Detailed Mechanism Funding and Narrative

Years of mechanism: 2008 2009

Details for Mechanism ID: 6165
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 A NEW ACTIVITY

TITLE: Procurement and Distribution of Food and Nutritional Commodities

NEED and COMPARATIVE ADVANTAGE: Malnutrition is a major health problem among under-five

children Tanzania, and orphans and HIV-exposed children are frequently malnourished. Yet there are few

programs that focus on the nutritional needs of these children. There is significant need to follow HIV-

exposed infants (many of whom are orphaned) and under-five children, particularly to assess the nutritional

needs of those who are faltering in their growth pattern. An important entry point for identifying HIV-

exposed children is through Prevention of Mother-to-Child Transmission (PMTCT) programs. Presently,

however, little is being done to ensure the appropriate nutritional status of HIV-positive pregnant women, or

to follow up on the exposed child. In order to improve the nutritional status of pregnant women, as well as

HIV-positive vulnerable children, the USG intends to procure food and/or nutritional supplements for

malnourished pregnant women in PMTCT programs, as well as orphans and vulnerable children (OVC),

particularly post-weaning.

ACCOMPLISHMENTS: Not applicable, as this is a new activity.

ACTIVITIES: In FY 2009, the USG intends to procure and distribute food and nutritional support to

HIV/AIDS patients through PMTCT and pediatric care and support partners. For HIV-positive women,

micronutrients will be procured for distribution, initially in eight districts (the same as those piloting Food by

Prescription in HIV/AIDS Care and Treatment Clinics). In addition, a nutritional supplementation program

for HIV-positive malnourished children will be initiated in the same eight districts, using a product such as

Plumpy'Nut. The partner selected to procure and distribute the food must have a successful history of

procuring for nutritional programs supporting people living with HIV/AIDS, in addition to bulk purchasing and

distribution of supplies. TBD will adopt proven practices for implementing nutritional support programs for

HIV-positive pregnant women and vulnerable children.

LINKAGES: The partner will link with implementing partners providing direct services to HIV-positive women

and HIV-exposed children to develop models for food supplies management and distribution systems. The

partner will also coordinate closely with other partners (including the Medical Stores Department) who have

experience in commodity distribution in country to ensure that commodities reach the implementing

partners. Where possible, the TBD partner will avoid duplication by working directly with other

implementers involved in wraparound feeding or nutritional support programs (e.g., the World Food

Programme). TBD will also work with in-country supplementary food manufacturers, for possible

procurement of food or nutrition-related commodities.

M&E: This TBD partner will be for commodity procurement and will also contribute to the service delivery

provided by other implementing partners; therefore, the activity does not have direct targets. However,

information on the procurement of food and nutritional supplements will be tracked by the USG activity

manager and will be monitored against information reported by service delivery partners.

SUSTAINAIBLITY: While the food procurement is not designed to be a self-sustaining activity, it is aimed at

therapeutic food provision for a specified duration within the clinical setting to address immediate and critical

food and nutritional deficiencies especially for clients currently in PMTCT programs and OVC. The longer-

term food security and availability to the households will be addressed through other linkages with

wraparound programs.

New/Continuing Activity: Continuing Activity

Continuing Activity: 16533

Continued Associated Activity Information

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

System ID System ID

16533 16533.08 U.S. Agency for To Be Determined 6464 6165.08 Nutrition

International

Development

Emphasis Areas

Human Capacity Development

Public Health Evaluation

Food and Nutrition: Policy, Tools, and Service Delivery

Food and Nutrition: Commodities

Estimated amount of funding that is planned for Food and Nutrition: Commodities

Economic Strengthening

Education

Water

Table 3.3.13: