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Tanzania FY 2011 workplan_January 2011


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Tanzania FY 2011 workplan_January 2011

  1. 1. 1 AIDSTAR-One Field Support Workplan (October 1, 2010—September 30, 2011) Submitted to USAID/Tanzania January 2011 Introduction As USAID/Tanzania continues to expand both the reach and impact of its HIV activities, it has collaborated with other development sections, such as Natural Resource Management (NRM) and Economic Growth (EG) to support integration of HIV services into non-health services. In order to assist these partners, USAID/Tanzania identified the need to source timely and accessible HIV program and technical assistance to support this movement towards deeper integration efforts. It is critical to the USG to ensure that such partners have easy access to the necessary support to effectively design and implement state-of-the- art (SOTA) HIV/AIDS care and/or prevention programs, including those targeting orphans and vulnerable children (OVC), grounded in scientific evidence and tailored to local contexts. Beginning in 2009, USAID/Tanzania requested technical assistance (TA) from the AIDSTAR-One Project to provide support to NRM and EG partners receiving HIV/ funding. It is expected that the TA will increase the scope and scale of integrated HIV/AIDS prevention, care, and OVC programming in non-health sectors. Two field visits by three AIDSTAR-One HQ staff members were conducted in 2010 to determine priority areas of technical assistance that AIDSTAR-One could support. The activities proposed in this workplan were identified in consultation with USAID/Tanzania and the NRM/EG partners during these visits, as well as with the input of AIDSTAR-One’s in-country Technical Advisor. Background Tanzania’s HIV epidemic is mature, generalized, and heterogeneous. The predominant mode of HIV transmission in the country is heterosexual contact between HIV-infected and uninfected individuals, accounting for approximately 80 percent of infections. Vertical infections from mothers to newborns and medical transmission account for 18 percent and 1.8 percent of infections, respectively. Tanzania has had some recent decline in national HIV prevalence. Between 2003 -2008, the overall adult prevalence fell from 6.7 percent to 5.7 percent (from 6 percent to 5 percent for men; 8 percent to 7 percent for women)1 . Declines in HIV prevalence were also observed among antenatal women and blood donors2 . Nonetheless, many challenges still exist in Tanzania’s effort to achieve reduction in new HIV infections. It is estimated that over 200,000 1 2007-08 Tanzania HIV/AIDS and Malaria Indicator Survey (THMIS) 2 NACP, MoHSW: HIV/AIDS STI Surveillance Report, Report Number 19, October 2005
  2. 2. 2 Tanzanians are infected with HIV each year. This can be attributed in part to widespread risky behaviors. For example, in 2008, 18 percent of men and 3 percent of women reported having had multiple sexual partners in the previous year3 , and 29 percent of married or cohabiting men and 16 percent of such women4 had sex with someone other than their cohabiting partner. The inception of Tanzania Commission for AIDS (TACAIDS) was followed by the development of the first National Multi-sectoral Strategic Framework (NMSF) (2003–2007). Through this framework, the public and private sectors, local and international non-governmental organizations (NGOs) and institutions were urged to initiate interventions aimed at addressing four major thematic areas: prevention, care and treatment, impact mitigation, and supporting an enabling environment. The second NMSF (2008-2012) articulates the broad direction of the country to further reduce the spread of HIV and to mitigate the impact of AIDS. The Framework addresses the following main areas: the creation of an enabling environment for a national response to HIV and AIDS, prevention, care and treatment and impact mitigation to improve the quality of life of people living with HIV (PLWH) and those affected by HIV and AIDS, including orphans and other vulnerable children. All prevention related activities align with the National Multisectoral Prevention Strategy (NMPS), the Government of Tanzania’s prevention document. The Policy, Planning and National Response Directorate within TACAIDS is one of the units responsible for coordinating all HIV and AIDS policy, planning and budgeting issues, as well as local and international response in monitoring and evaluation (M&E), research and data management. Challenges facing HIV/AIDS