Detailed Mechanism Funding and Narrative

Years of mechanism: 2008 2009

Details for Mechanism ID: 7569
Country/Region: Tanzania
Year: 2009
Main Partner: U.S. Agency for International Development
Main Partner Program: Tanzania - Strategic Radio Communication for Development
Organizational Type: Own Agency
Funding Agency: USAID
Total Funding: $2,505,000

Funding for Biomedical Prevention: Prevention of Mother to Child Transmission (MTCT): $150,000

THIS IS AN ONGOING ACTIVITY FROM FY 2008. ACTIVITIES LISTED HAVE BEEN INITIATED AND

WILL PROCEED DURING FY 2009 AS IN THE PREVIOUS YEAR. ACCOMPLISHMENTS WILL BE

REPORTED IN THE FY 2008 APR. PLEASE NOTE THAT THE ACTIVITY NARRATIVE REMAINS

UNCHANGED FROM FY 2008.

The funding for this activity has changed from 200,000 to 150,000.

*END ACTIVITY MODIFICATION*

TITLE: STRADCOM Promotion of PMTCT Services

NEED and COMPARATIVE ADVANTAGE: PMTCT is a critical prevention service that has been

increasingly be made available. However, there is a need to better promote this service as well as to

address misconceptions and reduce stigma. STRADCOM is positioned to promote and convey appropriate

information about PMTCT. CCP the prime for the STRADCOM project has been implementing treatment

communication interventions since 2002, beginning with President Bush's International Mother and Child

HIV Prevention Initiative.

ACCOMPLISHMENTS: During the first six months of the project, using pre FY 2007 funding, STRADCOM

has started developing a range of programming vehicles that can be used to convey core messages in a

flexible and mutually supporting manner. STRADCOM has already funded the production and broadcast of

a radio serial drama on radio Tanzania (RTD). Two of the storylines deal with treatment adherence and with

stigma. STRADCOM is also developing another radio serial drama for a more urban audience.

Three workshops have been conducted: one on the communication strategy, one with scriptwriters and

producers for the two radio serial dramas and another for radio producers of the radio diaries. STRADCOM

has also produced and broadcast a number of public service announcement (PSAs) on AB, OP and VCT

Promotion supporting USG partners' activities.

ACTIVITIES: STRADCOM will develop specific PMTCT messages that will promote a greater

understanding of PMTCT, publicize where there service is available and help reduce stigma. These

messages will be conveyed through our established radio programs: 1) Weekly magazine programs on

AIDS on at least 12 stations/networks. The typical format of these programs is a regular radio diary segment

by a person living with AIDS, a pre-recorded news story, a phone in session and an optional guest. A total

of 36 of these programs over 52 weeks will present core messages on PMTCT..

2) A weekly 52-episode radio serial drama with one storyline on PMTCT. This format allows time to fully

explain PMTCT in an engaging manner..

3) Approximately six public service announcements that promote PMTCT services inserted a minimum of

600 times on the most appropriate radio stations. The final media schedule will be based on target

audiences and radio listener demographics, number of exposures estimates, geographic locations, and

other STRADCOM radio programs. All these activities include training and mentoring radio station

production staff; working with key partners to review core messages, technical aspects and national

protocols; broadcast; monitoring for correct content and technical quality; and distribution of programs to

other stations in our network of cooperating stations. STRADCOM has developed working relations with

various radio stations including all the national stations and a few local stations. Each of these stations

already has a program on AIDS, which we plan to strengthen with training and equipment. We will co

produce

the diaries and documentaries to be used on these existing magazine programs. Each of these pre

-recorded segments averages five minutes, allowing them to be easily integrated into these existing

programs. These pre-recorded regular weekly segments will act as catalysts for participation by studio

guests, persons phoning in or sending SMS messages or write-in.

LINKAGES: STRADCOM is working together with NACP, TACAIDS, and other partners to assure

messages are appropriate, support policies, and are linked to services. STRADCOM intends to work closely

with PMTCT partners including but not limited to EGPAF. They will play a key role on our design team to

identify areas needing communication support and developing core messages. As of July 2007, potential

radio partners include Abood FM, Morogoro; Clouds FM, Dar es Salaam and Region; Ebony FM, Iringa; Kili

FM, Kilimanjaro; Mbeya FM , Mbeya; Radio One, National; Radio Ukweli, Morogoro; RFA, Mwanza and

National; and RTD, National. This list is expected to grow to at least 12 stations by 2008. Finally

STRADCOM is also working in the program areas of AB, OP, Testing, home-based care and ARV

treatment, ensuring a consistent behavior change communications across the continuum of care.

CHECK BOXES: Local capacity development: STRADCOM will be training and mentoring radio station staff

to better produce programs on HIV and AIDS.

M&E: PSAs, drama pilots and selected diaries and documentary episodes will be pre-tested with focus

groups. Our design teams will review technical content. Selected magazine programs will be translated into

English for review. The existing PMP plan will be updated. STRADCOM's PMP calls for a mid-term

population-based evaluation in early 2008 to measure impact.

SUSTAINAIBLITY: STRADCOM's strategy is to work closely with partner radio stations to help improve

their existing programs on HIV/AIDS. Their involvement is co-production rather than paying for airtime. By

training and supporting their existing staff to produce high quality, informative and engaging programming

we will demonstrate that this will increase their listeners and in turn increase their revenue from advertising.

STRADCOM is also working with local production companies to improve their production, post-production

and behavior communication skills and capacity. This not only makes them more effective it also makes

them more competitive. STRADCOM has a cost share provision in its CA that encourages sustainability by

requiring radio stations to support our productions. In one of our first partnerships with RTD, their "in-kind"

contribution amounted to about half the cost of the radio series Twende na Wakati.

New/Continuing Activity: Continuing Activity

Continuing Activity: 17868

Continued Associated Activity Information

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

System ID System ID

17868 17868.08 U.S. Agency for Johns Hopkins 7569 7569.08 STRADCOM $200,000

International University

Development

Emphasis Areas

Gender

* Addressing male norms and behaviors

* Increasing gender equity in HIV/AIDS programs

Health-related Wraparound Programs

* Child Survival Activities

* Family Planning

* Malaria (PMI)

* Safe Motherhood

Human Capacity Development

Estimated amount of funding that is planned for Human Capacity Development $10,000

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 $100,000

Water

Table 3.3.01:

Funding for Sexual Prevention: Abstinence/Be Faithful (HVAB): $800,000

ACTIVITY HAS BEEN MODIFIED IN THE FOLLOWING WAYS:

TITLE: STRADCOM AB Communication Support

PEPFAR/Tanzania is promoting a more comprehensive and integrated approach to the prevention portfolio.

Key partners are working closely together at the programmatic level to improve coordination, evidence-

based programming, and impact. The majority of USG prevention partners are primarily focused on

interpersonal communication and community outreach, while STRADCOM is focused on radio

programming. So in effect, STRADCOM is responsible for the "air war" and the other partners for the

"ground war." STRADCOM supports and promotes the other partners' on-the-ground activities using their

network of local and national radio stations. In a 2007 survey, 75% of respondents claimed to have listened

to the radio within the past day; the popularity of radio enables STRADCOM to reach millions of Tanzanians

with important AB messaging. In line with the USG Prevention Program Area Context, STRADCOM will

focus prevention messaging on key risk behaviors, including multiple concurrent partnerships and cross-

generational and transactional sex.

During the first 18 months of the project, STRADCOM developed programming to support the full range of

PEFAR activities in a flexible and mutually supporting manner. STRADCOM developed a radio serial

drama, Wahapahapa ("The People from Right Here"), with various HIV/AIDS story lines, broadcast once a

week on a national network. The programs are re-broadcast on nine local stations in high-prevalence

regions. STRADCOM supports15 radio stations to produce weekly magazine-format radio programs on

HIV/AIDS and has designed, produced, tested and broadcast a range of public service announcements

(PSAs) supporting AB activities. 17 PSAs have been developed and produced, which have run 1,620 times

on 15 national and local radio stations. STRADCOM has collaborated with AED/T-MARC and FHI/Ujana on

Safe Passages (for high-risk youth) and a related Alcohol and HIV Initiative. STRADCOM has also

developed and tested a highly successful new campaign on cross-generational sex, called Fataki.

STRADCOM will continue to develop specific AB messages that focus on positive behavior change, aiming

for more complex messaging around partner reduction. Continuing programs will include: 1) Weekly

magazine programs on HIV/AIDS on at least 15 stations/networks. 2) A weekly 52-episode radio serial

drama with one major storyline on being faithful. The Wahapahapa storylines include a subplot that models

behavior change for abstinence and open communication between mothers and daughters. The format of a

long drama series allows us to deal with these themes in a complex, subtle and realistic manner.

STRADCOM will expand listenership from radio broadcasts by using other distribution channels such as

distributing program tapes to commuter and long-distance buses. 3) Design, produce and broadcast PSAs

supporting partners' "on the ground" activities and the continuation/ expansion of the Fataki campaign

(depending on monitoring data, its AB messaging will be reinforced or expanded).

STRADCOM will continue working closely with partners, who assist in identifying areas needing

communication support and in developing core messages. One example is planned collaboration with

CHAMPION to ensure radio coverage of Fataki in areas where CHAMPION is working; develop Fataki

materials for CHAMPION to use in community outreach; and potentially introduce a positive role model (a

Champion) in the STRADCOM Wahapahapa drama. All other activities listed in COP 2008 have been

initiated and will proceed as in the previous year.

*END ACTIVITY MODIFICATION*

NEED AND COMPARATIVE ADVANTAGE: An effective prevention campaign is the best way of avoiding

infections, and for treatment and care. There is a need for a more comprehensive and integrated approach

to the AB prevention program area. Target audiences need to hear consistent core messages from a variety

of sources including mass media, NGOs facilitating events, community leaders, religious leaders,

neighbors, friends, and family members. Three key partners in this program area, encouraged by USAID,

propose working more closely together at the programmatic level to improve coordination, evidence-based

programming, and impact. Two partners, AED and FHI, are mainly focused on community outreach.

STRADCOM is focused on radio programming. STRADCOM's contribution to AB prevention will be to

support and promote the other two partners' on-the-ground activities using, as appropriate, local and

national radio. STRADCOM's role will be to provide support by conveying core messages on the radio and

promoting our partners' outreach activities. In a 2002 survey, 81% of respondents claimed to have listened

to the radio within the past day. Thus, the popularity of radio will enable STRADCOM to reach out to millions

of Tanzanians with important messages regarding comprehensive services across the prevention-to-care

continuum.

ACCOMPLISHMENTS: During the first six months of the project, using pre FY 2007 funding, STRADCOM

has started developing a range of programming vehicles that can be used to convey core messages in a

flexible and mutually supportive manner. STRADCOM has already funded the production and broadcast of

a radio serial drama on Radio Tanzania Dar es Salaam (RTD). We have also produced and broadcast a

number of PSAs in support of AED's Sikia Kengele campaign.

ACTIVITIES: The Tushikamani (Respecting Ourselves) campaign is directed at getting people into VCT by

making it an issue of local and national pride. Tanzanians have demonstrated a deep national pride which

initial testing has shown can be tapped to create broader acceptance of HIV tests. The goal of the campaign

is to increase VCT by 125% in areas targeted with the message campaign. The campaign uses a

combination of radio, wrist bands, and message boards to re-enforce the message tagline ‘Let's build the

Nation' and the subtext ‘getting tested is good for our community'. Each radio spot depicts a noted opinion-

maker (the President, a local traditional healer, a sports star) explaining his/her rational for getting tested

and ends with one of the listeners in the crowd announcing that he or she will follow this example as well,

for the good of the country. The radio campaign is augmented with billboard posters depicting two

contrasting Tanzanians (a Masaai warrior and a businessman, a Bongo rapper and a grandmother) with

their hands clasped in solidarity and their wrists adorned with a wrist band in the colors of the national flag.

