Detailed Mechanism Funding and Narrative

Years of mechanism: 2012 2013 2014 2015

Details for Mechanism ID: 12926
Country/Region: Tanzania
Year: 2013
Main Partner: Population Services International
Main Partner Program: NA
Organizational Type: NGO
Funding Agency: USAID
Total Funding: $2,900,000

Husika is designed to reduce HIV transmission among at-risk populations, MARPs, and their sexual partners. Through the promotion and implementation of a core package of essential services, Husika will increase correct and consistent male and female condom use and health seeking behaviors for target populations. Husika's design supports the priorities set out in the PFIP and GHI strategies.

Husika will be active in seven regions: Dar, Iringa, Mbeya, Tabora, Shinyanga, Mwanza, and Mara. Activity models will vary depending on the region, prevalence and needs of the population. Husika will prioritize commercial sex workers (CSWs), women engaged in transactional sex (WETS), and male clients of CSWs and WETS. Formative research for activities targeting MSM will be implemented in FY13 (FY12 COP).

As the prime, PSI has maximized cost efficiencies through cost-shares and collaboration with activities under the GF Round 4 HIV RCC. This includes cost sharing on operational costs, research, targeted interventions with CSWs and clients, and nationwide condom social marketing. Husika will build the capacity of local CBOs to provide services in the community and create a sustainable knowledge base of CSW peer educators for lasting social change. PSI and T-MARC will implement actvities targeting street-based and brothel-based CSWs. EngenderHealth will provide linkages to services, and gender and advocacy support with CBOs. Femina's communications promote condom use, health seeking behavior and address social norms around sexual behaviors and concurrent partnerships.

M&E includes using unique identifier codes to track interpersonal communication and access to health services, and customer satisfaction surveys to monitor quality of supported provider services.

Funding for Sexual Prevention: Other Sexual Prevention (HVOP): $2,900,000

Husika will target three primary target groups: CSWs, WETS, and clients and male partners of SWs and WETS.

A total of 3,000 CSWs, 5,000 WETS, and 6,000 clients will be reached. All interventions with these groups will promote correct and consistent condom use (including free condom distribution), and promote health seeking behavior. Formative work to develop an evidence communication strategy and tools for reaching MSM will be implemented.

Promotion of consistent and correct condom use and condom distribution efforts will cut across all target groups. GF funding will be leveraged for condom procurement and distribution. Husika will also support targeted demand creation and condom placement in hotzones . The program will also include ree distribution through CSW peer educators and outreach. Condom availabity in hotzones will be monitored annually.

The sex worker program will be segmented by street- and brothel-based programs. PSI will scale up a branded (Shosti) street based sex worker program to five regions (Mwanza, Shinyanga, Mbyea, Mara, and Tabora), building on experiences of a pilot implemented in Dar es Salaam and Iringa in FY12. Activities will focus on outreach activities including peer education programs to promote condom use and provide linkages to services. Based on international best practice with CSWs, PSI will pilot a case management system that uses outreach workers as "case managers" for individual CSWs. These case managers will be responsible for support and follow up of sex workers accessing health services. Mobile health services will be scaled up to reach two more regions (Mwanza and Mbeya), building on lessons learned from a pilot implemented in Dar es Salaam in FY12. Mobile health services include a van with HCT and STI services made available in hotzones during communication events with sex workers.

T-MARC will continue to expand IPC activities (face-to-face) with brothel based sex workers in Mwanza, Dar, Shinyanga, Mbeya, Iringa, and Mara (leveraging activities under TSMP). Face-to-face communications will involve the promotion of male and female condoms and provide referals to health services. CSW contacts will be tracked using a unique identifier code (UIC) system developed by PSI and shared with TMARC.

T-MARC will rely on the promotion of mobile populations implemented through TSMP to reach bar girls (WETS) as well as potential clients of sex workers in key industries (mining, fishing) and transport corridors within Husika regions, including Iringa, Mbeya, Mwanza, Mara and Shinyanga. Small group discussions will be held with each target group to promote condoms and provide linkages to health services. PSI will reach potential clients of sex workers and WETS in hotzones where streetbased sex worker Shosti programs are implemented, and will leverage GF supported condom social marketing activities in bars and nightclubs. Communications will focus on condom use and health seeking behavior for HCT and STIs.

M&E activities include routine monitoring using UIC, program reports, regular field qualitative supportive supervision by program staff, quarterly technical supervision from senior technical staff, annual surveys of outlets in hotzones stocking condoms. and technical support from the PSI network and HQ. PSI has the existing trained staff able to provide this level of quality assurance and leverages cost share from the GF for these activities.

Cross Cutting Budget Categories and Known Amounts Total: $2,808,339
Gender: Gender Based Violence (GBV) $110,000
Gender: Gender Equality $43,339
Key Populations: FSW $2,450,000
Key Populations: MSM and TG $205,000
Key Issues Identified in Mechanism
Implement activities to change harmful gender norms & promote positive gender norms
Increase gender equity in HIV prevention, care, treatment and support
Increasing women's legal rights and protection
Mobile Populations
Workplace Programs
Family Planning