Detailed Mechanism Funding and Narrative

Years of mechanism: 2008 2009

Details for Mechanism ID: 8024
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: Adult Care and Support (HBHC): $0

ACTIVITY HAS BEEN MODIFIED IN THE FOLLOWING WAYS:

This activity has been reconsidered and restructured since the COP 2008 entry. USG Tanzania will form a

Public-Private Partnership (PPP) with a mining company in Shinyanga Region in the Lake Zone to address

food and nutrition needs in care and treatment settings. Shinyanga is one of the arid regions in Tanzania

experiencing prolonged droughts which affects household food availability and security. In FY 2009, USG

will be piloting a food by prescription project in Shinyanga. This PPP will expand the nutrition services

availability for eligible People Lliving with HIV/AIDS, Prevention of Mother-to-Child Prevention clients, and

orphans and vulnerable children. Through this partnership, the mining company's resources will be

leveraged to procure food for distribution in additional four care and treatment facilities in the region.

Linkages will be made with the Elizabeth Glazer Pediatric AIDS Foundation (EGPAF), the implementing

partner providing PMTCT and ART services in Shinyanga, as well as Pathfinder international, the partner

providing community-based care and support to harmonize plans and trainings for service providers and

defining service packages.

ACCOMPLISHMENTS: This is a new activity.

*END ACTIVITY MODIFICATION*

TITLE: Palliative Care Public-Private Partnership Workplace Program

Many workers, well enough to return to work, need to be monitored or treated for opportunistic infections, or

referred to a Care and Treatment Clinic when necessary. These activities could easily be taken care of in

the workplace. Indeed, there are organizations in Tanzania who have developed workplace programs,

where the employer has existing relationships with community-based organizations as well as with local

government authorities. Some of the gold mines in Tanzania, for example, have a longstanding working

relationship with the African Medical Research Education Foundation (AMREF), which provides voluntary

counseling and testing programs, as well as palliative care programs throughout the country. There are

other programs that could be a natural link with an effective workplace program for HIV/AIDS, e.g.,

Tanzania Marketing and Communication Company (T-MARC) and Population Services International (PSI).

Both of these organizations could focus attention of prevention with positives initiatives in the workplace.

The basic principle of the funding arrangements with a TBD public-private partnership for a workplace

HIV/AIDS program will be "cost-sharing." In addition to staff input, the TBD partner would provide office

space to host the projects in the respective districts and where and when possible, allocate vehicles to

travel into the project area. In some of the models already used by the mines in Tanzania, others in the

catchment area can also access services at the workplace site, and they have an operational budget for

community development interventions in the communities around the mine sites that can be dedicated to

project activities.

Funding provided by the USG would be leveraged with the cost-sharing described. Further funding for the

interventions will be sought from large funding institutions and foundations, multilateral agencies and

bilateral development partners complemented with funding from the commercial sector. The aim is to

achieve a broad financial base with funding from multiple partners from both the public and private sector.

Resource mobilization will be done with support of the Global Business Coalition on HIV/AIDS, TB and

Malaria (GBC).

ACCOMPLISHMENTS:

This is a new, TBD activity

ACTIVITIES:

The program would follow an evidence-based, coherent and consistent approach to health interventions,

founded on international best practice and consistent with Tanzanian health policy and guidelines.

The long-term goal of the program is improved health status, especially of people living with HIV/AIDS, in a

large catchment area of Tanzania.

The main objectives are:

1. To create increased awareness among employees and others in the community about HIV/AIDS, TB, and

malaria, and to focus on preventive behaviors such as family planning and condom use

2. To improve access to services and products to prevent transmission of HIV/AIDS, TB, and malaria, and

ensure that PLWHA can be treated easily with facility-based palliative care.

3. To improve health service delivery in the communities

A key cross-cutting objective is to create sustainable partnerships with local government, community-based

organizations, and commercial sector in the implementation and management of the program and in the

mobilization of additional resources.

New/Continuing Activity: Continuing Activity

Continuing Activity: 18301

Continued Associated Activity Information

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

System ID System ID

18301 18301.08 U.S. Agency for To Be Determined 8024 8024.08 PPP-Lake Zone

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 3.3.08: