ACTIVITY HAS BEEN MODIFIED IN THE FOLLOWING WAYS:

In FY 2009, The Salvation Army/Tanzania (TSA/Tanzania) will focus on expanding and strengthening

community capacity building to ensure sustainability and ownership of the program, in a move to start

transferring responsibility for programs to the Government of Tanzania and communities. TSA/Tanzania will

continue to implement community strategies determined to be effective in ensuring integration of OVC-

supported activities in the community district plans and budgets. TSA/Tanzania will develop a protocol to

be followed while implementing activities that will support community understanding of the national

strategies supporting OVC. Examples of these strategies include quality improvement of OVC services;

improved collection, processing, and use of data; and technical support to the community as they adopt the

national quality standard for OVC services. In addition, TSA/Tanzania will follow guidance developed from

the recent nutritional assessment of OVC, proposing strategies for cost-effective community-based food and

nutrition programs through TSA/Tanzania's Mama Mkubwa committees.

TSA/Tanzania will document best practices, lessons learned, and challenges encountered throughout the

life of the program. This will inform and strengthen the national OVC strategies for PEPFAR Phase Two.

Lessons learned will be shared among key stakeholders, implementing partners, and the Government of

Tanzania. In addition, other OVC stakeholders will have the opportunity to visit the program and learn

about successful activities, linkages, and ways to engage the community to foster community ownership

and support of the program.

*END MODIFICATION*

NEED AND COMPARATIVE ADVANTAGES: The severe AIDS epidemic presents an enormous challenge

to Tanzania, which ranks among the poorest countries in the world. The response of national programs

international agencies has contributed in efforts to fight this pandemic. The development of the HIV/AIDS

epidemic have its clear impact on all sectors of development through not only pressure on AIDS cases care

and management of resources, but also through debilitation and depletion of economically active population

especially young women and men. Most affected groups are the youth and the women. Several reasons

can be advanced to explain this observation. Early marriage and early initiation of sex among women,

young girls having sex with older men, peer pressure for high-risk behavior, biological and anatomical

predisposition are some of the most important reasons. In addition, failure of women to protect themselves

from HIV infections due to economic hardships, repressive customary laws, beliefs and polygamy could all

contribute to this state of affairs.

Adult mortality in Tanzania has increased considerably during the nineties and there is evidence from

several districts that AIDS is now the leading cause of death among adults. The modest child mortality

decline in Tanzania stagnated during the second half of the nineties and this may be due to HIV/AIDS. The

proportion of children under 15 who are orphans has gradually increased and by the turn of the century

10.1% had lost both parents, 6.4% had no father and 3.5% had no mother (AIDS in Africa during the

nineties, Tanzania, 2001). In Southern Tanzania, Lindi and Mtwara regions have only limited data. A

comparison of antenatal clinic data in Lindi town between 1989 and 1993 showed a rise in HIV prevalence

from 0.5% to 8.7% (Petry and Kingu, 1996).In Kilimanjaro region, antenatal clinic surveillance in Umbwe

(Moshi rural district) shows an increase, especially since 1997. HIV prevalence was nearly 20% in 1998-

99.In Hai district, AIDS was the second most common cause of death, with 26% of female and 37% of male

adult deaths associated with HIV/AIDS. The increase in adult mortality implies that many more children will

be orphaned because of the AIDS epidemic.

In the implementation of this program, The Salvation Army will utilize the funds to create awareness in

communities about the HIV/AIDS pandemic, risky behavior, and advocate for behavioral change among

children, youth, and adults. Similarly, the program proposed will train community members through

community-based structures known as Mama Mkubwa Teams/ Most Vulnerable Children's Committees

(MVCC) in community counseling, psychosocial support, home-based care, nutrition, HIV/AIDS,

entrepreneurial skills, and resource mobilization in order to sustain the program activities, and effectively

provide sustainable care and services to identified OVC/MVC. OVC/MVC will receive psychosocial support

through kids clubs in their communities where they will also learn about HIV/AIDS, anti stigma issues, body

hygiene, children's rights, and entrepreneurial skills for older youth, youth sexuality and HIV/AIDS.

OVC/MVC will directly benefit from the program in education, food and nutrition, and psychosocial support.

The program will provide direct material support to the OVC to provide for their immediate needs. Those

with needs beyond what the program can offer, such as health and ARV treatment, will be referred to other

partners.

In addition to the above-mentioned components, TSA/Tanzania will also implement the WORTH program -

a literacy-led, savings-based village banking program for female caregivers of OVC/MVC. This will support

the OVC families to earn a living, as well as provide children with their basic needs. Women with no literacy

skills will learn how to read and write. The program also organizes mobile workshops among WORTH

groups on various topics such as HIV/AIDS, nutrition, successful business practices, and OVC care and

support through an OVC fund.

ACCOMPLISHMENTS: During October 2007 - June 2008, Salvation Army continued with community

strengthening through community dialogues and caregivers' training in order to ensure sustainable care and

support to the OVC/MVC in Lindi and Kilimanjaro regions. Community Counselors facilitated the dialogues;

sensitized and mobilized the communities to participate in the dialogues, and complement the Salvation

Army (TSA) support in caring for the OVC in their communities. In various communities, local government

officials, teachers, elders, children, community and religious leaders participated in the dialogue. The

communities have witnessed the progress of the OVC/MVC work and Mama Mkubwa initiatives that support

the OVC/MVC. The Field Supervisors and TSA Officers joined the counselors to encourage other

community members and the caregivers who are not part of Mama Mkubwa teams and the most vulnerable

children committees (MVCCs) to attend these dialogues .Through dialogues communities were urged to be

creative, and take initiatives of utilizing the provided information and knowledge to start the income

Activity Narrative: generation activities. The dialogues enabled community participation and ownership of the initiated TSA

programs activities; which will help communities to continue serving OVC/MVC even after the program

funds ends. The community dialogue concerning OVC/MVC issues have enhanced community awareness,

participation, commitment and ownership of the program, Among the key issues involved in the dialogue are

behavioral change to prevent HIV/AIDS risk behaviors, fight stigma, and sustain OVC/MVC care and

support. From community dialogues, a number of community strategies to support OVC/MVC were

established, supported by cash and material contributions from community members. The program trained

145 community counselors. TSA has supported about 18,734 (March 2008) children with psychosocial

support through Kids Clubs. Through support initiatives of Mama Mkubwa teams, WORTH group members,

caregivers and community members, some OVC/MVC and their families were provided with basic needs

including education materials.

TSA has reached about 5,692 women through WORTH the literacy-led, savings-based village banking

program. The vast majority of these women are caregivers of OVC. Through WORTH, female caregivers

are raising their household incomes, starting and growing their businesses, and in some cases, learning to

read and write for the first time. The average savings per member has grown to 300 Tanzanian shillings per

week. Members businesses continued to grow while other members embarked into new income generating

activities. During this period loans given to members have increased as members have seen the importance

of putting more money in their loan fund.

In order to determine the extent of OVC/MVC support by WORTH groups, TSA conducted a research

project in April, 2008. The research looked at material support, and non-material support. The results

indicated that WORTH groups have provided support to 2,764 OVC/MVC since October 2007. WORTH

groups have supported these children with shelter, food, school feeding, assistance with farm work, school

materials, fees, and uniforms, medicine, help setting up savings clubs, and referrals. Eighty-four WORTH

groups have OVC funds. Some groups held fund raising activities to solicit additional support from

community members.

Men's interest in the WORTH program has also increased. despite of the fact that WORTH program target

poor women households only; there are a number of men's groups that have replicated the WORTH model

with some technical support from the women's WORTH groups and from Empowerment Workers. Some

men's groups are even paying the community Empowerment Workers (EWs) for their technical support.

WORTH women are assisting these groups in terms of helping them to operate profitable groups with a

minimal assistance from the EWs who have been giving occasional support during times when they are not

working with the women groups.

Empowerment of the Counselors, Mama Mkubwa (MM) team members, Caregivers and WORTH group

members was done through, various trainings conducted during this quarter to make sure that the

counselors, MM teams and women in the WORTH groups are technically equipped to fulfill their goals of

caring for the OVC/MVC in their communities.

Support visits to Mama Mkubwa teams, OVC/MVC households and WORTH groups has been ongoing

through visits by the program teams. The Salvation Army has been working with about 260 WORTH groups

in Kagera and Kilimanjaro communities. However, there is a need to scale up OVC/MVC support services to

cover OVC identified in the regions in a quality manner, given the needs that OVC and their families have.

ACTIVITIES: 1. Train 960 Mama Mkubwa/Most Vulnerable Children's Committees (MVCC) members in

community counseling, psychosocial support (PSS), first aid, Monitoring and Evaluation (M&E), nutrition,

and resource mobilization to improve knowledge and skills for OVC care and support. This includes:

training 80 Mama Mkubwa/MVCC members per district; training twelve individuals from the Department of

Social Welfare (DSW) and community development officers (one per district) in M&E and navigation of the

database (officers will need to monitor data collection, tracking, and progress in the respective districts

according to program indicators and objectives); and engaging the community in conversations to enable

communities to understand problems facing OVC, identify needs, and establish community committees and

plans for further provision of care and support. 2. Identify and serve OVC. Mama Mkubwa/MVCCs will be

established through the prescribed national identification process. TSA/Tanzania shall build the capacity of

these committees to deal with the situations that may arise as they provide care for OVC. 3. Scale up

quality services and intensify coverage of the Lindi and Kilimanjaro regions. This includes: providing PSS

through 400 kids clubs for children to receive counseling, education, and psychological, physical, and

emotional rehabilitation (TSA/Tanzania will purchase and distribute 400 new kids clubs kits and 400 first aid

kits to new clubs and replacement of old club tools); producing and printing HIV/AIDS sensitization materials

and nutrition books; providing food supplements through centrally purchased commodities, providing dairy

goats to MVC caregivers, distributing blankets/bed sheets and distributing insecticide treated mosquito nets.

4. Conduct refresher training for twenty-four staff members and officers in community counseling, PSS, first

aid, nutrition, M&E, and resource mobilization. Ensure staff and officers have sufficient knowledge, skills,

and increased capacity to provide quality care and support OVC effectively. 5. Support coordination and

capacity building of local government structures. To ensure coordination and effective referrals, Salvation

Amy will work through field staff to support capacity building and ensure effective coordination of OVC

implementing partners in the Lindi and Kilimanjaro regions through replication of national OVC

Implementing Partner Group activities. TSA/Tanzania will collaborate with the following entities on a

quarterly planning basis: local government councils, school management committees, village authorities,

representatives of business associations, and local management of public and private health facilities. A

continuum of care will be provided to OVC. 6. Conduct community conversations in communities where the

program operates to raise awareness of the OVC issues and enable them plan care and support services

based on real situations of OVC in their communities.

M&E: TSA/Tanzania shall:

1. Adopt the national Data Management System (DMS) and use that system for M&E purposes. Ensure

that sub-grantees' information about OVC identified at the local level feeds not only into the national system,

but is also available to MVCCs at the local level for planning, decision making, and monitoring. Assist local

Activity Narrative: government in using the data available in the DMS for planning, budgeting, and decision making.

2. Purchase six computers for the district social welfare officers in the 12 districts of Lindi and Kilimanjaro

regions, build capacity of the district social welfare and M&E officers and provide basic training to use the

purchased computers to ensure data quality and integrity.

3. Conduct daily monitoring (through Mama Mkubwa/MVCCs), and conduct quarterly field visits to assess

the quality of services provided, review data, and provide onsite refresher training (as needed).

4. Conduct mid-term and year-end evaluations. Feedback shall be provided to staff, partners, community

members, and district leaders to ensure quality services, as well as follow up challenging situations.

5. Include M&E activities in the work plan that is integrated into the program processes for each category of

staff. Data shall be collected from the field on monthly basis and reviewed by the program M&E specialist.

In FY 2009, approximately 7% of the budget will be used for overall M&E purposes.

New/Continuing Activity: Continuing Activity

Continuing Activity: 13586

Continued Associated Activity Information

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

System ID System ID

13586 9634.08 U.S. Agency for Salvation Army 6557 3506.08 Track 1.0 $1,120,000

International

Development

9634 9634.07 U.S. Agency for Salvation Army 5240 5240.07 Non-Track 1 $550,000

International

Development

Emphasis Areas

Human Capacity Development

Estimated amount of funding that is planned for Human Capacity Development $85,125

Public Health Evaluation

Food and Nutrition: Policy, Tools, and Service Delivery

Food and Nutrition: Commodities

Economic Strengthening

Education

Estimated amount of funding that is planned for Education $175,000

Water

Table 3.3.13: