The Tanzania Interfaith Partnership (TIP) is a large FBO umbrella with nationwide reach, composed of FBO members of four major Christian and Muslim FBO networks. In 2010, TIP graduated from being a sub-grantee to becoming a National PEPFAR prime grantee. CCT was selected by the FBO members to provide the secretariat for TIP. Balm In Gilead (international FBO prime grantee) and CDC are continuing to provide technical assistance (TA) to TIP for specific aspects of their program. PEPFAR funding supports TIP for implementation of prevention activities, HIV testing and counseling (HTC) services, as well as care and OVC support.

The TIP program aims to contribute to reducing HIV/AIDS transmission by expanding the capacity of faith-based community organizations to become involved and participate in HIV prevention and care programs. This is accomplished by building the capacity of TIP's four FBO networks to deliver HIV prevention, HTC, and care services. The networks in turn support and provide trainings for individual FBOs at the community level to contribute to a long-term sustainable response. The program is guided by URTs National Multi-sectoral Strategic Framework on HIV/AIDS (NMSF 2008-2012), the National Prevention Strategy (2009-2012), the PEPFAR Partnership Framework (2009-2013), and the new PEPFAR Prevention Guidance. Under the guidance of MOHSW, district and community level interventions are implemented through faith-based networks, religious leaders, trained peer educators, and para-social workers. TIP will continue ongoing monitoring and evaluation in adherence to MOHSW standards.

It is estimated that 1.5 million people are affected with HIV/AIDS. TIP and its partners have a long history in provision of palliative care and home-based care services. Using this experience, TIP intends to scale up home-based care services in Kigoma Region. The objective of this intervention is to improve quality of lives of people living with HIV by providing integrated and high quality HBC services through trained community volunteers from churches and mosques. The following are key activities that will be carried out using these funds:

(1) Training of HBC volunteers in care and management of PLHIV: The recommended ratio per community care giver is 1 to 15 clients. TIP is targeting a total reach of 4,000 people for HBC services in Kigoma Region, which is an increase by 1,200 from the previous years target. This means that there is a need for more caregivers. In the coming fiscal year, TIP will therefore train 120 community providers based on the national curriculum, making the total of trained providers 294. Trainees will be facilitated to gain skills on community mobilization to foster positive living through brief motivation interventions. Trainings on capacity building for HBC providers will be conducted, including psychosocial support, stigma and discrimination to people living with HIV, and establishment and supervision of VICOBA;

(2) Provision of HBC kits: TIP will coordinate the logistics for availability of HBC kits, which are centrally supplied by SCMS, and job aids for providers. TIP will determine the demand for the kits and facilitate distribution to TIP partners;

(3) Linking with clinical services and facilitating referrals systems: The HBC services are linked with the district health services through the home-based care unit. TIP will work with DHMTs to identify CTCs to establish bi-directional referral systems. Home-based volunteers will be trained on the referral systems, linkages with other service providers, and wrap around services in the area. The purpose is to have 80% of the HBC clients enrolled in facility care;

(4) Linkages with PMTCT: As a strategy for positive prevention and PMTCT, the program will facilitate linkages between HBC services and PMTCT services in Kigoma Region. Through this intervention, it is hoped that the number of children being infected with HIV though their mothers will be reduced. The program will provide direct nutritional support to 175 individuals. TIP will integrate prevention care through PHDP, emphasizing the effects of alcohol use, positive prevention use of treated water, and bed nets; and

(5) Monitoring visits: Conduct supportive supervision visits to monitor the implementation of HBC services, identify opportunities and constraints in services delivery, and monitor data management at all levels.

TIP plans to support more than 4,000 OVC, with at least one core service in Kigoma region. With the aim of achieving catalytic, systematic, and sustainable impact among vulnerable households and promoting resilience at the community level, TIP activities will focus on strengthening capacities of local structures, provision of continuum of care, and promotion of HIV prevention activities. In order to ensure conformity of guidelines and quality services at all levels, TIP plans to empower its sub grantees through the existing structures to mainstream plans and OVC programs within district multi-sectoral and MVC committees.

TIP will work closely with the government and other USG technical assistance partners in areas of economic strengthening, nutrition, and quality improvement, as well as the mainstreaming of psychosocial support in OVC programs. Apart from being part and parcel of the communities, faith based institutions and communities are cost effective as they are already in places of need. Therefore, local and national level partnerships and networks will be utilized to encourage communities to participate in providing care and support. Local partnerships, such as family to family care, collaboration with the local government and institutions, will be promoted to address challenges in service provision and reaching vulnerable households.

Integration of OVC and HBC activities will be promoted as a more cost effective approach to reaching OVC and PLWHIV who live in the same households. Together, with other age categories beginning from less than 6 and 15+, a majority of school aged children (6-14) will be reached in equal numbers of male and female (1,200 each group) as individuals and within their families to ensure they are also reached with other core services in addition to educational support. Services will include health care, spiritual support of which faith based organizations are actively engaged in, and shelter and nutritional support to 2,000 households, including economic strengthening to 1,200 households. This strategy will ensure continuity of care not only to OVCs, but to the entire household.

Systems strengthening will be provided to support village and districts MVCC committees, advocacy at all levels, and the replication of OVC implementing partners group meetings and forums at district levels. Data updates and the identification of new OVC will be another area that TIP will collaborate with the Department of Social Welfare. In addition, TIP will also offer capacity building of human resources as well as support with resources to ensure that children are identified and data are kept and utilized accordingly, improving quality of services. With the USG technical partner in M&E, TIP plans to coordinate trainings and collaborate with the TIP technical assistance partner, The Balm In Gilead, so as to capacitate the M&E process/systems from the national to the community levels.

The Tanzania Interfaith Partnership (TIP) is a large FBO umbrella with nationwide reach, composed of FBO members of four major Christian and Muslim FBO networks. In 2010, TIP graduated from being a sub-grantee to becoming a national PEPFAR prime grantee. CCT was selected by the FBO members to provide the secretariat for TIP. Balm In Gilead (an international FBO prime grantee) and CDC are continuing to provide technical assistance (TA) to TIP for specific aspects of their program. PEPFAR funding supports TIP for implementation of two major prevention activities briefly described below as well as care and OVC support. The prevention components are:

(1) Implementation of 'Time to Talk' (Sasa Tunzungumze), a curriculum-based couples and family- entered communication program targeting youths and adults aged 10-45 years with individual and small group level interventions. The existing youth component is being expanded to increase the focus on couples communications, promote couples HIV testing and counseling (HTC) (this goes hand in-hand with Couples HTC services provided directly by TIP as well as other partners in regions covered by TIP), facilitate disclosure, support discordant couples, and adherence/retention support for PLHIV. TIP trains and implements activities through a large network of peer educators and para-social workers. Protocol development for an outcome evaluation for Time to Talk has begun. Target regions for implementation of Time to Talk are Dodoma, Lindi, Shinyanga, Kigoma, and Zanzibar.

(2) The 'Families Matter Program' (FMP) is a well known structured parent-child communication program that has been adapted and established in Tanzania by T-MARC in 2008-2009. In FY 2012, one TIP FBO member will become involved in the expansion and implementation of the FMP in Dar es Salaam. FMP is currently integrating a new module for child sexual abuse prevention that will later become part of the implemented program in Dar es Salaam, which is also one of the three focus regions for the PEPFAR Gender-Based Violence (GBV) Initiative.

Targets for FY 2012 will reach 20,000 individuals aged 10-45 years with individual or small group level prevention intervention, 7,000 couples through Time to Talk, and 3,000 parents of teens through FMP.

The Tanzania Interfaith Partnership (TIP) supports demand creation, promotion as well as direct provision of HIV testing and counseling (HTC) services under its program, called 'Our Faith Lights the Way-Together' since 2008. For FY 2012, the projects goal will be to scale up existing HTC services and reach about 7,260 people in 17 wards of Shinyanga and within an additional new district of Kahama. Under the coordination of MOHSW, TIP will participate to accelerate the couples HTC services within eight high prevalence regions, including Shinyanga region. While TIP supports direct HTC service provision in Shinyanga, TIP is also conducting community mobilization and HTC promotion and referrals activities in numerous others regions, linking patients, and collaborating with other PEPFAR supported HTC partners.

Communities will be mobilized through trained faith based HTC who will promote HTC services. TIP will strengthen outreach services with special emphasis on mobilization of couples, using nationally developed promotional materials. The following activities will be implemented:

(1) Publicity and Message Dissemination: TIP will utilize communication and promotional materials developed for couples HTC by a national level TA provider. If necessary, adaptation to the regional or local context can be made. Local media (FM radio) will be used for community mobilization and dissemination of information about general HTC services available as well as couples HTC;

(2) Counselor Training: In FY 2012, TIP will work with FBO partners to coordinate and conduct trainings for 260 community couple counselors. Training materials developed in countries with experience of couples HTC, such as Rwanda and Zambia, will be adapted and used for these trainings. Refresher trainings of health care workers will be provided, as needed, particularly for couples HTC services;

(3) Scale up of HTC Services: Through the 'Our Faith Lights the Way-Together' program, TIP FBO members will work with the local faith communities on demand creation and service promotion in 17 wards of Shinyanga region. Faith leaders in the targeted areas will play a key role of mobilizing people to access HTC services, with many of them serving as role models. Trained counselors and providers will conduct HIV road tests and pre/post-test counseling services; and

(4) Referral for Care and Positive Health Dignity and Prevention (PHDP): TIP will work on strengthening post test follow up facilitated by the local faith based institutions, Churches and Mosques Channels of Hope (CMCH). Under this program, faith communities take responsibility for provision of care and support for people living with HIV/AIDS in their own communities. By their very nature as communities of faith, the churches and mosques are called to be healing communities. Faith leaders and selected PLHIV will be trained as peer educators to support PHDP and ART adherence. In addition, TIP is planning to support the establishment of 20 post test groups with at least 30 members each.

The Tanzania Interfaith Partnership (TIP) is a large FBO umbrella with nationwide reach, composed of FBO members of four major Christian and Muslim FBO networks. In 2010, TIP graduated from being a sub-grantee to becoming a national PEPFAR prime grantee. CCT was selected by the FBO members to provide the secretariat for TIP. Balm In Gilead (an international FBO prime grantee) and CDC are continuing to provide TA to TIP for specific aspects of the program. PEPFAR funding supports TIP for implementation of two major prevention activities briefly described below, as well as care and OVC support. The prevention components are:

(1) Implementation of 'Time to Talk' (Sasa Tunzungumze), a curriculum-based couples and family- entered communication program targeting youths and adults aged 10-45 years with individual and small group level interventions. The existing youth component is being expanded to increase the focus on couples communications, promote couples HIV testing and counseling (HTC) (this goes hand in-hand with Couples HTC services provided directly by TIP as well as other partners in regions covered by TIP), facilitate disclosure, support discordant couples, and adherence/retention support for PLHIV. TIP trains and implements activities through a large network of peer educators and para-social workers. Protocol development for an outcome evaluation for Time to Talk has begun. Target regions for implementation of Time to Talk are Dodoma, Lindi, Shinyanga, Kigoma, and Zanzibar.

(2) The 'Families Matter Program' (FMP) component is described under the 'AB' narrative below.

The 'OP' component of TIP's activities, in addition to the above, will support promotion of correct and consistent condom use by selected FBO members. The condom promotion activities specifically target high prevalence regions, as well as Zanzibar, where TIP members have a strong presence and support outreach for key populations, such as sex workers (SW), People Who Use or Inject Drugs (PWUD and PWID), and Men Who have Sex with Men (MSM). Support for community-based interventions regarding HIV transmission associated with alcohol use will be considered for future integration pending further guidance from PEPFAR in regards to effective interventions in his area. the summary of activities and budgted is as follows; CSW: (1)$ 50,000 (2) coverage - 300 (3) activity- outreach activities using peer educators, distribution of IEC materials and referral services, MSM: (1)$ 50,000 (2) coverage - 500 (3) activity- outreach activities using peer educators, distribution of IEC materials and referral services, provision of preventive products, Other: (1) $150,000 (2) coverage 5000 higher risk group to be reached with condom promotion messages (3) activity- outreach activities using peer educators, sessions after church and mosque services using time to talk manual