CARE Zambia Annual Report 2012-2013

8/13/2019 CARE Zambia Annual Report 2012-2013

http://slidepdf.com/reader/full/care-zambia-annual-report-2012-2013 1/20

Committed toChanging Lives

CARE ZAMBIA ANNUAL REPORT 2012-2013

Defending Dignity.

Fighting Poverty.



CONTENTSMessage from the Country Director 4

About us 5

Facts and figures from 2012/2013 6

Our work 7

Projects 8-15

Success stories 16-18

Partners 19

Project expenditures 19



CARE began working in Zambia in 1992. Since then the country has progressed from a nationin economic crisis to one of sustained economic growth.

Along with economic gains, progress has been made on many social fronts. Today, Zambia boastsincreased 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 increasinglyaccessible to everyone who needs it. These are just some of the significant achievements Zambiahas made over the last two decades.

Looking back from 1992 to today, I am proud of CARE’s contributions. Through community-based

programming, in all 10 provinces in both rural and urban areas, CARE has established a reputationas a leader and a trusted partner.

In CARE Zambia’s first Annual Report, we report on our work in 2012-2013. As you will readin the following pages, approximately one million vulnerable people have been reached throughCARE’s programmes in child health, nutrition, fighting 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 staffand the generosity of our donors. Because of your support for our mission, CARE Zambia is ableto 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 fighting 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 toremain a leading NGO in Zambia that is known for changing lives for the better.

Sincerely,

Dennis O’BrienCountry Director

MESSAGE FROM THECOUNTRY DIRECTOR

4 CARE ZAMBIA



Founded in 1945, CARE International is aleading humanitarian organization committedto defending dignity and fighting povertyaround the world.

We began operating in Zambia in 1992 at the invitation of theZambian government, in response to the severe drought of the

early 1990s and the effects of escalating inflation and extremepoverty in urban areas.

Since then, the emphasis of CARE’s work has shifted tosustainable, community-based development programming.

Today, we promote long-term development and economicempowerment to communities facing challenges like HIV

and AIDS, poverty, gender inequality, inadequate waterand sanitation, and natural disasters.

We place special focus on working alongside women because,equipped with the proper resources, women and girls have thepower to help whole families and entire communities escape

poverty. Gender inequality is also one of the most significantcauses of poverty and injustice, particularly in a country such

as Zambia, where half of women between 15 and 49 haveexperienced physical or sexual violence at the hand of an

intimate partner. Women are at the heart of CARE’s community-based efforts to improve basic education, prevent the spreadof 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 Actsince July 12, 1994, operating under a three-year renewable

agreement between CARE International and the Government ofZambia and its Ministry of Finance. The total number of staff

as of October 2013 stands at 74 in Lusaka, a regional officein Chipata (Eastern Province) and 11 project-based locations

throughout the country.

For more information about CAREInternational’s work around the world,visit: www.care.ca or www.care.org.

ABOUT US

CARE ZAMBIA 5



Our programs were in 10 provinces, in both rural andperi-urban areas.

CARE and our partners’ programming focused on:– increasing access to water and sanitation services in

urban areas by improving community-level managementand governance of service providers;

– integrated management of childhood illnesses;

– community mobilization to create demand for healthservices to prevent and treat HIV & AIDS and tuberculosis;

– capacity strengthening of Zambian NGOs;– fighting 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 financialservice to the government’s 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 remoterural communities.

CARE Zambia’s programming reached approximatelyone million people.

Nine out of 14 projects last year included a specific component

to address women’s empowerment and gender equality.

158,000 men and women were reached through the Private

Sector Marketing project with health-related messages onfamily planning through door-to-door mobilization for the

prevention of unplanned/unwanted pregnancies.

Thanks to Schools Promoting Learning Achievement ThroughSanitation and Hygiene, more than 91,000 primary school

students were provided access to safe drinking water andeducated on improved sanitation, hygiene and healthpractices.

