Local Leadership on Public Private Partnership (PPP) for Strengthening HIV Response Coordination and Management

NAC has received sustained support from UNJT on energizing local leadership and mobilization of domestic resources for local response to HIV&AIDS.  That support has concentrated on repositioning the Local Authorities to increasing owe the response and play an active role in coordinating response at local level.  Since 2002 or thereabout, NAC in partnership with UNJT, AMICAALL/LGAZ and Local Government Fraternity has been engaged in supporting capacity development and dialogues with Local Government to promote local ownership of the multi-secroral response at district and sub-district level. That sustained support seems to be yielding positive results from both the perspective of migration of coordination responsibilities and local resources mobilization initiated and concluded at the local level. The following cases are noteworthy in the period under review.

Case of Local PPP for Health in North-Western Province

North-Western Province and its seven districts had an estimated population of 781,800[1] (2009). HIV prevalence among adults 15-45 years of age is estimated to be 6.9% (4.5% in men and 9.1% in women), contrasted with an estimated prevalence of 14.3% for Zambia as a whole (12.3% in men and 16.1% in women). The Province is the upcoming new Copperbelt of Zambia, following massive investments in development of the mining sector. With the inflow of mobile and migrant workers and increased trading opportunities, that picture might rapidly change if response efforts are not scaled-up and sustained.

Recognising the unfolding situation and notwithstanding the low burden, the PATF (with technical support of the PACA) have managed to mobilize about K263 million commitment per annum from Copperbelt Energy Company (CEC) to supporting response coordination in the Province, with specific emphasis on Mwinilunga for a period of five years. That translates to slightly above 3 times usually allocation from NAC per annum. It is the first time in the case of Zambia for private company to commit such an amount to local response coordination negotiated at local level.

Case of Local Partnership between Luanshya Municipal Council and DATF

Luanshya is one of the 10 districts forming the Copperbelt Province. The Province has an estimated population of 2,034,012 (2009). HIV prevalence among adults 15-45 years of age is estimated to be 12.3% (17.0% in men and 21.6% in women). This is in contrast to the National HIV prevalence estimate of 14.3% (12.3% in men and 16.1% in women). As for Luanshya, prevalence is both above Provincial and National averages. With an estimated population of 147,908 (2009), the mining district has prevalence of 16.5 % and an estimated 20,720 PLHIV.

The DAFT and the Local Authority benefited from the AMICAALL Capacity Development Programme on Leadership Development for Good Governance and Response to Emerging Issues. Incidentally, the current AMICAALL Chair is the current Mayor of Luanshya. The dividend has been that Municipal Authority has earmarked resources from the Constituency Development Fund (CDF) to support local response. In the year under review, K20 million  was allocated for furnishing Office for the DATF. In 2013, some funds have been reserved to support HIV response planning, M&E at sub-district levels.  As a result, the Council is increasingly demanding for reports from the DATF and these are presented through Health sub-Committee reports to Full