Detailed Mechanism Funding and Narrative

Years of mechanism: 2010 2011

Details for Mechanism ID: 12237
Country/Region: Tanzania
Year: 2010
Main Partner: Not Available
Main Partner Program: NA
Organizational Type: NGO
Funding Agency: USAID
Total Funding: $0

The TBD Sex Work program is being developed to strengthen the USG Portfolio's focus on sex workers and women engaged in transactional sex. In addition, the program will target fishing communities responding to the linkages between fishing and sex ("fish for sex"), based on the outcomes of anticipated formative research. The goal of the new initiative ("SWP") will be to address key risk behaviors for high-risk populations, notably sex workers, women engaged in transactional sex, and fishing communities. Objectives include to: 1) provide high-risk groups with an expanded set of interventions; and 2) build capacity of local Tanzanian organizations to implement a compendium of services for these groups. The SWP is also expected to draw upon global best practices in addressing HIV prevention and sex work, and utilize local research and past experiences.

This program will contribute to health systems strengthening efforts through its efforts to build local Tanzanian organization capacity to implement high-quality comprehensive interventions for high-risk groups. In addition, the SWP will be expected to work with the GOT to address policy barriers and create a more conducive enabling environment to work with most at-risk populations.

This program contributes to the Partnership Framework goals on Prevention and Strategic and Evidence-Based Decision-Making. The SWP is expected to provide a comprehensive package of risk reduction services which includes peer outreach and education (e.g., correct and consistent condom use, sexual health, empowerment), mass media, condom distribution, CT, STI/RH/FP referrals, and linkages with care and treatment. Targeted media, community outreach, and inter-personal communication activities will address the continuum of formal sex work and women engaging in transactional sex. Linkages will be made with mobile CT efforts targeting high-risk groups. Clients of sex workers will also be addressed. The priority will be to increase coverage for key high-risk groups and for transmission "hot spots", such as with sex workers in cities, along transport corridors and in mining areas and fishing communities, particularly around Lake Victoria. Issues around alcohol and gender-based violence will also be given priority.

The SWP will be expected to utilize program and managerial efficiencies to create economies of scale and streamline implementation. The SWP implementing partner will be expected to undertake a wide range of substantive partnerships, including with the GOT and local partners. Deliberate and systematic use of peer education models and existing private sector venues for program activities (such as hair salons) will allow for cost efficiencies.

SWP will focus on highest HIV prevalence regions, transportation corridor and lake region, and high-risk venues. Programming will be targeted specifically for most-at-risk populations, including for those who engage in commercial and transactional sex, fishing communities and clients of sex workers.

The SWP implementing partner will be expected to propose strategies to measure programmatic success. The program will adopt a systematic, strategic approach to addressing at-risk populations, including mapping of high-transmission areas, size estimations (if needed), and identification of gaps in coverage. Qualitative, formative studies will be undertaken.

Funding for Sexual Prevention: Other Sexual Prevention (HVOP): $0

The TBD Sex Work program is being developed to strengthen the USG Portfolio's focus on sex workers and women engaged in transactional sex. In addition, the program may target fishing communities, and the linkages between fishing and sex ("fish for sex"), in response to the outcomes of formative research. The goal of the new initiative will be to address key risk behaviors for high-risk populations, notably sex workers, women engaged in transactional sex, and fishing communities. Objectives include to: 1) provide high-risk groups with an expanded set of interventions; and 2) build capacity of local Tanzanian organizations to implement a compendium of services for these groups. Best practices in HIV prevention among high-risk groups will be utilized, including provision of a comprehensive package of risk reduction services which includes peer outreach and education (e.g., correct and consistent condom use, sexual health, empowerment), mass media, condom distribution, CT, STI/RH/FP referrals, and linkages with care and treatment. The project will focus on highest HIV prevalence regions, transportation corridor and lake region, and high-risk venues. Programming will be targeted specifically for most-at-risk populations, including for those who engage in commercial and transactional sex, fishing communities and clients of sex workers. New Award to strengthen USG Portfolio's focus on sex workers and women engaged in transactional sex. Will include a key focus on building capacity of local Tanzanian organizations to implement a compendium of services for sex workers. Focus on key venues and hot-spot regions.

Key Issues Identified in Mechanism
Addressing male norms and behaviors
Increasing gender equity in HIV/AIDS activities and services
Increasing women's access to income and productive resources