel costs and long distances, and we do that for them. Through this innovative approach to healthcare, CARE is assisting the Zambian government in reducing the transmission of HIV/AIDS, sexually transmitted infections and tuberculosis, reaching more than 540,000 people.
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Heres how it works. Recognizing that the majority of Zambians live in rural areas that are often long distances away from health clinics (the biggest obstacle to getting tested and treated), CARE has focused on training community-based volunteers. These men and women go into the most remote villages, educating people about prevention and encouraging those at risk to visit the nearest health centre. It is there that samples are collected (blood, saliva, sputum) and are sent to the hospital in Chipata for testing. This is where the courier system comes in. Benson and his fellow driver, Wazamoria Tembo, travel daily (up to 100 km on the most rural of roads) to collect samples from health centres in surrounding communities. Between the two of them, they visit 55 health clinics in a week in the most remote parts of the Eastern Province. ITAP has been transformative in linking the most vulnerable populations to essential health services, resulting in more people being tested, treated and cured. People really appreciate the services that ITAP provides, says Benson, who notes that he is proud of the work he is doing as a courier. Its a very compassionate program that is helping a lot of patients and they recognize that. When they see a motorbike, they see an ambulance.

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PARTNERS
Working in partnership with government departments and private organizations has allowed CARE Zambia to strengthen its programming by lling critical gaps, learning innovative approaches and ensuring long-standing sustainability. Over the years, CARE Zambia has forged solid relationships with many partners, developing our reputation as a knowledgeable, reliable and effective organization. In the last year, we have collaborated with various government departments and non-government organizations. Among them are: Government of the Republic of Zambia Ministry of Agriculture and Livestock Ministry of Community Development, Mother and Child Health Ministry of Education, Science, Vocational and Early Education Ministry of Health National AIDS Council National Food and Nutrition Commission Civil Society Organizations and Donors Africare Catholic Relief Services Centres for Disease Control and Prevention Churches Health Association of Zambia Canadian International Development Agency COMACO Community Health Restoration Copperbelt Health Project Diocese of Chipata European Union Expanded Church Response Family Health International Futures Group Global Groups Focused Consultations HODI Innovations for Poverty Action Livingstone Civil Society Organization Forum Moment Of Hope North-West University, South Africa NZP+ Nchelenge NZP+ Kabwe Platform for Social Protection Reformed Open Community Schools Sengenu Home Based Care Society for Family Health St. Francis Hospital The Salvation Army Traditional Health Practitioners Association of Zambia Umunwe Umo TB/HIV United States Agency for International Development UNICEF United Kingdom Department For International Development University of the Free States, South Africa University of Zambia Wildlife Conservation Society World Vision Youth Support Initiative

PROJECT EXPENDITURES
Funding for CARE Zambias programing in the last scal year came from a wide range of donors, including the Canadian International Development Agency, United States Agency for International Development, United Kingdom Department for International Development, Presidents Emergency Fund for AIDS Relief, Ofce of the United States Foreign Disaster Assistant, United States Centers for Disease Control and Prevention, the European Union and CARE International. Summary statement of CARE Zambias project expenditures CARE Zambia Project Spending: July 2012 to June 2013
Project
Anti-retroviral Treatment (ART) Study Community Markets for Conservation (COMACO) Expanded Vegetable Production and Commercialization (EVPC) Integrating Adolescent Girls into Peri-Urban Risk Reduction in Zambia (IAG) Integrated Tuberculosis and AIDS Program (ITAP II) Local And Global Action for Food Security in Africa (LAGAFA) Moyo wa Bana Capacity Building Initiative Private Sector Social Marketing Project (PRISM) Strengthening Cash transfers for Access to Finance Livelihoods and Entrepreneurship (SCALE) Strengthening Community Schools and Other Related Services (SCORES) Schools Promoting Learning Achievement through Sanitation and Hygiene (SPLASH) Sustainability Through Economic Strengthening, Prevention and Support for Orphans and Vulnerable Children, Youths and Other Vulnerable Populations (STEPS OVC) Tuberculosis Health Activities in Zambia (THANZI good health in Chewa) Zambia Prevention, Care and Treatment Program (ZPCT II) TOTAL

Donor
DFID - UKAID US private donor US private donor USAID (OFDA) US Centers for Disease Control and Prevention (CDC) European Union CIDA (Canada) USAID European Union

Expenditure During Financial Year

$80,020 $56,537 $102,619 $92,714

$1,140,654 $100,073 $1,266,428 $628,875 $145,238

European Union

$487,480

USAID

$2,597,689

USAID

$3,181,468

USAID

$24,069

USAID

$1,584,212 $11,488,076

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Defending Dignity. Fighting Poverty.

CARE ZAMBIA Plot 9, Chitemwiko Close Kabulonga P.O. Box 36238 Lusaka, Zambia 10101