Detailed Mechanism Funding and Narrative

Details for Mechanism ID: 4527
Country/Region: Tanzania
Year: 2007
Main Partner: Central Contraceptive Procurement Project
Main Partner Program: NA
Organizational Type: Private Contractor
Funding Agency: USAID
Total Funding: $648,440

Funding for Sexual Prevention: Other Sexual Prevention (HVOP): $648,440

This activity specifically links with and supports #7667, #7717, #8723, #7770, #7787, #9646, and #8728 in OP.

By 2009, the Government of Tanzania estimates the overall demand for condoms will be over 150 million per year. In 2006, approximately 86 million condoms were distributed in Tanzania through a combination of social marketing programs, the public sector, and commercial sector sales. In the public sector, condoms are available free to the public but are limited to distribution through clinics, and do not address the need at places where sex is initiated, negotiated and takes place - that is in bars, guest houses and brothels.

Public sector condoms are procured through World Bank T-MAP and Global Fund Round 4 funding. This combination of funding covers the identified need in the public sector distribution system. Condom social marketing is supported through the USG, Global Fund Round 4, KfW Entwicklungsbank, the Royal Netherlands Embassy, and Marie Stopes Tanzania. Commercial sector sales account for approximately 2% of the overall market. Condom availability continues to be a challenge in the areas of most need and it is anticipated that a gap will still exist for unmet need in most-at-risk-populations and high transmission areas for condoms in FY07.

The USG condom social marketing program in Tanzania has evolved from one that previously targeted the general public, to one focusing more specifically on most at risk populations (MARPS). High transmission areas such as communities surrounding mines, agricultural estates, and truck stops are targeted as are bars and guesthouses. Uptake of female condoms has been surprisingly popular, especially among CSW populations, and in 2006 has been limited by availability.

This submission will procure male and female condoms, targeting most at risk populations and high transmission areas, and is intended to fill the gap in specific areas of high risk need. This procurement of approximately 20 million male and 1.5 million female condoms will supply condoms to the Tanzania Marketing and Communications (T-MARC) project, the USG's social marketing partner, who launched Dume, a new male condom targeted at MARPS in March of 2006 and Lady Pepeta, a female condom in September 2005. Through T-MARC, these condoms will also be used to support a number of Emergency Plan partners targeting MARPS. These include PharmAccess providing condoms to the military, a new Uniformed Services prevention intervention, and to support the ROADS initiative focusing on mobile populations along at-risk transport corridors. All distribution activities with these partners have been and will continue to be discussed and negotiated with the National AIDS Control Program.