Detailed Mechanism Funding and Narrative

Years of mechanism: 2010 2011

Details for Mechanism ID: 9672
Country/Region: Tanzania
Year: 2011
Main Partner: Selian Lutheran Hospital
Main Partner Program: NA
Organizational Type: FBO
Funding Agency: USAID
Total Funding: $1,875,478

Funding for Care: Adult Care and Support (HBHC): $483,821

Selian will continue to provide intergrated HIV care and support services providing the whole continuum of care. In FY 2011 Selian will continue to focus on intergrating Prevention with Positives (PwP), and extending nutritional assessment and couseling (NACS) through both community and facility based service platforms. Selian will link with the National TA partners leading Economic Strengtherning (ES) to support these interventions in the community. Selian activities are in Arusha region.

Funding for Care: Orphans and Vulnerable Children (HKID): $150,000

1) Provision of quality, sustainable and coordinated OVC services in operational regions. 2) Support economic strengthening to enhance household capacity to care for OVC in operational regions. 3) Capacity building and strengthening of local CBOs, MVCC and LGAs in operational regions to support OVC

Funding for Treatment: Adult Treatment (HTXS): $637,500

As a graduation partner working in Arusha region, Selian 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 strengthening linkages with voluntary counseling and testing (VCT) settings.

Funding for Testing: HIV Testing and Counseling (HVCT): $263,000

Continue to provide HCT services including PITC. Program covers Arusha, Anrumeru, Monduli, Simanjiro. 10k taken away as part of contribution to PPP.

Funding for Care: Pediatric Care and Support (PDCS): $17,000

These funds are proposed for the following activities: Scale up cotrimoxazole (CTX) prophylaxis for HIV-exposed and infected children; provide nutrition assessment, counseling and support; provide prevention, diagnosis and management of tuberculosis and other opportunistic infections (OI's); provide palliative care and psychosocial support. The funds will be used to improve linkages to Community Based Care including: under 5 child survival interventions and community HIV supported services. These activities will be achieved through training and on-site mentorship, establishment of coordinating committees with community-based organizations, advocacy and community mobilization. These activities will take place in some sites in Arusha and Manyara.

Funding for Treatment: Pediatric Treatment (PDTX): $68,000

These funds are proposed for the following activities: Implement updated WHO treatment guidelines to improve access to pediatric ART, including treatment of all HIV infected children <24 months;enhance the identification and diagnosis of HIV for infants and children through EID, PITC in in-patient and out-patient settings, immunization, OVC, and TB/HIV clinics; improve follow-up services for HIV-exposed infants and children and track and retain children in care and treatment; monitor response and adherence to treatment. These activities will be achieved through training, on-site mentorship, advocacy, community mobilization, and updating of tools for tracking and retention. These activities will take place in Arusha with the aim of enrolling 127 new children on ART.

Funding for Biomedical Prevention: Prevention of Mother to Child Transmission (MTCT): $256,157

Implement PMTCT and improve MCH and PMTCT services (see PF package): The PF funds will support Selian to meet the objective of scaling-up quality PMTCT services by (1) Strengthening the linkages and referrals of HIV+ women and children to care and treatment services and other health and community programs, (2) Improving infrastructure through renovation, (3) Improving the procurement of MCH-related equipment, drugs and supplies through a central procurement system, (4) Strengthening M&E systems to track and document the impact of the PMTCT program, (5) Providing training and improving retention rates of health care workers, and (6) Strengthening and expanding interventions to improve maternal and child survival.

Cross Cutting Budget Categories and Known Amounts Total: $1,318,569
Construction/Renovation $182,600
Economic Strengthening $11,429
Education $92,067
Food and Nutrition: Commodities $103,140
Food and Nutrition: Policy, Tools, and Service Delivery $76,054
Gender: Gender Based Violence (GBV) $5,061
Human Resources for Health $848,218
Key Issues Identified in Mechanism
Addressing male norms and behaviors
End-of-Program Evaluation
Increasing gender equity in HIV/AIDS activities and services
Increasing women's access to income and productive resources
Malaria
Child Survival Activities
Safe Motherhood
Tuberculosis
Family Planning