Detailed Mechanism Funding and Narrative

Years of mechanism: 2010 2011

Details for Mechanism ID: 10119
Country/Region: Tanzania
Year: 2010
Main Partner: Deloitte Consulting Limited
Main Partner Program: NA
Organizational Type: Private Contractor
Funding Agency: USAID
Total Funding: $10,188,647

The increase in funds on this implementing mechanism (IM) does not represent a real increase in the cumulative budget between the TUNAJALI home-based care and Orphans and Vulnerable Children (OVC) programs. The OVC activity has been realigned back to this mechanism and both activities are flat funded from their FY 2009 level.

The primary purpose of the Tunajali program is to increase the number of HIV-positive adults and children on palliative care and OVC services in Dodoma, Iringa, Morogoro, Coast, Mwanza, Singida regions and Zanzibar. This supports Partnership Framework goal 1 On service maintenance and scale up which will help to reduce morbidity and mortality due to HIV/AIDS.

In FY 2010, Tunajali will focus on quality improvement for both OVC and HBC programs using the national standard for OVC services and newly developed quality improvement (QI) framework for community home-based care. To ensure quality at the point of service delivery, volunteers will be trained using the facilitators guide for the OVC quality improvement. All new volunteers will be equipped skills on how to work with children, track children improvement using the child status index and undergo comprehensive training courses in HBC, using the Ministry of Health and Social Welfare (MOHSW) curriculum, and will understand the referral process for OVC. Efforts will continue to be made to include more children under care through linkages with care and treatment centers (CTCs), and improve case finding for HIV-exposed children in the homes of PLHA.

In FY 2010, Tunajali will continue to support the district capacity to coordinate the community services interventions. In FY 2009, thirty (30) District Continuum of Care Coordinating Committees (DCoCCCs) were established in the mainland and two in Zanzibar. These DCoCCCs are supported by Tunajali to meet quarterly to review progress and plan ways in which to enhance and monitor program performance. The program is starting to reap evidence of sustainability, with three district councils allocating resources within their budget for HBC services, and about seven more have promised to do the same allowing the program to become more cost efficient.

In FY 2010, there will be an increased focus on provision of prevention positives (PP) services for PLHA. PP interventions will be integrated into the HBC services and linkages will be formed with the facility care outlets for referral services. Tunajali will work with FHI UJANA project to support integrating of the youth friendly preventive services to the OVC, training of the volunteers and linking the adolescents OVC to the youth friendly reproductive health services. To ensure sustainability of OVC services, economic strengthening of the OVC household will be critical. Tunajali will work with the TBD economic strengthening implementing partner to design and implement viable livelihood program as well as expanding the ongoing income generating activities to the vulnerable households. In addition, Tunajali will continue to work closely with the local government to ensure financial commitments from the local councils' budget to complement the planned OVC and HBC activities

Mapping of other children services and meaningful referral will be done to ensure comprehensive service to OVC and for PLHA referrals will be made for family planning, if appropriate.

Tunajali will ensure the provision of the basic prevention package with supplies procures centrally by USG/Tanzania. These includes; promotion, education and distribution of point of use (POU) water treatment safe water and hygiene practices, distribution of insecticide-treated bed nets to PLHA and promotion on their correct usage. Tunajali will ensure that all eligible PLHA are linked to the facilities to receive Cotrimoxazole for prevention of opportunistic infections. Tunajali will provide community based nutritional assessment and counseling with appropriate linkages to food by prescription (FBP) program and other community based food security and livelihood programs.

Tunajali will continue to provide refresher training on the national MVC data management and the tools to the sub grantees and community volunteers, ensure OVC entry to the national data management system. In 2010, the new emphasis will be on the dissemination utilization of the collected data for development plans. Through the child status index training the volunteers will be given household checklist to support their monitoring role.

Tunajali will continue to utilize the national M&E systems for OVC and the new system for HBC, and will continue to support districts and other relevant local authorities into the use of data for decision making. Tunajali will also support the USG/Tanzania program to improve the financial management capacities for indigenous Civil Society Organizations (CSOs), Non-Government Organizations (NGOs) and LGAs through a technical assistance mechanism from Health Systems 20/20.

Funding for Care: Adult Care and Support (HBHC): $5,188,647


Funding for Care: Orphans and Vulnerable Children (HKID): $5,000,000


Subpartners Total: $0
Afya Women Group: NA
Allamano: NA
Alpha Dancing Group: NA
Anglican Church (Various Dioceses): NA
Anti-Female Genital Mutilation Network: NA
Baraza la Misikiti Tanzania: NA
Church (Various Dioceses): NA
Evangelical Lutheran Church in Tanzania (Various Dioceses): NA
Evangelical Lutheran Church in Tanzania (Various Dioceses): NA
Faraja Human Development Fund: NA
Faraja Trust Fund: NA
Huruma AIDS Concern and Care: NA
Ikwiriri Mission Clinic and Dispensary: NA
Iringa Development of Youth & Disabled, and Children Care: NA
Jipeni Moyo Women and Community Organization: NA
Kifaru Community Development in Tanzania: NA
Kikundi cha Wanawake Wajane Kondoa: NA
Lugoda Hospital: NA
Mwanza Outreach Group: NA
Catholic Church (Various Dioceses): NA
Catholic Church (Various Dioceses): NA
Catholic Church (Various Dioceses): NA
Catholic Church (Various Dioceses): NA
Southern Highland Participatory Organization: NA
Tanzania Home Economics Association: NA
International Federation of Red Cross and Red Crescent Societies: NA
Walio Katika Mapambano na AIDS Tanzania: NA
Wanaoishi na Virusi vya UKIMWI: NA
Zanzibar AIDS Association and Support of Orphans: NA
Zanzibar Association of People Living with HIV And AIDS: NA
Zanzibar Muslim Women Association to Support Orphans: NA
Zanzibar Nurses Association: NA