Overview

The Zambia Integrated Systems Strengthening Program (ZISSP) is a USAID program designed to increase utilization of critical high- impact health services through a health systems strengthening approach. The program works at the national, provincial, district and community levels in collaboration with the Ministry of Health (MoH) to strengthen health systems. The program focuses on the following high-impact health services; HIV/AIDS, malaria, family planning and reproductive health (FP/RH), maternal, newborn, and child health (MNCH), and nutrition. ZISSP is operating in 9 provinces and 27 districts of Zambia. ZISSP is led by Abt Associates, and JHU∙CCP leads the community level BCC activities.

Accomplishments

• Developed a community BCC framework to ensure coordination and synergy of BCC activities among stakeholders and guide planning & implementation of BCC activities at district and community level. The framework outlines roles and responsibilities for BCC implementers, and ensures harmonization and consistency of the BCC interventions.
• Conducted an inventory of IEC/BCC materials and health promotions strategies, highlighting available BCC materials in the five thematic areas (HIV/AIDS, FP/RH, Malaria, MNCH and Nutrition), and identifying strengths and gaps/ weaknesses in topic areas. Results from the inventory will inform development and dissemination of future BCC materials.
• Carried out a qualitative research study focusing on Intermittent Preventive Treatment for malaria during pregnancy in rural Zambia. Results showed high knowledge of IPT, but a disconnect between awareness of the benefits of IPTp and accessing it at the appropriate time. Accessing IPTp was mainly dependent on accessing ANC on time, but there was generally low awareness about the recommended number of ANC visits recommended for pregnant woman – especially among male community members. These and other results will inform development of 2013 community level activities.
• Development of a 26 episode radio distance learning program for Safe Motherhood Action Group (SMAG) members is underway, and will air in 7 languages beginning in January 2013. A discussion guide is also being developed to for SMAG listening groups to supplement learning and community efforts.
• Five-day TOT for master trainers was conducted on writing, scripting, performing and engaging audiences in community drama. A training guide and video were developed, and training for community groups will begin at the end of 2012.