The Moyo wa Bana (“Healthy Children”) project, which

wrapped up after six years, reached a total of 402,928children with a holistic health system that focused onintegrated 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 Conservationand Expanded Vegetable Production and Commercialization,more than 16,000 farmers were equipped with knowledge andtraining on better farming techniques, ensuring improved foodsecurity and nutrition and better environmental practices.

Over 500 village savings and loans associations wereestablished, empowering men and women with business

skills that change lives.

Through the Strengthening Community Schools and Other

Related Services project, in partnership with Reformed OpenCommunity Schools, access to education was increased by53% across 30 community schools, from 4,117 in 2010 to

6,299 in 2013.

FACTS ANDFIGURES 2012

2013

6 CARE ZAMBIA



The “what” we do refers to the focus of our programming.

The projects we undertake at CARE Zambia leverage our pastexperience and our solid in-country reputation with key

partnerships to deliver meaningful programming that improvesthe lives of the most vulnerable.

In the past year, CARE’s programming supported vulnerablegroups of society:

1. Vulnerable women and adolescent girls facing socialinjustice or exclusion, limited access to productive

resources and education, burden of ill health, lack of voiceand gender-based violence.

2. Children from poor households (under five) who arevulnerable to chronic morbidity and early mortality.

3. Poor households whose members are vulnerable to chronic

food insecurity caused by natural and human factors andinequity (ex. access to productive assets).

4. Populations most susceptible to life-threatening healthissues such as HIV/AIDS, tuberculosis, malaria, diarrhea

and malnutrition.

The “how” we do it refers to our drive to be a learning

organization, known for its critical thinking, knowledge-sharingand innovation. We know that our employees are our greatest

strength. We want to ensure that we’re using their knowledgeand experience to the highest potential, encouraging an

environment where ideas are exchanged, our approaches arequestioned and we can continuously improve our operations.

In the last year, we have committed ourselves to formalizing aKnowledge Management, Learning and Innovation frameworkto guide us in everything we do. In doing so, we are promoting

a corporate culture where knowledge and innovation canthrive, resulting in high-quality, sustainable programming that

ultimately contributes to changing policies that affect themost vulnerable.

In that spirit, we have launched a CARE Zambia facebook page

and a Scribd account to share project updates and learningproducts with the public.

OUR WORKOur work at CARE Zambiacan be categorized bywhat we do and how wedo it.

7CARE ZAMBIA

https://www.facebook.com/pages/CARE-Zambia/211531169015036

http://www.scribd.com/CAREZAMBIA






CHINSALI

KALOMO

LUSAKA

KAPIRI MPOSHI

KABWE

MPOROKOSO

MUNGWI

MUMBWA

MKUSHI

KAZUNGULA

MAMBWE

SOLWEZI

SESHEKE

MWINILUNGA

ZAMBEZI

CHAVUMA

MUFUMBWE

KABOMPO

KASEMPA

KAPUTA

MPULUNGU

PRISM

MBALA

MPONGWE

LUFWANYAMA

MWENSE

NYIMBA

CHIOMBO

WESTERN

NORTHWESTERN

SOUTHERN

EASTERNCENTRAL

NORTHERN

LUAPULA

LUSAKA

COPPERBELT MASAITI

PETAUKE

KATETE

CHADIZ

CHIPATA

LUNDAZI

CHAMA

KASAMA

MPIKA

MUCHINGA

SERENJE

LUWINGU

Over the 2012/2013 financial year, approximatelyone million people were reached through CARE Zambia’s14 projects in 10 provinces across the country.

PROJECTS

8 CARE ZAMBIA



Integrating Adolescent Girls into Peri-Urban Risk Reductionin Zambia (IAG)The IAG project focused on integrating adolescent girls intodisaster risk reduction and preparedness planning in theKanyama settlement in Lusaka, which is considered one of thepoorest and most densely populated urban areas in Zambia.Kanyama is prone to flooding due to its flat, rocky terrain andpoor surface drainage systems, causing damage to property,

leading to outbreaks of water-borne diseases and creating high-risk situations for girls who can become victims of abuse.

Approximately 300 adolescent girls and boys from the Twashukaand New Kanyama primary schools in Kanyama took part in theprogram, gaining the necessary knowledge and skills to helpthem advocate for positive change in their communities.

