This activity also relates to the following Orphan and Vulnerable Children (OVC) activities: PACT (#7783), Salvation Army (#7801) and Deloitte Touch Tohmatsu (#7817). As an OVC partner, this activity will link with the PACT Coordinating Implementing Partner Group (IPG) network for OVC (#7783) and the FHI OVC data management system (#7715).

This is an extension of a targeted evaluation effort being undertaken by USAID/ Washington. The objective of this targeted evaluation is to increase the quality and effectiveness of interventions to improve the well-being of OVC affected by HIV/AIDS. It is a two-year study, initiated in FY06. The overall goal of the evaluation is to identify what interventions are most effective in terms of models, components, costs, and outcomes in improving the well-being of OVC in resource poor settings. The study will identify best practices for improving effectiveness and increasing the scale of OVC interventions, and will also include a costing component to identify the cost of scaling up services. The OVC program visits, assessment, and selection of the programs that fit best the evaluation criteria have been completed. Measure will proceed with assessments of three OVC selected models; namely, the OVC program for Salvation Army Tanzania (which utilizes its well-known Psychosocial Model of Kids clubs and MAMA MKUBWA), PACT Tanzania (utilizes the national MVC identification framework), and CARE Tumaini (using a model that combines palliative care and OVC service with "one stop shop model" i.e. VCT, ART,HBC, IGA and prevention for youth). The three implementing organizations included in the evaluation are presently funded by the Emergency Plan.

While the general study is supported by central funding, the requested FY07 funds will be used for supporting the gathering of information on the selected program sites and case studies at the third site since the Washington-based funds only cover two sites. Given the variety of programs that have been underway in Tanzania, the three sites will make the results more useful and robust. The results will be disseminated in two phases; during the initial stage, the rapid findings will be disseminated (May and June 2007) and later. The follow-up results, including detailed analysis, will be disseminated (July and August 2007).

The evaluation results should also inform standards of quality performance for each essential service (such as education, psychosocial support, shelter, food, protection, health care, economic opportunity, and HIV prevention and care).

The activities in this narrative are linked to the monitoring of all service delivery supported by the USG.

MEASURE/Evaluation's strategy to support the USG SI team in Tanzania during FY2007 has three main components: (1) Assist the USG with coordination of SI activities among PEPFAR partners; (2) strengthen capacity to monitor, evaluate, and report PEPFAR results; and (3) support use of HIV/AIDS data for PEPFAR planning. These objectives will build on the aims of activities funded through the FY 2006 COP. This will be accomplished by maintaining a Resident Technical Advisor (RTA) to support the USG SI team; targeted capacity building exercises; technical assistance for the establishment of a USG database; and continuing semi-annual mapping of PEPFAR activities and results. In addition to supporting the USG team and its partners, it will strengthen the capacity of local institutions to use HIV/AIDS data for decision-making and to monitor and evaluate HIV/AIDS programs in Tanzania. Beneficiaries will include the GoT, international NGOs where necessary to ensure proper management of USG resources, and most particularly local, indigenous organizations. This will be accomplished through national level M&E trainings with staff from key GoT agencies, and workshops focusing on data use for HIV/AIDS program planning at the regional and district levels. Mapping of HIV/AIDS activities will be expanded to include non-PEPFAR activities and results, which will be of use to both USG and GoT. Unlike previous years, MEASURE/Evaluation activities in FY2007 will also include Zanzibar. The following are the specific details:

I. RTA: Through an RTA, MEASURE/Evaluation will continue to provide technical assistance to the USG and its partners, as well as to the GoT to effectively monitor and evaluate the progress of the national response to HIV/AIDS. Specific activities include: 1) Strengthening M&E systems and capacity for USG partners and sub-grantees through technical assistance on data collection, data quality, analysis, and use to meet PEPFAR reporting requirements and their own data use for decision-making; 2) facilitating M&E training for USG and GoT as needed, and 3) coordinating technical and capacity building assistance from MEASURE/Evaluation HQ including support for the establishment of a USG database. Deliverables: 1) Revised SOW document for RTA signed off by Mission and MEASURE Evaluation; 2) RTA in post for FY2007.

II. Capacity building of USG partners: In FY2007, MEASURE/Evaluation will provide assistance to USG implementing partners (including relevant GoT agencies) to strengthen their capacity to monitor and evaluate their programs. This assistance will be informed by a capacity assessment and planning activity that will be carried out in FY 2006. Specific support will be provided to USG partners on areas of need as identified but may include: periodic partner meetings; targeted mini-trainings and one-on-one mentoring. Deliverables: 1) Reports on a set of priority activities to be supported by MEASURE/Evaluation; 2) a USG approved technical assistance plan that is effectively implemented.

