Detailed Mechanism Funding and Narrative

Details for Mechanism ID: 11519
Country/Region: Tanzania
Year: 2009
Main Partner: To Be Determined
Main Partner Program: NA
Organizational Type: Implementing Agency
Funding Agency: USAID
Total Funding: $0

Funding for Care: Orphans and Vulnerable Children (HKID): $0

THIS IS AN ONGOING ACTIVITY FROM FY 2008. ONCE AN AGREEMENT IS AWARDED, ACTIVITIES

WILL PROCEED DURING FY 2009. PLEASE NOTE THAT THE ACTIVITY NARRATIVE REMAINS

UNCHANGED FROM FY 2008.

TITLE: Providing Insurance to Strengthen Households with Orphans and Vulnerable Children (OVC).

PEPFAR Tanzania has worked with the Government of the Netherlands to apply an integrated plan to

provide direct support to HIV/AIDS-impacted people, while simultaneously investing in the development of a

robust private sector health care capacity. Recent studies show that at the country's current level of

development, the private sector must be leveraged to assist in health care provision if the government is to

realize its goal of ensuring access to health care services to all who need it.

This activity collaborates with an innovative public-private partnership designed to provide basic employer

provided health insurance to 50,000 low-income wage earners by leveraging the in-place program to offer

insurance benefits to caregivers and their families who are willing to take in OVC. The program provides

insurance premium subsidies, which the private sector in-country insurer matches by agreeing to take only

3%, profit rather than the standard 18% (resulting in a 15% insurer contribution).

ACCOMPLISHMENTS: new activity

ACTIVITIES: The USG/Tanzania has linked with the Dutch Government to implement an integrated plan to

provide direct support to HIV/AIDS-impacted people while simultaneously investing in the development of a

robust private sector health care capacity. This activity will extend the basic health care coverage package

by covering the care costs associated with households who are willing to take in OVC. The care will be

provided in certified private, non-governmental health facilities, as well as through home-based care

providers. The arrangement will have the dual effect of increasing household support for families caring for

OVC, while also encouraging the development of a parallel private sector health care network designed to

encourage and support employer-sponsored health care coverage. No targets have been set because the

beneficiaries will be served by USG-funded implementing partners and will be reported under those

partners programs.

LINKAGES: This activity links to the other insurance program activities in treatment and the on-going

activity in counseling and testing. Collaboration on the pilot programs will occur with Deloitte TUNAJALI

OVC activities, and possibly with other USG-funded OVC implementing partners.

CHECK BOXES: The program will serve OVC and their households, strengthening the household and

contributing to economic security.

SUSTAINAIBLITY: By building interest in health insurance, the program is expected to strengthen families

and develop the practice of using health insurance to strengthen health services.

New/Continuing Activity: Continuing Activity

Continuing Activity: 17038

Continued Associated Activity Information

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

System ID System ID

17038 17038.08 U.S. Agency for Geneva Global 7862 7862.08 $200,000

International

Development

Table 3.3.13: