PEPFAR's annual planning process is done either at the country (COP) or regional level (ROP).
PEPFAR's programs are implemented through implementing partners who apply for funding based on PEPFAR's published Requests for Applications.
Since 2010, PEPFAR COPs have grouped implementing partners according to an organizational type. We have retroactively applied these classifications to earlier years in the database as well.
Also called "Strategic Areas", these are general areas of HIV programming. Each program area has several corresponding budget codes.
Specific areas of HIV programming. Budget Codes are the lowest level of spending data available.
Expenditure Program Areas track general areas of PEPFAR expenditure.
Expenditure Sub-Program Areas track more specific PEPFAR expenditures.
Object classes provide highly specific ways that implementing partners are spending PEPFAR funds on programming.
Cross-cutting attributions are areas of PEPFAR programming that contribute across several program areas. They contain limited indicative information related to aspects such as human resources, health infrastructure, or key populations programming. However, they represent only a small proportion of the total funds that PEPFAR allocates through the COP process. Additionally, they have changed significantly over the years. As such, analysis and interpretation of these data should be approached carefully. Learn more
Beneficiary Expenditure data identify how PEPFAR programming is targeted at reaching different populations.
Sub-Beneficiary Expenditure data highlight more specific populations targeted for HIV prevention and treatment interventions.
PEPFAR sets targets using the Monitoring, Evaluation, and Reporting (MER) System - documentation for which can be found on PEPFAR's website at https://www.pepfar.gov/reports/guidance/. As with most data on this website, the targets here have been extracted from the COP documents. Targets are for the fiscal year following each COP year, such that selecting 2016 will access targets for FY2017. This feature is currently experimental and should be used for exploratory purposes only at present.
Years of mechanism: 2008 2009
THIS IS AN ONGOING ACTIVITY FROM FY 2008. ACTIVITIES LISTED HAVE BEEN INITIATED AND
WILL PROCEED DURING FY 2009 AS IN THE PREVIOUS YEAR. ACCOMPLISHMENTS WILL BE
REPORTED IN THE FY 2008 APR. PLEASE NOTE THAT THE ACTIVITY NARRATIVE REMAINS
UNCHANGED FROM FY 2008; ONLY CHANGES RELATED TO MBEYA PREVALENCE DATA
New Tanzania HIV/AIDS and Malaria Indicator Survey indicate that the estimated HIV prevalence in Mbeya
region is 8%.
*END ACTIVITY MODIFICATION*
TITLE: Community sensitization to promote abstinence and fidelity
NEED and COMPARATIVE ADVANTAGE: The estimated HIV prevalence in Mbeya region is 13%, one of
the highest in the country, and prevailing social norms challenge HIV prevention efforts in the region.
KIHUMBE has established itself as a national leader in prevention education. KIHUMBE has established
itself as a national leader in prevention education. Since 2000, KIHUMBE has won annual national awards
from the Tanzanian Art Council and Kilimanjaro Music Awards for its dramatic performances. KIHUMBE has
also developed expertise in coordinating large-scale media campaigns and is at the forefront of HIV
prevention education in the community. In addition to conducting these activities, KIHUMBE provides
training to other members of the Mbeya HIV Network Tanzania (MHNT) as well as NGOs in the Rukwa and
Ruvuma regions.
ACCOMPLISHMENTS: KIHUMBE trained 75 representatives of MHNT member NGOs to provide accurate
AB HIV/AIDS prevention messages, and coordinated a collaborative prevention campaign, "Know the
Facts." Working with the MHNT, the campaign included promoting AB messages through cassette tapes
distributed to local commuter buses. KIHUMBE volunteers reached over 100,000 individuals with
performances and other activities, and collaborated with MHNT to provide HIV prevention education at large
scale events, including an annual eight-day festival (Nane Nane farmers festival), World AIDS Day, and
Valentine's Day
events.
ACTIVITIES: 1) Continue to sensitize the community and convey AB messages through creative public
presentations in Mbeya region.
1a) Continue to employ volunteer artists to create and perform motivational and educational presentations
promoting AB messages.
1b) Coordinate with village executives, schools, and other community leaders to schedule presentations
throughout the community and in three of the larger workplaces in Mbeya. 1c) Perform presentations at
large-scale community events, including the annual Nanenane festival, World AIDS Day, and monthly HIV
testing events organized by MHNT.
2) Build upon the success of previous years' efforts and coordinate a community-wide campaign in Mbeya
region in collaboration with other MHNT members to raise awareness and promote AB messages. 2a)
Consult lessons learned from previous years and plan an effort based upon the Dala Dala campaign, which
included production of cassette tapes with AB messages, distribution, and use of these tapes on local
commuter buses. 2b)Produce cassettes, videos, and/or other promotional materials for distribution to
KIHUMBE's outlets, 50 wards. 2c) Promote the campaign's messages through community education
activities.
3) Continue to train peer counselors at the village level to ensure a widespread and accurate knowledge
base, encourage discussion to reduce stigma, and de-emphasize previous traditional responses to
HIV/AIDS. 3a) Consult with community leaders to identify influential individuals of all ages to be trained as
peer counselors, maximizing the potential for changing social norms.
3b) Provide training for peer counselors initially, and on a refresher basis, as necessary.
3c) Convene regular Saturday meetings of youth peer counselors to motivate volunteers, monitor efforts,
identify challenges, and improve quality of service.
4) Train artists and other volunteers of NGOs in Mbeya, Rukwa, and Ruvuma regions to create and perform
presentations and provide other HIV prevention education activities. 4a) Provide comprehensive training to
new volunteers of DOD-funded NGOs in the southern highlands zone. 4b) Offer refresher training to
volunteers who previously received comprehensive training to refine skills and share new techniques.
LINKAGES: Along with executing prevention activities, KIHUMBE also provides a number of other services,
including counseling and testing (CT), OVC services, and home-based care. KIHUMBE is also a founding
member of the MHNT, a coalition of 13 NGOs/FBOs providing HIV prevention and care in Mbeya region
that collaborate to maximize impact and coverage of their collective activities and eliminate overlap. This
activity also links with: schools, faith groups and village associations; Saturday and after school youth
programs; ward leaders and other local government officials; faith groups and other providers of counseling
services; VCT sites to facilitate referrals; and PEPFAR marketing groups STRADCOM and AED for local
advertising to encourage event participation.
CHECK BOXES: Promotion of AB messages will target the general population and youth with efforts
designed to sensitize the community and shift social norms toward greater respect for gender, legal, and
human rights. Individuals of all ages will be targeted with specific A and/or B messages in an effort to exert
broad influence on community norms. Training is a key component of this program area, as volunteers
constitute the primary human resources delivering HIV prevention education. Developing programs in
Rukwa and Ruvuma regions will particularly benefit from KIHUMBE's training activities.
M&E: In addition to established processes for monitoring indicators on a quarterly basis, KIHUMBE will
implement standardized tools for collecting detailed data on service delivery. These tools, developed by
MHNT under a separate entry, will allow for data from all MHNT member NGOs to be compiled, thereby
Activity Narrative: identifying gaps within service provision at the community level. These data will be shared with local
leaders to highlight key needs and enlist community support in meeting these needs. Data collected by the
network through clients' referral routes to VCT will help refine and better target specific KIHUMBE
community education efforts.
SUSTAINABILITY: KIHUMBE is a local, grassroots Tanzanian-run NGO that was established in 1991 and
has flourished under strong leadership. Along with maintaining and expanding its original site in the Mbeya
municipal area, KIHUMBE has established service outlets in Mbalizi, Tukuyu, and Chunya, extending its
area of service. DOD is one of KIHUMBE's multiple funding sources. In addition to its impressive record of
service delivery, KIHUMBE's organizational capacity to collect and manage data and secure funding is
among the strongest in the zone. Capacity building and other training opportunities through other USG
partners will remain available to KIHUMBE.
New/Continuing Activity: Continuing Activity
Continuing Activity: 13504
Continued Associated Activity Information
Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds
System ID System ID
13504 3374.08 Department of Kikundi Huduma 6530 1028.08 $630,000
Defense Majumbani
7734 3374.07 Department of Kikundi Huduma 4549 1028.07 $120,000
3374 3374.06 Department of Kikundi Huduma 2834 1028.06 $100,000
Emphasis Areas
Gender
* Addressing male norms and behaviors
* Increasing gender equity in HIV/AIDS programs
* Reducing violence and coercion
Human Capacity Development
Public Health Evaluation
Food and Nutrition: Policy, Tools, and Service Delivery
Food and Nutrition: Commodities
Economic Strengthening
Education
Water
Table 3.3.02:
ACTIVITIES
Participate in expansion of activities for OP services to address needs of communities along the transport
corridor road construction to be undertaken as part of the Millennium Challenge Compact
TITLE: KIHUMBE promoting safer choices to reduce sexual transmission of HIV.
Mbeya borders Malawi and Zambia, thereby supporting the main trade route via highway. The transactional
sex and high-risk behaviors associated with its location are the primary reason for its high prevalence. While
abstinence and faithfulness are important to stemming the HIV/AIDS epidemic, it is also critical to empower
sexually active individuals to make safer choices to protect themselves and their partners from HIV
infection. KIHUMBE has established itself as a national leader in prevention education and has received
awards annually from the Tanzanian Art Council and Kilimanjaro Music Awards for its drama activities since
2000. KIHUMBE has also developed expertise in coordinating large-scale media campaigns. In addition to
conducting these activities, KIHUMBE provides training to other members of the Mbeya HIV Network
Tanzania (MHNT) as well as NGOs in the Rukwa and Ruvuma regions.
ACCOMPLISHMENTS: OP has been a component of community-wide HIV prevention education activities
spear-headed by KIHUMBE. These large-scale activities have included media campaigns, outreach, and
education at regional and national festivals and other annual events reaching large parts of the population.
Planned efforts described in this narrative will complement general education with more intensive individual
and group-level interventions to promote behavior change in local secondary schools, youth groups of out of
-
school youth, young adults, and employees in the three large workplace venues in Mbeya.
ACTIVITIES: 1. Continue to train peer counselors at the village level to provide community HIV prevention
education, reduce stigma, encourage consistent and correct condom use by sexually active individuals, and
promote dialogue as well as utilization of voluntary counseling and testing (VCT) services.
1a. Consult with community leaders to identify influential individuals of all ages to be trained as peer
counselors, maximizing the potential for changing behavior.
1b. Provide training for peer counselors, both initially and on a refresher basis as necessary among youth
and at workplaces.
1c. Convene regular meetings of peer counselors to motivate volunteers, monitor efforts, identify
challenges, and improve quality of service.
2. Convene post-test clubs of PLHWA to share experiences and discuss disclosure and HIV prevention
issues, including safer sex.
2a. Continue to convene existing post-test clubs, and communicate with PLWHA served by a given NGO to
identify meeting times and venues favorable to PLWHA participation.
2b. In addition to providing a supportive environment for sharing feelings and experiences, identify and/or
develop and implement mini-curricula designed to assist PLWHA (including members of discordant couples)
in preventing further transmission of HIV.
3. Coordinate with VCT services to convene post-test safe choices discussion groups for individuals who
test HIV negative, supporting them to sustain their HIV-negative status. Focus efforts on empowering
individuals to identify safe choices they wish to make, and developing the skills each individual needs in
order to implement those choices consistently.
3a. Explore national and/or international resources to identify and/or develop a mini-curriculum that
addresses empowerment, assertiveness, and communication skills, including condom negotiation skills.
3b. Address alcohol use as an obstacle to making safer sexual choices, and encourage individuals to
consider safer choices regarding alcohol consumption.
3c. Through MHNT train MHNT members and NGOs in Rukwa and Ruvuma to provide youth and adult
peer education and post-test group facilitation.
3d. Establish a referral system with permanent and mobile VCT service sites, whereby all individuals
testing HIV-negative are encouraged to participate in post-test discussion groups.
4. Coordinate with other prevention efforts to ensure provision of education about safer sex to sexually
active individuals, including members of discordant couples.
4a. Work with providers of gender, human and legal rights training to incorporate education about condom
use and condom negotiation as appropriate.
4b. Collaborate with providers of educational performances to prepare and perform presentations
encouraging correct and consistent condom use by sexually active individuals.
4c. Join MHNT efforts with marketing and radio groups to develop a community-wide media campaign,
ensuring messages include encouraging sexually active individuals to use condoms consistently and
correctly and to avoid preventable risky behaviors.
5. Purchase and maintenance of vehicle to transport IEC educational team, materials, and equipment to
KIHUMBE sites and MHNT training sites in Ruvuma and Rukwa.
Activity Narrative: LINKAGES: Along with executing prevention activities, KIHUMBE also provides a number of other services,
including CT, OVC services and home-based care. KIHUMBE is a founding member of the MHNT, which is
a coalition of 13 NGOs/FBOs providing HIV prevention and care in Mbeya region. The MHNT collaborate to
maximize impact and coverage of their collective activities and eliminate overlap. This activity also links
with: MHNT for training in OP messaging; schools, faith groups and village associations; saturday and after
school youth programs; ward leaders and other local government officials; faith groups and other providers
of counseling services; VCT sites to facilitate referrals; ROADS/FHI program in accessing high risk
populations along the trans-African highway; and marketing groups such as STRADCOM and AED for local
CHECK BOXES: These services focus on sexually active individuals, including members of discordant
couples, as well as adults and youth who have or may become sexually active. Activities designed to
empower individuals, particularly women, to make safer choices regarding sexual behavior, address gender
norms and promote gender equality. These approaches also encourage risk reduction among persons
engaging in prostitution or transactional sex. Training of peer educators and group facilitators is a key
component of this program area, as volunteers constitute the primary human resource delivering HIV
prevention education.
MHNT, will allow for specific data from KIHUMBE to be compiled by an M&E staff person, thereby
identifying gaps within service provision at the community level. These data will be shared with local
leaders to highlight key needs and enlist community support in meeting these needs. Data collected by
KIHUMBE regarding clients' referral routes to VCT will help refine and better target community education
efforts, and test results via mobile VCT services will help identify sites to reach high-risk groups with
additional education.
SUSTAINABILITY: KIHUMBE is a local grassroots Tanzanian-run NGO that was established in 1991 and
area of services. DOD is one of KIHUMBE's multiple funding sources. In addition to its impressive record
of service delivery, KIHUMBE's organizational capacity to collect and manage data and secure funding is
Continuing Activity: 13505
13505 8723.08 Department of Kikundi Huduma 6530 1028.08 $171,550
8723 8723.07 Department of Kikundi Huduma 4549 1028.07 $25,000
Table 3.3.03:
ACTIVITY UNCHANGED FROM FY 2008.
TITLE: KIHUMBE Community Home-based Care in the Mbeya Region
NEED and COMPARATIVE ADVANTAGE: As the number of HIV-positive individuals who know their
serostatus increases, so does the need for palliative care and for support adhering to antiretrovial therapy
(ART). Between clinic visits, people living with HIV/AIDS (PLWHA) need assistance to treat symptoms,
receive appropriate opportunistic infection (OI) prophylaxis, and ensure proper nutrition and support to
maximize treatment effectiveness. Clients with improved health need support in earning an income, and
those with failing health require end-of-life care. KIHUMBE pioneered community home-based care (HBC)
in the Mbeya region, providing HIV/AIDS services in HBC, counseling and testing, prevention, and support
to OVC since 1991 and has been a prime partner under PEPFAR since 2004. As additional NGOs begin to
provide community HBC to expand coverage of these services in Mbeya, KIHUMBE also provides initial and
refresher training to these providers.
ACCOMPLISHMENTS: KIHUMBE has supported 900 clients with palliative care, including nutrition
counseling and assistance, psychosocial/spiritual support, OI and pain management, cotrimoxizole/malaria
prevention, referrals for malaria and TB diagnosis and treatment, access to safer water, training in income
generating activities (IGA), legal and human rights education, and ART adherence counseling. In addition,
KIHUMBE continued to serve as the provider of training for community HBC providers, training more than
350 community members to care for PLWHA.
ACTIVITIES:
KIHUMBE collaborates with members of the Mbeya HIV Network Tanzania (MHNT), SONGONET, and
RODI (see other submissions for these partners) in order to ensure that consistent packages of services are
available for clients in Mbeya, Rukwa, and Ruvuma regions. In addition, implementation of services has
been standardized across these partners while allowing for some flexibility in focus/approach depending on
regional conditions. In FY 2008, KIHUMBE will:
1. Continue to provide community HBC training for service providers in accordance with national guidelines,
curriculum, and standards. 1a. Train new providers for other MHNT, SONGONET, and RODI member
organizations in basic palliative care services described above. 1b. Provide refresher training for providers
in all three regions.
2. Expand provision of community HBC to additional clients in the Mbeya region. 2a. Supply nutrition
evaluation and counseling as well as food (to those who qualify) and vitamin supplements to clients during
their first six months of ART. 2b. Link clients to Peace Corps agriculture activities in the region for training in
home gardens for both personal food production and as an income-generating opportunity. 2c. Link to
USG procurement programs for distribution of insecticide-treated nets (ITN) and water purification supplies
to clients. 2d. Provide training and support for IGAs for caregivers and able PLWHA, and help to develop
sustainable associations for income generation. 2e. Assist with short-term nutrition for malnourished
children of HIV-positive clients unable to work. 2f. Identify and refer pediatric and adult cases of TB, malaria,
and/or HIV/AIDS to healthcare providers.
3. Convene monthly education and support group meetings for community HBC clients. 3a. Establish and
inform community HBC clients of regular client meeting times. 3b. Develop a schedule of presentations and
activities to augment support group meetings, addressing issues such as nutrition and other topics of
interest identified by participants. 3c. Inform clients of IGA opportunities and trainings.
4. Train clients' caregivers in basic palliative care to increase community capacity and enable community
HBC providers to prioritize clients with the most need. These efforts will foster community responsibility as
well as expand program capacity to reach more PLWHA. 4a. Community HBC providers will provide
ongoing training to caregivers as part of regular visits, creating a plan for reducing visits to longer intervals
and, as appropriate, ceasing visits except as needed/requested by the caregiver. 4b. Identify and address
special training needs for elderly caregivers with literacy, health, or other barriers.
5. Incorporate prevention for positives and partner/child VCT referral into community HBC visits wherever
appropriate. 5a. Ensure community HBC providers are trained to discuss HIV prevention with clients.
Modify the existing community HBC curriculum in prevention for positives approached based on USG
findings in FY 2007. 5b. Include prevention for positives and partner VCT referral as part of all visits as
appropriate. 5c. Discuss themes, successes, and challenges of community HBC prevention efforts as part
of KIHUMBE's regular community HBC provider meetings to evaluate and improve services on an ongoing
basis.
LINKAGES: KIHUMBE is a founding member of MHNT, a coalition of 13 non-governmental
organizations/faith-based organizations (NGOs/FBOs) serving Mbeya region. These NGOs refer clients to
one another based upon clients' areas of residence, need, and specific area of expertise of a member
organization. The MHNT convenes community HBC provider meetings to exchange ideas and support.
KIHUMBE follows national guidelines for HBC.
KIHUMBE also links with SONGONET; RODI; ward leaders, and other local government officials; Peace
Corps and NGOs providing training and access to income-generating activities; faith groups and other
counseling service providers; VCT sites and dispensaries; water safety projects and water purification
commodities; district and/or regional hospitals for treatment and provision of cotrimoxizole and morphine as
necessary for care on a case by case basis; and NACP to facilitate TOT participation in certified HBC
provider courses. They will also link with the national voucher scheme organized for insecticide-treated nets
and nutritional supplementation.
CHECK BOXES: HBC allows for an integrated approach to the health and well-being of the patient and
his/her entire family, addressing malaria and TB, child survival and family planning, in addition to HIV/AIDS.
Activity Narrative: IGAs promote women's access to income, as well as foster economic strengthening and food security.
Training is a key component of the community HBC program area, as volunteers constitute the primary
human resources delivering services.
M&E: KIHUMBE employs various programs in efforts to improve their M&E practices. KIHUMBE will
dedicate a staff member to monitoring, compiling, and evaluating all data collected by its HBC providers in
collaboration with the data system to be rolled out in the future by NACP. Henry Jackson Foundation
Medical Research International (HJFMRI) will spot check the present tools for collecting data on service
delivery to assure transparency and completeness of HBC services. These tools, developed by the MHNT,
will serve as a visit checklist, which includes a menu of services to for each patient based on individual
need. Use of the tools will ensure documentation of which services are provided for patient and program
management. Compiling data from sub-partners will allow for identification of major service needs and gaps
within HBC services. These data will be shared with local leaders to highlight needs and enlist community
support in meeting these needs. All new and active HBC providers will be provided refresher courses
regarding this paper based system in order to ensure efficient transmission to an electronic system. This
system will thus measure successful linkages with care and treatment clinics, TB, counseling and testing,
PMTCT, prevention, safe water, nutritional programs, and livelihood programs in addition to highlighting
innovative program linkages.
municipal area, KIHUMBE has established service outlets in Mbalizi, Tukuyu, and Chunya. DOD is one of
KIHUMBE's multiple funding sources. In addition to its record of service delivery, KIHUMBE's organizational
capacity to collect and manage data and secure funding is very strong. Capacity building and other training
opportunities will remain available to KIHUMBE through access to other USG partners/programs under
PEPFAR.
Continuing Activity: 13506
13506 3375.08 Department of Kikundi Huduma 6530 1028.08 $222,200
7735 3375.07 Department of Kikundi Huduma 4549 1028.07 $215,000
3375 3375.06 Department of Kikundi Huduma 2834 1028.06 $110,000
* Increasing women's access to income and productive resources
* Increasing women's legal rights
Health-related Wraparound Programs
* Malaria (PMI)
* TB
Workplace Programs
Estimated amount of funding that is planned for Human Capacity Development $56,000
Estimated amount of funding that is planned for Food and Nutrition: Commodities $18,800
Table 3.3.08:
ACTIVITY HAS BEEN MODIFIED IN THE FOLLOWING WAYS:
ACCOMPLISHMENTS: By SAPR 2008 more than 1,767 children have been supported by KIHUMBE.
KIHUMBE also provides lunch to OVC in primary schools at their premises to ensure that at least these kids
get one balanced diet in a day. More than 130 caregivers will have been trained on how to provide care for
OVC by third quarter of 2008. The data management system (DMS) has been installed in June/July 2008
at KIHUMBE using a donated computer from DOD, and one staff is trained to operate the system. OVC
data entry has started and data from about 1,100 OVC has already been captured.
ACTIVITIES: In FY 2009, the program will continue as in FY 2008, though there will be additional focus
placed on case finding of HIV-positive children among orphans and vulnerable children (OVC) being served
and attention to nutritional status so that those who require nutritional support can be linked with services.
KIHUMBE's community volunteers will use mid-upper arm circumference measurements to determine if
OVC have faltered growth or are malnourished. For OVC identified with an immediate need and living in a
food insecure household, KIHUMBE will provide support while linking the household to income generating
activities. The program will also work with Prevention of Mother-to-Child Transmission sites to follow up on
exposed children, and there will also be additional efforts to promote prevention among older OVC.
More focus will be on provision of quality services, and KIHUMBE will work with MHNT and other partners
will ensure that Most Vulnerable Children's Committees (MVCCs) are operational.
Rungwe district will be the "program learning district" in which the DMS will be installed and operational.
Staff will be trained to operate the DMS and KIHUMBE will interact with MHNT and other partners to
collaborate on work plans that support functional referrals. KIHUMBE will monitor and report on progress of
implementation of the "program learning district," and share experiences across partners via exchange visits
and, where possible, electronic communications. In addition, KIHUMBE will document and disseminate
best practices to facilitate scale-up of successful practices.
M&E: In addition, computers will be purchased for the district/municipal social welfare officer. The DMS will
be installed and data clerks will be trained.
TITLE: KIHUMBE provision of OVC services in the Mbeya Region
NEED and COMPARATIVE ADVANTAGE: Mbeya region has an estimated 18% of orphans and vulnerable
children (OVC) per capita, yet due to limited resources, many go without assistance. OVC children need
support to attend school and meet basic needs (food, shelter, and medical care), as well as psychosocial
and spiritual support. Caregivers of OVC have limited resources and need assistance to support their
families. KIHUMBE has been providing HIV services since 1991 and has been a prime partner since 2004.
Its organizational infrastructure, service capacity, community linkages, and reputation makes KIHUMBE one
of the most effective HIV service providers in the region.
ACCOMPLISHMENTS: KIHUMBE has supported 1,100 OVC, including providing educational support
(school fees, uniforms, and materials), nutrition assistance, and psychosocial /spiritual support.
ACTIVITIES: As in activities in other program areas for this organization, KIHUMBE will collaborate with
members of the Mbeya HIV Network Tanzania (MHNT), SONGONET, and RODI (see other submissions for
these partners) to ensure similar packages of services are available for clients in the Mbeya, Rukwa, and
Ruvuma regions. In addition, implementations of services have been standardized across these partners
while allowing for some flexibility in focus or approach depending on regional conditions.
1) Establish youth centers near each of KIHUMBE's three service sites: Mbeya municipal area, Mbalizi town
(Mbeya Rural), and Rungwe district. Each site will provide a venue for offering psychosocial or spiritual
support to OVC, HIV prevention education, and training or access to income-generating opportunities.
Priorities include to: renovate, furnish and staff youth center sites; coordinate and develop memoranda of
agreement with Mbeya HIV Network Tanzania (MHNT) members and other NGOs and governmental
groups to out-source provision of a range of services to youth at the sites depending on the organization's
specialty; and advertise youth centers, cultivating referral relationships with schools and other entities
serving youth.
2) Expand support and provide services to an additional 700 OVC. Activities include: working with local
government and Most Vulnerable Children Committees (MVCCs) to identify OVC and their needs, and to
maximize coverage without duplicating services; providing OVC with psychosocial support through
individual and group counseling; prioritizing services for the individual for educational support (fees,
uniforms, supplies), shelter, and nutrition assessment and assistance once a needs assessment has been
conducted; providing training in income-generating activities for OVC caregivers and older OVC; linking
OVC and caregivers to Peace Corps agriculture activities in the region for training in home gardens for both
personal food production and as an income generating activity (IGA); linking OVC to USG procurement
programs for distribution of insecticide treated nets (ITN) and water purification supplies to clients.
3) Improve referral system for OVC to ensure a comprehensive approach to meeting individual needs,
including follow-up with the entity to which the client is referred. Activities will include: establish standardized
referral process for assessing service needs and linking OVC to services (including medical care, VCT, and
HIV prevention); train OVC service providers and caregivers in identification and care for HIV related
illnesses and referrals for HBC and facility-based clinical services to increase treatment of HIV infected
OVC; continue to cultivate relationships with municipal and NGO service providers to facilitate referral follow
-up; include these referral activities, including follow-up, on standardized forms to facilitate monitoring and
evaluation and quality improvement.
Activity Narrative: LINKAGES: This activity will participate in the implementation of the NPA. KIHUMBE is a founding member
of the Mbeya HIV Network Tanzania (MHNT), a coalition of 13 NGOs/FBOs that provide HIV prevention and
care in the Southern Highlands Zone. All member organizations refer clients to one another based upon
clients' area of residence, need, and strength of the organization. KIHUMBE also links with the Anglican
church, which provides training for volunteers serving OVC; district and/or regional hospitals to facilitate
referrals; MVCC, ward leaders and other local government officials to identify and register OVC and comply
with data reporting requirements; primary and secondary schools and the vocational training institute
(VETA); Peace Corps activities and NGOs providing income-generating activities; faith groups and other
providers of counseling services; and USG and other donor sources of ITN and safe water commodities.
