Detailed Mechanism Funding and Narrative

Years of mechanism: 2010 2011 2012

Details for Mechanism ID: 12192
Country/Region: Tanzania
Year: 2010
Main Partner: Johns Hopkins University
Main Partner Program: JHPIEGO
Organizational Type: NGO
Funding Agency: USAID
Total Funding: $1,301,078

Mehanism developed in August reprogramming. Jhpiego has provided leadership on Male Circumcision (MC) programs since 2002, when the organization co-sponsored an international meeting on MC and HIV prevention with USAID and PSI. Jhpiego's most extensive and demonstrative program is in Zambia, which has focused on making high-quality, comprehensive MC services safe and accessible, and integrating MC into the compendium of HIV prevention activities. Jhpiego has subsequently worked with the Zambia MoH to scale up MC service delivery in the country and is active in MC in Botswana, Ethiopia, Lesotho, Mozambique and South Africa.

Jhpiego also plays a leadership role in MC at the global level, assisting WHO and UNAIDS in December 2005 to develop the MC reference manual, Male Circumcision under Local Anesthesia, and associated training materials. Jhpiego also collaborated with WHO and UNAIDS to develop the MC SA Toolkit and is a key partner of WHO in the development of performance standards to guide quality assurance of MC services. In collaboration with WHO, Jhpiego has conducted three regional MC courses in Zambia.

Given Jhpiego's significant technical leadership in MC both in the region and globally, the PEPFAR/Tanzania team has decided to have this partner assume the technical lead and quality assurance role for a handful of USG partners involved in expanding access to MC services in Tanzania.

Jhpiego's MCHIP program is currently working closely with the MoHSW, WHO, the national Male Circumcision Technical Working Group (MCTWG) and other key partners to develop the necessary resources to support the roll out of the Tanzania national MC program. This support includes the development of operational guidelines, training and quality assurance packages, as well as other tools as requested by the MCTWG and PEPFAR/Tanzania. In addition, MCHIP is implementing a MC demonstration project in Iringa region, and supporting the other USG MC partners in the roll out of their demonstration projects in Mbeya, Kagera, and Dar es Salaam through training, technical assistance and tools development. The MCHIP team also works closely with regional partners and the T-MARC Company preparing communities for the availability of services and developing materials and tools for client education and motivation. These activities taken together are laying the foundation in terms of national documents and tools for program expansion. Finally, MCHIP is integrating other male health issues into client counseling and community activities, including support for family planning (contraceptives and birth spacing), and promotion for male involvement in antenatal care and prevention of mother-to-child transmission of HIV.

With COP 2010 funds, Jhpiego has been requested by the PEPFAR/Tanzania team to extend MC service delivery throughout Iringa, and to expand services to Tabora. In addition, Jhpiego will continue to provide technical assistance, training and tools/materials development support to the other USG MC partners in the further roll-out of MC services in Mbeya, Shinyanga and Rukwa. Jhpiego will also continue to provide technical support to existing USG MC partner operations in Kagera and Dar es Salaam as needed. Jhpiego will continue to collaborate with the MCTWG and WHO on the development of a strategic framework for MC in Tanzania. Jhpiego estimates that it will be able to perform 1,680 MCs in FY 2010 and 5,640 MCs in FY 2011. It estimates that it will train a total of 77 health care workers (in-service) in FY 2010 and 126 in FY2011.

Contributions to Health Systems Strengthening: Emphasis will be put on sustainability of MC services within the public health care sector.

Cross-cutting programs and key issues: Jhpiego will integrate messages on family planning and safe motherhood into MC counseling and counseling curricula and addresses male gender norms and issues of gender equity in its counseling and in both its individual and community level behavior change communications and materials. Jhpiego estimates that it will spend approximately $185,644 of COP 2010 funds in the human resources for health budget attribution category.

Jhpiego's MCHIP program directly contributes to the Partnership Framework Prevention Goal, in operationalizing and providing a key component of PEPFAR/Tanzania's comprehensive prevention portfolio.

M&E Plans: Jhpiego has developed a robust performance management plan that has been approved by USAID. Jhpiego is currently providing the GOT with technical assistance for the development and piloting of MC M&E tool

Funding for Biomedical Prevention: Voluntary Medical Male Circumcision (CIRC): $1,301,078

Continuation of TA for National MC Working Group and USG MC implementing partners (including guideline and training material development, development and piloting of M&E tools and system, training of trainers for MC implementing partners etc.); Continuation of support for safe MC services at Iringa & Tabora Regional Hospitals. Expansion of MC support in Iringa region & continuation of support for Tabora Regional Hospital

Subpartners Total: $0
Iringa Regional Hospital: NA
Iringa Rural DDH: NA
District Hospital, Kilolo: NA
Ludewa DDH: NA
District Hospital, Makete: NA
District Hospital, Mufindi: NA
Njombe District Hospital: NA
To Be Determined: NA
Cross Cutting Budget Categories and Known Amounts Total: $185,644
Human Resources for Health $185,644
Key Issues Identified in Mechanism
Addressing male norms and behaviors
Increasing gender equity in HIV/AIDS activities and services
Safe Motherhood
Family Planning