III. Strengthen the M&E skills of national HIV/AIDS program professionals: In collaboration with, and in response to a specific request from GAMET (World Bank, UNAIDS and TMAP), MEASURE/Evaluation will strengthen the M&E skills of national HIV/AIDS program professionals by offering a two-week training course in M&E of HIV/AIDS programs. The workshop will be based on a standard curriculum developed by MEASURE/Evaluation that covers fundamental concepts and tools for M&E HIV/AIDS programs. It will target national level M&E professionals and their counterparts, assistants and advisors who are involved in the implementation of HIV/AIDS program. They will primarily be drawn from ZAC, TACAIDS, METTHAZ, and academic institutions in Zanzibar. Deliverables: 1) 30 people trained in a two-week M&E workshop; 2) Training report and participant evaluations.

IV. Mapping of USG/PEPFAR and selected non-USG supported Programs: Building on the GIS activities during FY 2006, MEASURE/Evaluation proposes to continue the semiannual mapping that was initiated in 2005, using the existing GIS database of HIV information (DHS, PEPFAR reporting, Census, Sentinel Surveillance, etc.) and to expand the analysis of PEPFAR program data. Expanded analysis will include mapping of additional select indicators for the benefit of USG planning. MEASURE/Evaluation will also work closely with TACAIDS, ZAC and NACP to update the mapping of selected non-PEPFAR HIV activities in Tanzania. MEASURE/Evaluation will also produce semiannual GIS data viewers on CDs and

train USG partners on their use. Additionally, MEASURE/Evaluation will continue to integrate new sources of HIV related information into the GIS database, such as the Service Provision Assessment and poverty estimates. Deliverables: 1) Updated maps of USG PEPFAR programs (two times, at six month intervals); 2) Updated maps of selected programs not receiving USG/PEPFAR support (one annual update); 3) GIS data viewers on CD-ROM (one version); 4) 60 trained users of the CDs in USG partner organizations; 5) Updated GIS database with a selected set of new sources as they become available, and as approved by USG.

V. Data use workshops for regional and district GoT and NGO staff: To help the GoT and NGOs make better use of data to inform HIV/AIDS programs, MEASURE/Evaluation, in collaboration with MEASURE DHS has been working with TACAIDS, the National Bureau of Statistics (NBS), the National AIDS Control Program (NACP) and the GAMET team to develop a comprehensive curriculum which covers the use of data (including maps) for HIV/AIDS program planning, focused on District-level decision makers. Funds from the FY 2006 COP are being used for curriculum development and for 2 workshops for Regional and District Health Management Teams. With FY2007 funding, the curriculum will be revised based on the lessons learned from the first round of workshops and 4 additional workshops will be conducted. These workshops will serve as a follow-up to the TACAIDS training conducted for District-level officials on how to collect and report HIV/AIDS M&E data. Deliverables: 1) Revised and updated data use curriculum based on lessons learned from FY 2006 workshops and newly available data sources; 2) Four completed data use workshops (as documented by training reports and participant evaluations); 3) 120 people trained from Regional and District Health Management Teams (as documented by training reports and participant evaluations); 4)A GoT authored strategy document produced with MEASURE Evaluation support outlining how GoT intends to sustain and fund future data use workshops.

To avoid a break in technical assistance currently provided through Measure/Evaluation it is proposed that $150,000 in plus up funding be issued under Task 3 to fund the maintenance of Measure's current RTA through September, 2008. Specific activities for RTA will include: 1) Strengthening M&E systems and capacity for USG partners and sub grantees through technical assistance on data collection, data quality, analysis, and use to meet Emergency Plan Reporting Requirements, 2) Facilitating monitoring and evaluation training for USG and GoT as needed, and 3) maintain linkages between USAID and the USG SI Liaison. This funding strategy will ensure on-going TA and a smooth transition to the new Measure/Evaluation activity to be awarded by September 2008. The remaining funds will be used to support the TaPRS development and modifications. The system will be used in Tanzania for the present to enable accurate reporting of PEPFAR results, mapping, and use of PEPFAR data. It is expected that Tanzania will migrate to a monitoring and reporting system as a component of the data platform but TaPRS will be developed and used until an M&R system is developed and operational.