prevention on the Tanzania mainland include5 : • Incomplete geographic coverage of initiatives and services, including programs that target underlying drivers such as social and gender norms • The inconsistent definition of and provision of core packages of HIV prevention services targeted to specific audiences, ensuring that individuals have access to a comprehensive, high quality range of appropriate services • The lack of standards, guidelines, or communications strategies for behavioral interventions, including those targeting most-at-risk populations (MARPs) • The need for data, disaggregated by age and sex, on HIV incidence in order to understand the evolving nature of the HIV epidemic and track program outcomes • The uneven use of behaviorally-sound interventions to translate high knowledge levels into actual individual-level positive behavior change 3 United Republic of Tanzania, UNGASS 2008 Report: Country Progress Report 4 United Republic of Tanzania, UNGASS 2008 Report: Country Progress Report 5 HIV Prevention Strategy for Tanzania Mainland and two year Action Plan, TWG – MWF2
  3. 3. 3 • The lack of human capacity in behavioral interventions for HIV prevention, including behavior change communications • Achieving the appropriate mix and utilization of interpersonal and mass media communications approaches, with incorporate interactive elements • The lack of thorough integration of HIV prevention services into existing facility- and community-based facilities and programs • The inconsistent use of data for program design, tracking/monitoring, and evaluation, including the evaluation of HIV prevention interventions to understand impact • Insufficient coordination and partnership between public, private, and civil society partners at the national, regional, district, and community levels Goal and Objectives The goal of AIDSTAR-One technical support in Tanzania is to serve as a resource of technical expertise for NRM/EG partners. AIDSTAR-One will provide support to implementing partners from non-health sectors identified by USAID to help them design, implement, monitor and report on HIV prevention, care, and support activities implemented through their non-health programs and networks. The objectives of AIDSTAR-One technical support are: 1. Ensure HIV/AIDS program models, approaches and activities reflect state- of-the-art prevention, care and support programming, are grounded in scientific evidence, and respond appropriately to local contexts 2. Assist partner organizations better understand and follow PEPFAR reporting requirements and strategic direction 3. Maximize effective utilization of multi-sectoral partnerships and networks to achieve both programmatic impact and cost-efficiency through close collaboration and coordination with key national and local government counterparts and other stakeholders. Proposed Activities The following activities aim to support the integration of HIV/AIDS activities into non-health sectors, assist NRM/EG partners to implement and monitor HIV/AIDS prevention, care and support activities, and increase outreach to diverse communities by utilizing NRM/EG organizations networks: 1. Identify and analyze different models/approaches for mainstreaming HIV/AIDS into development programs and provide recommendations to USAID/Tanzania and NRM/EG partners
  4. 4. 4 2. Strengthen program monitoring and evaluation capabilities and routine use of data for decision making 3. Support NRM/EG partners in the development of workplans and progress monitoring plans in accordance with PEPFAR standards and strategic direction 4. Support creation of linkages between NRM/EG partner organizations and other USAID-funded HIV programs in Tanzania 5. Facilitate exchange of knowledge and experiences of integrating HIV/AIDS activities among the NRM/EG partner organizations. In carrying out these activities, AIDSTAR-One will position itself in a support role to the NRM/EG partners, reinforcing their ownership of their programs. AIDSTAR-One will also assure that the partners are in agreement with the proposed activities and benchmarks, allowing their self-perceived needs to be reflected in the workplan, while informed by AIDSTAR-One’s technical knowledge of global best practices. AIDSTAR-One will also make every effort to take advantage of existing tools and TA resources, adapting them when necessary. AIDSTAR-One will work closely with USAID/Tanzania and PEPFAR/Tanzania partners to identify those tools and resources that may be applicable for supporting NRM/EG partners. The primary NRM/EG partner and programs AIDSTAR-One will work with are: • The Jane Goodall Institute (JGI) through their project in collaboration with George Mason University (GMU) • The African Wildlife Foundation (AWF) through their SCALE project • The Tanzania Coastal Management Program (TCMP) and the University of Rhode Island (URI)-Pwani project • Fintrac’s Tanzania Agriculture Productivity Program (TAPP). Further information on specific programs is included as appropriate below. 1. Identify and analyze different models/approaches for mainstreaming HIV/AIDS into development programs and provide recommendations to USAID/Tanzania and NRM/EG partners AIDSTAR-One will help the NRM/EG organizations strengthen their programmatic activities with a focus on technically sound, state-of-the art implementation. AIDSTAR-One will work with the NRM/EG partners to identify best practices and opportunities for expansion or improvement. AIDSTAR-One will also help the NRM/EG partners to identify challenges and possible solutions, including areas where additional technical assistance or resources are needed. To improve implementation, AIDSTAR-One and the NRM/EG partners will draw upon models and approaches to mainstream HIV/AIDS into non-health sectors
  5. 5. 5 that have met with success in other settings. AIDSTAR-One will consult its technical teams, partner organizations, and the project’s databases to identify promising approaches and models and conduct a detailed analysis to determine if these programmatic responses can provide guidance to NRM/EG partners and USAID/Tanzania for current and future programming. A literature review with recommendations will be prepared and disseminated to NRM/EG partners and USAID/Tanzania. AIDSTAR-One will also develop and disseminate two case studies on selected programs that have effectively mainstreamed HIV/AIDS into their non-health activities. Both case studies will synthesize successful and innovative practices as tools for new program development and implementation and aim to support replication tailored to the local context. The purpose of the case studies is to move beyond the “what” to the “how” the work was accomplished. The case studies will be 5 to 10 pages in length each and will be printed and distributed in both hard copy and electronically. 2. Strengthen program monitoring and evaluation capabilities and routine use of data for decision making Routine reporting will be encouraged as a programmatic activity. After NRM/EG partners have created new or modified existing monitoring and evaluation plans to include PEPFAR indicators, AIDSTAR-One will provide technical assistance in implementing those plans. AIDSTAR-One will support NRM/EG partners in collecting both quantitative and qualitative data on programmatic activities to obtain a more holistic picture of these activities’ impact. In addition to the routine monitoring activities and data collection, AIDSTAR-One will support the NRM/EG partners to develop special studies focusing on particular topics. For example, through their work on livelihood development, the partners may be affecting gender relations in their catchment communities. Surveying community members could help ascertain the effect the programs are having—positive or negative—on gender norms and relationships at the individual and community level. AIDSTAR-One will provide technical assistance in using monitoring data to inform program planning and management of activities, facilitating data-driven decision making. Monitoring and evaluation information will be used to feedback into program plans to ensure the technical approaches used are evidence-based. Additionally, AIDSTAR-One will utilize its network of partners with expertise in quality improvement to focus on quality, working with the NRM/EG partners to identify areas of data quality and quality improvement in services.
  6. 6. 6 3. Support NRM/EG partners in the development of workplans and progress monitoring plans in accordance with PEPFAR standards and strategic direction When planning for future activities, AIDSTAR-One will provide technical assistance to the organizations to not only develop their next year’s workplans, but also build these into longer term strategies. These activities will draw upon information gleaned from key informant interviews to expand into identified areas of opportunity and to address challenges. Illustrative activities include: • Review training curricula and materials with JGI-GMU, AWF, and Fintrac • Develop follow-up plans for staff trainings • Adapt data collection and reporting tools developed by AWF for Longido Community Integrated Program (LOOCIP) and train staff on tool and reporting • Provide technical assistance to FINTRAC to develop implementation plan for subgrantee AIDS Business Coalition Tanzania (ABCT) • Conduct key informant interviews with program staff to identify programmatic best practices, challenges, and opportunities. AIDSTAR-One will also organize an integration workshop for NRM/EG partners that will include two sessions on monitoring an evaluation. One session will focus on the PEPFAR strategy to better orient NRM/EG staff to the current five-year strategy, including how HIV/AIDS programming fits into the larger health and development context. Particular focus will be placed upon relevant areas, such as gender, OVC programming, and integration. Another session will review the USG funding and reporting cycle, to demonstrate to NRM/EG partners how planning and reporting are coordinated and to help them incorporate these processes into their annual cycles. PEPFAR has already provided training sessions on indicators, M&E reporting, and the use of the data reporting systems; these sessions would supplement those trainings. AIDSTAR-One will also work with NRM/EG partners to ensure their materials conform to PEPFAR standards. In collaboration with New Partners Initiative Technical Assistance (NuPITA), AIDSTAR-One will provide technical assistance to the NRM/EG organizations already conducting trainings and developing integration materials to align them with PEPFAR requirements and indicators as appropriate. Illustrative activities include: • Review relevant components of PEPFAR 2009-2014 Strategy in an orientation session during the M&E workshop • Conduct key informant interviews with M&E and other relevant programmatic staff on their experiences with the PEPFAR reporting
  7. 7. 7 systems and feedback from country, regional, and other USG/PEPFAR offices • Provide technical assistance to JGI-GMU and AWF to develop HIV/AIDS awareness and prevention modules in line with PEPFAR requirements and integrate into NRM trainings • Provide technical assistance to FINTRAC to develop training curriculum and data collection tools in line with PEPFAR requirements. 4. Support creation of linkages between NRM/EG partner organizations and other USAID-funded programs in Tanzania AIDSTAR-One’s field based technical advisor will serve as a liaison for NRM/EG partners with other USAID-funded projects in Tanzania to identify resources and facilitate the exchange of information. USAID/Tanzania will provide the technical advisor a list of projects with contact information so that she can arrange meetings and begin compiling information about activities and available resources which can assist the NRM/EG partners. The technical advisor will keep NRM/EG partners apprised of opportunities for potential collaborations with other USAID-funded projects, facilitate contact between organizations, and coordinate the exchange and utilization of tools, frameworks and other resources. If the NRM/EG partners are interested in a specific topic which falls under the expertise of other USAID-funded projects, the technical advisor can also organize meetings and invite other projects to present. Emphasis will be placed in leveraging the comparative advantage of other USAID partner’s in the development and/or adaptation of Behavioral Change and Communication materials. Some of the NRM/EG partners have expressed the need to identify key prevention messages and develop communication materials. AIDSTAR-One will work closely with other USAID funded programs to support NRM/EG partners develop, validate, and produce prevention materials. 5. Facilitate exchange of knowledge and experiences of integrating HIV/AIDS activities among the NRM/EG partner organizations The Technical Advisor will be in regular contact with the NRM/EG partners and/or sub-grantees through site visits and meetings in Dar es Salaam. AIDSTAR-One will also organize workshops and meetings covering topics and issues related to the integration of HIV/AIDS activities. The technical advisor will work closely with NRM/EG partners to identify areas of interest and develop the content. A three-day workshop on integration is proposed for February 2011. The objective of the workshop is to provide NRM/EG partners a framework for integration (designing and implementing activities, and measuring progress and impact), and give them the opportunity to exchange program experiences. This workshop can also provide NRM/EG partners useful information for the Semi Annual Report (SARP) submission in April 2011.
  8. 8. 8 AIDSTAR-One will organize the workshop in Dar es Salaam or Arusha. AIDSTAR-One will develop the content in consultation with the NRM/EG partners, their sub-grantees and USAID. USAID will cover the costs of the workshop, and NRM/EG partners will be responsible for their travel and hotel costs. AIDSTAR-One will also organize and host an annual meeting for the NRM/EG partners to facilitate the exchange of information and experiences among the organizations. In the past, USAID hosted these meetings, but AIDSTAR-One will take on this responsibility in the future. The annual meeting will provide a forum for mutual support on external and internal mainstreaming, allow for cross organizational learning and provide an opportunity for sharing emerging lessons, good practices and case studies. The meeting will also help formulate action points, resolutions and recommendations on future programming and the way forward. AIDSTAR-One will develop the agenda for these meetings in collaboration with the implementing partners, their sub-grantees and USAID. The meeting venue will rotate to give NRM/EG partners the chance to showcase their efforts (site visits will be included in the agenda). The duration of each meeting will be two days to give participants sufficient time to share experiences and participate in site visits to observe how activities are implemented. AIDSTAR-One will be responsible for the facilitation, documentation of the meetings, and distribution of meeting reports. Timeline Activities and Products Nov— Dec 2009 Jan— Mar 2010 Apr— Jun 2010 Jul— Sep 2010 Develop and obtain approval for AIDSTAR-One workplan X Identify and analyze different models/approaches for mainstreaming HIV/AIDS into development programs and provide recommendations to USAID/Tanzania and NRM/EG partners X X
  9. 9. 9 Activities and Products Nov— Dec 2009 Jan— Mar 2010 Apr— Jun 2010 Jul— Sep 2010 Identify and document successful experiences with integration models through the development of case studies X X Strengthen program monitoring and evaluation capabilities and routine use of data for decision making X X X Support NRM/EG partners in the development of workplans and progress monitoring plans in accordance with PEPFAR standards and strategic direction X X X Support the creation of linkages between NRM/EG partner organizations and other USAID funded programs in Tanzania X X X Facilitate the exchange of knowledge and experiences of integrating HIV/AIDS activities among the NRM/EG partner organizations X X Management and Staffing To provide consistent quality technical assistance, AIDSTAR-One hired a full- time local technical advisor to provide direct TA and oversee consultants contracted for short-term assignments. AIDSTAR-One is sharing office space with AMCA Inter-Consult Ltd., a consulting firm based in Dar es Salaam. AIDSTAR-One will provide support through its Arlington, Virginia headquarters primarily through the position of Country Program Manager. The Country Program Manager will be the primary communications liaison between the country office and project headquarters, and will also liaise with AIDSTAR-One Technical Team Leads to ensure that timely and appropriate technical assistance is provided.
  10. 10. 10 Besides the headquarters support provided by the Country Program Manager, the AIDSTAR-One Project Director will also be involved as needed. Short-term technical assistance will be provided as needed by both local and international consultants and/or staff from AIDSTAR-One, or from JSI or any of the AIDSTAR-One partner organizations. A preference will be given to using local consultants when possible. When using international consultants, preference will be given to using consultants from the Africa region. Deliverables 1. Quarterly progress reports 2. Meeting/workshop reports 3. Literature review with recommendations 4. Two case studies Budget Line Items & Checklist for Field Support under Task Orders (Submitted by TO Contractor for all Mission-funded activities) Labor* $129,330 Fringe Benefits** $ Consultants $ 90,600 Allowances $ Travel and transportation $146,928 Subcontracts $ Other Direct Costs $241,052 Overhead** $ 29,215 G&A** $ Subtotal $ 637,125 Fixed Fee** $ 31,856 Total Estimated CPFF of Activity $ 668,981 *List of labor categories (or estimates daily rates) and Level of Effort (LOE) proposed for this activity. Labor Category LOE (days) Project Director (JSI Staff) 4 Country Program Manager (JSI Staff) 75 Technical Officer (JSI Staff) 30 Local Sr. Technical Advisor (Local Staff) 195 F&A Officer (Local Staff) 100 International Consultants 120 Local Consultants 150 TOTAL LOE 674
  11. 11. 11 **TOCO will verify that indirect rates and fee are in accordance with established contract/task order rates. (JSI approved overhead rate is 78%) Checklist for Field Support activity _X Total LOE for field support labor not exceeded _X_ No deviation from Task Order SOW ___ Local Salaries are in accordance with local compensation plan ___ Source Origin waivers are in place if necessary ___ No new subcontracts are necessary The information contained above is true and accurate and reflects our best estimates of the total activity’s cost January 6, 2011 _____________________ _________ Contractor Date I have reviewed the SOW and find that it is within the overall TO Scope of Work. I have reviewed the proposed workplan and budget associated with this activity and finds them to be reasonable. ____________________ _________ TO COTR Date I have reviewed the proposed workplan and budget associated with this and find them to be reasonable. ____________________ ________ Mission Activity Manager Date