ACTIVITY HAS BEEN MODIFIED IN THE FOLLOWING WAYS:

Under AB, UJANA will increase its focus on raising the perception of risk and building skills of youth to lower

their risk. Emphasis will be on older youth and youth at higher risk of HIV infection, including those in high

HIV prevalence areas with denser populations, out-of-school and working youth, and those engaged in

alcohol or drug se. According to the 2007-2008 Tanzania HIV/AIDS and Malaria Indicator Survey, among

youth 15-24 years of age (and in particular for those 15-19 years), more girls than boys are sexually active,

and HIV prevalence rates are higher among girls than boys. Among sexually active females, those 15-19

years are more likely than any other age group to have two or more partners. Transactional sex and cross-

generational sex are both common, particularly among urban youth. Thus, inter-personal communication

(IPC) efforts (health talks, discussion groups, etc.) will address the specific needs of girls as well as boys,

using gender-focused curricula such as the Kaka wa Leo, Dada wa Leo ("Program H" and "Program M")

and Stepping Stones. Gender work will also include younger youth (10-14), when gender norms are being

formed. Among sexually active youth, boys are even more likely than girls to have two or more partners.

Moreover, many youth are already married (68% of women and 28% of men aged 20-24 are), so greater

focus will be made to conduct IPC with married youth (for example, through RH facilities) and to emphasize

B messaging. B messaging will go beyond faithfulness in marriage, to emphasize more complex messages

around partner reduction and in particular reduction of multiple concurrent partnerships (MCP). Specific B-

focused, behavior change messages and materials will be developed and disseminated.

Greater reach through IPC with youth will be promoted through strategic partnerships with the Ministry of

Education and Vocational Training and with the Ministry of Labor, Employment, and Youth Development

(MOLEYD) to support teacher training on HIV prevention and the development and dissemination of

MOLEYD's life skills curriculum for out-of-school youth respectively. Reaching youth through sports will

also be expanded, taking advantage of events such as the 2010 World Cup. Having supported the Ministry

of Health and Social Welfare (MOHSW) to finalize national Peer Education (PE) standards in 2008, UJANA

will support the implementation of these standards by managers of PE programs through training and

technical support. Involvement of faith-based organizations will be supported through training in the use of

guidelines for religious leaders in teaching youth about HIV/AIDS (the Christian and the Muslim Family Life

Education curricula). The Ishi campaign, a largely volunteer, youth-led IPC campaign, will be expanded.

The Ishi campaign also seeks to engage influential adults in HIV prevention, such as Elders Councils and

adult-youth discussion groups, as well as the community at large. Additional efforts to create an enabling

environment for HIV prevention among youth and to influence social norms which influence HIV

transmission, such as gender inequality and gender-based violence (GBV), cross-generational sex, MCP,

and alcohol use, will target influential adults and the wider community through the performing arts (e.g.

interactive theater), media, and training.

A safe-schools initiative to promote safe environments for girls, especially girls in school, will be initiated

and linkages will be created with PEPFAR education sector wrap-around programs. Adult-child

communication will be promoted through other selected implementing partners. Family communication was

promoted through radio in FY2008, so the focus of media campaigns in FY2009 (including radio,

magazines, and other) will focus on other areas of relevance to HIV prevention among youth such as MCP,

cross-generational sex, alcohol use, GBV, in partnership with multi-media initiatives such as Femina HIP,

STRADCOM, AED/T-MARC and others. Ongoing efforts to involve young people living with HIV/AIDS

equipping them with skills to effectively share their stories, link HIV prevention messages to their personal

experiences, and become prevention advocates will be strengthened. UJANA will continue to play a key

role in coordinating the work of the ABY partners, for experience sharing and coordination. Efforts to

identify and involve local celebrities and high-level government officials to reach youth with HIV prevention

messages will be continued, building on the successful engagement by UJANA in 2008 of music artists, TV

personalities, models, etc. All other activities listed in COP 2008 have been initiated and will proceed as in

the previous year.

*END ACTIVITY MODIFICATION*

The 2003-2004 Tanzania HIV/AIDS Indicator Survey (THIS) reported a 4% prevalence rate among young

women and 3% among young men. About 60% of new infections occur among youth. The THIS also

revealed a significant gap between knowledge of HIV and the practice of preventive behaviors. To address

these challenges, UJANA will partner with its FHI counterparts (Ishi and ROADS projects), as well as

external partners, T-MARC, and STRADCOM to implement "Safe Passages", a comprehensive prevention

project to deter new infections among high-risk youth in the southern transportation corridor. "Safe

Passages" will include high-risk areas and youth sub-groups (ROADS project), use interpersonal channels

of behavior change and life skills education, (UJANA and Ishi), community mobilization (UJANA, Ishi, and

TMARC), promote linkages and referrals (ROADS), and utilize mass media (T-MARC and STRADCOM).

ACCOMPLISHMENTS: In addition to many mass media contacts, FHI has delivered HIV prevention

education to over 1,000,000 youth and adult leaders in 2006. It has provided technical assistance (TA),

developed tools, curricula, and other educational materials to build the national prevention infrastructure.

Through its coordination mechanisms, UJANA has promoted a national, well-planned, and evidenced-based

response to the HIV epidemic among youth. Currently, UJANA is developing two key strategy documents.

One will identify most-at-risk youth populations and to develop gender-based population-specific behavior

change communication messages. The other will identify and build the capacity of CBOs who can most

effectively deliver UJANA's gender-based prevention communication messages at the required scale.

These strategies will be implemented fully through the "Safe Passages" project in the southern

transportation corridor in collaboration with T-MARC, STRADCOM, ROADS, and Ishi. ACTIVITIES: 1.

Provide targeted, intensive evidence and gender-based AB-focused HIV prevention programming to youth

in focus regions. 1a: Provide grants and capacity building to implementing partners (IPs). 1b: Conduct

needs assessments with IPs. 1c: Conduct a workshop for IPs to develop capacity-building plans. 1d:

Conduct training workshops to address technical knowledge gaps especially in curriculum-based education,

peer education, and counseling. 1e: Conduct periodic capacity-building visits to monitor and support

implementation of prevention efforts and the capacity-building plan. 2. Roll out delivery of the Ministry of

Activity Narrative: Education and Vocational Training's HIV prevention (abstinence) curricula in all primary schools in one

focus region.

2a: Orient stakeholders at regional and local levels on best practices. 2b: Adapt training manual to promote

integration of HIV/AIDS into school curriculum. 2c: Train ten education sector trainers per district to roll out

and support initiative. 2d: rain seven teachers and 14 youth peer educators per school to provide HIV

education, create linkages with other initiatives, and make referrals to counseling and other services. 3.

Implement a multimedia campaign to promote family communication about HIV and increase youth

knowledge and skills related to abstinence and faithfulness to reduce HIV risk. 3a: Train local

celebrities/role models on HIV/AIDS and family communication. 3b: Support celebrities to promote local

values and family communication; 3c: Organize parent/youth communication workshops (using existing

curricula). 3d: Produce and disseminate IEC materials targeting parents, caretakers, and teachers to

promote adult/youth communication, including Watoto Bomba Parent's Guide (Adaptation of Soul City

publication promoting adult child communication), Watoto Bomba (publication for children aged 10-15) and

‘Children Infected and Affected by HIV/AIDS' (Soul City adaptation) for parents and teachers in the school

sector, including primary schools. LINKAGES: UJANA will work internally with Ishi and the ROADS project

and externally with T-MARC and STRADCOM to implement "Safe Passages", a model prevention program

to target high-risk youth in the southern transportation corridor. UJANA will implement their interpersonal

channels of behavior change interventions (described above), STRADCOM and T-MARC will contribute

their mass media efforts, and ROADS will engage in the identification of sites and at-risk youth sub-groups,

as well as referrals and linkages. UJANA will continue to work at the local level through its sub-grantees,

reaching youth and community leaders with HIV prevention information. Also at the local level, UJANA staff

and IPs will work together with council and district management teams to promote coordination of CBOs

and governmental organizations and to advocate for the inclusion of UJANA partners' work in the council

and district health plans. At the national level, UJANA will continue to work with the Ministry of Health and

Social Welfare and the Ministry of Planning and Economic empowerment to conduct joint planning and

facilitating the Coordinating Committee for Youth Programs and the Adolescent HIV/RH Working Group to

promote a coordinated and evidenced based response to the epidemic. UJANA will work with the First

Lady's WAMA foundation to target parents with capacity building activities designed to improve their ability

to effectively protect children from HIV infection.

CHECK BOXES: UJANA will work with youth who are most at risk, including street youth, transportation

workers, and youth who engage in transactional sex. UJANA will build the capacity of IPs to effectively

deliver gender-based HIV prevention messages. A special focus will be building the capacity of the

education sector to implement the HIV curriculum. A public campaign will be launched to promote family

communication about HIV and sexuality, which will target adult leaders from various sectors. Finally,

UJANA, with its partners, will deliver public education about the positive association between alcohol use

and risk for HIV infection. M&E: FHI has developed data collection tools for IPs and UJANA activities. These

tools include work plans, monthly summary forms, narrative forms, and QA/QI tools. A database will be

developed and FHI will facilitate the discussion with USAID and TACAIDS to harmonize the data collection

tools for HIV prevention programs in Tanzania. Training on qualitative research design and analysis

methods, use of data and QA/QI will be conducted to equip the IPs with the skills to evaluate the

effectiveness of their programs. Supportive capacity building visits will be conducted on quarterly basis to

monitor implementation progress, ensure uniform understanding of M&E processes and tools and verify

data quality. In addition, two review meetings with IPs and local government officials will be organized in

Dar es Salaam and Iringa.

SUSTAINAIBLITY: Priorities include strengthening capacity of professionals, youth and public and private

organizations to respond to the HIV prevention needs in their communities. At the local level UJANA, staff

and IPs will work with council and district management teams. At the national level, the focus will be to

continue to lead coordination efforts involving both public and private partners to develop plans and key

documents that incorporate evidence-based strategies to increase the effectiveness of the national

response to the HIV epidemic among youth.

New/Continuing Activity: Continuing Activity

Continuing Activity: 13484

Continued Associated Activity Information

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

System ID System ID

13484 8691.08 U.S. Agency for Family Health 6518 4907.08 UJANA $3,905,000

International International

Development

8691 8691.07 U.S. Agency for Family Health 4907 4907.07 UJANA $3,504,847

International International

Development

Emphasis Areas

Gender

* Addressing male norms and behaviors

* Increasing gender equity in HIV/AIDS programs

* Reducing violence and coercion

Human Capacity Development

Public Health Evaluation

Food and Nutrition: Policy, Tools, and Service Delivery

Food and Nutrition: Commodities

Economic Strengthening

Estimated amount of funding that is planned for Economic Strengthening $160,000

Education

Estimated amount of funding that is planned for Education $300,000

Water

Table 3.3.02:

ACTIVITY HAS BEEN MODIFIED IN THE FOLLOWING WAYS:

TITLE: UJANA, Comprehensive HIV Prevention for Youth

UJANA will increase its focus in HIV prevention for youth on raising perceptions of risk and building skills of

youth to lower their risk. Emphasis will be on comprehensive programming with sexually-active youth and

youth at higher risk of HIV infection, including those in high HIV prevalence areas with denser populations,

those engaged in transactional sex including commercial sex workers, those engaged in cross-generational

sex, users of drugs or alcohol, mobile or seasonal laborers such as in tea and timber estates, youth on the

streets and other out-of-school youth, and domestic workers. UJANA will promote the role of HIV counseling

and testing and use of condoms, referring youth to accessible service providers and collaborating with such

providers where possible. According to the 2007-2008 Tanzania HIV/AIDS and Malaria Indicator Survey,

among youth 15-24 years of age (particularly for those 15-19), more girls than boys are sexually active, and

HIV prevalence rates are higher among girls than boys. Among sexually active females, those 15-19 years

old are more likely than any other age group to have two or more partners. Transactional sex and cross-

generational sex are common, particularly among urban youth. Thus, inter-personal communication (IPC)

efforts (health talks, discussion groups, etc.) will address the specific needs of girls as well as boys, using

gender-focused curricula such as the Kaka wa Leo, Dada wa Leo ("Program H" and "Program M") and

Stepping Stones. Among sexually active youth, boys are even more likely than girls to have two or more

partners. Moreover, many youth are already married (68% of women and 28% of men aged 20-24 are), so

greater focus will be made to conduct IPC with married youth (for example, through RH facilities) and to

emphasize B messaging. B messaging will go beyond faithfulness in marriage, to emphasize more

complex messages around partner reduction and in particular reduction of multiple concurrent partnerships

(MCP). Prevention messaging for HIV-positive individuals, including those in discordant couples, will be

developed and disseminated, in collaboration with other partners.

Greater reach through IPC with youth will be promoted through strategic partnerships with the Ministry of

Education and Vocational Training and with the Ministry of Labor, Employment, and Youth Development

(MOLEYD) to support teacher training on HIV prevention and the development and dissemination of

MOLEYD's life skills curriculum for out-of-school youth respectively. Reaching youth through sports will

also be expanded, taking advantage of events such as the 2010 World Cup. Having supported the Ministry

of Health and Social Welfare (MOHSW) to finalize national Peer Education (PE) standards in 2008, UJANA

will support the implementation of the standards by managers of PE programs through training and

technical support. Ishi, a largely volunteer, youth-led IPC campaign, will be expanded, with an emphasis on

higher prevalence, urban areas. The Ishi campaign also seeks to engage influential adults and the

community at large in HIV prevention, such as through Elders Councils and adult-youth discussions.

Additional efforts to create an enabling environment for HIV prevention among youth and to influence social

norms which influence HIV transmission, such as gender inequality and gender-based violence (GBV),

cross-generational sex, MCP, and alcohol use, will target influential adults and the wider community through

performing arts (e.g. interactive theater), media, and training.

Family communication was promoted through radio in FY2008, so the focus of media campaigns in FY2009

(including radio, magazines, and other) will focus on other areas of relevance to HIV prevention among

youth such as MCP, cross-generational sex, alcohol use, GBV, or other, partnering with multi-media

initiatives such as Femina HIP, T-MARC or STRADCOM. Livelihood support linked with HIV prevention for

especially vulnerable youth, with an emphasis on girls, will be developed in partnership with Pact

International. Ongoing efforts to equip young people living with HIV/AIDS with skills to effectively share

their stories, link HIV prevention messages to their personal experiences, and become prevention

advocates will be strengthened. Efforts to identify and involve local celebrities to reach youth with HIV

prevention messages will be continued, building on the successful engagement by UJANA in 2008 of music

artists, TV personalities, models, etc. All other activities listed in COP 2008 have been initiated and will

proceed as in the previous year.

*END ACTIVITY MODIFICATION*

The 2003-2004 Tanzania HIV/AIDS Indicator Survey (THIS) reported a 4% prevalence rate among young

women and 3% among young men. Sixty percent of new infections occur among youth. THIS revealed a

knowledge gap between HIV and the practice of preventive behaviors. To address these challenges,

UJANA will collaborate with FHI counterparts, Ishi and ROADS projects, and external partners, T-MARC

and STRADCOM, to implement "Safe Passages," a comprehensive prevention project to avert new

infections among high-risk youth in the southern transportation corridor. "Safe Passages" will identify high

risk areas and youth sub-groups (ROADS project), use interpersonal behavior change and life skills

education, (UJANA and Ishi), community mobilization (UJANA, Ishi, and T-MARC), promote linkages

(ROADS), and mass media (T-MARC and STRADCOM). UJANA brings extensive youth HIV/AIDS technical

expertise and a commitment to work with the GOT on its National Strategy on Adolescent Health and

Development of the Multi-Sectoral Framework on HIV/AIDS to make a difference in young people's lives.

ACCOMPLISHMENTS: FHI delivered HIV prevention education to over 1,000,000 youth and adult leaders

in 2006. It provided TA, tools, and educational materials to build the national prevention infrastructure.

UJANA promoted a national evidenced-based response to the HIV epidemic among youth. UJANA is

developing two strategy documents, one of which will identify most-at-risk youth and to develop gender

based population-specific behavior change communication messages. The other will identify and capacitate

CBOs who can deliver UJANA's gender-based prevention messages at scale. Strategies will be

implemented in the "Safe Passages" project in the southern transportation corridor in collaboration with

TMARC, STRADCOM, ROADS, and Ishi.

ACTIVITIES: 1) Provide targeted, evidence- and gender-based HIV prevention programming to youth in

regions.

1a: Provide grants/capacity building to implementing partners (IPs). 1b: Conduct needs assessments with

IPs. 1c: Conduct IP workshop to develop capacity building plans. 1d: Conduct training workshops to

Activity Narrative: address technical gaps, especially curriculum-based education, peer education, and counseling. 1e:

Conduct capacity visits to support implementation of prevention efforts and the capacity building plan.

2) Roll out the GOT National Adolescent Health and Development Strategy to increase youth access to

services.

2a: Mobilize regional and local level stakeholders to promote youth friendly services. 2b: Disseminate

training manuals to promote VCT among youth. 2c: Train ten YFS trainers per region. 2d: Support national

campaigns to promote youth uptake of VCT and RH services. 2e: Produce/disseminate youth-focused

materials to increase knowledge, attitudes, and skills to reduce HIV risks and promote utilization of YFS

(e.g., the cartoon booklet on the HIV and Sexual & Reproductive Health and poster, and copies of Si

Mchezo magazine).

3) Scale up the evidence- and gender-based Programs "H" and "M" (of Instituto Promundo) and the Ishi

Discussion Groups Initiative to promote gender equity and HIV prevention. 3a: Mobilize stakeholders to

promote youth gender prevention education. 3b: Train Program H and M trainers and conduct Program H

and M sessions. 3c: Conduct pre- and post-intervention behavioral surveillance surveys to assess the

impact of Programs H and M.

4) Scale up Ishi community educational initiatives to promote HIV prevention education and awareness

raising activities reaching large numbers of youth. 4a: Conduct national Youth Advisory meeting to develop

local strategy and activities plan. 4b: Develop local level implementation plans for identified activities, 4c:

Implement activities defined by work plan.

LINKAGES: UJANA will work internally with Ishi and the ROADS project and externally with T-MARC and

STRADCOM to implement "Safe Passages" in the southern transportation corridor. UJANA will implement

their interpersonal channels of behavior change interventions. STRADCOM and T-MARC will contribute

mass media efforts and ROADS will identify sites and at-risk youth sub-groups, referrals, and linkages.

UJANA will work at the local level through its sub-grantees, reaching youth and community leaders with HIV

prevention information. Nationally, UJANA works in partnership with the Ministry of Health and Social

Welfare (MOHSW) and the Ministry of Planning and Economic Empowerment, conducting joint planning

and facilitating the Coordinating Committee for Youth Programs and the Adolescent HIV/RH Working Group

to promote a coordinated and evidenced based response to the epidemic. UJANA will work with public and

private partners to implement GOT's Adolescent Health and Development Strategy and the Multi-Sectoral

Framework on HIV/AIDS. UJANA will link its prevention interventions with TechnoServe and MDEA

livelihood programs.

CHECK BOXES: UJANA and partners will work with at risk youth including street youth, transportation

workers, and youth that engage in transactional sex. UJANA will build the capacity of IPs to deliver gender

based HIV prevention messages at scale. Funding for organizations will be reserved for institutions that

provide RH services. HIV funding will be used to leverage integrated comprehensive services for youth.

UJANA and partners will deliver public education about the positive association between alcohol use and

risk for HIV infection.

M&E: FHI has developed data collection tools for IPs and UJANA activities that include work plans, monthly

summary forms, narrative forms, and QA/QI tools. A database will be developed and FHI will facilitate the

discussion with USAID and TACAIDS to harmonize the data collection tools for HIV prevention programs in

Tanzania. Training on qualitative research design and analysis methods, use of data, and QA/QI will be

conducted to equip the IPs with the skills to evaluate the effectiveness of their programs. Capacity-building

visits will be conducted quarterly to monitor implementation ensure uniform understanding of M&E

processes and tools and verify data quality. Data from IPs, strategic partners and UJANA units will be

collected, analyzed, and reviewed by FHI staff and partners quarterly to inform program changes. Two

review meetings with IPs and government officials will be organized in Dar es Salaam and Iringa.

SUSTAINAIBLITY: Priorities include strengthening the ability of professionals, youth, and public and private

organizations to respond to community HIV prevention needs and to create linkages between youth-serving

organizations and governmental organs. Nationally, focus will be to continue to lead coordination efforts

involving public and private partners to develop plans and documents that incorporate evidence-based

strategies to increase the effectiveness of the national response to the HIV youth epidemic. Through "Safe

Passages" partnerships, UJANA will provide a replicable model for a comprehensive approach to high-risk

youth in targeted geographic areas.

New/Continuing Activity: Continuing Activity

Continuing Activity: 13485

Continued Associated Activity Information

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

System ID System ID

13485 8722.08 U.S. Agency for Family Health 6518 4907.08 UJANA $1,000,000

International International

Development

8722 8722.07 U.S. Agency for Family Health 4907 4907.07 UJANA $1,000,000

International International

Development

Emphasis Areas

Gender

* Addressing male norms and behaviors

* Increasing gender equity in HIV/AIDS programs

* Increasing women's access to income and productive resources

* Reducing violence and coercion

Human Capacity Development

Public Health Evaluation

Food and Nutrition: Policy, Tools, and Service Delivery

Food and Nutrition: Commodities

Economic Strengthening

Education

Water

Table 3.3.03: