ACTIVITY HAS BEEN MODIFIED IN THE FOLLOWING WAYS:

This funding complements the Track 1 funding for the Salvation Army/Tanzania (TSA/TZ). In FY 2009,

TSA/TZ 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/TZ 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/TZ 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/TZ will follow

guidance 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/TZ 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*

FY 2008 Narrative

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

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,

Activity Narrative: 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

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: 13585

Continued Associated Activity Information

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

System ID System ID

13585 4920.08 U.S. Agency for Salvation Army 6558 5240.08 $700,000

International

Development

7801 4920.07 U.S. Agency for Salvation Army 4578 3506.07 SA Track 1.0 $384,460

International

Development

4920 4920.06 U.S. Agency for Salvation Army 3506 3506.06 $420,898

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

Water

Table 3.3.13: