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.
ACTIVITY HAS BEEN MODIFIED IN THE FOLLOWING WAYS:
TITLE: TAYOA HELPLINE and Behavior Change Communication Project
NEED and COMPARATIVE ADVANTAGE: TAYOA, through PEPFAR funding, IMPLEMENTS AB
interventions and conducts confidential and anonymous HIV/AIDS toll-free helpline services known as the
117 AIDS helpline. The helpline encourages youth and adults to access HIV/AIDS information using inter-
personal communication, empowering callers with knowledge about behaviors contributing to the spread of
HIV/AIDS. Based on the analysis of more than 15,000 frequently asked questions (FAQ) captured on
monthly basis, 6,400 questions (38%) are related to AB. TAYOA uses
the information from the helpline to produce audiovisual (AV) materials for outreach activities. AV materials
address the importance of abstinence as an HIV prevention strategy, being faithful to one partner,
appropriate gender norms, and gender-based violence and associated substance use. TAYOA has also
established a network of 832 youth ambassadors from different wards who promote abstinence only for
youth in primary schools, madrasa, and AB targeting youth aged 10-24 years. Through the youth
ambassadors, TAYOA conducts community mobilization, sensitization, and dissemination of the AV
materials.
ACCOMPLISHMENTS: With prior funding, TAYOA has: 1) maintained helpline services, while leveraging
resources from mobile phone service providers Vodacom, Zantel, TTCL, Celtel, and TiGO; 2) conducted
trainings on LPS/ livelihood skills for youth; 2) developed 31 series of AB audiovisual materials on AB and a
serial drama; 3) conducted 327 community outreach HIV/AIDS AB sensitization sessions for youth balozis
reaching 834,000 individuals in seven districts 4) conducted peer education community outreach activities
that promote abstinence for 315,000 youth; 5) conducted training for 2,489 individuals on AB; and 6)
developed, produced, and distributed relevant IEC materials on AB.
ACTIVITIES: In FY 2009, TAYOA will:
1. Expand the capacity of the 117 AIDS helpline and explore access to additional regions. Additional
HIV/AIDS information will be disseminated using text messaging and an interactive website.
2. Establish online hotline counseling and database services with monitoring and evaluation system
3. Develop or adapt and disseminate a series of 25 AB audio outreach kits and create linkages with other
AB implementing partners in Tanzania. The audio kits will support community outreach HIV/AIDS
prevention programs that promote abstinence and/or being faithful. TAYOA will also create role model
stories of young people living in the community who exemplify self-efficacy with abstinence and/or
faithfulness.
4. Conduct training for 600 youth in AB role model stories woven into drama and music. Youth will be
equipped to write dramatic scripts and direct local actors in acting out the script for audio materials. The
materials will be distributed to youth clubs and schools in Dar es Salaam, Zanzibar, and the coastal region.
5. Strengthen coverage of youth ambassadors possessing AB life planning skills training to reach more rural
areas of the coastal region and Zanzibar. TAYOA will train an additional 3,200 youth ambassadors from
corresponding wards to implement HIV/AIDS prevention community outreach programs that promote
abstinence or/being faithful.
6. Strengthen human resources on AB programming that includes training on script writing and capacity
building for AB clubs that already exist in Dar es Salaam, Zanzibar and the coastal region through inter-club
recreational activities such as sports, AB drama and FAQs tapes facilitated by youth ambassadors.
7. Promote abstinence only and AB through audio/visual kits through workshops and dissemination at the
Ubungo Bus Terminal in Dar es Salaam for 86,000 young passengers, bus conductors and petty traders.
8. In collaboration with EngenderHealth, develop 24 digital stories that promote appropriate gender norms
and discourage gender-based violence.
9. Strengthen the capacity of TAYOA to coordinate the implementation of community outreach HIV/AIDS
prevention programs that promote abstinence and/or being faithful by identifying/recruiting additional staff to
manage AB programming in schools and out of school and universities.
*END ACTIVITY MODIFICATION*
NEED and COMPARATIVE ADVANTAGE: According to Tanzania HIV/AIDS Indicator Survey (THIS)
conducted in 2004, youth ages 10-24 years comprise 30% of the general population but account for 60% of
new infections. Surveys have shown that two of five respondents wait until marriage to have sex, and only
10% of those who are sexually active report having their sexual debut with either a spouse or a live-in
partner. TAYOA, through PEPFAR funding, addresses AB interventions and conducts confidential and
anonymous HIV/AIDS toll-free helpline services. The helpline encourages youth and adults to access
HIV/AIDS information using inter-personal communication, empowering callers with knowledge about
behaviors contributing to the spread of HIV/AIDS. Based on the analysis of more than 15,000 frequently
asked questions (FAQ) captured on monthly basis, 6,400 questions (38%) are related to AB. TAYOA uses
the information from the helpline to produce audiovisual (AV) materials for outreach activities. TAYOA has
also established a network of 832 youth ambassadors from different wards who promote abstinence only for
trainings on LPS/ livelihood skills for youth; 2) developed 16 series of AB audiovisual materials on AB and a
serial drama; 3) conducted 230 community outreach HIV/AIDS AB sensitization sessions for youth balozis
reaching 592,000 individuals in four districts 4) conducted peer education community outreach activities that
promote abstinence for 68,000 youth; 5) conducted training for 1,870 individuals on AB; and 6) developed,
produced, and distributed relevant IEC materials on AB.
Activity Narrative: ACTIVITIES: In FY 2009, TAYOA will:1. Expand the capacity of the helpline and explore access to
additional regions. 2. Produce a series of 18 AB audio outreach kits and create linkages with other AB
implementing partners in Tanzania. The audio kits will support community outreach HIV/AIDS prevention
programs that promote abstinence and/or being faithful. TAYOA will also create role model stories of young
people living in the community who exemplify self-efficacy with abstinence and/or faithfulness. 3. Conduct
training for 600 youth in AB role model stories woven into drama and music. Youth will be equipped to write
dramatic scripts and direct local actors in acting out the script for audio materials. The materials will be
distributed to youth clubs and schools in Dar es Salaam, Zanzibar, and the coastal region. 4. Strengthen
coverage of youth ambassadors possessing AB life planning skills training to reach more rural areas of the
coastal region and Zanzibar. TAYOA will train an additional 2,800 youth ambassadors from corresponding
wards to implement HIV/AIDS prevention community outreach programs that promote abstinence or/being
faithful.
5. Strengthen the capacity of human resources on AB programming that includes training on script writing
and capacity building for AB clubs that already exist in Dar es Salaam, Zanzibar and the coastal region
through inter-club recreational activities such as sports, AB drama and FAQs tapes facilitated by youth
ambassadors. 6. Promote abstinence only and AB through audio/visual kits through workshops and
dissemination at the Ubungo Bus Terminal. 7. Strengthen the capacity of TAYOA to coordinate the
implementation of community outreach HIV/AIDS prevention programs that promote abstinence and/or
being faithful by identifying/recruiting eight additional staff to manage AB programming in schools and out of
school.
LINKAGES: TAYOA will promote the use of AB audio kits to support community outreach HIV/AIDS
prevention programs that promote abstinence and/or being faithful through the MOHSW/NACP
coordination. TAYOA will collaborate with CDC and various implementing partners including YouthNet
Ujana, MoEVT, HAFI, faith based organization (FBOs), CMARCs, STRADCOM, ZAYEDESA, and the
private sector including ABCT, Vodacom, Zantel, TTCL, Celtel and TiGO.
TAYOA will work with teachers, local government leaders, parents, PLWHA groups, and youth groups to
promote outreach of HIV/AIDS prevention programs that promote abstinence.
TAYOA will collaborate with the communications sector through media partners like ITV, Channel 5, Clouds
FM, East Africa FM, all of whom have agreed to provide their services according to payment contracts.
Tanzania Post Corporation will distribute 200,000 risk polls and collect feedback.
CHECK BOXES: Community outreach HIV/AIDS prevention programs will promote abstinence only for
adolescents aged 10-14. Community outreach HIV/AIDS prevention will promote abstinence and/or being
faithful for adolescents aged 15-24 and also for adults 25 and over.
Business community, religious leaders and teachers will be trained to promote AB whenever they encounter
adolescents in their domain.
M&E: TAYOA will improve M&E tools to capture appropriate PEPFAR indicators. TAYOA will collect all AB
FAQs from the helpline and analyze responses. The production of audio/visual and IEC materials to be
disseminated will incorporate the norms, attitudes, risk behaviors, values, transgenerational sex, and
gender issues identified from these calls. TAYOA will monitor the output and feedback of AB audio
materials using the Helpline experience, life planning skills curriculum and adolescent curriculum of the
Ministry of Education and Vocational Training (MOEVT). Pre and post tests of peer educators will be
analyzed. Approximately 10% of the budget will be used for M&E.
SUSTAINABILITY: TAYOA will train youth ambassadors from 60% of all wards of Dar es Salaam, the
coastal region, and Zanzibar as AB trainer-of-trainers who will be tasked with rolling out AB training using a
standard training curricula in their localities. The ward's youth ambassador TOT approach is designed to
provide sustainability of training activities by empowering the street and village youth ambassadors with AB
audio outreach support materials. TAYOA is using the existing community infrastructures such as schools,
churches, and mosques in collecting feedback as a sustainable mechanism. The studio is also looking into
production of education materials for schools and institutions at a fee that will compensate production of AB
New/Continuing Activity: Continuing Activity
Continuing Activity: 13535
Continued Associated Activity Information
Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds
System ID System ID
13535 3381.08 HHS/Centers for Tanzania Youth 8550 8550.08 Hotline $350,000
Disease Control & Aware Trust Fund
Prevention (TAYOA)
7774 3381.07 HHS/Centers for National AIDS 4565 1056.07 $350,000
Disease Control & Control Program
Prevention Tanzania
3381 3381.06 HHS/Centers for National AIDS 2835 1056.06 $100,000
Program Budget Code: 03 - HVOP Sexual Prevention: Other sexual prevention
Total Planned Funding for Program Budget Code: $11,562,270
Total Planned Funding for Program Budget Code: $0
Table 3.3.03:
TITLE: TAYOA HELPLINE Behavior Change Communication Project.
ACCOMPLISHMENTS: HIV/AIDS prevention activities (focusing on other prevention beyond abstinence
and/or being faithful) for more than 213,000 callers through the 117 AIDS helpline; 2) distributed more than
11,000 condoms through the Ubungo HIV information center in Dar es Salaam and 187 community-based
condom service outlets; 3) trained more than 450 youth ambassadors and volunteers to provide HIV/AIDS
prevention programs that are focused on other prevention beyond abstinence and/or being faithful; and 4)
advertised on TV, radio, billboards, and street banners to increase coverage of helpline.
1. Expand the capacity of the AIDS helpline and explore access to additional regions. The helpline call
center consists of about 26 medical students trained to answer HIV related questions and provide resources
for callers. The call center also has 20 computers equipped with a database of standard answers to many
FAQs. If a caller asks a question that is outside of the data base, the counselors research the answer and
get back to the caller. Additional HIV/AIDS information will be disseminated using text messaging and an
interactive website. TAYOA will advertise services using TV, radio, billboards, street banners, and clothing
(previously helpful strategies used by TAYOA to increase coverage of helpline services in communities).
2. Establish online hotline counseling (www.UKIMWI.com) and database services with monitoring and
evaluation system.
3. Build capacity of youth ambassadors and volunteers at the ward level by: a) conducting 28 life planning
skills trainings workshop for 1600 youth ambassadors (from 28 wards) to promote HIV/AIDS prevention and
to build skills necessary to support behaviour change among youth in their localities; and b) conducting
community-based helpline refresher trainings to promote services for high risk groups targeting 150 barber
shop owners, 120 bartenders, 300 hotelier attendants, 200 taxi drivers, 300 female salon owners, 400 small
business traders, and 500 bus drivers at the Ubungo bus terminal.
4. Scale-up activities through the existing Community AIDS Clubs (CACs), Universities AIDS Clubs (UACs),
Colleges AIDS Clubs (CACs) and Workplaces AIDS Clubs (WACs) working with four higher learning
institutions in the Dar es Salaam region, including the University of Dar es Salaam, Muhimbili College of
Health Sciences, Open University of Tanzania, and Tumaini University. The target is to reach 9,500
students, 50 lecturers, and 75,000 residents of surrounding communities. TAYOA plans to: a) build the
capacity of student leaders; b) establish new helpline clubs (that go around to schools and youth
organizations to let them know about the hotline); c) train youth ambassadors and community leaders on
strategies to promote attitude and behavior change; and d) conduct three training workshops for students
on male gender norms and HIV/AIDS. All clubs and related activities will be linked to the TAYOA AIDS
Helpline that provides confidential and anonymous services and referral linkages.
5. Procure and distribute condoms through the T-MARC project and disseminate the correct information to
users. Condoms will be distributed to approximately 187 outlets including the Ubungo bus terminal
information center, youth meeting areas known as "ghettos," and barber shops. Taxi drivers and long
distance bus drivers associations will also be used to distribute condoms to the target population. TAYOA's
goal is to disseminate 15,000 condoms every month in Dar es Salaam, the coastal region, Zanzibar and
Mafia Island.
6. Use FAQs from helpline toll-free counseling services to develop outreach entertainment and education
TAYOA will develop and distribute relevant audio visual materials and serial dramas from frequently asked
questions (FAQs), and promote a community-based drama series to increase behavioral change
communications skills using popular role models and characters that portray culturally accepted messages.
NEED and COMPARATIVE ADVANTAGE: Tanzania AIDS Indicator Survey (THIS) 2004 reported that
about half of never-married young people aged 15-24 have ever had sex (41 percent were young women
and 54 percent were young men). Among women aged 15-19 who had non-marital sex, nine percent had
sex with a partner at least 10 years older in the last 12 months, illustrating the phenomenon of
transgenerational sex. Data from the THIS shows that 50% of women have had sex by the age of 18 and
define high risk sex as sex with a non-marital, non-cohabitating partner in the preceding 12 months.
TAYOA is implementing community level interventions in collaboration with other NGOs and CBOs. These
interventions focus on skills building for the youth ambassadors at the ward level, targeting behavior change
and condom programming to reduce transmission of HIV in youth, developing prevention messages, and
conducting community mobilization activities. An important aspect of TAYOA's OP approach is the TAYOA
helpline service, which provides confidential and anonymous HIV/AIDS information and referral linkages to
youth aged 10-24. The helpline runs 10 toll-free telephone lines operating 10 hours every day, and the
center communicates with more than 15,000 callers monthly and over 180,000 callers annually from all over
the country. TAYOA uses frequently asked questions (FAQs) from callers to develop entertainment and
education strategies for youth. This complements community based drama series that use popular role
models and characters that portray culturally accepted messages.
ACCOMPLISHMENTS: In FY 2007, TAYOA 1) Coordinated AIDS helpline community outreach and
HIV/AIDS prevention activities (focusing on other prevention beyond abstinence and/or being faithful) for
over 190,000 callers. 2) Distributed more than 10,000 condoms through the Ubungo HIV information center
and 210 community-based condom service outlets. 3) Trained over 400 youth ambassadors and volunteers
to provide HIV/AIDS prevention programs that are focused on other prevention beyond abstinence and/or
being faithful 4) Advertised on TV, radio, billboards, and street banners to increase coverage of helpline.
ACTIVITIES: In the coming year, TAYOA will:
Activity Narrative: 1. Build capacity of youth ambassadors and volunteers at the ward level.
1a) Conduct 16 life planning skills trainings for 1600 youth ambassadors (from 13 wards) to promote
HIV/AIDS prevention and to build skills necessary to support behaviour change among youth in their
localities; and 1b) Conduct community-based helpline refresher trainings to promote services for high risk
groups targeting 150 barber shop owners, 120 bartenders, 300 hotelier attendants, 200 taxi drivers, 300
female salon owners, 400 small business traders, and 500 bus drivers at the Ubungo bus terminal.
2. Establish 250 clubs in 300 target primary schools (grades 5, 6, and 7 with children ages 11- 16) and link
them to the TAYOA AIDS Helpline that provides confidential and anonymous services and referral linkages.
.
3. Procure and distribute condoms through the T-MARC project and disseminate the correct information to
users. 3a) Distribute condoms to approximately 200 outlets in the Ubungo bus terminal information center,
youth meeting areas known as "ghettos," and barber shops and through taxi drivers, and long distance bus
drivers associations; and 3b) Collaborate with health facilities in selected areas to access condoms for high
risk groups with a goal of disseminating 10,000 condoms every month in Dar es Salaam, the coastal region,
and Zanzibar.
4. Conduct helpline toll-free counseling services and use FAQs to develop outreach entertainment and
education materials. The helpline call center consists of about 20 medical students trained to answer
HIVrelated
questions and provide resources for callers. The call center also has 20 computers equipped with a
database of standard answers to many FAQs. If a caller asks a question that is outside of the data base,
the counselors research the answer and get back to the caller.
4a) Develop and distribute relevant audio visual materials and serial dramas from frequently asked
questions (FAQs); 4b) Promote a community-based drama series to increase behavioral change
communications skills using popular role models and characters that portray culturally accepted messages;
and 4c) Advertise using TV, radio, billboards, street banners, and clothing (previously helpful strategies
used by TAYOA to increase coverage of helpline services in communities).
5. Scale-up activities in four higher learning institutions in the Dar es Salaam region, including the University
of Dar es Salaam, Muhimbili College of Health Sciences, Open University of Tanzania, and Tumaini
University. The target is to reach 9,500 students, 50 lecturers, and 75,000 residents of surrounding
communities. TAYOA plans to: 5a) build the capacity of student leaders; 5b) establish new helpline clubs
(that go around to schools and youth organizations to let them know about the hotline) ; 5c) train youth
ambassadors and community leaders on strategies to promote attitude and behavior change; 5c) conduct
three training workshops for students on male gender norms and HIV/AIDS; and 5d) create linkages to the
community, livelihood, and health services.
6. Establish AIDS helpline online counseling through www.UKIMWI.com website.
In summary, through increased knowledge, stimulation of community dialogue, and advocacy promotion,
the above activities will promote effective behaviour change communication in HIV prevention.
LINKAGES: TAYOA will operate AIDS helpline OP services to support community outreach and promote
HIV/AIDS prevention (through other behavior change beyond abstinence and/or being faithful) through the
MOHSW/NACP coordination and work with CDC and various implementing partners including YouthNet,
Ujana, the Ministry of Education and Vocational Training (MoEVT), HAFI, faith-based organizations (FBOs),
CMARCs, STRATCOM, ZAYEDESA, as well as the private sector such as ABCT, Vodacom, Zantel, TTCL,
Celtel and TiGO.
TAYOA will work with teachers, local government leaders, CMACs, parents, and youth groups to promote
outreach for HIV/AIDS prevention programs that promote HIV/AIDS through abstinence. For sustainability
purposes, TAYOA will utilize existing student structures and premises to establish
HIV/AIDS information resource centers.
Media partners like ITV, Channel 5, Clouds FM, and East Africa FM, have agreed to provide their services,
depending on the payment contracts. Also the Tanzania Post Corporation will distribute 200,000 risk polls
and collect feedback.
CHECK BOXES: Community outreach that promotes HIV/AIDS prevention through other behavior change
beyond abstinence and/or being faithful for adults (24 years and above), mobile populations, persons who
exchange sex for money and/or other goods with one or more multiple or concurrent sex partners
(transactional sex) but who do not identify as persons in prostitution, business community, street youth,
orphans and vulnerable children, religious leaders and teachers.
M&E: TAYOA will improve M&E tools to capture the relevant PEPFAR indicators. TAYOA also will improve
the existing helpline database system and analyze FAQs for program improvement and publishing and
dissemination of the findings to other stakeholders.
Approximately 15% of the budget will be used for M&E and FAQs data analysis.
SUSTAINABILITY: TAYOA is working with medical students who are helpline counselors. This approach is
designed to provide sustainability of helpline activities since it guarantees a supply of helpline counselors
supply every year.
TAYOA is using the existing community infrastructure such as schools, churches, and mosques in collecting
feedback as a sustainable mechanism. The studio is also looking into production of educational materials
for schools and institutions at a fee that will compensate production of OP materials.
Through interest generated from the participating private sector partners, TAYOA has been awarded a
completely toll-free helpline service through the Tanzania Broadcasting Commission.
TAYOA will initiate fund-raising from both local and international private sectors to cover operation costs of
helpline services.
Activity Narrative:
Continuing Activity: 13537
13537 3377.08 HHS/Centers for Tanzania Youth 8550 8550.08 Hotline $150,000
7770 3377.07 HHS/Centers for National AIDS 4565 1056.07 $100,000
3377 3377.06 HHS/Centers for National AIDS 2835 1056.06 $150,000
