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The development objective of the Health Services Improvement Project for Zambia is to improve health delivery systems and utilization of maternal, newborn, and child health (MNCH) and nutrition services in project areas. The project has three components. The first component, strengthening capacity for primary and community level MNCH and nutrition services objective is to strengthen health systems in project areas through: (i) enhanced training capacity and standards for nursing and midwifery; (ii) improved supply chain systems for essential commodities; and (iii) improved referral system and linkages across levels of care. It has following three sub-components: (a) enhance training capacity and standards for nursing and midwifery; (b) improve supply chain systems and availability of essential commodities; and (c) improve referral system and linkages across levels of care. The second component, strengthening utilization of primary and community level MNCH and nutrition services through results based financing approaches objective is to build on the on-going results based financing (RBF) pilot to strengthen MNCH and nutrition service delivery, with a specific focus on increasing supply and demand side efficiency and reaching the underserved population. It comprises of following two sub-components: (a) expand results based financing at primary facility level; (b) introduce results based approaches at community level. The third component, strengthening project management and policy analysis objectives are to strengthen project management, implementation, monitoring and evaluation; provide technical assistance for evidence-based policy analysis and health financing innovations; and appoint an independent verification agent to verify the project results. It comprises of following three sub-components: (a) project management and implementation, monitoring and evaluation; (b
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