AIDS Turning the Tide Together “Evidence Based OVC Programming” How Household economic assessment informed HES Strategies for HIV/AIDS Affected OVC Households A success story of Africare – Pamoja Tuwalee USAID funded project in Tanzania By Herbert Mugumya Africare Tanzania

Pamoja Tuwalee is a 5-year USAID/PEPFAR supported OVC project with a goal of serving 150,000 OVC and 37,500 households The project works through 21 subs, 19 local governments (districts) in central zone covering originally 3 but now 4 regions of Dodoma, Iringa Njombe & Singida using family & Community sustained interventions, Strengthening local government Capacity and child protection Systems

Background: How HEA informed OVC Program Strategy Implementation Developed MOU – IMARISHA & Pamoja Tuwalee Household Economic Assessment (HEA) survey tool developed by DAI IMARISHA for use with Pamoja Tuwalee IPs HEA Objectives: Move beyond anecdotes to gain a better understanding of economic dynamics of PEPFAR supported households, particularly vulnerability and resilience Establish a baseline for measuring impacts of ES interventions Findings informed the design of effective program strategies Africare has adopted HES as a platform for sustained family and community based OVC response

HEA Results: Savings and Financial Access Financial Sector IMARISHA HEA AfricareFinScopes Survey Formal financial institutions 7.2%5.9%9% Semi-formal financial institutions 1.2%1.3%2% Informal /Savings groups 16.2%11.0%35% Financially excluded 75.7%81.8%54% Financial Access Savings (among people who save)

HES TRAINING ACTIVITIES Saving Internal Lending Community (SILC) groups Chicken (Poultry) rearing Animal husbandry (pigs, goats, rabbits) Crop production (Backyard vegetable gardening and cereal crops growing, etc) Entrepreneurship skills for the youth

SILC GROUP MEETING - IRINGA

HES SUMMARY OUTCOMES JAN-JUNE 2012

HEA RESULTS: ACCESS TO HOUSEHOLD FOOD

SILC GROUP MEETING - IRINGA HEA RESULTS: HOUSEHOLD HUNGER RANKING - AFRICARE REGIONS Source of foodHEAAfricare Buy Food76.3%75.9% Food Aid5.9%6.9% Grow Food (Agriculture / Horticulture)37.5%44.8% Raise Food (Poultry / Livestock)2.2%6%

STRATEGY: FOOD SECURITY AND NUTRITION Focus on increased food production Three food types (legumes, root tubers, and meat/eggs) Produce enough to stop buying, Food storage practices (dry cereals) Food assistance Nutrition assessment (weight, height & MUAC) Nutritional counseling (optimal diet) Infant food supplements from clinics or locally made Water, sanitation & hygiene Increased food security Improved nutrition education

Outcomes: Caregivers practicing backyard vegetable gardening 11

Outcomes HES on household food production Caregiver IGA groups own 2 acres of land where they cultivate sunflower from which they produce cooking oil for home consumption and sale. 12

Access to basic health care (Jan-June’12) 12,326 OVC have been registered in Community Health Fund insurance family annually pays $5 2,797 OVC Under 5 years obtained clinic cards (vaccinated) and their mothers were counseled for PMTCT and pediatric care, nutrition 4,936 Youth trained in life skills, HIV & GBV prevention and also referred for HCT, MMC & ART

Access to basic education (costs paid - caregivers savings) Number of MVC supported to return to by region Dodoma 692 Iringa4,637 Singida 701 Total6,030 14

Access to Child protection and GBV prevention services 5,351 registered MVC received birth certificates Abused children referred for emergency health care Also, support abused children through justice system 340 youth clubs formed for life skills trainings Caregivers fill forms for Birth Certificates

END Asanteni sana Thank you for listening