Most significant achievements:a change in mindset of parents and public officials,integrating girls into disaster risk reduction planning in thecommunity;involvement of community structures in the process, such asthe Disaster Risk Reduction Committee, which is now inclusiveof adolescents in seasonal planning processes; andcommitment to the construction of flushable toilets, following

lobbying by students and project staff.

Donor : The Office of United States Foreign DisasterAssistance (OFDA)

Partners: Ministry of Education, African Centre for DisasterStudies at North-West University in South Africa,Kanyama Ward 10 Development Committee

Budget: US $173,779Timeframe: September 2012 to September 2013

Vulnerable women and adolescent girls facingsocial injustice or exclusion, limited access toproductive resources and education, burden of illhealth, lack of voice and gender-based violence.

9CARE ZAMBIA



Strengthening Community Schools and Other RelatedServices (SCORES)

SCORES improved access to, and quality of, social servicesin education and health through the empowerment of localcommunities and Reformed Open Community Schools, our localNGO 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 schoolcommittees to manage their community schools, and tomobilize resources to improve the education provided intheir communities;establishment of community-based health networks; andincreased student enrolment, from 4,117 to 6,299 pupils.

Donors: European Union, Medicor Foundation and CAREDeutschland-Luxemburg

Partners: CARE Germany, Reformed Open Community Schools,and Parent Community School Committees

Budget: US $1,214,953Timeframe: January, 2010 to June 2013

Schools Promoting Learning Achievement through Sanitationand Hygiene (SPLASH)

SPLASH is a water, sanitation and hygiene project targeting240,300 primary school students, their parents, teachers andcommunities. It seeks to improve student health and learningperformance by increasing access to safe drinking water andensuring improved sanitation, hygiene and health practices.

Key project activities include supporting district educationauthorities, government and community schools in theconstruction and rehabilitation of water points, sanitationfacilities and hand-washing facilities.

The project is being implemented in four districts of the EasternProvince (Chadiza, Chipata, Mambwe and Lundazi).

Some achievements so far include:increased school enrollment;

improved access to clean and safe drinking water, for over150,000 pupils and their families;better sanitation for girls and boys, with over 120,000 pupilsaccessing improved services.

Donors: United States Agency for InternationalDevelopment (USAID)

Partners: Family Health International (FHI),Ministry of Education

Budget: US $3,902,800

Timeframe: September 2010 to June 2015

10 CARE ZAMBIA



Moyo wa Bana Capacity Building Initiative

Moyo wa Bana strengthened the capacity of the Ministry ofHealth to deliver a gender-sensitive, holistic health systemthat focused on integrated management of childhood illnesses,benefiting 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 pneumonia-related illnesses;more effective case management among health workers andcommunity-level volunteers through training; andimproved program supervisory skills at provincial, district andhealth centre levels.

Donor : Canadian International Development Agency (CIDA)Partners: CARE Canada, Directorate of Technical and Support

Services, Ministry of Health, Ministry of Community

Development, Mother and Child Health, Provincialand District Health Offices

Budget: CAD $10,310,555

Timeframe: March 2007 to May 2013

Sustainability Through Economic Strengthening, Preventionand Support for Orphans and Vulnerable Children, Youths andOther Vulnerable Populations (STEPS OVC)

The STEPS OVC project targeted the most vulnerable populationsensuring they received a minimum of one core service: care andshelter, education and training, food and nutrition, protectionand 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 othernutritional 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; and60,806 with counselling and testing for HIV.

Donor : United States Agency for International Development(USAID) through the President’s Emergency Fund forAIDS Relief

Partners: World Vision, Copperbelt Health Project (CHEP),Diocese of Chipata, HODI

Budget: US $8,101,750

Timeframe: July, 2010 to July, 2013

Children from poor households (under five)who are vulnerable to chronic morbidity andearly mortality.

11CARE ZAMBIA



Poor households whose members are vulnerableto chronic food insecurity caused by natural andhuman induced factors and inequity (ex. accessto productive assets).

COMACO (Community Markets for Conservation)

The COMACO project seeks to improve natural resourcemanagement and rural livelihoods, enabling impoverishedhouseholds to better protect themselves against climate-inducedshocks, such as prolonged drought. It focuses on empoweringfarmers to own, lead, participate and benefit from fair marketopportunities by adopting sustainable agricultural and landmanagement practices.

COMACO targeted 9,196 farmers in the Chama and Lundazidistricts 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 suchas deforestation; andimproved access to markets, training and leadershipopportunities for women. Independent surveys concluded that

women COMACO farmers reported 50% more personal controlover household resources.

Donor : Canadian International Development Agency (CIDA)and US private donors

Partners: CARE Canada, Wildlife Conservation Society,COMACO Ltd.

Budget: CAD $896,073 and US$ 240,000Timeframe: January, 2008 to May 2014

Expanded Vegetable Production and Commercialization (EVPC)

The EVPC project improved the livelihood of more than 2,400farmers in food insecure communities in the Kalomo andKazungula districts of the Southern Province by providingaccess to quality inputs such as seeds, fertilizers and pesticides,equipment and by facilitating market linkages. The project alsopromoted community savings groups to provide access to savingsand 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, allowingfunds for medical and education-related expenses;reduced intensive labour on women and girls engaged infarming thanks to the water pump irrigation equipment; andhigher self-esteem, sense of belonging and hope for thefuture.

Donors: US private donorsPartners: Ministry of Agriculture and Livestock, Copperbelt

Health Project (CHEP)Budget: US $199,750Timeframe: November 2011 to October 2013

12 CARE ZAMBIA



Local And Global Action for Food Security in Africa (LAGAFA)

LAGAFA aimed to develop better food security, nutrition policiesand programs by strengthening the Civil Society Organization’s(CSO) networks to influence key decision-makers at national,regional and international levels. The project specifically focusedon small scale and peasant farmers (both men and women)who had not been contributing effectively to food security andnutrition policies.

The project worked in Burundi, Malawi and Zambia, focusing onKalomo and Kazungula districts of Southern Province.

Reported outcomes include:improved food security and nutrition;increased participation of women by 130% in civil societyorganizations; andstrengthened capacity of these organizations to engage infood nutrition security policy advocacy initiatives by buildingand mobilizing networks at local and national levels.

Donor : European UnionPartner : Livingstone Civil Society Organization Forum

Budget: €639,000Timeframe: October 2009 to September 2012

Strengthening Cash transfers for Access to FinanceLivelihoods and Entrepreneurship (SCALE)

SCALE aims to strengthen civil society in Zambia by workingon social protection as a precondition for a more equitable,inclusive and democratic society. Working with the Platform forSocial Protection (a leading civil society organization workingon social protection), its focus is to contribute to effectivepathways to graduation from social cash transfers for extremelyvulnerable households by supporting recipients to organize intovillage savings and loans associations and receive training inbusiness planning.

The project targets the Kazungula, Kalomo, Katete, and Kaputadistricts 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 ofthe Platform for Social Protection (a leading civil society

organization working on social protection);strengthen Zambian civil society’s capacity to generate anduse evidence to influence national social protection policy and

practice; andenable civil society to contribute to effective pathways to

graduation from social cash transfers for extremely vulnerablehouseholds.

Donors: European Union, CARE Deutschland

Partners: CARE Deutschland, Platform for Social Protection,

Ministry of Community Development, Mother andChild Health

Budget: US $1,070,981Timeframe: January 2013 to January 2016

13CARE ZAMBIA



Anti-retroviral Treatment (ART) Study

The ART study aimed to understand which transfer mechanism(cash or food) ensures adequate nutrition improvement for thoseinitiating anti-retroviral treatment, and increases adherence in amore effective way.

The study was implemented by the National Food and NutritionCommission, in Katete district of Eastern Province, where HIVaffects 16% of the population.

Reported outcomes of both cash and food transfers included:improved adherence to antiretroviral therapy among patients;significant increases in CD4 count, signifying a strongerimmune system; andbetter overall nutrition of patients and their families, as

measured by Body Mass Index.

Donor : United Kingdom Department for InternationalDevelopment (DFID)

Partners: National Food and Nutrition Commission (NFNC),University of Zambia (UNZA), St. Francis Hospitaland University of the Free States in South Africa

Budget: US $ 790,000Timeframe: March 2010 to December 2012

Integrated Tuberculosis and AIDS Program (ITAP)

Through ITAP, CARE Zambia is supporting the Zambiangovernment in reducing the transmission of HIV & AIDS,sexually transmitted infections and tuberculosis among themost vulnerable populations in the Petauke, Chadiza and Chamadistricts of the Eastern Province, reaching more than 540,000people.

The project focuses on three areas: tuberculosis and HIVlinkage, counseling and testing for HIV positive individuals, andprevention of mother to child HIV transmission.

To date, ITAP has facilitated:1,421 referrals of patients for TB testing5,285 referrals for HIV testing

696 referrals for antiretroviral treatment695 referrals of HIV-positive patients for TB testing3,742 referrals of women to antenatal services (important forreducing mother/child transmission)200 referrals of HIV-exposed children for testing

Donor : United States Centers for Disease Control andPrevention

Partners: Ministry of HealthBudget: US $3,642,655

Timeframe: September 2011 to September 2013

Populations most susceptible to life-threateninghealth issues such as HIV & AIDS, tuberculosis,malaria, diarrhea and malnutrition.

14 CARE ZAMBIA



Private Sector Social Marketing Project (PRISM)

PRISM improves the overall level of health of remotecommunities by reducing the prevalence of HIV & AIDS,water-borne diseases and unplanned pregnancies in 27 districtsof four provinces: Luapula, Northern, Eastern and Southern.

The project equips community volunteers with social marketing

expertise to sell essential health products and promote healthierlifestyles in remote villages throughout Zambia.

Key achievements to date include:2,225 volunteers have been trained in social marketingand business skills, and have actively conducted awarenesscampaigns on high-risk behaviours;158,736 community/household members were reached withsafe water and good hygiene campaigns;158,216 (53,160 men and 105,058 women) were reachedwith health messages on family planning through door-to-door mobilization for the prevention of unplanned/unwantedpregnancies;

63,348 individuals were referred for HIV counseling andtesting; and32,357 men were referred for circumcision.

Donor : United States Agency for International Development(USAID)

Partner : Society for Family Health, Ministry of HealthBudget: US $3,641,745Timeframe: October 2009 to July 2014

Tuberculosis Health Activities in Zambia(THANZI “good health” in Chewa)

THANZI aimed to decrease the mortality and morbidity caused bytuberculosis (TB) in the context of HIV co-infection by trainingcommunity health workers in raising awareness, identifyingpotential infections, referring patients for testing andmonitoring their progress. The project focused on four districts

of the Eastern Province: Chipata, Lundazi, Petauke, Chadiza.

Over five years, THANZI reported:an increased demand for health services among suspectedTB patients; andthe number of TB suspected cases identified and examinedincreased from 4,767 to 9,196 during the project period.

Donor : United States Agency for International DevelopmentPartners: National Tuberculosis and Leprosy Program,

Churches Health Association of Zambia, Chamberof Commerce (Eastern Province), Traditional HealthPractitioners Association of Zambia

Budget: US $1,138,330Timeframe: 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 acomprehensive package that emphasizes prevention, strengthensthe health system and supports the priorities of the Ministryof Health and National AIDS Council. The project focuses onaccessibility, equity and sustainability by training communityvolunteers to mobilize counseling and testing, creating referralnetworks 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/childtransmission; and11,900 referrals for male circumcision (of which 4590were circumcised).

Donor : United States Agency for International Development

(USAID)Partners: Family Health International, Ministry of Health,

National AIDS CouncilBudget: US $11,327,185Timeframe: June 2009 to May 2014

15CARE ZAMBIA



Planting seeds of hope

Driving down the endless stretch of dusty road tothe small village of Kanchele, located roughly 65 kmoutside of Kalomo in Southern Province, one has thedistinct sense of being in the middle of nowhere, farfrom the bustle of urban economic growth that hasbeen 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 ofwhom are gathered along the main road. It is here that we meet

Livinia Siachoobe, a small business owner, who invites us to hershop, displaying her inventory of seeds, herbicides, fungicides,fertilizer and medication for livestock.

Livinia is one of many women mentored through CARE Zambia’sExpanded Vegetable Production and Commercialization (EVPC)project, which focuses on developing agro dealers’ businessskills, supporting smallhold rural farmers and connecting them tolarger markets to sell their produce. In line with CARE’s focus ongender equality and empowerment of women, the project aimsto develop the skills of women and girls in particular, but is alsoinclusive of the men who work with them.

Livinia tells us of the impact that CARE, through the EVPCproject, has had on her life.

“I received training to learn how to run my shop,” explainsLivinia, whose family used to struggle to meet its basic needs,often depending on handouts. “I learned about different seedsand animal medicines and I share this through presentations.It’s made my relationship with farmers stronger.”

Thanks to CARE’s resources and training, Livinia sees anywhere

from 30 to 40 farmers each week. They come to her not onlyfor agricultural goods, but also for important information

about improved seed use, crop diversification and properadministration of medicine to animals. In addition to her

training, the one thing Livinia stresses has made a hugedifference in her life, is the established market linkagesthrough CARE, meaning she no longer has to make the arduous

trek to Lusaka, more than 300 km away. She can now buy herstock in neighboring towns like Kalomo, which has significantly

reduced her transportation costs.

S U C C E S S S T O R I E S

16 CARE ZAMBIA



“I had many problems before… I had to walk long distances andoften I didn’t receive my products,” says Livinia. “Now I don’thave to worry. My business has improved.”

The impact of CARE’s work doesn’t stop with Livinia. It extendsto the farmers, many of whom are women, who proudly showthe vegetables they are growing in the gardens: cabbage, greenmaize, okra, onion, rape and tomatoes.

Today, thanks to newfound access to markets, their focus has

shifted from growing food for their immediate needs, to farmingas a means to a stable income. This represents an importantchange in a culture where farming has traditionally beenviewed as a way of life, and not as a business. The money theyearn from increased yields helps buy food, animals, and, mostimportantly, 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 financial

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, andthen 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 benefitof CARE’s work in projects such as EVPC: its profound impact onthe lives of women and girls in particular. Whereas many have inthe past been deprived of opportunities to engage themselves inprofitable enterprises, they are now empowered with knowledgeand skills that increases their potential to escape poverty and its

associated challenges, such as HIV/AIDS, gender inequality andmarginalization. Kanchele may be remote, but it isn’t isolated.It is like hundreds of other remote villages across Zambia,where access to critical agricultural inputs and a connectionto larger markets, as well as stronger linkages through villagegroups such as VSLAs, can mean the difference between povertyand sustainable livelihoods, between marginalization and acommunity full of hope.

I learned about different seedsand animal medicines and Ishare this through presentations.It’s made my relationship withfarmers stronger.”

“

17CARE ZAMBIA



A typical day for Benson Phiri starts early inthe morning. He reports to work to pick up hismotorbike, reviews his daily route and ensureshe has enough fuel to last him the long distance

he’ll cover that day.He fastens a cooler box to the back of his bike, puts on his

helmet and sets off.

If you’re thinking Benson is a distributor of cold soft drinks,you couldn’t be more wrong. Benson is employed through

CARE Zambia’s 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, Benson’s cooler is filled with dozensof 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 usreach those who are most in need. We find people who cannot

afford to bring samples in for testing because of high travelcosts and long distances, and we do that for them.”

Through this innovative approach to healthcare, CARE isassisting the Zambian government in reducing the transmission

of HIV/AIDS, sexually transmitted infections and tuberculosis,reaching more than 540,000 people.

Here’s how it works.Recognizing that the majority of Zambians live in rural areasthat are often long distances away from health clinics (the

biggest obstacle to getting tested and treated), CARE hasfocused on training community-based volunteers. These men

and women go into the most remote villages, educating peopleabout 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 Chipatafor 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 fromhealth centres in surrounding communities. Between the two ofthem, 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 vulnerablepopulations 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 asa courier. “It’s a very compassionate program that is helping

a lot of patients and they recognize that. When they see amotorbike, they see an ambulance.”

Riding motorbikes to save lives

S U C C E S S S T O R Y

18 CARE ZAMBIA



PROJECT EXPENDITURESFunding for CARE Zambia’s programing in the last fiscal year

came from a wide range of donors, including the CanadianInternational Development Agency, United States Agency

for International Development, United Kingdom Departmentfor International Development, President’s Emergency Fund

for AIDS Relief, Office of the United States Foreign DisasterAssistant, United States Centers for Disease Control and

Prevention, the European Union and CARE International.

Summary statement of CARE Zambia’s project expenditures

CARE Zambia Project Spending: July 2012 to June 2013

PARTNERSWorking in partnership with government departments andprivate organizations has allowed CARE Zambia to strengthen

its programming by filling critical gaps, learning innovativeapproaches 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 governmentdepartments 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 HealthMinistry of Education, Science, Vocational and Early Education

Ministry of HealthNational AIDS Council

National Food and Nutrition Commission

Civil Society Organizations and DonorsAfricare

Catholic Relief ServicesCentres for Disease Control and Prevention

Churches Health Association of ZambiaCanadian International Development Agency

COMACOCommunity Health RestorationCopperbelt Health Project

Diocese of ChipataEuropean Union

Expanded Church ResponseFamily Health International

Futures Group Global Groups Focused Consultations

HODIInnovations for Poverty ActionLivingstone Civil Society Organization Forum

Moment Of HopeNorth-West University, South Africa

NZP+ NchelengeNZP+ Kabwe

Platform for Social ProtectionReformed Open Community SchoolsSengenu Home Based Care

Society for Family HealthSt. Francis Hospital

The Salvation ArmyTraditional Health Practitioners Association of Zambia

Umunwe Umo TB/HIVUnited States Agency for International DevelopmentUNICEF

United Kingdom Department For International DevelopmentUniversity of the Free States, South Africa

University of ZambiaWildlife Conservation Society

World VisionYouth Support Initiative

Project Donor Expenditure

DuringFinancial Year

Anti-retroviral Treatment (ART)

StudyDFID - UKAID $80,020

Community Markets for

Conservation (COMACO)US private donor $56,537

Expanded Vegetable Production

and Commercialization (EVPC)US private donor $102,619

Integrating Adolescent Girls into

Peri-Urban Risk Reduction in

Zambia (IAG)

USAID (OFDA) $92,714

Integrated Tuberculosis and AIDS

Program (ITAP II)

US Centers for

Disease Control and

Prevention (CDC)

$1,140,654

Local And Global Action for Food

Security in Africa (LAGAFA)European Union $100,073

Moyo wa Bana Capacity Building

InitiativeCIDA (Canada) $1,266,428

Private Sector Social Marketing

Project (PRISM) USAID $628,875

Strengthening Cash transfers for

Access to Finance Livelihoods and

Entrepreneurship (SCALE)

European Union $145,238

Strengthening Community Schools

and Other Related Services

(SCORES)

European Union $487,480

Schools Promoting Learning

Achievement through Sanitation

and Hygiene (SPLASH)

USAID $2,597,689

Sustainability Through Economic

Strengthening, Prevention

and Support for Orphans and

Vulnerable Children, Youths and

Other Vulnerable Populations

(STEPS OVC)

USAID $3,181,468

Tuberculosis Health Activities in

Zambia (THANZI “good health” in

Chewa)

USAID $24,069

Zambia Prevention, Care and

Treatment Program (ZPCT II)USAID $1,584,212

TOTAL $11,488,076

19CARE ZAMBIA



CARE ZAMBIA

Plot 9, Chitemwiko Close

Kabulonga P.O. Box 36238

Lusaka, ZambiaDefending Dignity.

Fi h i



CARE Zambia Annual Report 2012-2013

Documents

Transcript of CARE Zambia Annual Report 2012-2013