ZAMFAM used the case management approach which tracks the beneficiary from identification to graduation. The case management cycle involves a ZAMFAM methodology of scaled up community engagement from the first step of orphans and vulnerable children (OVC) identification, followed by assessment, case opening, child and family support planning, support and referral services, monitoring and review and case closure. An assessment process is used to determine the specific needs of each child and household, creating an individualized care plan with action steps to address the areas of highest vulnerability. ZAMFAM directly provides or delivers referrals to existing services to meet the basic needs of OVC through home visits and one-stop delivery points at community level by trained community volunteers (CVs). These services address primary health care which includes HIV prevention, care and treatment, education, psychosocial needs, child protection, nutrition, parenting skills and economic strengthening.
As the project comes to an end in 2020, ECR engaged Population Council (PC), to conduct a qualitative case study of the ZAMFAM program. Perspectives of beneficiaries and stakeholders were sought in addition to a detailed review of key program documentation to identify best practices and lessons for future programming. These best practices are discussed in detail in the report and recommendations are shared. The beneficiary home visitations from CVs, which provided a comprehensive service package, were hailed by beneficiaries and key stakeholders as a key to success of the program.