TITLE: Abstinence/Be Faithful Prevention Interventions for Youth

The 2003-2004 Tanzania HIV/AIDS Indicator Survey (THIS) reported a 4% prevalence rate among young

women and 3% among young men. About 60% of new infections occur among youth. The THIS also

revealed a significant gap between knowledge of HIV and the practice of preventive behaviors. To address

these challenges, UJANA will partner with its FHI counterparts (Ishi and ROADS projects), as well as

external partners, T-MARC, and STRADCOM to implement "Safe Passages", a comprehensive prevention

project to deter new infections among high-risk youth in the southern transportation corridor. "Safe

Passages" will include high-risk areas and youth sub-groups (ROADS project), use interpersonal channels

of behavior change and life skills education, (UJANA and Ishi), community mobilization (UJANA, Ishi, and T-

MARC), promote linkages and referrals (ROADS), and utilize mass media (T-MARC and STRADCOM).

ACCOMPLISHMENTS: In addition to many mass media contacts, FHI has delivered HIV prevention

education to over 1,000,000 youth and adult leaders in 2006. It has provided technical assistance (TA),

developed tools, curricula, and other educational materials to build the national prevention infrastructure.

Through its coordination mechanisms, UJANA has promoted a national, well-planned, and evidenced-based

response to the HIV epidemic among youth. Currently, UJANA is developing two key strategy documents.

One will identify most-at-risk youth populations and to develop gender-based population-specific behavior

change communication messages. The other will identify and build the capacity of CBOs who can most

effectively deliver UJANA's gender-based prevention communication messages at the required scale.

These strategies will be implemented fully through the "Safe Passages" project in the southern

transportation corridor in collaboration with T-MARC, STRADCOM, ROADS, and Ishi.

ACTIVITIES:

1. Provide targeted, intensive evidence and gender-based AB-focused HIV prevention programming to

youth in focus regions. 1a. Provide grants and capacity building to implementing partners (IPs). 1b.

Conduct needs assessments with IPs. 1c. Conduct a workshop for IPs to develop capacity-building plans.

1d. Conduct training workshops to address technical knowledge gaps especially in curriculum-based

education, peer education, and counseling. 1e. Conduct periodic capacity-building visits to monitor and

support implementation of prevention efforts and the capacity-building plan.

2. Roll out delivery of the Ministry of Education and Vocational Training's HIV prevention (abstinence)

curricula in all primary schools in one focus region. 2a. Orient stakeholders at regional and local levels on

best practices. 2b. Adapt training manual to promote integration of HIV/AIDS into school curriculum. 2c.

Train ten education sector trainers per district to roll out and support initiative. 2d. Train seven teachers

and 14 youth peer educators per school to provide HIV education, create linkages with other initiatives, and

make referrals to counseling and other services.

3. Implement a multimedia campaign to promote family communication about HIV and increase youth

knowledge and skills related to abstinence and faithfulness to reduce HIV risk. 3a. Train local

celebrities/role models on HIV/AIDS and family communication. 3b. Support celebrities to promote local

values and family communication; 3c. Organize parent/youth communication workshops (using existing

curricula). 3d. Produce and disseminate IEC materials targeting parents, caretakers, and teachers to

promote adult/youth communication, including Watoto Bomba Parent's Guide (Adaptation of Soul City

publication promoting adult child communication), Watoto Bomba (publication for children aged 10-15) and

‘Children Infected and Affected by HIV/AIDS' (Soul City adaptation) for parents and teachers in the school

sector, including primary schools.

LINKAGES: UJANA will work internally with Ishi and the ROADS project and externally with T-MARC and

STRADCOM to implement "Safe Passages", a model prevention program to target high-risk youth in the

southern transportation corridor. UJANA will implement their interpersonal channels of behavior change

interventions (described above), STRADCOM and T-MARC will contribute their mass media efforts, and

ROADS will engage in the identification of sites and at-risk youth sub-groups, as well as referrals and

linkages. UJANA will continue to work at the local level through its sub-grantees, reaching youth and

community leaders with HIV prevention information. Also at the local level, UJANA staff and IPs will work

together with council and district management teams to promote coordination of CBOs and governmental

organizations and to advocate for the inclusion of UJANA partners' work in the council and district health

plans. At the national level, UJANA will continue to work with the Ministry of Health and Social Welfare and

the Ministry of Planning and Economic Empowerment to conduct joint planning and facilitating the

Coordinating Committee for Youth Programs and the Adolescent HIV/RH Working Group to promote a

coordinated and evidenced based response to the epidemic. UJANA will work with the First Lady's WAMA

foundation to target parents with capacity building activities designed to improve their ability to effectively

protect children from HIV infection.

CHECK BOXES: UJANA will work with youth who are most at risk, including street youth, transportation

workers, and youth who engage in transactional sex. UJANA will build the capacity of IPs to effectively

deliver gender-based HIV prevention messages. A special focus will be building the capacity of the

education sector to implement the HIV curriculum. A public campaign will be launched to promote family

communication about HIV and sexuality, which will target adult leaders from various sectors. Finally,

UJANA, with its partners, will deliver public education about the positive association between alcohol use

and risk for HIV infection.

M&E: FHI has developed data collection tools for IPs and UJANA activities. These tools include work

plans, monthly summary forms, narrative forms, and QA/QI tools. A database will be developed and FHI

will facilitate the discussion with USAID and TACAIDS to harmonize the data collection tools for HIV

prevention programs in Tanzania. Training on qualitative research design and analysis methods, use of

data and QA/QI will be conducted to equip the IPs with the skills to evaluate the effectiveness of their

programs. Supportive capacity building visits will be conducted on quarterly basis to monitor implementation

progress, ensure uniform understanding of M&E processes and tools and verify data quality. In addition, two

review meetings with IPs and local government officials will be organized in Dar es Salaam and Iringa.

SUSTAINAIBLITY: Priorities include strengthening capacity of professionals, youth and public and private

organizations to respond to the HIV prevention needs in their communities. At the local level UJANA, staff

and IPs will work with council and district management teams. At the national level, the focus will be to

continue to lead coordination efforts involving both public and private partners to develop plans and key

documents that incorporate evidence-based strategies to increase the effectiveness of the national

response to the HIV epidemic among youth.

TITLE: UJANA, Comprehensive HIV Prevention for Youth

The 2003-2004 Tanzania HIV/AIDS Indicator Survey (THIS) reported a 4% prevalence rate among young

women and 3% among young men. Sixty percent of new infections occur among youth. THIS revealed a

knowledge gap between HIV and the practice of preventive behaviors. To address these challenges,

UJANA will collaborate with FHI counterparts, Ishi and ROADS projects, and external partners, T-MARC

and STRADCOM, to implement "Safe Passages," a comprehensive prevention project to avert new

infections among high-risk youth in the southern transportation corridor. "Safe Passages" will identify high-

risk areas and youth sub-groups (ROADS project), use interpersonal behavior change and life skills

education, (UJANA and Ishi), community mobilization (UJANA, Ishi, and T-MARC), promote linkages

(ROADS), and mass media (T-MARC and STRADCOM). UJANA brings extensive youth HIV/AIDS

technical expertise and a commitment to work with the GOT on its National Strategy on Adolescent Health

and Development of the Multi-Sectoral Framework on HIV/AIDS to make a difference in young people's

lives.

ACCOMPLISHMENTS: FHI delivered HIV prevention education to over 1,000,000 youth and adult leaders

in 2006. It provided TA, tools, and educational materials to build the national prevention infrastructure.

UJANA promoted a national evidenced-based response to the HIV epidemic among youth. UJANA is

developing two strategy documents, one of which will identify most-at-risk youth and to develop gender-

based population-specific behavior change communication messages. The other will identify and

capacitate CBOs who can deliver UJANA's gender-based prevention messages at scale. Strategies will be

implemented in the "Safe Passages" project in the southern transportation corridor in collaboration with T-

MARC, STRADCOM, ROADS, and Ishi.

ACTIVITIES: 1) Provide targeted, evidence- and gender-based HIV prevention programming to youth in

regions. 1a) Provide grants/capacity building to implementing partners (IPs). 1b) Conduct needs

assessments with IPs. 1c) Conduct IP workshop to develop capacity building plans. 1d) Conduct training

workshops to address technical gaps, especially curriculum-based education, peer education, and

counseling. 1e) Conduct capacity visits to support implementation of prevention efforts and the capacity-

building plan.

2) Roll out the GOT National Adolescent Health and Development Strategy to increase youth access to

services. 2a) Mobilize regional and local level stakeholders to promote youth friendly services. 2b)

Disseminate training manuals to promote VCT among youth. 2c) Train ten YFS trainers per region. 2d)

Support national campaigns to promote youth uptake of VCT and RH services. 2e) Produce/disseminate

youth-focused materials to increase knowledge, attitudes, and skills to reduce HIV risks and promote

utilization of YFS (e.g., the cartoon booklet on the HIV and Sexual & Reproductive Health and poster, and

copies of Si Mchezo magazine).

3) Scale up the evidence- and gender-based Programs "H" and "M" (of Instituto Promundo) and the Ishi

Discussion Groups Initiative to promote gender equity and HIV prevention. 3a) Mobilize stakeholders to

promote youth gender prevention education. 3b) Train Program H and M trainers and conduct Program H

and M sessions. 3c) Conduct pre- and post-intervention behavioral surveillance surveys to assess the

impact of Programs H and M.

4) Scale up Ishi community educational initiatives to promote HIV prevention education and awareness

raising activities reaching large numbers of youth. 4a) Conduct national Youth Advisory meeting to develop

local strategy and activities plan. 4b) Develop local level implementation plans for identified activities, 4c)

Implement activities defined by work plan.

LINKAGES: UJANA will work internally with Ishi and the ROADS project and externally with T-MARC and

STRADCOM to implement "Safe Passages" in the southern transportation corridor. UJANA will implement

their interpersonal channels of behavior change interventions. STRADCOM and T-MARC will contribute

mass media efforts and ROADS will identify sites and at-risk youth sub-groups, referrals, and linkages.

UJANA will work at the local level through its sub-grantees, reaching youth and community leaders with HIV

prevention information. Nationally, UJANA works in partnership with the Ministry of Health and Social

Welfare (MOHSW) and the Ministry of Planning and Economic Empowerment, conducting joint planning

and facilitating the Coordinating Committee for Youth Programs and the Adolescent HIV/RH Working Group

to promote a coordinated and evidenced based response to the epidemic. UJANA will work with public and

private partners to implement GOT's Adolescent Health and Development Strategy and the Multi-Sectoral

Framework on HIV/AIDS. UJANA will link its prevention interventions with TechnoServe and MDEA

livelihood programs.

CHECK BOXES: UJANA and partners will work with at risk youth including street youth, transportation

workers, and youth that engage in transactional sex. UJANA will build the capacity of IPs to deliver gender-

based HIV prevention messages at scale. Funding for organizations will be reserved for institutions that

provide RH services. HIV funding will be used to leverage integrated comprehensive services for youth.

UJANA and partners will deliver public education about the positive association between alcohol use and

risk for HIV infection.

M&E: FHI has developed data collection tools for IPs and UJANA activities that include work plans, monthly

summary forms, narrative forms, and QA/QI tools. A database will be developed and FHI will facilitate the

discussion with USAID and TACAIDS to harmonize the data collection tools for HIV prevention programs in

Tanzania. Training on qualitative research design and analysis methods, use of data, and QA/QI will be

conducted to equip the IPs with the skills to evaluate the effectiveness of their programs. Capacity-building

visits will be conducted quarterly to monitor implementation ensure uniform understanding of M&E

processes and tools and verify data quality. Data from IPs, strategic partners and UJANA units will be

collected, analyzed, and reviewed by FHI staff and partners quarterly to inform program changes. Two

review meetings with IPs and government officials will be organized in Dar es Salaam and Iringa.

SUSTAINAIBLITY: Priorities include strengthening the ability of professionals, youth, and public and private

organizations to respond to community HIV prevention needs and to create linkages between youth-serving

organizations and governmental organs. Nationally, focus will be to continue to lead coordination efforts

involving public and private partners to develop plans and documents that incorporate evidence-based

Activity Narrative: strategies to increase the effectiveness of the national response to the HIV youth epidemic. Through "Safe

Passages" partnerships, UJANA will provide a replicable model for a comprehensive approach to high-risk

youth in targeted geographic areas.