Detailed Mechanism Funding and Narrative

Years of mechanism: 2010 2011

Details for Mechanism ID: 9671
Country/Region: Tanzania
Year: 2010
Main Partner: Pastoral Activities and Services for People with AIDS in Dar es Salaam Archdiocese
Main Partner Program: NA
Organizational Type: FBO
Funding Agency: USAID
Total Funding: $3,878,347

Funding for Care: Adult Care and Support (HBHC): $716,527

PASADA will continue to provide intergrated HIV care and support services, in FY 2010 PASADA will focus on intergration of services particularly on Prevention with Positives (PwP) and extending nutritional assessment and couseling through the community services. PASADA activities are in Dar Es Salaam.

Funding for Care: Orphans and Vulnerable Children (HKID): $700,000

1) Provide comprehensive services to orphans and vulnerable children (OVC) by strngthen referral linkages. 2) Improve the quality of services for OVC through adaptation of the national quality standards of OVC services.3)Strengthen OVC households to ensure sustainable support.

Funding for Treatment: Adult Treatment (HTXS): $1,462,500

As a graduation partner working in Temeke district, PASADA will continue to improve the quality and comprehensiveness of ART services for adults at the current CTCs following the National Guidelines for ART. The program will further increase the number of HIV+ clients on ART through recruitment of eligible clients from in-patient and outpatient settings by stepping up provider-initiated testing and counseling (PITC), particularly in maternal and child health (MCH), PMTCT, and also strengthening linkages with voluntary counseling and testing (VCT) settings. The program will follow up on ART patients lost to follow up will be strengthened through home-based care programs and linkages to other key support programs.

Funding for Testing: HIV Testing and Counseling (HVCT): $300,000

Continue support for HCT services including child testing; Program is covering Illala, Kibaha, Kinondoni, Mkuranga, Rufiji and Temeke.

Funding for Care: Pediatric Care and Support (PDCS): $39,000

Maintain and improve quality of existing pediatric HIV Care services. This will be achieved through provision of CTX, Screening and Treatment for OIs, Nutritional Assessment and support and Linkages with other programs such as OVC and HBC, PMTC, TB/HIV. The services will be provided in Dar es Salaam

Funding for Treatment: Pediatric Treatment (PDTX): $156,000

Maintain and improve quality of existing pediatric HIV services. This will be achieved through support supervision visits, inservice training including on site mentorship, infrastructure devolopment and supplies of essential commodities including drugs.The activities will occur in Dar.

Funding for Biomedical Prevention: Prevention of Mother to Child Transmission (MTCT): $344,320

Graduating partner (FBO) implementing comprehensive HIV program including PMTCT. Implement PMTCT in temeke 9 FBO related dispesaries and health centers) and part of coast region (Mkuranga), implement PMTCT package. Activities to be supported using base funding

The program will scale-up PMTCT services to cover 80% of women attending RCHS services in Temeke district. PASADA, through the AIDS control Program will support PASADA Tupendane center and the, health centers and dispensaries under the dioceses. These services include but not limited to: HIV testing (in ANC, L&D), including partner testing, Counseling on infant feeding options (IF), Strengthen counseling on FP methods to HIV+ mothers during postpartum visits, offer HIV testing at the FP clinic and offer referrals to CTC and vice versa, Clinical staging of the HIV+ pregnant women at the RCH clinic by the PMTCT service providers with linkages to CTC, Rolling out of more efficacious regimen to facilities with the capacities, Provision of ART prophylaxis to HIV+ pregnant women who are not eligible for HAART, Provision of Cotrimoxazole to all eligible pregnant women and exposed infants, Conduct PMTCT outreach services in hard to reach areas, Quarterly supportive supervision by the DHMT to ensure quality of services. In collaboration with DHMT, bi-annual supportive supervision will also be done and be documented.

PASADA will collaborate with community support groups including M2M program to form psychosocial support groups, which will provide psychosocial support and increase adherence and retention to care. Expert patients will carry out non-medic chores in the facilities.

In addition, mother to mother program and other partners within the regions will follow up mother-infant pairs in the community.

The programs will Renovations, procurement and materials as follows:

Renovate and equip facilities to provide space for offering integrated PMTCT services. PASADA will ensure availability of HIV test kits by procuring to fill gaps, ensure adequate supply of drugs for more efficacious regimen, based on needs, support printing and distribution of IEC materials and job aids.

The program will also train nurses, nurse midwives and other cadres in PMTCT, IF, drug monitoring and stock outs, including WHO staging.

The program will carry out Mentoring of HCW and support use of retired nurses to provide integrated PMTCT services in the region

It will ensure guidelines and M & E tools are available, improve data collection systems, and train service providers on filling of the PMTCT monitoring tool.

The program will strengthen and facilitate DHMT annual review meetings, formation and integration of District PMTCT task forces into Reproductive and child health. Support regional quarterly partners meeting and strengthening linkages and referrals. Implement PMTCT and improve MCH and PMTCT services (see PF package). Activities to be supported using PF Funding

PASADA will work with Reproductive health partners and with the respective district in Temeke. PASADA will carry out facility infrastructure improvement after carrying out facility audit; subsequently they will renovate and equip facilities to provide space for offering integrated PMTCT services at RCHC and L&D, FP, FANC and BEmoc

PASADA will Improve conditions in the maternity wards so as to attract more women to deliver at the facilities by procuring appropriate equipments such as delivery beds/kits, suction machines, weighing scales, protective gears etc.

PASADA will strengthen PMTCT-ART Integration by supporting Hospitals, Health Centers and Dispensaries to develop capacity to provide more efficacious PMTCT regimen, training PMTCT HCP at RCH on ART so that they can refill ARV drugs at the RCH; Ensure availability of PMTCT guidelines and job aids; Support transportation of CD4 samples of HIV+ pregnant women; Ensure availability of PMTCT M&E tools and Integrate HIV counseling and testing in all the RCH services, including Pediatric wards

PASADA will focus on community activities that include: sensitize the community through different media on the improved MCHC/RCHC services with emphasis on PMTCT, EID services and FP), Engage men through different avenues to participate in RCH services (use of invitation letters, priority treatment, through involvement of village authorities etc), Collaborate with Mother to Mother program to establish psychosocial support groups in the region. PASADA will also integrate its FP program and link with partners supporting Emergency obstetrics, new born and pediatric health and cervical cancer screening services.

PASADA will ensure program ownership and sustainability by working with districts to ensure that PMTCT/pediatric AIDS activities are planned and prioritized and funding allocated through the Council Health Plans.

Funding for Care: TB/HIV (HVTB): $160,000

Continue implementing activities to reduce burden of TB and HIV among patients infected by both diseases. To maintain services with reduced fund, PASADA will collaborate and levarage resources with NTLP, PATH, Harvard and GF who are also working in Dar es salaam and improve referral and linkages. Services will be provided in 2 districts of Mkuranga in Pwani and Temeke district in Dar es salaam region

Key Issues Identified in Mechanism
Increasing gender equity in HIV/AIDS activities and services
Child Survival Activities
Tuberculosis