CHECK BOXES: OVC services support HIV-positive and HIV-negative OVC as well as their caregivers.
Linkages to healthcare address child survival, malaria, and other health issues in addition to HIV/AIDS.
Education assistance and psychosocial/spiritual support promote OVC skills and well-being, while
incomegenerating activities foster economic strengthening and food security for OVC caregivers and older
OVC. Training is a key component of the OVC program area, as volunteers constitute the primary human
resources delivering OVC services.
M&E: KIHUMBE will utilize the standardized national OVC data management tools for collecting detailed
data on service delivery in compliance with government OVC data reporting requirements for the Ministry of
Health and Social Welfare (MOHSW). The MHNT M&E individual will train and oversee KIHUMBE staff on a
quarterly basis to ensure comprehensiveness of data input by field staff using the internal monitoring tools..
These tools, developed by MHNT (including KIHUMBE), will also serve as a checklist to ensure a menu of
services is offered to each child based upon individual need. Along with submitting these data to the local
government, data from KIHUMBE and other MHNT member organizations will be compiled at the network
level, allowing for identification of major service needs and gaps. In addition, computers will be purchased
for the district/municipal social welfare officer. All reports will be shared with the local government, and
compiled data from sub-partners will allow for identification of major service needs and gaps within OVC
services. These data will be shared with local leaders to highlight key needs and enlist community support
in meeting these needs. KIHUMBE will collaborate with Salvation Army and PACT to avoid duplication.
service capacity area. DOD is one of KIHUMBE's multiple funding sources. In addition to its impressive
record of service delivery, KIHUMBE's organizational capacity to collect and manage data and secure
funding is among the strongest in the zone. Capacity building and other training opportunities through other
USG partners will remain available to KIHUMBE and its fellow MHNT members. KIHUMBE will play a
facilitative role to ensure the incorporation of its OVC work plan, budgets, and reports in the overall district
response plans as a sustainability measure. At the household level, OVC family members will receive
mentors and support with IGAs. KIHUMBE will ensure involvement of district leaders, MVCC, and
community leaders on the development of the viable response to OVC and elderly headed households.
Continuing Activity: 13507
13507 3376.08 Department of Kikundi Huduma 6530 1028.08 $150,000
7736 3376.07 Department of Kikundi Huduma 4549 1028.07 $90,000
3376 3376.06 Department of Kikundi Huduma 2834 1028.06 $60,000
Construction/Renovation
* Child Survival Activities
Estimated amount of funding that is planned for Human Capacity Development $35,000
Estimated amount of funding that is planned for Food and Nutrition: Policy, Tools $5,000
and Service Delivery
Estimated amount of funding that is planned for Food and Nutrition: Commodities $10,000
Estimated amount of funding that is planned for Education $50,000
Table 3.3.13:
ACTIVITY REMAINS UNCHANGED FROM FY 2009.
TITLE: KIHUMBE voluntary counseling and testing (VCT) to further prevention and treatment goals in the
Mbeya Region.
NEED and COMPARATIVE ADVANTAGE: The estimated HIV prevalence in the Mbeya Region is over
13%, one of the highest in the country, with an estimated 90% unaware of their HIV status. KIHUMBE has
been providing HIV services since 1991, one of which has been VCT both at its static site in the Mbeya
Municipality as well as through its home-based care services. It has been a PEPFAR prime partner since
2004.
ACCOMPLISHMENTS: KIHUMBE directly provided VCT to 800 clients in FY 2006 and 1,000 in FY 2007,
18% of whom tested HIV-positive. As a member of the Mbeya HIV Network Tanzania (MHNT) (another
prime partner under this program area), KIHUMBE also helped provide VCT in 2006 to 755 individuals and
in 2007 to another1428 at the annual 8-day Nanenane regional farmers' exhibition, which draws over
300,000 attendants. KIHUMBE also participated with MHNT members at World AIDS Day and regional VCT
events. In FY 2007, KIHUMBE inaugurated a mobile VCT program in 60 wards which linked all tested with
appropriate health facilities for follow-up and local NGOs providing post test + and - clubs or other
supportive services.
ACTIVITIES: Working in a coordinated and cooperative manner, KIHUMBE and members of
SONGONETHIV, the MHNT, and Research Oriented Development Initiative (RODI) (see other submissions
for these partners) will ensure VCT services are available for as many clients as possible in the Mbeya,
Ruvuma Regions. In addition, implementation of services have been standardized across these partners but
allowing for some flexibility in focus/approach depending on regional conditions. All VCT activities will
include distribution of information to clients on appropriate referral for services depending on sero-status
and residence.
1) Participate with other MHNT and MOH test counselors to provide VCT at large-scale community events,
capitalizing upon opportunities to reach a large number of individuals in a single user-friendly setting.
1a) Along with other MHNT members' staff, execute presentations and provide staff to encourage testing at
the 8-day 2008 Nanenane festival, building upon the success of the preceding three years.
1b) Provide VCT at the annual MHNT World AIDS Day event as part of a local MOHSW sponsored
program.
1c) Participate in planning, advertising and executing VCT for monthly "HIV Testing Day" events to be held
in Mbeya region at rotating facilities through out the region.
2) Continue to provide VCT services at community sites and through HBC services in accordance with
national standards and using MHNT tools to document service delivery.
2a) Provide VCT at KIHUMBE service sites, including newly established youth centers (see OVC entry
under this partner).
2b) Refer HBC clients suspected of suffering from HIV related illness as well as their family members for
VCT services provided by KIHUMBE static sites, mobile sites and in homes or to other MHNT members or
facilities.
2c) Coordinate with local entities to provide VCT at non-HIV-specific NGOs, youth centers, workplaces and
other community sites.
2d) Train at least four new counselors to staff new sites through NACP certified VCT training.
2e) Procure test kits from Medical Stores Department (MSD) and Supply Chain Management Systems
(SCMS) when not available through central procurement mechanisms.
3) Provide mobile VCT in at least 35 more villages, creating easier access to VCT services.
3a) Work with local leaders, District Health Management Teams (DHMT), and health facility directors to
identify sites for providing mobile VCT, involving them in mobilization, testing and follow-up.
3b) Coordinate with other MHNT organizations and nearby health facilities to ensure VCT staff for mobile
VCT.
3c) Highlight mobile VCT data acquired by KIHUMBE to aid in identifying areas with particular need for HIV
prevention services and/or a new stationery VCT sites and at local workplaces.
4) Ensure effective referral for individuals accessing VCT services, incorporating follow-up with the entity to
which the client is referred, health facility, and/or NGO.
4a) Establish standardized referral process for linking individuals testing HIV-positive to services, to include
at minimum medical services and home-based care "prescription" to KIHUMBE or other MHNT members.
4b) Provide prevention education depending upon the client's sero-status and identify and refer individuals
testing HIV-negative to HIV prevention resources to help maintain their HIV-negative status.
4c) Include these referral activities and follow-up on standardized forms to facilitate monitoring and
LINKAGES: Along with providing permanent and mobile VCT services, KIHUMBE also provides a number
of other services, including HIV prevention and home-based care. KIHUMBE is also a founding member of
the MHNT, a coalition of 13 NGOs/FBOs providing HIV prevention and care in Mbeya region. All member
organizations refer clients to one another based upon clients' area of residence, need and strength of the
organization (submissions under HBHC and HVAB/HVOP). This activity also links with: District and/or
regional hospitals to facilitate referrals; Ward leaders and other local government officials; Faith groups and
other providers of counseling services; ROADS/FHI program in accessing high risk populations along the
trans-African highway: PEPFAR marketing groups STRADCOM and Academy for Educational Development
(AED) for local advertising to encourage event participation.
CHECK BOXES: VCT services target the general population. Coordination with home-based care and other
services ensures smoother referral of PLHA, their spouses and children to VCT. Relationships with
business entities provide VCT opportunities at workplace settings, reaching more members of the
population in the highest risk age groups. Funding supports commodity procurement, vehicle maintenance,
trainings, staff support and advertising and participation in community events.
Activity Narrative: implement standardized NACP tools for collecting detailed data on service delivery. These tools will allow
for data from KIHUMBE and member NGOs to be compiled at the network level by the designated M&E
staff person, facilitating identification of major service needs, gaps and areas for improvement. These data
will be shared with local leaders to highlight key needs and enlist community support in meeting these
needs. Assessment of clients' referral routes to VCT will inform KIHUMBE outreach and education efforts,
and test results via mobile VCT services will help identify sites in greatest need of HIV services. Supportive
supervision of these sites includes data collection, management and storage of data (registers and forms)
reporting of data to district-level. National CT guidelines and training materials will be used to strengthen
M&E capacity in these facilities. Data will be provided to NACP and USG for reporting purposes.
municipal area, KIHUMBE has established service outlets in Mbalizi, Tukuyu and Chunya, extending its
catchment area. DOD is one of KIHUMBE's multiple funding sources. In addition to its impressive record of
among the strongest in the zone. Capacity-building and other training opportunities through other USG
Continuing Activity: 13508
13508 8660.08 Department of Kikundi Huduma 6530 1028.08 $166,975
8660 8660.07 Department of Kikundi Huduma 4549 1028.07 $200,000
Table 3.3.14:
