ACTIVITY HAS BEEN MODIFIED IN THE FOLLOWING WAYS:

In May of 2008, EngenderHealth initiated "CHAMPION." The project's goal is to promote a national

dialogue about gender roles, increase gender equitable beliefs and behaviors, and, in doing so, reduce the

vulnerability of men, women, and families to HIV/AIDS. Building on the Male Norms Initiative in Tanzania,

CHAMPION focuses on high-risk adult men and their partners in the ten regions that are among those with

the highest HIV prevalence. During FY 2008, we intend to: 1) adapt, field test and translate the "Men as

Partners" (MAP) curriculum and the community engagement manual, 2) select and provide technical

assistance (TA) to, regional non-governmental organizations (NGOs) to implement the MAP curriculum, 3)

mobilize community action teams (CAT), complete a participatory community assessment, develop a work

plan of community-based educational activities and develop a behavior change communication (BCC)

strategy, 4) train service providers and develop facility-specific plans to promote service utilization by men

and their partners, 5) review and revise the AIDS Business Coalition of Tanzania (ABCT) (a partner on

CHAMPION) workplace policies, monitoring tools, and curriculum, 6) initiate quarterly ABCT workplace

coalition meetings, 7) sponsor a national conference on HIV workplace best practices, 8) select recipients of

workplace grants, 8) launch and maintain the MenEngage coalition, 9) identify policy priorities and develop

an advocacy strategy, 10) develop the capacity of MenEngage partners to implement male involvement

programs, especially regarding multiple concurrent partnerships, transactional and trans- generational sex,

gender-based violence (GBV) and alcohol and drug abuse.

With COP 2009 funding, we will continue the activities listed above and propose the following new activities,

listed by objective.

- Objective 1: Promote partner reduction, fidelity and reduce high risk behavior. Activities: a) Disseminate

translated MAP curriculum, b) provide refresher training to MAP facilitators, c) conduct training for partners

on quality assurance and improvement in curriculum-based education and monitoring and evaluation d)

initiate women's MAP groups, e) build capacity in additional NGOs to incorporate male involvement

components into existing curricula, especially related to multiple concurrent partnerships, transactional and

trans-generational sex, GBV and alcohol and drug abuse. Partners: Building Resources Across

Communities (BRAC) and regional NGOs.

- Objective 2: To create an enabling environment that promotes positive social norms, including fidelity, non-

violence and respect for healthy relationships. Activities: a) Disseminate community engagement manual b)

conduct training for implementing partners in QA/QI in community engagement, c) form district-level multi-

sectoral CHAMPION coordinating bodies, d) build capacity in coalition-building and community health

planning to CHAMPION coordinating bodies and the Council Multisectoral AIDS Committees (CMAC), e)

launch mass media campaign. Partners: KickStart, FHI/UJANA, T-MARC, STRADCOM and Femina/HIP.

- Objective 3: Promote positive health-seeking behavior by men. Activities: a) Continued training, including

QA/QI, and TA to facilities to promote quality services to men and their partners, b) develop facility

certification process for male- and couple friendly services, c) test pilot two alternative models (a

CHAMPION clinic and community liaison committees) to promote service utilization by men and their

partners d) conduct review with the National AIDS Control Program of existing service guidelines and

strategic documents to include male involvement components. Partners: ACQUIRE, AMREF and Private

Nurses and Midwives of Tanzania.

- Objective 4: To mobilize workplace environments to advance gender equity and constructive male

engagement in HIV. Activities: a) Continued collaboration with ABCT in the conduct of quarterly coalition

meetings, b) assess grant recipients' needs and provide TA, d) develop workplace certification process, e)

sponsor awards/recognition events for model programs. Partners: ABCT and Barrick.

- Objective 5: To Develop strategies for strengthening national, regional and district laws and policies to

engage men in HIV efforts and to reduce the HIV risk of both men and women as well as promote overall

family health. Activities: a) Through MenEngage, produce policy briefs, b) sponsor district-level advocacy

events, develop communications campaign and support materials, c) conduct capacity development

sessions for CMACs and parliamentarians, especially related to transactional and trans-generational sex

and GBV, d) organize national advocacy events on key commemorative dates, e) convene selected

religious leaders to conduct a scan of cultural and religious documents supporting men's positive

involvement in HIV prevention. Partners: MenEngage member organizations.

*END ACTIVITY MODIFICATION*

TITLE: TBD Male Involvement Project Channeling Men's Positive Involvement in National HIV/AIDS

Response (The CHAMPION Project)

NEED AND COMPARATIVE ADVANTAGE: The USG/Tanzania will pursue a competitive procurement

process to identify the most appropriate implementing partner to channel men's positive involvement in the

National HIV/AIDS response through gender transformative activities focused on supportive social norms

that discourage multiple partnering and other high-risk behaviors, including gender-based violence.

USG/Tanzania anticipates that the scope of some project activities will be national while others will be

limited to specific regions. It is expected the project activities will target higher HIV prevalence areas and

higher risk populations, perhaps in clusters, but not tightly geographically defined. Where practical,

activities should be located in areas that build on current PEPFAR/Tanzania activities and presence.

ACCOMPLISHMENTS: Technical assistance from the O/GAC Gender Working Group has helped to ensure

appropriate input and guidance in the development of the Request for Application (RFA). It is anticipated

that this procurement will be released for response from applicants by September 2008.

