Detailed Mechanism Funding and Narrative

Years of mechanism: 2010 2011 2012

Details for Mechanism ID: 10351
Country/Region: Tanzania
Year: 2010
Main Partner: Johns Hopkins University
Main Partner Program: JHPIEGO
Organizational Type: NGO
Funding Agency: USAID
Total Funding: $2,640,000

JHPIEGO, a nonprofit affiliate of The Johns Hopkins University (JHU) that has been working in Tanzania for over 15 years, is implementing the Universal HIV/AIDS Intervention for Counseling and Testing (UHAI-CT) Program to deliver an innovative, cost-effective, and results-oriented program to support USAID and GoT HIV Counseling and Testing (HCT) objectives. UHAI, meaning "LIFE" in Swahili, promotes the philosophy that knowing one's HIV status can literally mean saving one's life, and oftentimes the lives of others as well.

JHPIEGO implements the UHAI program in partnership with Africare and the T-MARC Company. The UHAI-CT technical approach is guided by the principles of innovation, rapid expansion, diversity of strategies, quality, sustainability, strong links to HIV care and treatment, and cost effectiveness. As such, UHAI-CT expects over the life of the program to rapidly increase access to quality of HIV CT for all Tanzanians, particularly those at high risk, including HIV-exposed children, through national implementation of provider-initiated testing and counseling (PITC) and sub-granting to local civil service organizations (CSOs) including faith-based, nongovernmental (NGO), and community-based organizationsfor targeted outreach CT services. The program is also focused on

strengthening providers' skills for quality HIV CT service delivery by using a new onsite training approach for facility-level service providers, strengthening quality improvement (QI) systems and advocating for and supporting the shift of CT duties to community (lay) counselors. A primary objective of the UHAI program is to establish critical links to prevention, care, and treatment services for adults and children, and to strengthen and expand community care and support for HIV-positive clients through close coordination

with PEPFAR-supported prevention, care and treatment partners. It also invests in HCT demand creation and in the sensitization and mobilization of high-risk communities for HIV CT using interpersonal communication channels. National health strategies and policies guide UHAI-CT's multi-faceted approach and UHAI staff are actively involved in partnerships with the GOT to adapt and roll-out updated and appropriate HCT

policies and guidelines and in strengthening national management and information systems (MIS) related to CT. In addition, UHAI-CT is actively engaged in strengthening the sustainability of these services by building GoT and CSO capacity at the national, regional, district, and community levels.

By September 30th 2009, only five months after initiating HCT service delivery, UHAI-CT had provided 47,761 individuals with counseling and testing services and had trained 509 services providers in PITC clinical skills. In addition, through its sub-partner TMARC, 623,587 individuals were reached with demand creation communications, including for couples counseling and promotion of disclosing one's status to one's partner. In its fiscal year of operation, UHAI CT offered PITC services in Iringa and Tabora and CT outreach services in Dar es Salaam, Pwani, Morogoro, Tanga, Arusha, Manyara, Shinyanga, Singida, Dodoma, Ruvuma, Rukwa, Mtwara, Lindi, Mbeya, Kagera and Kilimanjaro. UHAI-CT has been coordinating closely with numerous USG implementing partners such as AMREF, IntraHealth, ICAP, Elizabeth Glazier and FHI to ensure harmonized and synergistic in HCT service delivery. In FY 2010, Jhpiego has been asked by PEPFAR/Tanzania to expand PITC coverage to Dodoma, Singida, Tanga and Kilimanjaro and estimates that it will reach a total of 95,950 individuals through PITC and outreach CT. In FY 2011 this target increases to 144,000 individuals counseled, tested and received results. In addition, the UHAI-CT program will reach 6,250 MARPs with individual and/or small group level prevention interventions in FY 2010 and almost twice this number in FY 2011. Finally, UHAI-CT will continue to train health care workers and auxiliary supervisors in PITC. These providers will also be trained in TB screening in alignment with national and international guidelines.

Cross-cutting programs and key issues: UHAI-CT provides outreach CT services to higher risk populations including mobile and migrant populations; it contributes to health wrap around programming through the integration of TB into its PITC clinical skills training program and estimates that approximately $507,370 of COP 2010 funding is attributable to human resources for health. Through its community sensitization and mobilization, and through its training program, issues of gender equity and gender norms are directly addressed. Though this is still a very new program, Jhpiego is actively looking for ways to partner with other PEPFAR and non-PEPFAR actors in order to find efficiencies overtime through increased technical focus and targeting. The UHAI-CT program supports the Partnership Framework Prevention Goal and provides critical support to the biomedical and behavioral components of the USG's combination prevention strategy.

M&E plans: Jhpiego has developed a robust performance monitoring plan that has been approved by USAID/Tanzania. Program monitoring data are collected systematically through service delivery sites, supervisors of HCT providers, or monitoring systems from partner and grantee organizations and reported on a quarterly basis.

Funding for Testing: HIV Testing and Counseling (HVCT): $2,640,000

Continue and expansion of PITC and mobile CT services. Services are focused in Iringa, Dodoma, Tabora, Singida, Tanga, Mtwara and Kilimanjaro. Jhpiego will continue to provide technical assistance to the NACP and regional and district officials in data collection and management.

Subpartners Total: $0
Africare: NA
Alpha Dancing Group: NA
Ilula Orphan program: NA
Milo Sayuni Orphanage: NA
Southern Highlands Senility Organization: NA
T-MARC Company: NA
Tumaini University: NA
Cross Cutting Budget Categories and Known Amounts Total: $507,369
Human Resources for Health $507,369
Key Issues Identified in Mechanism
Addressing male norms and behaviors
Increasing gender equity in HIV/AIDS activities and services
Mobile Populations