Bristol-Myers Squibb: Tanzania Development and AIDS Prevention
 
Tanzania Development and AIDS Prevention (TADEPA)

Community Based HIV/AIDS prevention and care project in Kagera, Tanzania

Tanzania Development and AIDS Prevention (TADEPA) is a Non Governmental organisation based in Kagera region Tanzania. The main purpose of TADEPA is to participate in the fights against HIV/AIDS and its integrated effects. TADEPA’s goal is to improve social economic well-being of Tanzanians with vision of healthy and just community and mission of enabling the vulnerable people to participate in the proccess of empowerment. TADEPA has been working in HIV/AIDS intervention for more than 15 years with a multidisplinary team of people and different expertise.

From 2004-2005 TADEPA has been working in partnership with other stakeholders and Kagera Region and Hospital (KRH) to implement Anti-Retroviral Therapy (ART) programme and static counseling and medical care clinic in Bukoba Municipal. In 2008, TADEPA Counselling clinic was handed over to KRH, as there was no more support to enable TADEPA to run it but also to avoid duplication of efforts within one institution. This necessitated TADEPA to develop another community based Prevention and Care Programme that was supported by Bristol- Myers Squibb Company SECURE THE FUTURE®.

Background

TADEPA, a Tanzanian NGO in 2009 with a support from BMS Secure the future, implemented the programme in Kagera region with a population of 2,563,870 people. The overall strategy was to provide a continuum of interventions from primary prevention among the high-risk groups in fishing communities, border and the general population and to improve the health status of PLWHA through stigma reduction and nutrition promotion activities.

Project Goals :
  • Improve the quality of lives among HIV/AIDS affected community members in four districts in Kagera Region, Tanzania.
  • Improve health and wellbeing of the population in the perceived high risk localities in four district of Kagera region, Tanzania.

Health promotion and community mobilization to address knowledge and stigmatising attitudes, Linkage of mobile VCT with health promotion through education on behavioural change in high risk areas in order to prevent further transmission of HIV, distribution of HIV/AIDS educational materials and education on safer sex and condom distribution, involvement of PLHA in the mainstreaming of positive prevention in anti-stigma campaign and ART treatment literacy and stigma reduction. Food security and education on nutrition for PLHA Activities included the strengthening of PLHA support groups; training in gardening, milk goats rearing and nutritious food production.

Results

Primary prevention
The project trained and supported 223 HIV/AIDS educators which is over twice the planned number of 100 trainees from 15 fishing communities in Muleba, Bukoba, Misenyi districts, conducted 45 supervisory visits to trained educators, reached 5343 people through mobile VCT in 33 fishing villages, distributed 68,000 condoms and 75,000 pieces of different variety of IEC materials. Referred 296 HIV +ve clients to CTCs, trained and supported 20 HIV/AIDS educators in Mutukula, conducted 52 HIV/AIDS community education sessions.

Stigma reduction
160 PLHA were trained in positive prevention from six (6) PLHA support groups with 501 members. They were supported with drama materials which are used during stigma reduction promotion events; they were trained on nutrition training, supported in milk goats rearing and visited 5 times in their homes where 234 PLHA were met.

Nutrition promotion
Nutrition assessment was conducted with 75 PLHA which revealed the needs that were addressed, PLHA were trained in different skills as follows: 60 in leadership 20 in preparation of nutritious food mix, 40 in nutrition and food security, and they were able to establish food mix production for generating income and their own uses for the improvement of their health. Additionally, 51 male headed households and 165 female headed households with a total of 1287 family members were provided with farming inputs for vegetable gardening and food crops including Moringa seeds, spinach, Chinese cabbage ordinary cabbage, grain amaranth, carrot, Sweet pepper, and okra and cuttings of orange sweet potatoes; food crops included maize and beans. This helped them to produce more food and adapt the use of vegetables.

Observed changes/changes brought by the project

  • The project increased awareness on the HIV and AIDS situation and programming initiatives were identified and exposed to different stakeholders.
  • The project increased networking and collaboration amongst stakeholders which contributed very much towards in the success of this program.
  • The project increased level of openness to talk on issues of HIV and AIDS, increased awareness, health promotion services on HIV and AIDS fishing communities and Mutukula border such as access to VCT and CTC, condom and IEC services.
  • The project improved health status amongst PLWHA’s, increased access to sustainable nutritional programme for PLHA.
  • The project increased acceptance and support of families and communities towards PLHA and reduced community stigma and self stigmatization among PLHA.
  • The project improved quality of service delivery to beneficiaries through technical assistance among the care providers.

 
 
 
 


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