Detailed Mechanism Funding and Narrative

Details for Mechanism ID: 4518
Country/Region: Tanzania
Year: 2007
Main Partner: International Federation of Red Cross and Red Crescent Societies
Main Partner Program: American Red Cross
Organizational Type: NGO
Funding Agency: USAID
Total Funding: $278,365

Funding for Sexual Prevention: Abstinence/Be Faithful (HVAB): $278,365

This activity links to others in AB (8691 and 7852).

The American Red Cross (ARC) and its implementing partner, the Tanzanian Red Cross Society (TRCS) are collaborating on the "Together We Can" (TWC) program, which uses a proven youth HIV/AIDS peer education methodology to reduce the incidence of HIV among 10 to 24 year old youth. The TWC methodology was first developed and implemented in Jamaica in 1993 in a partnership between USAID, Family Health International, the American Red Cross and the Jamaican Red Cross. It has since been successfully replicated in 16 Caribbean countries, several countries in Central America, Malawi, South Africa and Lesotho.

The five-year project, which began in FY 2004, aims to reach 450,000 Tanzanian youth through several outreach strategies, including curriculum- based interventions, peer-to-peer outreach, education/entertainment events and mass media. Partnership building, capacity building of the TRCs, and the engagement of adult stakeholders such as teachers and parents are also key elements of the project.

The TWC program in Tanzania is currently being implemented in all four districts in the Kigoma Region of Tanzania: Kigoma Urban, Kigoma Rural, Kasulu and Kibondo districts. The program works in schools targeting both primary and secondary school students and in sites targeting out-of-school youth. TWC aims to have gender equality in the number of youth reached.

The TWC program consists of a proven skills-based peer education methodology that uses games, role play and other highly interactive methods in both small group and one-on-one settings to teach youth to: learn correct information about HIV/AIDS; examine their personal behavior to determine their risk; learn effective strategies to reduce their risk and that of their peers; and develop skills to help maintain these safer sexual practices. Youth also examine stigma and discrimination against People Living with HIV/AIDS (PLWHAs). Finally, the TWC program emphasizes linkages and referrals to health and youth related services, including VCT, care and support, and vocational training.

TRCS works through its established Kigoma branches to train volunteer peer educators (PE) to facilitate sessions with small groups of approximately 20 beneficiaries per workshop. Each youth participant in the workshops in turn communicates key TWC workshop prevention messages via peer-to-peer outreach to at least 10 of their peers as a ‘take-home assignment'. TRCS also facilitates a variety of community mobilization activities to mobilize communities to adopt safer norms and behaviors related to HIV infection.

In FY 2006, the TWC program exceeded its targets. The following data represents the period October 1 2005- July 31, 2006: A total of 136 PEs (113% of the target for Year 2) were trained and over 11,000 youth beneficiaries (116% of the target for Year 2) completed the entire TWC curriculum. These youth then reached over 137,000 of their peers (196% of the target for Year 2) with HIV prevention messages. In addition, over 59,000 youth were reached via community mobilization events in FY 2006. A total of 793 adults (110% of the target for Year 2), including parents, teachers, and community and religious leaders, were engaged in dialogue through town hall meetings that promoted healthy norms and behaviors and involvement in youth reproductive health. Several operational partnerships have been established including partnerships with FHI/YouthNet, the Ministries of Health and Education, International Youth Foundation, SHDEPHA+, World Vision and ISHI.

In FY 2007, a total of 100,000 youth beneficiaries in Kigoma Region will be reached. A total of 120 new Peer Educators will be trained and will they reach approximately 10,000 youth (multipliers) via the highly interactive curriculum-based Peer Education workshops. Each of the 10,000 Youth Multipliers will be tasked with taking the TWC messages they have received from Peer Educators and delivering those messages to at least seven of their peers (called Youth Participants). Therefore, a total of 70,000 Youth Participants will be reached in FY 2007. An additional 20,000 youth will be reached via edutainment events, such as music, dance, sporting events and debates. The program will also conduct mass media events (radio) involving youth in each of the four districts in Kigoma Region (an estimated radio audience of 250,000 youth). In addition, the TWC program will continue to support youth clubs. As much as possible, youth club members will be trained

as Peer Educators, so that they can disseminate TWC messages to all members of their clubs. Emphasis in FY 2007 will also be placed on continuing to adapt the TWC curriculum to the local Tanzanian context in collaboration with other partners.

The TWC program will enhance its already strong partnerships with the Regional and Local government, as well as NGOs and CBOs active in Kigoma Region and in youth HIV/AIDS prevention nationally. TWC technical staff will also continue to regularly participate in the FHI/YouthNet Coordinating Committee for Youth Programs and the AB-Y partners meetings.

Organizational development and capacity building of TRCS will continue to occur through formal and informal trainings. Several priority areas for FY 2007, including project planning, monitoring and evaluation, and Behavior Change Communication (BCC) for HIV/AIDS prevention have already been identified jointly by TRCS and ARC.

Finally, the TWC program will continue to enhance the community environment for adoption of safer sexual practices by organizing at least 24 town hall meetings that aim to ensure adult support of, and involvement in, the program. The TWC program will also work with and through existing community councils in all project areas.