The bands are given out for free at VCT centers and other AIDS-related facilities.

Activity Narrative: APPROACH: STRADCOM will create the radio spots and ensure that they remain faithful to the campaign

design. They will engage actors, script-writers, and production teams, and will identify and procure air time.

Emphasis will be put on getting corporate sponsorship for air-time either as a corporate social responsibility

donation or as sponsored advertising. They will also communicate with the creative team of Dan and Chip

Heath as the campaign progresses, sharing ideas, and making modifications as requested. STRADCOM

will develop core AB messages with AED and FHI. We will support the two prevention partners with

broadcasting of core messages and with the promotion of their community outreach. Specific AB messages

will promote: fidelity within marriage and serious relationships; partner reduction; abstinence; delay in

sexual debut; reduction in trans-generational sex (aimed at males); awareness in the population about the

link between alcohol use and HIV risk behaviors including sexual violence and sexual debut; responsible

alcohol use in settings where sexual decision-making will be made; and skills and motivation for avoiding

alcohol-related sexual risks. On their own, our radio messages will convey necessary information to

influence knowledge and attitudes in combination with complementary messages delivered at the

community outreach level by our partners; it becomes possible to influence the necessary corresponding

behavior change. The core messages and community outreach promotion will be conveyed through our

established radio programs: 1) Weekly magazine programs on AIDS on at least 12 stations/networks. We

will produce a minimum of 100 news stories on the AB core messages and campaign activities. There will

be an opportunity for campaign spokespersons to be guests on these programs and opportunity for listener

participation by phone, SMS, and letters. 2) A weekly 52-episode radio serial drama with two storylines

each focusing on a core message. 3) About 40 PSAs introducing and reinforcing core messages or

promoting partner community outreach events and interpersonal communication activities. These PSAs will

be inserted a minimum of 4,100 times on the most appropriate radio stations. On average this works out to

more than two inserts every day on five radio stations. The final media schedule will be based on target

audiences and radio listener demographics, number of exposures estimates, geographic locations, and

other STRADCOM radio programs. All these activities include training and mentoring radio station

production staff; working with key partners to review core messages, technical aspects, and national

protocols; broadcast; monitoring for correct content and technical quality; and distribution of programs to

other stations in our network of cooperating stations. STRADCOM has developed working relations with

various radio stations including all the national stations and a few local stations. Each of these stations

already has a program on AIDS, which we plan to strengthen with training and equipment. We will

coproduce the diaries and documentaries to be used on these existing magazine programs. The mix of

radio formats gives us flexibility with messaging with an emphasis on PSAs, which are more flexible and

timely for this type of activity.

New/Continuing Activity: Continuing Activity

Continuing Activity: 13400

Continued Associated Activity Information

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

System ID System ID

13400 3452.08 U.S. Agency for Johns Hopkins 7569 7569.08 STRADCOM $950,000

International University

Development

7810 3452.07 U.S. Agency for Johns Hopkins 4585 4023.07 STRADCOM $860,000

International University

Development

3452 3452.06 U.S. Agency for Johns Hopkins 8688 8688.06 STRADCOM $150,000

International University

Development

Emphasis Areas

Gender

* Addressing male norms and behaviors

Human Capacity Development

Public Health Evaluation

Food and Nutrition: Policy, Tools, and Service Delivery

Food and Nutrition: Commodities

Economic Strengthening

Education

Water

Table 3.3.02:

Funding for Sexual Prevention: Other Sexual Prevention (HVOP): $500,000

ACTIVITY HAS BEEN MODIFIED IN THE FOLLOWING WAYS

PEPFAR/Tanzania is promoting a more comprehensive and integrated approach to the prevention portfolio,

as target audiences need to hear consistent core messages from a variety of sources. Key partners are

working closely together at the programmatic level to improve coordination, evidence-based programming,

and impact. The majority of USG prevention partners are primarily focused on interpersonal communication

and community outreach, while STRADCOM is focused on radio programming. So in effect, STRADCOM

is responsible for the "air war" and the other partners for the "ground war." STRADCOM supports and

promotes the other partners' on-the-ground activities using their network of local and national radio stations.

In a 2007 survey, 75% of respondents claimed to have listened to the radio within the past day. Thus, the

popularity of radio enables STRADCOM to reach millions of Tanzanians with important OP messaging. In

line with the USG Prevention Program Area Context, STRADCOM promotes consistent condom usage and

focuses on mitigating the role of alcohol misuse in HIV-related sexual risk-taking.

During the first 18 months of the project, STRADCOM developed programming vehicles to convey core

messages supporting the range of PEFAR activities in a flexible and mutually supporting manner.

STRADCOM developed a radio serial drama, Wahapahapa ("The People from Right Here"), with various

HIV/AIDS story lines, broadcast once a week on a national network (and re-broadcast on 9 local stations in

high-prevalence regions). OP storylines focused on high-risk behaviors (in bar settings) and the

importance of condom use in such settings. STRADCOM supports 15 radio stations to produce weekly

magazine-format radio programs on HIV/AIDS. STRADCOM has also designed, produced, tested and

broadcast a range of radio public service announcements (PSAs) supporting OP activities. 3 PSAs have

been developed and produced for AED, which have run 200 times on 9 national and local radio stations.

STRADCOM has collaborated with AED/T-MARC and FHI/Ujana on Safe Passages (for high-risk youth)

and a related Alcohol and HIV Initiative.

STRADCOM will continue to develop specific OP messages that promote a greater understanding of

consistent and proper condom usage. Continuing programs include: 1) Weekly magazine programs on

HIV/AIDS on at least 15 stations/networks. 2) A weekly 52-episode radio serial drama with one storyline on

OP, focusing on the need for correct and consistent condom use by those engaged in high risk activities,

and complementing an AB story line. The Wahapahapa storylines includes a subplot that models behavior

change for consistent and correct condom use. Many of the story's characters are members of a band,

which provides opportunities to model correct behavior. The format of a long drama series allows us to deal

with this theme in a complex, subtle and realistic manner. STRADCOM will expand listenership from radio

broadcasts by using other distribution channels such as distributing program tapes to commuter and long-

distance buses. 3) Design, produce and broadcast PSAs supporting partners' "on the ground" OP activities.

STRADCOM will continue working closely with partners, who assist in identifying areas needing

communication support and in developing core messages. All other activities listed in COP 2008 have been

initiated and will proceed as in the previous year.

*END ACTIVITY MODIFICATION*

TITLE: STRADCOM Support of Vaa Kondom and Alcohol and HIV Prevention Campaigns.

NEED and COMPARATIVE ADVANTAGE: An effective prevention campaign is the best way of avoiding

infections, treatment, and care. There is a need for a more comprehensive and integrated approach to the

condoms and other prevention program area. Target audiences should hear consistent core messages from

a variety of sources including mass media, NGOs facilitating events, community leaders, religious leaders,

neighbors, friends, and family members. PEPFAR and the National AIDS Control Programme (NACP) are

playing a critical role in ensuring coordination among partners involved in OP behavior communication

change activities. Three key partners in this program area, encouraged by USAID, propose working more

closely together at the programmatic level to improve coordination and impact. Collaboration must occur to

promoting consistent condom usage (AED and CCP) and mitigating the role of alcohol misuse in HIV-

related sexual risk-taking (AED, FHI and CCP). According to a variety of studies of alcohol use in African

settings, both the direct and indirect effects of alcohol misuse appear to be major contributors to both the

risk for infection with HIV and the transmission of HIV/AIDS at the individual and population levels. The

STRADCOM role will be to provide support by conveying core messages on radio and promoting our

partners' outreach activities.

ACCOMPLISHMENTS: During the first six months of the project, using pre-FY 2007 funding, STRADCOM

has started developing a range of programming vehicles that can be used to convey core messages in a

flexible and mutually supporting manner. STRADCOM has already funded the production and broadcast of

a radio serial drama on RTD in addition to producing and broadcasting a number of PSAs in support of AED

Vaa campaign. STRADCOM produced radio spots reinforcing the key messages of the campaign, in

addition to coordinating and paying for the placement of the radio spots to ensure that they supported

AED's community outreach activities along the southern and northern transportation corridors.

ACTIVITIES: In close collaboration with AED, STRADCOM will develop core OP messages. Partners will

support the ongoing campaign with broadcasting of core messages and with the promotion of AED's

outreach activities. For the alcohol component, objectives include raising awareness in the population about

the link between alcohol use and HIV risk behaviors including sexual violence, and sexual debut, encourage

responsible alcohol use in settings where sexual decision-making will be made, and provide skills and

motivation for avoiding alcohol-related sexual risks. STRADCOM will work with AED and FHI to develop

core messages and promote their outreach activities. The core messages and community outreach

promotion will be conveyed through weekly magazine programs on AIDS on at least 12 stations/networks.

The typical format of these programs is a regular radio diary segment by a person living with AIDS, a pre-

recorded news story, a phone in session and an optional guest. A total of 100 of these programs over 52

weeks will address core messages on condoms and alcohol. A weekly 52-episode radio serial drama with

two to three storylines on consistent condom use and on alcohol risk. In addition, about 40 public service

Activity Narrative: announcements introducing and reinforcing core messages or promoting AED and FHI's outreach activities

will be circulated. These PSAs will be inserted a minimum of 4,100 times on the most appropriate radio

stations. This averages more than two inserts every day on five radio stations. The final media schedule will

be based on target audiences and radio listener demographics, number of exposures estimates, geographic

locations, and other STRADCOM radio programming. All these activities include: training and mentoring

radio station production staff; working with key partners to review core messages, technical aspects and

national protocols; broadcast; monitoring for correct content and technical quality; and distribution of

programs to other stations in our network of cooperating stations.

LINKAGES: STRADCOM is working together with the NACP, TACAIDS, and other partners to ensure

messages are appropriate, that they support policies, and are linked to services. We are working closely

with AED and FHI and will continue to seek out other partners. As of July 2007, STRADCOM's our potential

radio partners include Abood FM, Morogoro; Clouds FM, Dar es Salaam and Region; Ebony FM, Iringa; Kili

FM, Kilimanjaro; Mbeya FM, Mbeya; Radio One, National; Radio Ukweli, Morogoro; RFA, Mwanza and

National; and RTD, National. . We expect this list to grow to at least 12 stations by 2008. Finally,

STRADCOM is working in the program areas of AB, Palliative Care, Testing, Treatment, and PMTCT,

ensuring a consistent behavior change communication across the continuum of prevention and care.

CHECK BOXES: Local capacity development: STRADCOM will be training and mentoring radio station staff

on how to better produce programs on HIV and AIDS.

M&E: PSAs, drama pilots, and selected diaries and documentary episodes will be pre-tested with focus

groups. Design teams will review technical content. Selected magazine programs will be translated into

English for review. The existing PMP plan will be updated. STRADCOM's PMP calls for a mid-term

population-based evaluation in early 2008 to measure impact.

SUSTAINAIBLITY: STRADCOM's strategy is to work closely with partner radio stations to help improve

their existing programs on HIV/AIDS prevention. STRADCOM's involvement is co-production rather than

paying for airtime. By training and supporting their existing staff to produce high quality, informative, and

engaging programming, this will increase their listeners and in turn increase their revenue from advertising.

STRADCOM also works with local production companies to improve their production, post-production, and

behavior communication skills and capacity. This not only makes them more effective, it also makes them

more competitive. Partners encourage sustainability by requiring radio stations to support productions. In

one of our first partnerships with RTD, their "in-kind" contribution, amounted to about half the cost of the

radio series Twende na Wakati.

New/Continuing Activity: Continuing Activity

Continuing Activity: 17008

Continued Associated Activity Information

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

System ID System ID

17008 17008.08 U.S. Agency for Johns Hopkins 7569 7569.08 STRADCOM $400,000

International University

Development

Emphasis Areas

Gender

* Addressing male norms and behaviors

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:

Funding for Care: Adult Care and Support (HBHC): $200,000

ACTIVITY HAS BEEN MODIFIED IN THE FOLLOWING WAYS:

ACCOMPLISHMENTS: During the first 18 months of the project, STRADCOM has started developing a

range of programming vehicles that can be used to convey core messages supporting the range of

PEPFAR activities in a flexible and mutually supporting manner. STRADCOM has developed a radio serial

drama (RSD) with various story lines that include one on HBC. The 30-minute RSD, Wahapahapa ("The

People from Right Here") is broadcast once a week on a national network. The programs are re-broadcast

on nine local stations located in high prevalence regions of the country. STRADCOM also supports 15

radio stations' production of weekly magazine-format radio programs on HIV and AIDS.

ACTIVITIES: STRADCOM is commissioning and producing songs by well-known musicians that promote

the care of people living with AIDS. STRACOM is also producing local radio health programs that promote

and describe local services and the work of volunteers. The program will continue to work closely with

home-based care and support partners to develop further high priority messages. STRADCOM will produce

and distribute weekly magazine programs on AIDS on at least 15 stations/networks. The typical format of

these programs is two regular radio diary segments by persons living with AIDS (a women and a man), a

pre-recorded news story, a phone-in session and an optional guest. STRADCOM will also support the

production of 780 of these weekly programs over 52 weeks; it is planned that 20% of the topics be related to

issues related to care and support of people living with HIV/AIDS. STRADCOM will also commission a

song on an issue related to care and support, e.g., adherence, disclosure, prevention for positives, etc.

All these activities include training and mentoring radio station production staff; working with key partners to

review core messages, technical aspects and national protocols; broadcast; monitoring for correct content

and technical quality; and distribution of programs to other stations in our network of cooperating stations.

STRADCOM has developed working relations with various radio stations including all the national stations

and a number of local stations in strategic locations.

*END ACTIVITY MODIFICATION*

TITLE: STRADCOM Promoting and Supporting Palliative Care

NEED and COMPARATIVE ADVANTAGE: Both facility-based and home-based care (HBC) is a critical

service for persons with HIV/AIDS (PLWHA) and is part of the continuum of prevention and care. However,

there are many misconceptions about palliative care, including the role of community-based and faith-based

organizations (CBOs/FBOs). STRADCOM is well positioned to convey appropriate information about

palliative care and the role of CBOs/FBOs. This will promote a greater understanding of palliative care,

easing some of the burden on USG partners working in this program area. The Center for Communication

Programs (CCP), the prime recipient for the STRADCOM project, has been implementing treatment

communication interventions since 2002.

ACCOMPLISHMENTS: During the first six months of the project, using pre FY 2007 funding, STRADCOM

has started developing a range of programming vehicles that can be used to convey core messages in a

flexible and mutually supporting manner. STRADCOM has already funded the production and broadcast of

a radio serial drama on Radio Tanzania Dar es Salaam (RTD). Two storylines address treatment adherence

and stigma. STRADCOM is also developing another radio serial drama for an urban audience. STRADCOM

has conducted several workshops with writers and radio producers, including one that focused on their

communication strategy. STRADCOM has produced and broadcast a number of public service

announcements (PSAs) on abstinence/faithfulness, other prevention, and promotion of counseling and

testing, which support USG partners' activities.

ACTIVITIES: STRADCOM will develop specific palliative care messages that will promote a greater

understanding of facility-based and home-based care and the role of patients, healthcare providers,

CBOs/FBOs, family members, and neighbors. STRADCOM will also address the stigma associated with

PLWHA. On their own, these messages will convey necessary information to influence knowledge and

attitudes but in combination with complementary messages delivered at the community outreach level, it

becomes possible to influence the necessary corresponding behavior change to seek care. These

messages will be conveyed through STRADCOM's established radio programs described below:

1. Weekly magazine programs on HIV/AIDS on at least 12 stations/networks. The typical format of these

programs include a regular radio diary segment by a person living with AIDS, a pre-recorded news story, a

phone in session, and an optional guest. A total of 220 of these programs over 52 weeks will present core

messages on palliative care. Most stations airing these programs are based in the community, giving the

stories and diaries greater relevance to listeners. Therefore, this program format will be given greater

emphasis for this program area.

2. A weekly 52-episode radio serial drama with one storyline on HBC.

3. Approximately five PSAs that promote facility-based care and treatment services inserted a minimum of

500 times on the most appropriate radio stations. The final media schedule will be based on target

audiences and radio listener demographics, number of exposures estimates, geographic locations, and

other STRADCOM radio programs.

These activities include training and mentoring of radio station production staff; working with key partners to

review core messages, technical aspects, national protocols, broadcast, monitoring for content and

technical quality, and distribution of programs to other cooperating stations. STRADCOM has developed

working relationships with various radio stations including all the national stations and some local stations.

Each of these stations has already broadcast programs on HIV/AIDS, which will be strengthened with

training and equipment. STRADCOM will co-produce the diaries and documentaries to be used on these

existing magazine programs. Each of the pre-recorded segments average five minutes, allowing them to be

easily integrated into existing programs. The pre-recorded regular weekly segments will act as catalysts for

Activity Narrative: participation by studio guests or listeners who offer their perspective through phone, mail, or SMS

communication.

LINKAGES: STRADCOM collaborates with the National AIDS Control Programme (NACP), Tanzanian

AIDS Commission (TACAIDS), and USG-funded implementing partners to ensure messages are

appropriate, support policies, and are linked to services. STRADCOM intends to work closely with

homebased care partners including Family Health International and Pathfinder International. They will play a

key role on the design team to identify areas needing communication support and developing core

messages. As of July 2007, potential radio partners include Abood FM, Morogoro; Clouds FM, Dar es

Salaam and region; Ebony FM, Iringa; Kili FM, Kilimanjaro; Mbeya FM , Mbeya; Radio One, National; Radio

Ukweli, Morogoro; RFA, Mwanza and National; and RTD, National. Radio partners are expected to expand

to at least 12 stations by 2008. Finally, STRADCOM is working in the program areas of abstinence,

faithfulness and other prevention, testing, ARV treatment, and PMTCT ensuring a consistent behavior

change communications across the continuum of care.

CHECK BOXES: Local capacity development: STRADCOM will train and mentor radio station staff to

produce high-quality programs on HBC and HIV/AIDS.

M&E: PSAs, drama pilots, selected diaries, and documentary episodes will be pre-tested with focus groups.

Technical content will be reviewed by STRADCOM's design team. Selected magazine programs will be

translated into English for review. The Performance Monitoring Plan will be updated and will include a

midterm population-based evaluation to measure impact.

SUSTAINAIBLITY: STRADCOM's strategy is to work closely with partner radio stations to help improve

their existing programs on HIV/AIDS. STRADCOM's involvement is co-production rather than paying for

airtime. Through training and support of their staff to produce high quality, informative, and engaging

programming, STRADCOM will demonstrate that this will increase listeners and in turn increase station's

revenue from advertising in order to ensure long-term sustainability. STRADCOM also collaborates with

local production companies to improve their production, post-production, and behavior communication skills

and capacity. As a result, these companies will be more effective and more competitive. STRADCOM has a

cost-share provision in its cooperative agreement that encourages sustainability by requiring radio stations

to support our productions. For example, in one of our first partnerships with RTD, their "in-kind" contribution

amounted to about half the cost of the radio series "Twende na Wakati" (Kiswahili for "Let's change with the

time").

New/Continuing Activity: Continuing Activity

Continuing Activity: 17015

Continued Associated Activity Information

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

System ID System ID

17015 17015.08 U.S. Agency for Johns Hopkins 7569 7569.08 STRADCOM $300,000

International University

Development

Table 3.3.08:

Funding for Treatment: Adult Treatment (HTXS): $400,000

ACTIVITY UNCHANGED FROM FY 2008.

TITLE: STRADCOM Support of Treatment Literacy

NEED and COMPARATIVE ADVANTAGE: For the most part treatment staff are constantly dealing with

clients who often have little or no understanding of care and ART treatment. This causes an undue time

burden on treatment providers and counselors who must constantly repeat basic information. Care and

Treatment Clinic waiting rooms are an ideal place to provide clients with information not only on treatment

literacy but other useful programming on HIV and AIDS. STRADCOM is well positioned to convey

appropriate information to potential clients lessening this interpersonal communication and counseling

burden on treatment staff. STRADCOM has a well-established network of radio stations and well-promoted

and popular radio programs. The Johns Hopkins School of Public Health Center for Communication

Programs (CCP), the prime for the STRADCOM project has been implementing treatment communication

interventions since 2002, beginning with President Bush's International Mother and Child HIV Prevention

Initiative and continuing with ART roll-outs in a number of African countries. In a 2007 survey, 75% of

respondents claimed to have listened to radio within the past day. Thus, the popularity of radio will enable

the STRADCOM project to reach out to millions of Tanzanians with important messages regarding

comprehensive services across the prevention-to-care continuum.

ACCOMPLISHMENTS: During the first 18 months of the project, STRADCOM has started developing a

range of programming vehicles that can be used to convey core messages supporting the range of PEFAR

activities in a flexible and mutually supporting manner. STRADCOM has developed a radio serial drama

(RSD) with various story lines that include one on treatment literacy. The 30-minute RSD, Wahapahapa

("The People from Right Here") is broadcast once a week on a national network. The programs are re-

broadcast on 9 local stations located in high prevalence regions of the country. STRADCOM also support

15 radio stations' production of weekly magazine-format radio programs on HIV and AIDS.

ACTIVITIES: STRADCOM will continue to work closely with treatment partners to further develop high

priority messages. STRADCOM will produce and distribute the following programming:

1) Weekly magazine programs on AIDS on at least 15 stations/networks. The typical format of these

programs is two regular radio diary segments by persons living with AIDS (a women and a man), a pre-

recorded news story, a phone-in session and an optional guest. We will support the production of 780 of

these weekly programs over 52 weeks. STRADCOM plans for 20% of the topics to be on treatment literacy.

2) A weekly 52-episode radio serial drama, Wahapahapa, with one major storyline on treatment literacy.

STRADCOM will be expanding listenership from radio broadcasts by using other distribution channels such

as tapes of the program distributed to commuter and long-distance buses. The Wahapahapa storylines

includes a subplot that models behavior change for treatment adherence, disclosure and dealing with

stigma. The story follows the main character of the drama through treatment as he deals with these

themes. The format of a long drama series facilitates dealing with these themes in a complex, subtle, and

realistic manner.

All these activities include training and mentoring radio station production staff; working with key partners to

review core messages, technical aspects and national protocols; broadcast; monitoring for correct content

and technical quality; and distribution of programs to other stations in our network of cooperating stations.

LINKAGES: STRADCOM is working together with NACP, TACAIDS, and other partners to assure

messages are appropriate, support policies, and are linked to services. STRADCOM is working with all

PEPFAR treatment partners. Finally, STRADCOM is also working in the program areas of AB, OP,

Palliative Care, Testing and PMTCT, to ensure a consistent behavior change communication across the

continuum of care.

M&E: PSAs, drama pilots and selected diaries and documentary episodes will be pre-tested with focus

groups. The design teams will review technical content. Selected magazine programs will be translated

into English for review. STRADCOM is tracking exposure and impact of our programming through periodic

surveys conducted by the Steadman Group.

SUSTAINAIBLITY: STRADCOM is working closely with partner radio stations to help improve their existing

programs on HIV/AIDS. The involvement is co-production rather than paying for airtime. By training and

supporting their existing staff to produce high quality, informative and engaging programming, they will

demonstrate that this will increase listeners and in turn increase revenue from advertising. STRADCOM is

also working with local production companies to improve their production, post-production and behavior

communication skills and capacity. This not only makes them more effective it also makes them more

competitive. STRADCOM has a cost share provision in its CA that encourages sustainability by requiring

radio stations to support our productions.

New/Continuing Activity: Continuing Activity

Continuing Activity: 13403

Continued Associated Activity Information

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

System ID System ID

13403 5567.08 U.S. Agency for Johns Hopkins 7569 7569.08 STRADCOM $700,000

International University

Development

7812 5567.07 U.S. Agency for Johns Hopkins 4585 4023.07 STRADCOM $500,000

International University

Development

5567 5567.06 U.S. Agency for Johns Hopkins 8688 8688.06 STRADCOM $600,000

International University

Development

Table 3.3.09:

Funding for Testing: HIV Testing and Counseling (HVCT): $380,000

PLEASE NOTE THAT THE ACTIVITY NARRATIVE REMAINS UNCHANGED FROM FY 2008.

TITLE: STRADCOM Promoting HIV Counseling and Testing

NEED and COMPARATIVE ADVANTAGE: HIV Counseling and Testing (HCT) is the entry point for

treatment and care. It is also a key entry point for prevention of further infection. However, most Tanzanians

are reluctant to be tested even when this service is readily available. The main reasons are general

reluctance due to fear, the fear of stigma and the belief that there is no treatment. This is especially true for

men. Another disturbing trend is that people delay testing until they start having serious hard to ignore

symptoms. This leads to delay in treatment and a worse prognosis. Finally, late testing leads to possible

infections of others. The JHU Center for Communication Programs (CCP) the prime for the STRADCOM

project has been implementing treatment communication interventions since 2002, beginning with President

Bush's International Mother and Child HIV Prevention Initiative. CCP in Malawi used radio diaries of

PLWHAs to talk openly about their situations. Evaluation results indicate a strong positive association with

two measures of stigma reduction: the extent to which people believe that PLWHAs are similar to

themselves and the extent to which they perceive that it is easier to talk about PLWHAs in the community.

In a 2002 survey, 81% of respondents claimed to have listened to radio within the past day. Thus, the

popularity of radio will enable the STRADCOM project to reach out to millions of Tanzanians with important

messages regarding comprehensive services across the prevention-to-care continuum.

ACCOMPLISHMENTS: During the first six months of the project, using pre FY 2007 funding, STRADCOM

has started developing a range of programming vehicles that can be used to convey core messages in a

flexible and mutually supporting manner. STRADCOM has already funded the production and broadcast of

a radio serial drama on RadioTanzania. Two of the storylines deal with treatment adherence and with

stigma. STRADCOM is also developing another radio serial drama for a more urban audience. We have

also produced and broadcast a number of Public Service Announcements (PSAs) in support of our partners'

activities including the MOHSW NACP National VCT Campaign under the sponsorship of the President of

Tanzania. STRADCOM played an active role in supporting this campaign.

ACTIVITIES:

TUSHIKAMANI Campaign Description: The Tushikamani (Respecting Ourselves) campaign is directed at

getting people into VCT by making it an issue of local and national pride. Tanzanians have demonstrated a

deep national pride which initially testing has shown can be tapped to create broader acceptance of HIV

tests. The goal of the campaign is to increase VCT by 125% in areas targeted with the message campaign.

The campaign uses a combination of radio, wrist bands, and message boards to re-enforce the message

tagline ‘Let's build the Nation' and the subtext ‘getting tested is good for our community'. Each radio spot

depicts a noted opinion-maker (the President, a local traditional healer, a sports star) explaining his/her

rational for getting tested and ends with one of the listeners in the crowd announcing that he or she will

follow this example as well - for the good of the country.

The radio campaign is augmented with billboard posters depicting two contrasting Tanzanians (a Masaai

warrior and a businessman, a Bongo rapper and a grandmother) with their hands clasped in solidarity and

their wrists adorned with a wrist band in the colors of the national flag. The bands are given out for free at

VCT centers and other AIDS-related facilities. STRADCOM will provide primary support for the Tushikamani

campaign by directing and implementing the poster photo campaign. Initially, STRADCOM will concentrate

in three selected regions and will purchase billboard space along major highways and urban intersections.

At least 12 such Tushikamani billboards will be put in place within the first six months of the campaign. The

poster campaign will support and augment the radio spots and there will be close and on-going

collaboration between the radio and illustration teams.

STRADCOM will also be responsible for measuring campaign effectiveness, by use the VCT counts from

the Angaza sites as a base and measuring monthly increases against the baseline throughout the

campaign.

STRADCOM will support campaign extension by working with the private sector (cell phone companies,

Shelly Pharmaceuticals, etc.) to leverage their distribution networks for poster and billboard dissemination.

Emphasis will be placed on getting corporate sponsorship in the form of Corporate Social Responsibility

(CRS) or Public Private Partnership (PPP).

STRADCOM will create the radio spots and ensure that they remain faithful to the campaign design. They

will engage actors, script-writers, and production teams and will identify and procure air time. Emphasis will

be put on getting corporate sponsorship for air-time either as Corporate Social Responsibility donation or as

sponsored advertising. They will also communicate with the creative team of Dan and Chip Heath as the

campaign progresses, sharing ideas and making modifications as requested.

SUSTAINAIBLITY: STRADCOM's strategy is to work closely with partner radio stations to help improve

their existing programs on HIV/AIDS. Our involvement is co-production rather than paying for airtime. By

training and supporting their existing staff to produce high quality, informative, and engaging programming

they will demonstrate that this will increase listeners and in turn increase revenue from advertising.

STRADCOM is also working with local production companies to improve their production, post-production

and behavior communication skills and capacity. This not only makes them more effective it also makes

them more competitive. STRADCOM has a cost share provision in its Cooperative Agreement that

encourages sustainability by requiring radio stations to support their productions. In one of their first

partnerships with RTD, their "in-kind" contribution amounted to about half the cost of the radio series

Twende na Wakati.

New/Continuing Activity: Continuing Activity

Continuing Activity: 13402

Continued Associated Activity Information

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

System ID System ID

13402 4931.08 U.S. Agency for Johns Hopkins 7569 7569.08 STRADCOM $380,000

International University

Development

8917 4931.07 U.S. Agency for Johns Hopkins 4585 4023.07 STRADCOM $380,000

International University

Development

4931 4931.06 U.S. Agency for Johns Hopkins 8688 8688.06 STRADCOM $200,000

International University

Development

Table 3.3.14:

Funding for Health Systems Strengthening (OHSS): $75,000

ACTIVITY HAS BEEN REVISED SIGNIFICANTLY FROM FY2008COP

TITLE: STRADCOM Working with MTV's Staying Alive

NEED and COMPARATIVE ADVANTAGE: MTV is the world's largest television network and the leading

multimedia brand for youth, promoting local cultural tastes with a mixture of national, regional and

international artists along with locally produced and globally shared programming. Staying Alive began in

1998 as a one off award winning documentary, of the same name. It will now be paired with STRADCOM's

current initiatives to compliment and extend the radio programming with a video broadcast element.

MTV/Staying Alive has the capacity to provide high quality HIV prevention education to a mass audience

through the use of youth leaders and HIV/AIDS champions. Staying Alive currently reaches 64% of the

world's TV households, and 90% of the top 50 AIDS impacted countries. Staying Alive's distribution reach

extends to all but thirteen countries in the world.

ACCOMPLISHMENTS: During the first 18 months of the project, STRADCOM has started developing a

range of programming vehicles that can be used to convey core messages supporting the range of PEFAR

activities in a flexible and mutually supporting manner. STRADCOM has developed a radio serial drama

(RSD) with various story lines. The 30-minute RSD, Wahapahapa ("The People from Right Here") is

broadcast once a week on a national network. The programs are re-broadcast on nine local stations

located in high prevalence regions of the country. STRADCOM also supports 15 radio stations' production

of weekly magazine-format radio programs on HIV/AIDS.

Since 2002, Staying Alive has expanded into an ongoing global multi-media campaign that provides youth

targeted information about HIV/AIDS using a wide range of interventions that include programming,

advocacy, and grant-making. Staying Alive is now the world's leading media response to HIV/AIDS,

developing widely recognized cuttingedge products as part of its comprehensive approach.

ACTIVITIES: STRADCOM will work closely with Staying Alive and related OHSS partners to further

develop high priority messages through the use of youth leaders and HIV/AIDS champions whose capacity

to communicate and disseminate messages will be strengthened. They will do this by:

1) Developing new internationally relevant program content for urban youth at scale. Staying Alive plans to

scale up its existing campaign and to develop new program content that addresses universal themes for

HIV prevention. Building on its track record of producing creative, entertaining, youth relevant multiplatform

content Staying Alive will produce a range of programs that have global appeal and tackle themes and

issues that are relevant to young people across all regions. As part of these programs, STRADCOM and

Staying Alive will identify youth leaders and other high profile personalities that appeal to youth, develop

their capacity for delivering HIV/AIDS messages, and disseminate their messages as advocates in the fight

against HIV/AIDS. These programs will be aired at no cost by MTV's 56 channels and will be distributed

rights and cost free to Staying Alive's global media partners for broadcast in all regions. This means that

new programming will be distributed to at least fifty additional broadcasters which annually air Staying Alive

programming.

2) Producing regionally/country specific television and radio programming and website content. The 2005

evaluation of the Staying Alive campaign confirmed that the global campaign had positively impacted

interpersonal communication and social norms. The evaluation also suggested that adapting a global

campaign to local cultures could expand its appeal as more young people would feel able to relate to the

program content. Staying Alive will, therefore, develop regionally targeted programs and formats for radio

and television that can be freely used and/or adapted and extended by broadcasters across the region.

Program content and messaging will be developed in collaboration with Staying Alive's programming

partners and youth partner groups in Tanzania. A regional flavor will be given to the campaign's central HIV

prevention themes, which include gender inequalities, machismo, and gender based violence. The results of

focus group discussions and listening groups will inform the process ensuring that content relates to local

priorities and that the audience is responding positively to the messages.

Staying Alive will work closely with STRADCOM and MTV's in-house creative teams to develop and pilot

test the regionally targeted programs and pubic service announcements (PSAs) in Tanzania. These

regional programs and PSAs will be aired regularly and often on MTV Base Africa at no cost - with MTV

contributing free air time. As with the global programs, they will also be distributed rights and cost free to

Staying Alive's global, regional and national media partners to reach the widest possible audience.

All these activities include training and mentoring station production staff; working with key partners to

review core messages, technical aspects and national protocols; broadcast; monitoring for correct content

and technical quality; and distribution of programs to other stations in our network of cooperating stations.

LINKAGES: STRADCOM is working together with NACP, TACAIDS, and other partners to assure

messages are appropriate, support policies, and are linked to services.

M&E: Reception analysis will be used to better understand how young men and women are responding to

the messages they receive through Staying Alive's interventions. Reception analysis is based on the

premise that an audience is not a group of passive recipients of media messages; rather it considers the

audience to be actively involved in interpreting and adapting messages received through the media. Active

Audience Theory purports that no text has one meaning: the meaning has to be decoded by the receiver.

The key issue in reception analysis, therefore, is to understand what the audience does with the media

messages.

SUSTAINAIBLITY: STRADCOM is working closely with partner radio stations to help improve their existing

programs on HIV/AIDS. The involvement is co-production rather than paying for airtime. By training and

supporting their existing staff to produce high quality, informative and engaging programming, they will

Activity Narrative: demonstrate that this will increase listeners and in turn increase revenue from advertising. STRADCOM is

also working with local production companies to improve their production, post-production and behavior

communication skills and capacity. This not only makes them more effective it also makes them more

competitive. STRADCOM has a cost share provision in its CA that encourages sustainability by requiring

radio stations to support our productions.

New/Continuing Activity: Continuing Activity

Continuing Activity: 19152

Continued Associated Activity Information

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

System ID System ID

19152 19152.08 Department of US Department of 8067 8067.08 Grants $100,000

State / African State

Affairs

Table 3.3.18:

Subpartners Total: $0
Media for Development International: NA
Cross Cutting Budget Categories and Known Amounts Total: $110,000
Human Resources for Health $10,000
Education $100,000