THIS IS A NEW ACTIVITY.

Need and comparative advantage:

As PEPFAR/Tanzania continues to expand its reach and impact through increasing numbers of local

partners, and through increasing numbers of wrap-around programs where implementing partners may

have predominant expertise in another sector, the need for accessible and timely technical assistance and

program support has become increasingly apparent. The USG is at a critical juncture where it must ensure

that such partners have easy access the support that they need to effectively implement comprehensive,

state-of-the-art (SOTA) prevention programs, based on quality behavior change principles. Indeed, all

PEPFAR prevention partners are faced with the challenge of transitioning to increasingly sophisticated

prevention programming that builds upon successful awareness raising efforts but actually enables

sustained behavior change.

The USG prevention portfolio has undertaken key harmonization activities, and partners are increasingly

responsive in their efforts to ensure synergies and avoid duplication. The next step is to ensure quality

implementation, including further aligning implementing partners' activities with evidence-based

programming and responding effectively to new epidemiological data available through the 2007/08

Tanzania HIV/AIDS and Malaria Indicator Survey (THMIS) .

This activity is TBD, as USG is considering a number of central and bilateral procurement mechanisms.

Activities:

A Technical Assistance (TA) mechanism will be created to provide intensive, ongoing TA to all USG

prevention partners, particularly those involved in wrap-around programs as well as other new and/or local

partners. TA will focus on: 1) ensuring program models and approaches reflect SOTA prevention

programming; 2) executing quality project design and implementation; 3) enhancing monitoring and

evaluation tools and systems, as well as building capacity in the use of data for decision making; and 4)

ensuring project priorities and activities align with those of the Prevention SRU. It is envisioned that the TA

provider will assist PEPFAR partners both individually and through existing networks (such as the

Coordination Committee for Youth Programs), and work closely with USG Tanzania to develop TA plans.

Finally, the TA partner will provide new and/or local partners with capacity building and institutional

strengthening in management and financial systems required to effectively program USG PEPFAR funds.

The TA partner will focus on improving partners' understanding of both HIV prevention and BCC theory and

implementation techniques. Specifically, the TA provider will help PEFPAR partners:

- Identify and build on Tanzania-based lessons learned,

- Move from awareness raising to behavior change through effective "air" and "ground war" strategies,

- Improve understanding and application of effective prevention program theories and models,

- Strengthen quality of programs, staff and volunteers through enhanced training and supervision,

- Collect and use data for program planning and audience segmentation,

- Develop a strategic approach rather than activity-specific focus,

- Develop effective project and financial management.

Potential activities include the following:

- Conduct workshops on SOTA prevention programming models and approaches (including behavior

change communication theory and techniques and moving from theory to practice);

- Develop TA plans for individual implementing partners, with indicators and measurements of success;

- Provide ongoing technical oversight, mentoring and coaching to new wrap around and local partners.

Linkages:

The TA provider will assist partners to develop linkages and referral systems with local resources and other

partners for comprehensive programming. For example, the TA provider will support prevention partners'

integration of CT messages in their activities and ensure that program beneficiaries can access CT

services. The TA provider will work closely with the prevention portfolio's wrap-around partners to ensure

maximum impact of resources leveraged through other sectors. Linkages will be made with specialist

partners (e.g., STRADCOM) to address specific programming needs.

Target Population:

The TA provider will help implementing partners effectively target populations that drive new infections in

Tanzania, per the Prevention SRU's new strategic approach. For example, the TA provider could work with

adult-focused prevention partners to enhance efforts to address multiple, concurrent partnerships; with

youth-focused prevention partners to ensure their activities focus on high-risk youth; and with relevant

partners to improve their efforts to reach the highest-risk sub-groups such as sex workers and Injecting

Drug Users (IDUs).

M&E:

The TA provider will work with closely with USG to develop TA plans, including deliverables and

benchmarks. The TA provider will also work with the PEPFAR/Tanzania SI team to ensure their efforts are

in line with PEPFAR/Tanzania's SI plans, such as the regularly-scheduled DQAs, and work with

implementing partners to prepare their M&E systems to adapt to the PEPFAR Next Generation Indicators.

Sustainability:

A key objective of the TA provider will be to provide sustained, in-depth capacity building with new and/or

local partners, to maximize program effectiveness and impact.

New/Continuing Activity: New Activity

Continuing Activity:

Table 3.3.03: