Detailed Mechanism Funding and Narrative

Years of mechanism: 2010 2011

Details for Mechanism ID: 10989
Country/Region: Tanzania
Year: 2010
Main Partner: Academy for Educational Development
Main Partner Program: NA
Organizational Type: NGO
Funding Agency: USAID
Total Funding: $800,000

Access to food and food security is one of the major challenges of households with orphans and vulnerable children (OVC) and people living with HIV/AIDS (PLHA) in Tanzania. Some 34 percent (12.9 million Tanzanians) fall below the basic needs poverty line and 17 percent (6.5 million Tanzanians) are under the food poverty line. An important component of comprehensive care and support for OVC and PLHA is to provide nutrition interventions and food support. To strengthen the integration of nutrition and food into HIV care and treatment services and OVC programs nationwide, USG/Tanzania is working with FANTA-2 to assist the Tanzania Food and Nutrition Centre (TFNC), the Centre for Counseling for Nutrition and Health (CONCENUTH), the Supply Chain Management System (SCMS), the Government of the United Republic of Tanzania (GOT) and U.S. President's Emergency Plan for AIDS Relief (PEPFAR) implementing partners (IPs) on how to integrate these services.

The goal of this activity is to improve the quality of care for PLHAs and OVCs. This activity will help reduce morbidity and mortality due to HIV & AIDS and improve the quality of life for People Living with HIV/AIDS and those affected by HIV & AIDS (OVCs).The objectives are to strengthen the capacity of GOT providers and PEPFAR IPs to provide nutrition assessment, counseling, and sustainable approaches for nutritional support at HIV care and treatment (palliative care, OVC, ART, and PMTCT) sites and to improve HIV care and treatment through the integration of nutrition and food components.

In FY 2009, FANTA-2 designed a plan for the most effective method of getting nutritional support to PLHA and OVC by collaborating with the Implementing Partners group. The care and treatment partners piloted the food supply and distribution system using the Food by Prescription model to 8 health facilities.FANTA-2 provided Technical Assistance (TA) by integrating nutrition education, assessment, counseling and food support. The health facilities include: Mbeya Referral hospital, Iringa, Sekouture and Shinyanga regional hospitals. Other sites are Mufindi, Kahama and Temeke districts hospital, and PASADA, Almano, Lugoda and Lunguya health centre. Several key foundational steps were taken to enable sites to assess nutritional status of clients and allow access to nutrition support. This included development of training and counseling materials, training and sensitization of region and districts health management team and healthcare providers and determining supply chain logistics and provision of food supplements.

The first Technical Working Group (TWG) on Nutrition and HIV/AIDS was formed and held its first meeting in July 2009. Representatives from Tanzania Food and Nutrition Centre (TFNC), Tanzania Commission for AIDS (TACAIDS), USG, UNAIDS, UNICEF, Clinton Foundation, Ministry of Health and Social Welfare-Department of Social Welfare and PEPFAR Implementing Partners attended this TWG meeting.

In FY 2010, FANTA-2 will continue to 1)strengthen the capacity of TFNC, CONCENUTH and PEPFAR implementing partners to coordinate nutrition and food activities for PLHAs and OVCs and document progress of the activity sharing their lessons learned, 2) build the capacity of CTC and PMTCT staff in nutrition and HIV services including FBP 3) build the capacity of OVC and HBC partners to integrate nutrition and food services into OVC and HBC programs 4) provide technical support for the implementation of FBP in the pilot sites 5) demonstrate and support effective linkages and wraparound activities that benefits PLHAs and OVCs by working with other donors e.g. UNICEF, WFP, Clinton Foundation, Global Fund and the private sector and other line ministries e.g. the Ministry of Agriculture and Food Security and linkage to the Global Hunger and Food security initiative.

In FY 2010, emphasis is to bridge the gap between facility and community based nutrition services for PLHAs and OVCs. The creation of an effective referral system will connect the facility and community based nutrition interventions. Strong partnerships will be forged with district management teams and community services organizations to create effective linkages and wrap around program activities to benefiting PLHAs and OVCs and tracking these linkages to demonstrate impact. The activity will provide TA in creating linkages to other donor supported nutrition programs and linkages to the Global Hunger and Food Security and Global health initiative at community level.

Funding for Care: Adult Care and Support (HBHC): $400,000

AED through FANTA II is the National nutritional TA partner for USG, Tanzania. In FY 2010 FANTA-2 will continue to provide TA to other implementing partners to include community based partners. FANTA-2 will expand nutritional assessment and counselling to other sites in Dar es Salaam, Iringa, Mwanza, Shinyanga and Mbeya FBP region. Nutrition and wrapparounds using community as an entry level to responsing to the nutrition need of PLHAs and OVCs will be emphased. Coordination with UNICEF Community Based Management of Malnutrition (CMAM) and WFP food assistance will be increase, and there will be joint programming at implementation level for supplies, trainings, education and sensitizations. FANTA-2 will print necessary tools to aid nutrition assessment, classification and counselling at facility and community level.

Funding for Care: Orphans and Vulnerable Children (HKID): $200,000

1) Provide TA on Food and nutrition for OVC IPs 2) Develop simple and user friendly nutrition and food security assessement tools to be used by the OVC service providers 3)Strengthen two way referral systems for OVCs between facility and community

Funding for Biomedical Prevention: Prevention of Mother to Child Transmission (MTCT): $200,000

Nutrition support to HIV-exposed children, other OVCs, malnourished PMTCT mothers, and linkages to food security and economic strengtherning in regions with low PMTCT coverage and high OVCs caseload. FANTA-II will program from community level, create links between the facility and the community interventions. Also, technical assistance (TA) will be provided to individuals/groups and networks interested in agriculture value chain for food security and income generation, bringing the private sector involvement into focus to solving nutrition problems in Tanzania. Wraparounds with UNICEF, WFP and Global Fund community based nutrition intervention will be coordinated and increased.

Subpartners Total: $0
Tanzania Food and Nutrition Centre: NA
To Be Determined: NA
Centre for Counselling on Nutrition and Health: NA
Cross Cutting Budget Categories and Known Amounts Total: $300,000
Economic Strengthening $100,000
Food and Nutrition: Policy, Tools, and Service Delivery $150,000
Human Resources for Health $50,000
Key Issues Identified in Mechanism
Increasing women's access to income and productive resources
Child Survival Activities