Detailed Mechanism Funding and Narrative

Years of mechanism: 2010 2011 2012

Details for Mechanism ID: 9798
Country/Region: Tanzania
Year: 2012
Main Partner: Axios Foundation
Main Partner Program: Tanzania
Organizational Type: NGO
Funding Agency: USAID
Total Funding: $450,000

Axios' goal is to improve access to comprehensive community based palliative care for HIV infected adults and children. This is in line with global health initiatives immediate results 3- Improved adaptation of health behavior including health care seeking behavior, and imediate result 2- Improved health systems to strengthen the delivery of health services . In response to the Tanzania Partnership Implementation Strategy goal 1, project activities will be coordinated with national, district and ward plans to incorporate existing structures for integrating palliative care services into local community systems. To ensure efficiency, Axios will continue to hold coordination meetings at the ward level which allows more cost savings and sustainability as well as is setting a stage for the eventual management of program activities by the local Ward Management commitees . The monitoring and evaluation of the project is integrated with the regular reporting expected through ward and district structures. Axios will continue to ensure quality of data.Target population is children and adults living with HIV/AIDS in Lindi and Mtwara regions. Three districts are covered in Lindi (Kilwa, Lindi Urban and Nachingwe) along with two districts of Mtwara (Newala and Tandahimba). The project will expand to two additional districts in Mtwara in the coming year.The use of existing government systems and human resources is Axios' cost-effective operational model; and coordination with Local Goverment Authority, other NGOs and communities harmonizes activities. Activities are integrated into council and community plans to support local resource mobilization and ownership.

Funding for Care: Adult Care and Support (HBHC): $450,000

Axios will continue to provide integrated HIV community care and support services to adults and children PLHIV in two regions of Mtwara and Lindi. In FY 2012, with the additional funds provided by USAID, Axios will expand HBC volunteer services to two more districts in the Mtwara region. In the new districts, Axios will work with government and community actors to identify existing trained HBC volunteers who are no longer engaged in other program. To ensure LGAs support and clear understanding of the project, Axios will organize sensitization and advocacy meetings at all level. Refresher course will be conducted with them with an emphasis on collecting and reporting quality data. Bicycles will be provided to the new volunteers, to ensure access to more hard-to-reach areas. Furthermore, the partner will provide economic strengthening support to vulnerable households through linkages with DAI and use of the VICOBA (Village Community Banking) model, the last of which would provide loans for small business operations through pooled capital.

Axios will continue to support quarterly coordination meetings and supportive supervision by District HBC team in collaboration with Axios team. Groups of PLHIV in old and new sites will be introduced to ideas and skills for self-reliance and sustainable income generating activities, through capacity building on small scale business and marketing skills. In additional, work with the Ministry of Social Welfare through the National AIDS control Programme (NACP), other implementers to link all identified PLHIV to care and treatments clinics, and return default clients to the Care and Treatment Clinic (CTC). Furthermore, they will ensure that PLHIV are linked to other local Community Based Organization like PEMWA for food and legal support; to the department of council social welfare for psychosocial and counseling on importance of business coalition groups.

Axios uses standard national collecting tools produced by NACP, including individual client forms, monthly client summary forms and supportive supervision tools. Volunteers and contact persons are trained to collect data, including storing and sending completed tools and reports to LGAs. Individual summary forms and reports are entered and stored. A database system exists for double entry. Summary forms are compared with individual client forms to ensure correctness of data quality and quantity. Quarterly feedback meetings are conducted with field partners. Analyzed data are used to monitor and evaluate project progress. Subgrantees are trained to use the data for their planning. Data is reported to USAID and MOHSW through NACP on a regularly basis, and shared with other stakeholders annually during stakeholders coordination meeting.

Cross Cutting Budget Categories and Known Amounts Total: $17,101
Economic Strengthening $17,101
Key Issues Identified in Mechanism
Increasing gender equity in HIV/AIDS activities and services
Increasing women's access to income and productive resources
enumerations.Malaria (PMI)
Mobile Populations