Detailed Mechanism Funding and Narrative

Years of mechanism: 2010 2011

Details for Mechanism ID: 9801
Country/Region: Tanzania
Year: 2010
Main Partner: Not Available
Main Partner Program: NA
Organizational Type: NGO
Funding Agency: USAID
Total Funding: $0

The Tanzania Chamber of Minerals and Energy (CME) represents the interests of private small, medium and large domestic and international mining companies. It has nearly 60 members and operates as a key mediator between the mining investment community and key stakeholders, most notably the Government of Tanzania and the public. The Chamber's structure is made up of the Executive Council, the Secretariat and nine Sub-committees. It is through the work of these subcommittees that new Chamber initiatives have been developed and, in this instance, the Occupational Health and Safety Sub-Committee will direct this activity.

The objectives of this activity are (a) to enable the district health system to deliver HIV/AIDS, TB, sexual and reproductive health, and malaria services to artisanal and small-scale miners and (b) to complement efforts to better integrate into the formal district economy artisanal miners and small-scale miners. This endeavor will contribute to the Partnership Framework Goal 3: Leadership, Management, Accountability, and Governance. More specifically, it will to "build the capacity of non-state actors at national and local levels for these oversight functions."

Only a small percentage of men seeking employment are hired by larger mining companies that can afford to offer workplace HIV/AIDS programs. In Tanzania more than 4000 registered small-scale mining companies employ a labor force of 550,000 workers. A single small-scale mine might employ between 100 - 300 or more workers, but they cannot afford to provide HIV/AIDS services. Infected members of miner families are not receiving home-based care and treatment. Through this partnership with the Chamber and member mining companies, health services will be brought to this marginalized MARP group. District officials are part of the planning process, and it is hoped that district health workers will be assigned to a clinic that has already been constructed and equipped by the mining company and a mobile clinic that will be leased as a result of this partnership.

This activity leverages the for-profit private sector's economic clout, connections, and capacity to make things happen in a cost effective manner. By the end of this PEPFAR-funded activity, it is expected that the District officials will assume the staffing and management of the clinic and the routine of collaboration will have been established with the Chamber. This PPP thus lays the foundation for PEPFAR's exit by securing the commitment of local government officials and large companies with local operations to collaboration in addressing HIV/AIDS. The Chamber is required to submit quarterly progress reports that document the results being achieved.

Funding for Care: Adult Care and Support (HBHC): $0

The response to the HIV/AIDS epidemic originally was considered to be the primary responsibility of the Government of Tanzania (GOT), but eventually it was recognized by both the GOT and the business community that the private sector needed to dedicate more of its expertise and resources to complement the work of the public sector and other civil society organizations.

In this activity the Chamber of Minerals and Energy will reach out to artisanal and small-scale mining (ASM) community, which is one of the most marginalized and isolated of MARP groups. An onsite clinic will be constructed or renovated and equipped by the CME with financial support from the mining company nearest to the ASM camp, and the district is to provide medical staff. Bridge2Aid (B2A), a charity providing dental care in Tanzania, has a mobile unit that it will loan to the project. The organization has granted permission to refit the unit as needed for the project at Chamber expense. Thus both facility-based and mobile clinic health care will be provided to ASM families. The mining company will make available its medical staff and facilities as needed and will partner with NGOs to help in conducting a comprehensive outreach program in prevention, testing/counseling, care/treatment and home-based care.