ACTIVITIES: This activity will consist of multiple components aimed at influencing partnering behavior in

Tanzania by explicitly engaging men and their communities in promoting fidelity, partner reduction, and

other critical supportive social and gender norms and in discouraging high risk behavior, including trans-

generational and transactional sex and gender-based violence. In addition, the CHAMPION Project will

promote positive health-seeking behaviors by men, including male participation in health services and in the

national HIV/AIDS response The 2005 Tanzania HIV/AIDS Indicator Survey (THIS) identified several

positive trends in Tanzania. The median age of sexual debut has increased, while the number of concurrent

Activity Narrative: partners has decreased. However, it is reported that 5% of married women and 24% of married men had

more than one partner in the 12 months before the survey. An even higher number of never-married

women and men, aged 15-24, had sex with a non-cohabitating partner in the last 12 months (33% and 40%

respectively). Nine percent of girls aged 15 to 19 who had sex with a non-cohabitating; non-marital partner

in the last 12 months did so with men ten or more years older than themselves. This trend is particularly

concerning as older men are more likely to be infected with HIV. A key strategy of this program will be to

engage highly respected local male leaders in the design of gender and social transformation interventions

targeting other adult men, sexually active male youth, and male youth nearing the age of sexual debut. The

CHAMPION Project will instruct these and other prominent male role models in effective ways of addressing

HIV/AIDS risk factors including harmful gender/social norms and practices, trans-generational and

transactional sex, and the occurrence of gender-based violence in Tanzania. Activities will engage men in

promoting positive masculine identities which promote fidelity, discourage multiple partnering, and facilitate

more equitable relationships among men and women. This program will also address alcohol abuse, which

has been linked to increased violence toward spouses and therefore increased HIV transmission.

Community leaders, religious leaders, Community-Based Organizations (CBOs), Faith-Based Organizations

(FBOs), and NGOs will play an instrumental role in implementing this activity. The Champion program will

also partner with service delivery providers in order to develop strategies for encouraging men to more

actively seek out health services for themselves and their families and also to further engage them in

community care interventions aiming at providing care to HIV-positive individuals.

The first phase of this activity will be a detailed situational assessment of sexual partnering in higher

prevalence areas of Tanzania. Issues to be identified will include: societal norms and expectations

regarding masculinity and sexual behavior; number and types of sexual partners; situations in which

multiple partnering occurs; barriers/facilitators of multiple partnering; avenues for reaching men; influencers

in men's lives and avenues for influencing social norms around partnering; and strategies for addressing

partner reduction in the context of polygamy. The findings of this assessment will drive the content of

interventions and activities and will be shared through national stakeholder events as well as at USG

partner meetings. Implementation strategies for the second phase of this activity will include, but not be

limited to: engaging male social networks and role-models; employing interpersonal methodologies that

allow individuals to accurately assess their own personal risk; promoting and facilitating positive behaviors

to decrease risk of HIV/AIDS infection; and supporting more equitable gender relations in couples, families,

and communities.

LINKAGES: This program will coordinate with other USG partners such as T-MARC, UJANA, ROADS,

Strategic Radio Communication for Development (STRADCOM), and the new male norms initiative. The

male norms initiative is a critical linkage, as this initiative will undertake critical policy, advocacy, and

coordination efforts. Additionally, the male norms initiative will serve as an important resource for technical

assistance to the implementing partners of the CHAMPION Project. Additionally, the implementing partner

of the CHAMPION Project will coordinate closely with the GOT and other donors who are active in sexual

prevention activities.

CHECK BOXES: Emphasis areas include community mobilization and participation, development of

networks, linkages and referral systems, information education and communication, local organization

capacity development and training.

M&E: In year one, this activity will train 100 individuals to promote HIV/AIDS prevention through reduction of

multiple partnering and emphasis of positive social norms, and reach 5,000 individuals through community

out-reach activities. Targets are lower than they will be in subsequent years because the first phase of

program implementation will involve a detailed situational assessment of sexual partnering in higher

prevalence areas of Tanzania. The findings of this assessment will drive the content of interventions and

activities. Outcomes of these activities will include: reduced social acceptance of sexual coercion, cross-

generational relationships, and transactional sex as well as a reduction in number of sexual partners and

increased levels of fidelity. This will be measured through one-on-one interviews with participants chosen at

random. A standardized questionnaire will be designed and administered pre- and post-intervention to

measure the changes in attitudes towards the behaviors CHAMPION counselors will address. The

CHAMPION program will prepare a written M&E plan that will outline procedures for data collection,

storage, reporting, and data quality control. It will also outline plans for use of data for decision-making

within the organization and with stakeholders. This activity will allocate 7% of FY 2008 funds to M&E.

SUSTAINABILITY: Strengthening capacity of local organizations involved in HIV/AIDS program

implementation is a key component to achieving scale-up and results, and to ensuring long-term

sustainability of PEPFAR-assisted programs. Strategies to build capacity may include subgrant making and

ensuring effective use of partnerships, including public/ private partnerships, and working with existing

international and indigenous NGOs, community and faith-based organizations, and a wide range of

ministries. Activities may include expanding and/or strengthening existing programs, projects, and

networks. CHAMPION will also make use of existing partnerships that are key to targeting specific

populations, such as workplace interventions among uniformed services and migrant laborers, and in

locations such as mines, plantations, and industries.

New/Continuing Activity: Continuing Activity

Continuing Activity: 13414

Continued Associated Activity Information

Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds

System ID System ID

13414 8686.08 U.S. Agency for To Be Determined 6480 4903.08 Male

International Involvement

Development

8686 8686.07 U.S. Agency for Engender Health 5096 5096.07 $1,265,000

International

Development

Emphasis Areas

Gender

* Addressing male norms and behaviors

* Increasing gender equity in HIV/AIDS programs

* Reducing violence and coercion

Workplace Programs

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: