Detailed Mechanism Funding and Narrative

Years of mechanism: 2010 2011 2012

Details for Mechanism ID: 12192
Country/Region: Tanzania
Year: 2012
Main Partner: Johns Hopkins University
Main Partner Program: JHPIEGO
Organizational Type: University
Funding Agency: USAID
Total Funding: $5,961,696

Voluntary medical male circumcision (VMMC) for HIV prevention is a key element of URTs HIV prevention strategy and supported by the USG/T Partnership Framework. The goal of the MCHIP program is to assist URT in the scale-up of VMMC for HIV prevention services, which targets 2.8 million circumcisions in eight regions. The specific objectives of MCHIP include:(1) Work with the regional health authorities to scale-up VMMC for HIV prevention services (adult and early infants) in Iringa/Njombe region;(2) Work in partnership with the regional health authorities to scale up adult MC services in Tabora region;(3) Provide on-going technical support to USG/T VMMC partner agencies in Tanzania; and(4) Provide technical assistance to MOHSW both at the central and regional level.

With FY 2012 funding, MCHIP will collaborate with regional officials in Iringa/Njombe and Tabora to provide 80,000 safe voluntary adult circumcisions and 10,000 early infant circumcisions. MCHIPs program will continue to look for ways to improve supply and demand driven efficiencies. MCHIP will continue to provide M&E technical assistance to URT and partners, and continue to use web-based data to capture and ensure accurate reporting of targets.

The purchase of four vehicles will be required in order to scale up these activities, which will take place across vast distances over difficult to reach terrain during campaigns and outreach activities.

Funding for Biomedical Prevention: Voluntary Medical Male Circumcision (CIRC): $5,961,696

Voluntary medical male circumcision (VMMC) services will be provided per WHO guidelines, endorsed by URT, using training tools developed by MCHIP and partners. MCHIP will continue to refer all HIV-positive and STI clients to appropriate services within health facilities. Quality assurance, supportive supervision, and M&E tools will continue as per the pilot phases, pending the development of national tools by URT. Formative assessments and other informative research activities will take place, as needed, to inform improved service delivery.

Objective 1: Scale up VMMC services for 60,000 adolescents and adults and 10,000 neonates in Iringa/Njombe region in partnership with regional and district authorities. MCHIP will continue to improve existing adult VMMC service delivery sites and add additional sites in underserved areas. During FY 2012, VMMC services will be provided in campaign wavestargeting specific districts and providing outreach services down to the level of very rural communities using a mix of permanent and temporary structures. One or two region-wide campaigns will be held to take advantage of seasonal preference. MCHIP will work with USAID-funded prevention partners to create demand for VMMC and supplement these activities with community advocacy, an advertising campaign, experiential media, radio and print media, and grants to community-based organizations to reach adult males and their partners. The primary target audience will be males aged 10-49, with a specific emphasis on men aged 20 and above. The secondary audiences are female partners, guardians of adolescents, and community opinion leaders. FY 2012 will also see the scale-up of early infant male circumcision (EIMC) in Iringa with services rolled out to every district. The service delivery structure for the scale-up will be determined based upon the results of the EIMC pilot to be held in the prior year. In order to achieve VMMC and EIMC objectives, 100 providers will be trained in Iringa/Njombe region.

Objective 2: Scale-up VMMC services for 20,000 adolescent and adult clients in Tabora in partnership with regional and district authorities. MCHIP will maintain the four existing VMMC static service delivery sites and add up to six more. Outreach VMMC will be held on a monthly basis to reach rural communities and campaigns will be held twice a year. MCHIP will work in collaboration with other HIV prevention partners in Tabora to create demand for VMMC as stated above in Iringa/Njombe. Two hundred providers will be trained.

Objective 3: Provide technical assistance to USG/T VMMC partner agencies in Tanzania, as requested. MCHIP will continue to provide partners with technical assistance to scale up VMMC programs in their regions, including the provision of training to 100 providers, trainings of trainers, implementation of campaigns, and the launch of any EIMC activities. As needed, MCHIP will continue to support USG/T with data collection and synthesis.

Objective 4: Provide support for URT health authorities to scale up VMMC. MCHIP will continue to provide support to URT to scale up the national VMMC program. MCHIP has been asked by URT to help develop guidelines for the implementation of campaigns using efficiency models, participate in the national MC Technical Working Group, continue to support government training of trainers, and support government coordination and implementation activities as needed.

Cross Cutting Budget Categories and Known Amounts Total: $1,000,000
Human Resources for Health $1,000,000
Key Issues Identified in Mechanism
Addressing male norms and behaviors
Increasing gender equity in HIV/AIDS activities and services
Safe Motherhood
Workplace Programs
Family Planning