Detailed Mechanism Funding and Narrative

Years of mechanism: 2013 2014 2015 2016

Details for Mechanism ID: 14544
Country/Region: Tanzania
Year: 2013
Main Partner: International Federation of Red Cross and Red Crescent Societies
Main Partner Program: Tanzania
Organizational Type: NGO
Funding Agency: HHS/CDC
Total Funding: $1,250,000

The Tanzania Blood safety program is responsible for safety and adequacy of blood transfusion needs which is at least 10 units of blood for 1000 people a year (WHO recommendation). The current collection of 3.4 units per 1000 people a year is far from meeting the needs. There is need to improve current advocacy, recruitment and retention of eligible blood donors. So, in FY2011 a reputable local Technical Assistant (TA) provider in advocacy, mobilization and Information Education and Communication will be selected through competitive FOA, to provide TA to NBTS to increase safety and supply to acceptable levels in the next 5 years. Grantee for this FOA is expected to start work in October FY12.

The FOA winner will support equitable distribution of safe blood to transfusion services, prevention of transmission of HIV and other transfusion transmissible infections [TTIs]), TA provision in advocacy, mobilization of low risk voluntary repeat non-remunerated blood donors, build mobilization capacity, develop strong partnerships with educational institutions and ministries. Also develop strategies for engaging adult donors, leveraging public-private partnerships with workplace institutions, non-government organizations, and private enterprises to offset declines in donor during school holidays. Assist NBTS develop and distribute compelling IEC materials, hire/purchase vehicles and equipment for operations for own staff or NBTS. Broker public-private partnerships to support NBTS activities. Collaborate with NBTS and partners to organize blood drives, promote linkages to USG HIV programs, ensures proper documentation. Identify income-generating activities, train/mentor staff on best practices in transfusion services and efficent monitor and evaluate progress.

Funding for Care: Adult Care and Support (HBHC): $700,000

The objective of this intervention is to improve the quality of life for PLHIV by providing integrated and high quality HBC services through trained community volunteers, and forging linkages for relevant support services for PLHIV. TRCS funds will be allocated for activities and initiatives that utilize continuous quality improvement methods to demonstrate a measurable improvement in the community/home based care package and in the systems of linkages and retention.

The partner will conduct joint supportive supervision and mentorship to ensure delivery of a high quality and comprehensive home based care package that will reach targeted vulnerable households including HIV-exposed children and HIV-positive adolescents; increase engagement/participation of highly vulnerable populations through community platforms ; form support groups targeting children of infected parents; support joint efforts to improve retention of patient in enrolled in facility care (CTC, PMTCT and TB/HIV clinics); and support adherence.

The package of HBC services includes but is not limited to: TB assessment; NACS; provision of PHDP package; initiation of PLHIV support groups; and facilitation and support of economic strengthening activities that will increase involvement of PLHIV in project implementation; linkages to testing and counseling and other relevant services for partners, relatives and household members of clients; adherence support for clients on ARVs; and provision of water treatment to PLHIV households. The following are key activities that will be carried out using these funds:

- Training of 128 HBC providers in the care and management of PLHIV, using the national guidelines and curricula, and PEPFAR technical recommendations

- Coordinating logistics for providing working tools centrally supplied by other USG partners (eg, water treatment, ITNs) and job aids for providers. HBC providers will be offered with standard working tools as per national guidelines and SOPs.

- Linkages with clinical services and facilitation of referrals systems between HBC services and District Health services through the Home based care unit. TRCS will work with CHMTs to identify CTCs to establish bi-directional referral systems and facilitate a linkage system which ensures that a newly diagnosed individual is enrolled into care and treatment. The partner will coordinate with care and treatment, HTC, TB, PMTCT and OVC partners in each of their districts to harmonize and improve the tracking system of patients enrolled in care. The partner will maximize efficiencies to ensure continuum of care.

- Continuous project monitor and supportive supervision of programmatic activities and financial expenditure to ensure effective use of resources. TRCS will record and report on project activities in a timely manner to the CHMT and to CDC as required.

Funding for Biomedical Prevention: Blood Safety (HMBL): $550,000

The funding is to provide Techinical Assistance (TA) to the National Blood Transfusion Services (NBTS) for Zanzibar and the mainland, including other blood safety partners implementing blood services. The implementing partner will provide more robust advocacy of eligible safe donors from both first time and repeat donors. They will build the mobilization capacity of NBTS and partners for sustainability. Help NBTS to develop strong lasting relationships with educational institutions, non-governmental institutions and organizations, faith-based organizations to assist with blood donations. The implementing partner will assist NBTS to develop and produce IEC materials for different media that are compelling and appealing for repeat donation, and develop PPP strategies for income genarating plans and activities to suppliment USG and GOT funds. The IP will help to mentor programs for different blood safety cadres so as to develop excellence in relevant fields, and they will procure equipment and vehicles for staff of NBTS in order to assist with monitoring and evaluation of progess. They will support salaries and human resource development.

Cross Cutting Budget Categories and Known Amounts Total: $688,966
Human Resources for Health $451,966
Motor Vehicles: Purchased $237,000