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									    Quarterly Reports for October 1st 2011 – December 31st 2011 (Q1FY12)



INTRODUCTION
T-MARC Tanzania is an independent, Tanzanian, not for profit, non-governmental
organization (NGO) working in Tanzania, for the benefit of Tanzanians. T-MARC
employs a dynamic approach, bringing together public and private stakeholders to
develop and expand consumer markets for a broad range of social products. T-MARC
also promotes behaviour change through evidence-based practices that contribute to a
positive health and social impact within the development field. These practices,
products and strategies are in the areas of infectious diseases like HIV/AIDS and
malaria, reproductive health, water & sanitation and nutrition. The interventions are
specifically targeted at vulnerable, at risk and low income audiences.

Mission
T-MARC Tanzania’s mission is to successfully contribute to the well-being of all
Tanzanians by developing effective and diverse partnerships between multiple players
in the commercial, NGO, governmental and public sectors to implement social
marketing and communications solutions that address key health, social and economic
challenges. T-MARC facilitates the growth of the “full market” for an extensive range of
social products and services; and works to increase the practice of healthy behaviors.


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Vision
T-MARC Tanzania is committed to becoming a leader in creating sustainable solutions
by utilizing the Organisation’s "Four Ps" Approach:

    1. People: Reaching all Tanzanians with special focus on the under-served and
       most in need, while promoting continued growth in staff expertise.
    2. Partnerships: Promoting new collaborations with partners from the public,
       private and non-profit sector, working with a diverse group of donors, and
       collaborating with local government agencies, NGOs, CBOs, commercial entities
       and others throughout Tanzania.
    3. Portfolio: Serving the needs of Tanzanians through a variety of health, social and
       economic activities focused on social marketing, communications and
       partnerships.
    4. Place: Facilitating reach throughout Tanzania with extensive knowledge of the
       country and areas where the most at risk groups reside; using innovative
       technologies to produce research data linked to region and location to improve
       policy practices and results.

Values
T-MARC Tanzania holds itself to the highest levels of integrity and has a strong
commitment to the following values:

    1. Leadership – T-MARC Tanzania strives for top results in the initiatives it
       undertakes; stepping forward with innovative ideas, bringing together new
       partners and staying on the cutting edge of innovations in social marketing.
    2. Partnership – T-MARC Tanzania is part of a larger team; working with
       stakeholders, government donors, collaborating agencies and others to combine
       resources, strengths and skills to achieve success.
    3. Accountability – T-MARC Tanzania is committed to achieving the highest level
       of transparency and ethics in all financial, management and partnership activities
       undertaken – holding itself responsible to donors, partners and beneficiaries of
       its programs.
    4. Respect – T-MARC Tanzania puts respect for the people of Tanzania first -
       revering diversity, valuing strengths and skills and working collaboratively with
       the beneficiaries of its programs and products.
    5. Passion – Staff at T-MARC Tanzania maintain personal and professional
       enthusiasm for their work and are driven by a sense of purpose and a desire to
       do all that they can to help improve the social conditions of Tanzanian families.
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Objectives
The primary objectives of T-MARC Tanzania are to:

    1. Develop and manage a cost-effective marketing, sales, and distribution networks
       that will improve access by key populations to branded products and services
       addressing health, social and economic challenges.
    2. Develop and manage broad-based social communication initiatives that enhance
       accurate knowledge of Tanzanians about core issues related to branded social
       products, health and economic issues, including persuasive information to
       encourage and sustain healthy behaviors.
    3. Establish and maintain practical partnerships with international agencies and
       local organizations from Tanzania’s commercial, non-governmental and/or
       faith-based sectors for key roles in planned and ongoing programs.

Preamble
This report summarizes the activities and achievements made by T-MARC in its
different programs for the first quarter period; October – December 2011.

The specific project reports contained herein are;

    1. Tanzania Social Marketing Project (TSMP)

    2. HUSIKA Project report

    3. Universal HIV/AIDS Voluntary Counselling and Testing (UHAI-CT) report

    4. Families Matter! Project report



Take note that these reports are not exhaustive, and should the need for more detailed
information arise, more detailed project implementation reports are available at T-
MARC offices and with our different partners and vendors.




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    Quarterly Report for Tanzania Social Marketing Program (TSMP)

             October 1st 2011 – December 31st 2011 (Q1 FY2012)



Cooperative Agreement No:           621-A-00-10-00020-00

Implementing Agency:        Population Services International

Subcontractors:             T-MARC Tanzania; Clinton Health Access Initiative (CHAI)


Activity Period:            October 1, 2011 – December 31, 2011



Narrative Summary

The goal of this cooperative agreement is to improve the health status of Tanzanian
families, and the objective is to ensure measurable behaviour change (including use of
effective health products) among project target groups. To support this goal and project
objective, the TSMP will ensure achievement of the following two intermediate results
(IRs):


      IR 1 Aggressively expanded impact of targeted social marketing initiatives that are
      aligned to measurable behavioural outcomes in HIV/AIDS, FP/RH, child survival, and
      malaria.

      IR 2 Local capacity (civil, public, and private) to sustain social marketing activities in
      Tanzania strengthened to achieve public health outcomes.


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The TSMP team will achieve these results by leveraging the “Total Market Approach”
(TMA)—supported by social marketing—to correct market inequalities and develop
more sustainable solutions to health problems by providing customers with wider and
more effective choices. The goal of the TMA is to achieve a marketplace where all
segments of society are reached with high quality products and services according to
their ability to pay. In a balanced TMA, the poorest access products and services
through free distribution, those who are somewhat better off through subsidized
products, and those with greater ability to pay through commercially-distributed
products. Social marketing organizations are essential to growing the overall market
volume by attracting new user groups into the market and opening up new markets,
particularly in rural areas through community-based distribution.


Under the leadership of Population Services International (PSI), the TSMP will facilitate
the TMA by providing direct technical support to two Tanzanian organizations, T-
MARC Tanzania and PSI/Tanzania, as well as engage key stakeholders from the public,
non-profit and private sectors to improve market segmentation, subsidy strategies and
distribution systems.



This Q1FY12 Quarterly report for the period October 1, 2011 to December 31, 2011
captures key TSMP program achievements, challenges and lessons learnt in the format;

    1.   HIV/AID Prevention
    2.   Family Planning
    3.   Monitoring, Evaluation and Research
    4.   Project Management & Administration
    5.   Full Annual Year Work Plan Report Achievements
    6.   PEPFAR & TMEMS Indicator Table Achievements




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HIV/AIDS Prevention
Major achievements and accomplishments
T-MARC contracted two advertising agents this quarter (Ogilvy and Reel 2 Real) for
Dume’s repositioning into the mid tier condom market. T-MARC’s strategy for Dume’s
repositioning is to facelift Dume’s packaging to reflect quality and brand positioning
and develop a communication campaign that will maximise awareness for the new
packaging, brand positioning while addressing condom use behavioural determinants
among Dume’s new target audience ( men aged 20-35, 4th and 5th wealth quintiles living
in urban and peri-urban areas of Tanzania.) T-MARC is working on a three-phase
communication campaign for Dume’s repositioning:
    1. A teaser campaign designed to build excitement for the new Dume brand (will
       include radio spots, newspaper article, web banners and billboard)
    2. The roll out phase, to reveal Dume’s new pack and brand positioning as well as
       address condom use determinants (will include a TV Commercial, Radio spot,
       print material including POS, billboard, Web banners, promotional give-away
       items and Mid media/IPC activities)
    3. A 13 episode TV show to enable target audience to interact with the brand in
       their homes as well to ignite and encourage discussions on healthy behaviours.


The following has been achieved:
   Developed several pack options, pre-tested and refined final pack design for Dume
    classic
   Developed, pre-tested and refined TVC script and storyboard
   Developed Dume music that will be used on the TVC.
   Developed and refined teaser campaign radio spots and a newspaper article.
   Developed and refined TV show mechanics and scripts
   Model and location scouting for the TVC
   Contestants, judges, presenter and location scouting for the TV show




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Following the female condom workshop that was held in Q4 of FY11, a delta workshop
was conducted for Lady Pepeta this quarter to develop sales and marketing strategies
for the brand, based on decisions made during the workshop and to guide marketing
plan development. The marketing Plan for Lady Pepeta has also been developed.
Dume and Lady Pepeta brands were co-promoted during the Mobile promotional team
targeting MARPs across 15 mainland regions reaching the following HIV high risk
groups:
       373 miners across 57 mining sites
       1,201 truck drivers across 57 truck stops.
       350 fishermen and women across 11 fishing sites
       1,537 barmaids across 104 bars
       649 SW across 48 hotspots


The Lady Pepeta face to face brand promotion campaign was conducted across 47 SW
hotspots and 97 bars in Mbeya and Iringa this quarter, reaching 746 SW and 837
barmaids with HIV prevention methods and female condom use.
T-MARC upscaled the Jipende salons in Mbeya this quarter. 50 salon attendants from 25
salons in Mbeya region were trained to become educators for women’s health. All 50
attendants graduated during a ceremony attended organised T-MARC and have now
been officiated as resource centres through contracts between them and T-MARC and
branded so that they are easily recognized by the community. All the Dar es Salaam’s
44 and Mbeya’s 25 salons were serviced and maintained this quarter. T-MARC also
hosted President Bush’s visit to a Jipende salon in Dar es Salaam this quarter.

Dume and Lady Pepeta were also co- promoted during public events. Brand
promotions during Uhuru torch reached 1,363 people during small group ‘Jali Maisha’
sessions and 575 barmaids with female condom use education. Brand promotions
during World AIDS Day reached 819 people through the small group ‘Jali Maisha’
sessions and 267 barmaids with female condom use education.

In sales and distribution, T-MARC continued its efforts of identifying and recruiting
suitable Pharma distributors. As of December 31st, T-MARC has contracted 23 Pharma
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distributors from 17 mainland regions. T-MARC also re-developed its sales policies and
procedures and trained a sales accountant on its ERP system to streamline invoicing
and reconciliation activities.

C-vendor activities resumed this quarter. C-vendor orientation and introductions to
outlet owners took place. All X machines were serviced and maintained this quater in
Dar es Salaam.

All the above sales and marketing activities contributed to a sales performance of
1,602,664 pieces for Dume male condoms and 250,204 pieces of Lady Pepeta female
condom; exceeding its target by 12%. Dume’s sales performance this quarter was
challenged by out stock situations for blue denim.

Key challenges and Lessons learnt
Due to procurement lead time for commodities with the Dume new foil, the
repositioned Dume will be launched with the current Dume foil. This could affect the
perception of the repositioned Dume, especially among the mid-tier condom brand
users, who according to pre-test studies (focus group discussions) did not like the
Dume condom product.
Secondly, T-MARC was unable to use the most preferred pack design among Dume
condom users as it used black denim imagery which would clash with the current foil.
Dume has modified the favourite design to be more in line with current denim (i.e. blue
denim) although not foil modification is still required to complement the outer
packaging better. T-MARC aims to launch the new Dume foil with the launch of new
brand extensions in FY13.
For Lady Pepeta face to face campaign with barmaids and SW in Iringa, it was difficult
to separate the SW from the barmaids as most of the barmaids work in bars on a
temporary basis. The barmaids get paid per bottle sold and are available to clients
provided they clients leave a pre determined sum of cash for taking the barmaid.
Additionally, it was difficult the reach the barmaids on a three time repeat basis (as per
the strategy) as the barmaids tend to move around a lot not only from bar to bar but
also from district to district and sometimes they would move to different regions with
clients.
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In sales and distribution, there were many challenges in setting up the ERP system and
getting the same on operation. T-MARC trained a sales accountant to on the ERP sales
system. T-MARC continued to be challenged with product transportation issues.
Transporting products through public transport is both risky and expensive. T-MARC
received a few bids against an RFQ for transporters, who were both expensive and did
not have the required coverage.
Due to the following issues, T-MARC has agreed to outsource its distribution and
warehousing function to PSI. Going forward in quarter two, PSI will warehouse and
distribute T-MARC products in both Pharma and FCMG channels. This includes dealer
contracting, order generation, invoicing, product transportation and debt collection.
T-MARC sales and Marketing coordinators’ roles will be to assist with order generation
and supply point referrals, price compliance reinforcement, product availability and
visibility efforts at wholesale and retail level across both Pharma and FMCG channel
and coordination of IPC marketing activities taking place in their respective zones.


Family Planning

Major achievements and accomplishments
This quarter T-MARC began its repositioning efforts for FlexiP oral contraceptive pill.
T-MARC contracted advertising agent Aggrey and Clifford to refined FlexiP packaging
and develop a communication campaign that would maximise awareness for the new
pack, brand positioning, FP use behavioural determinants and change in formulation
from Duofem to Combination 3. New pack designs options were developed and pre-
tested this quarter. T-MARC is currently working with Aggrey and Clifford to refine
final pack designs.

FlexiP was promoted during Phase II of the FlexiP sponsored FP Worksite intervention.
51 organisations were recruited in to this program and 3,648 people reached with FP
education in Mwanza, Shinyanga and Dar es Salaam.




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This quarter a concept note for ADDO medical detailing in support of FlexiP was
developed and approved. A mystery client questionnaire guide has also been
developed in support of the campaign. Recruitment of medical detailers for campaign
has also been initiated. T-MARC is working with PSI to develop joint detailing aids in
support of both organisations brands.

A CBD refresher training on HIV/AIDS took place this quarter across all T-MARC CBD
sited (Sengerema, Tarime and Dodoma). T-MARC continued to partner with Zenufa to
supply the zinc syrup to Washauri. Through Washauri community outreach activities, a
total of 1285 people (male 514, Female 771) were reached with health education
including family planning and FlexiP pills.

FlexiP’s sold at 277,632, 66% of its sales target.



Key challenges and Lessons learnt
Because, Combination 3 registration approval by TFDA is pending, T-MARC is unable
to submit FlexiP over branding registration for the formulation. T-MARC anticipates a
stock situation in Q2 as the registration issues are sorted out. Secondly, due to
communication material development, pretesting and approval lead time, T-MARC
anticipated the launch of the repositioned FlexiP brand in April 2011. This means that
the new formulation may be in the market before the official repositioning launch.

T-MARC suspended its sales activities in October to sort out its sales reconciliation
issues including debt collection. This in turn challenged its sales performance for the
quarter.




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Monitoring, Evaluation and Research

Major achievements and accomplishments FY12 Q1.
Essential market research and consumer behaviour data that was required for the
marketing planning processes for HIV (male condoms) and Family Planning (Oral
Contraceptive pills) was collaboratively analyzed with PSI/Tanzania. These included:

     i.   HIV MAP - quantitative research to measure national coverage and penetration
          of Dume, Salama, and Familia male condoms, Lady Pepeta and Care female
          condoms in FMCG product outlets;
 ii.      HIV High Risk Outlet MAP survey – quantitative research to measure coverage
          and penetration of condom brands at select MARP locations (also known as “hot
          zones”) between the hours of 7pm and midnight;


T-MARC also conducted the following studies to inform the marketing team’s
repositioning strategy, packaging enhancements and communication campaign creative
concept;

    − Conducted qualitative research in Dar es Salaam with existing Dume users and
       mid tier condom users to gain insight on condom preferences and dislikes on the
       proposed Dume condom new packaging design and TV spot.
    − Conducted qualitative research in Dar es Salaam with existing Flexi P users and
       none users to gain insight on preferences and dislikes on the proposed Flexi P
       new packaging designs.
Tracking and assessment of the impact of the various IPC interventions that were
implemented this quarter - the MER department with supervision and guidance from
TSMP’s MER advisor developed questionnaires and collected base line numbers for the
following activities to inform approved Dume, Flexi P and Lady Pepeta FY11/12
performance monitoring plans;

         Lady Pepeta female condom SW and WETS face to face brand promotions base
          line and follow on surveys in Iringa and Mbeya region. Results found will be
          shared in Q2

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        Jipende! Hair Salon program pre and post survey in Mbeya. Results found will
         be shared in Q2
        Mobile Population intervention survey in Dar, Pwani, Arusha, Kilimanjaro,
         Iringa, Mbeya, Dodoma, Singida, Tabora, Morogoro and Mwanza. Results found
         will be shared in Q2
        Husika intervention survey in Dar, Iringa, Mbeya, Mwanza, Mara, Tabora, and
         Shinyanga. Results found will be shared in Q2
        CBD Household survey in Sengerema, Tarime and Dodoma. Results found will
         be shared in Q2
        Flexi P worksite intervention pre and post survey in Dar, Mwanza and
         Shinyanga. Results found will be shared in Q2


Project Management and Administration

Management support provides all the necessary support functions for the
implementation of TSMP activities guided by the Organisation’s financial, operations,
procurement and human resources policies, procedures and processes approved by the
Board of Directors (BOD).

The following project management and administrative functions were achieved in this
period:

General management of the program

     -   A bi-annual BOD meeting was held on 25th November, 2011
     -   Weekly Senior Management meetings were held on every Monday and
         departmental meetings were held by different departments on convenient dates.
         A general staff meeting was held for the first quarter together with T-MARC
         Social Welfare Club activities.




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Procurement of essential services and equipment

     -   Procurement of program materials and services done on request.
     -   Procurement of warehousing facility for products and promotional materials.
         With consolidation of warehouse facilities with PSI Tanzania the warehouse
         facility contract with Kays Warehouse was amended to end in Dec 31, 2011. All
         T-MARC products and packaging materials were moved to the PSI warehouse in
         Pugu. A smaller space will be rented at Kays for promotional materials starting
         January 2012 onwards.
     -   As reported in the earlier reports, T-MARC took Group Life and Total Disability
         Insurance and a Medical scheme. 2012 medical insurance has been approved by
         COP for TSMP
     -   Procurement for the photocopier and other equipment are complete and are
         awaiting TSMPs COP approval.


IT Administration

     -   Procurement of internet service provider services was done. All software licences
         which were expired were renewed and an anti-virus software (Kaspersky
         Antivirus) was procured. External storage devices were procured for a few staff.
     -   Putting system in place for automatic backing up of data from individual
         workstations is in place. Currently the server capacities are sufficient but as
         program activities expand requests to enhance their capacities and upgrade the
         server will be made.
     -   Procurement for computer replacements is complete and awaiting TSMP’s COP
         approval.


     Fleet management

     -   Fleet management including renewing the vehicle tracking contract with Car
         Track was done while ensuring vehicles remain in good running condition.
     -   Preparation of a persuasive justification for acquisition of new vehicles as the
         program grows was done and sent to PSI/TSMP.




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Program Administration / HR

     -   A consultant was hired in 2011 to perform T-MARCs market analysis and
         business plan review. Apart from providing support in recruitment of Business
         Development and PR and Communications Managers, he created publication
         briefs for T-MARC website and newsletter, conducted research on Sprinkles
         micronutrient product, helped write content for Irish Aid and TPSF, provided
         input on corporate social responsibility and faithfulness concept notes, revised
         the business plan and carried out other assignments are tasked.
     -   Filling of staff vacancies, identifying staffing gaps and training new staff as the
         program expands continued. The Senior MER Manager was hired and reported
         in Jan 2012. The new Operations Director also reported in Dec 2011.
     -   Performance appraisals and adjustment of salaries to provide bonuses as
         appropriate was done in December 2011 and new salaries and bonuses paid in
         January of 2012. Mid-year performance appraisals to be conducted in Q4.
         Performance objectives for individual staff is expected to be conducted in Jan
         2012.
     -   Implementation of HR Management system, electronic attendance and
         timesheets started well in the beginning of the year but was stalled by the
         vendor’s expert who was re-assigned to other assignments before completing the
         assignment. Consultations were made for the vendor to avail the expert in the
         coming quarter.
     -   Staff leave schedules were prepared.
     -   Revision of the HR manual to include new policies on sexual harassment,
         HIV/AIDS awareness, performance appraisals and others is complete and the
         appendices incorporate the new policies.
     -   Specific staff training needs were identified in performance appraisals and will
         start to be implemented in the next quarter. Training and updating IT staff on
         current technologies and skills and on VMware ad SQL Server Database
         Administration is planed in Q3. Other training in USAID rules and regulations,
         Procurement Planning and Execution – Grants and cooperative agreements is
         planned for the next three quarters.




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Financial Management activities

     -  Monthly financial reports and invoices are done to TSMP/PSI and reviewed by
        TSMP finance manager.
     - Quarterly reports are done for BOD and management
     - Accounts are being maintained by Serenic NAV software, parallel with
        QuickBooks for quality control. QuickBooks were dropped in September
        2011.TechnoBrain, he vendor that installed the Serenic NAV software is
        supporting T-MARC to roll out its implementation. Troubleshooting is done as
        need arises. TechnoBrain will install a report writer model to help write reports.
     - A sales policy has been instituted. A bank account has been opened with CRBD
        Bank into which weekly sales are banked by the sales personnel. The bank
        account is monitored and reconciled monthly.
     - External financial audit for 2011 is planned for April 2012.
     - The final organisational budget for 2012 was submitted to the BOD for approval.
        The TSMP budget is included in the final budget. all FY12 budgets approved.
     - Q1 BOD reports will be send out at the end of Jan 2012.
     - Monthly payrolls are done on time and at the end of each month
     - The management has implemented all the recommendations from the OFOG,
        audit and financial reviews and is working in developing an anti-fraud policy
     - Staff identified for team building and training for finance on USAID guidelines
        will register for the courses in the next quarter.
     - The Finance and Compliance Manager to attend the USAID course on corporate
        governance in financial management and professional requirements in the next
        quarter.
     - Updates to the Finance and Operations Manual is expected to be completed in
     the coming quarter.
     - Stock counts are done quarterly. All stocks have been moved and consolidated
        with PSI warehouse in Pugu rd. T-MARc however maintains full ownership and
        control of the stock.
     - Negotiations have been conducted with the landlord to establish proper space
        for archives for old files and other documents in the warehouse.
     - Semi-annual (mid-year) staff performance appraisal will be done in June 2012.
      - The sub-agreement with all projects is signed and a tracking report on Monthly
        Commitments/payment obligations is prepared and shared with management.
     - Approval will be sought for international travel for the Compliance Manager and
        Finance Director to attend the next training on governance and risk management
        and internal controls in South Africa.
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                     Quarterly Report for Husika Project

             October 1st 2011 – December 31st 2011 (Q1 FY2012)




USAID Prime Award number:       621-A-00-11-00008-00

Prime Implementing Agency:       Population Services International

Sub- Agreement No:                August 2011-T-MARC-3721

Activity Period:           October 1, 2011 – December 31, 2011



Narrative Summary

The overall goal of the Husika Project is to reduce the HIV prevalence in Tanzania by
preventing HIV transmission between at risk and most at risk populations (MARPS)
and their sexual partners through these two program objectives;

1.     Strengthen the protective behaviours of at risk populations, MARPS and their
      sexual partners to prevent HIV transmission; and

2.    Strengthen the environment at national and lower levels to enable at risk
      populations and MARPS’ access high quality medical and non-medical support
      and services.



T-MARC has been awarded a sub-agreement by PSI to support the implementation of
USAID’s five year HIV Prevention Project with MARPs. This Project is called Husika –
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which is a call to action for people to get involved. This project represents a call to
action for public and private health providers, politicians, community leaders, civil
society organizations, international & local non‐governmental organizations (NGOs)
and at‐risk and most‐at‐risk individuals themselves to take a stand to address the HIV
epidemic among populations whose needs have largely been unmet.



The primary target audience are sex workers (SW), clients of sex workers, women
engaging in transactional sex (WETs) and their clients. Secondary target audience are
men having sex with men (MSM), substance abusers and vulnerable children of
MARPS. MARPs are commercial sex workers (CSW), MSM and injecting drug users
(IDUs). Those considered as at-risk groups are clients of CSW, WETS, and vulnerable
children of MARPS. Husika’s overarching strategy is to:

      Build upon and leverage existing resources and programming, while scaling up
       effective approaches from global best practices
      Ensure that populations at greatest risk have access to a comprehensive core
       package of services and products in line with a combination prevention
       framework
      Ensure that the project is client focused using evidence based methodology.


This Q1FY12 Quarterly report for the period October 1, 2011 to December 31, 2011
captures key Husika Program achievements, challenges and lessons learnt.




HIV/AIDS Prevention among MARPs
Major achievements and accomplishments
T-MARC conducted Dume mobile promotions whereby Dume and Lady Pepeta brands
were co-promoted targeting MARPs across four Husika priority regions; Mara,


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Mwanza, Shinyanga and Tabora, in mainland Tanzania reaching the following HIV
high risk groups in 21 sessions;
        542 female barmaids and 323 barmen were reached through bar activations in
         the recruited bars
        193 female CSWs across 11 sex worker hotspots
        17 cartons and 12 dispensers of Lady pepeta female condom were distributed
         and 2 cartons and 15 dispensers of Dume male condoms were distributed.
        102 promotional materials were distributed to support the activations.


Key challenges and Lessons learnt
Nature and attitude of CSWs - most of them move a lot making it difficult to get all of
the targeted sex workers. Female condom is still new to most sex workers and they the
process of wearing it as time-wasting.




                    Quarterly Report for UHAI-CT Program

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              October 1st 2011 – December 31st 2011 (Q1 FY2012)




1.1 BCC activities:

Overall accomplishments:

In the first quarter of FY2012, T-MARC Tanzania continued to conduct counseling and
testing to the most at risk populations (MARPS) as well as to couples that are living in
high risk communities through strategic outreach interventions. Outreach HCT
activities were conducted during the Month of Women Entrepreneurs (MOWE) events
for 2011 (MOWE), which took place in the heart of Dar es Salaam region as well as
during the Uhuru torch race, which is a national annual event. The produced UHAI-CT
materials were also distributed to the Civil Society Organizations (CSOs) that are
implementing the UHAI-CT program in Iringa, Tanga, and Tabora regions. Below is a
more detailed update of the activities implemented.




Table 1: Individuals tested through T-MARC outreach activities in the last quarter.
Combined regional coverage

     Region   Male Female

Mbeya         509     277

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Iringa       437      225

Ruvuma       788      273

Mtwara       390      332

Lindi        433      336

Tanga        1133     418

Morogoro     1267     490

Pwani        316      97

Dar          1249     825

Total        6522    3273



A total of 6522 men and 3273 women were counseled and tested during T-MARC’s
outreach activities in the last quarter.

1.1.1. Month of Women Entrepreneurs (MOWE) Event Activity.
T-MARC Tanzania was invited to participate in the Month of Women Entrepreneurs
(MOWE) events for 2011. MOWE is an annual event starting from 2008 held to highlight
the business and community activities of Tanzanian women entrepreneurs.
Specifically, T-MARC was requested to conduct HIV counseling and testing to the
participating women. The activity was successful reaching a total of 496 males and 434
females.
On average, the prevalence rate among the 15-25, 25-49 and 50+ age groups was 0.41%,
4.43% and 3.00% respectively and an average of 2.61% of those tested through the
MOWE event tested HIV positive.

1.1.2 Production and Provision of BCC Materials to CSO’s, Outreach and PITC
Activities



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T-MARC Tanzania distributed some BCC and promotional materials to the CSOs that
are implementing the UHAI-CT program in Iringa, Tabora, as well as in Tanga regions.
BCC and promotional materials were also used during UHAI-CT’s outreach
interventions, i.e. during the Uhuru Torch activity as well as during the MOWE event.
T-MARC will continue to distribute these BCC materials in the next quarter to its
implementing partners as well as during VCT outreach interventions. The final batch of
materials from the awarded vendor will be delivered to T-MARC in the next quarter.

1.1.3 T-MARC’s HCT Counselor implementation review

In order to effectively monitor the quality of our HCT interventions, T-MARC
conducted a one day refresher review with HCT counselors that are conducting
counseling and testing during T-MARC’s outreach interventions. The purpose of this
review was to address the main important gaps and challenges that were observed
during several supervisory field visits that were conducted by UHAI-CT’s technical
team.

1.1.4 Uhuru Torch 2011 Activities

During the last quarter, T-MARC participated in the Uhuru torch activities to
commemorate the 50th Anniversary of the Independence of Tanzania. T-MARC was
able to conduct HCT in Mbeya, Iringa, Ruvuma, Mtwara, Lindi, Tanga, Morogoro,
Pwani, and Dar es Salaam region where the climax took place. A total of 6236 males and
2920 individuals were counseled and tested during the activity. The total prevalence
rate during the Uhuru torch activity was at 2.55%. A total of 67,000 people were
reached with HCT messages during this outreach activity.




Figure 1 Male and women infection gap analysis during the Uhuru torch activity.
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2.1.   Next Steps

In the second quarter, T-MARC will continue to scale up its outreach CT activities
strategically targeting high risk communities such as mining communities, truck stops,
bars and guest houses, men who have sex with men (MSM), injecting drug users
(IDUs), sex workers (SW) and their clients, as well as couples that are living in those
communities. T-MARC will also conduct HCT during its Tanzania Social marketing
Program (TSMP) and HUSIKA program’s outreach activities in the next quarter
through the Lady Pepeta female condom promotions with sex workers and women
engaged in transaction sex (WETs), as well as through its Dume male condom demand
creation campaigns.

T-MARC will also develop strategic media plans as well as radio spots which will
promote HCT messages, as well as spots to support PITC services. We shall also
continue to distribute BCC materials to the CSOs as well as during outreach activities.




Appendix - Photos




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Figure 1: T-MARCs Counselor provides basic HIV
messages during the Uhuru torch HCT activity




Figure 2: HCT session during the MOWE event


Acronyms:

        VCT – Voluntary Counseling and Testing
        HCT- HIV Counseling and Testing
        UHAI-CT - Universal HIV Aids Counseling and Testing
        BCC- Behavior change communication
        IEC- Information, education, and communication (IEC) elements.
        SW- Sex workers
        MSM- Men who have sex with men
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        IDUs- Injecting Drug Users
        TSMP- Tanzania Social Marketing Program
        DUME Condom- Name of a male condom brand, promoted by T-MARC
         Tanzania
        LADY Pepeta Condom- Brand name of a female condom.
        PA – Public announcement.
        HUSIKA- Project conducting behavior change to sex workers.
        MOWE- Month of Women Entrepreneurs




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                          Quarterly Report for Families Matter! Program




                       October 1st 2011 – December 31st 2011 (Q1 FY2012)



     Partner Name           T-MARC Tanzania
     Program Title          Families Matter! Project
     CoAg Number            5U2GP001147-04
     Reporting              Oct. – Dec. 2011
     Period/Quarter
     Date of Submission     31st January, 2012
     Program Contact        Name: Timah A. Twalipo
                            Phone: +255 754 696 456
                            Email Address: ttwalipo@tmarc.or.tz
                            Mailing Address: P.O.Box 63266 Dar Es Salaam
                            Tanzania
     “This cooperative agreement is funded by CDC under PEPFAR”




Executive Summary:


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The Families Matter! Project (FMP) is an evidence based parent focused intervention
designed to promote positive parenting and effective parent - child communication
about sexuality and sexual risk reduction for parents of 9 -12 year olds. FMP recognizes
that many parents and guardians may need support to effectively convey values and
expectations about sexual behavior and communicate important HIV, STD and
pregnancy prevention messages to their children. The ultimate goal of FMP is to reduce
risky sexual behavior among adolescents - including delayed onset of sexual debut, by
giving parents tools to deliver primary prevention to their children. FMP aims at
enhancing protective parenting practices, overcoming communication barriers and
promoting parent-child discussions about sexuality and sexual risk reduction.


In this quarter, October to December 2011, the project accomplished the following:
     1. Community mobilization for parents’ recruitment and screening.
     2. Information workshops in new implementation areas
     3. Delivered two trainings of parents in five weekly sessions (waves) in each region.
     4. Replaced the sub grantee in both regions.


About Families Matter!
Program Intervention Overview:
The Families Matter! Program (FMP) is an evidence-based intervention designed to
promote positive parenting practices and effective parent-child communication about
sexuality and sexual risk reduction for parents, guardians and caregivers of 9-12 year
olds (hereafter referred to collectively as “parents”). The ultimate goal of FMP is to
reduce sexual risk behaviors among adolescents—including delaying the onset of
sexual debut—by giving parents the knowledge, skills, comfort and confidence to
discuss sexuality issues with their children. It is designed to give parents of children
26
aged 9-12 years specific information about ways that they can reduce their children’s
risk of becoming infected with HIV and other sexually transmitted infections, or getting
pregnant.

The intervention curriculum has three focus areas:

1. Raising parents’ awareness about the sexual risks adolescents face today.
2. Encouraging positive parenting practices that increase the likelihood that children
     will not engage in risky sexual behaviors:
           Parental monitoring (knowing where one’s child is, who they are with, and
            when they will be home)
           Positive reinforcement (use of praise and rewards to reinforce good behavior)
           Relationship building (improving the parent-child relationship)
3. Improving parents’ knowledge, comfort, skills and confidence to effectively
     communicate with their children about sexuality and sexual risk reduction (parental
     responsiveness).


FMP is delivered to groups of 12-18 parents by two facilitators (one male, one female)
through a series of five consecutive weekly sessions known as waves, and a booster
session six months after the completion of the five-week intervention. Each session lasts
2.5 - 3 hours and builds upon the foundation laid in the previous session. The 9-12 year-
old children attend the fifth session along with their participating parent. By the end of
the program parents should feel more competent and comfortable in addressing sex
issues with their children. The booster session offered six months after parents complete
the five-session program helps reinforce lessons learned and provides a forum for
discussing challenges that they have faced putting their new skills into effect.

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Section 1:
Cooperative Agreement Background:
Families Matter! Cooperative Agreement in Tanzania supports the promotion of
positive parenting and effective parent - child communication about sexuality and
sexual risk reduction for parents of 9 -12 years old, by empowering those parents with
necessary skills and knowledge to be able to overcome communication barriers
associated with sexuality topics. The program works in two regions of mainland
Tanzania, Ruvuma and Mtwara.


Families Matter! Program (FMP) in Tanzania is implemented by T-MARC Tanzania in
partnership with two sub contractors; namely Human Development Trust (HDT) in
both regions and Wanawake na Maendeleo (WAMA) foundation at the national level.
T-MARC also works in collaboration with CDC-Tanzania and the Ministry of Health
and Social Welfare (MoHSW). The FMP CoAg no. 1U2GPS001147-04 was initiated in
September 2011. The activities were conducted from 1st September, 2011 to 31st
December, 2011.


Overall objectives and goals of the program:
The overall goal of the project is to increase the ability of parents (caregivers/guardians)
of 9 – 12 years old to communicate freely with their pre- adolescents about sexuality
issues and risky sexual behaviors. This is in order to promote sexual abstinence and to
reduce exposure to sexual risk activities among adolescents - including the delayed
onset of sexual debut among their children. This supports the goals of PEPFAR and the
Government of Tanzania (GoT) in preventing the spread of HIV/AIDS in Tanzania.
The strategic objectives are to:


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     1. Enhance the knowledge and skills of parents/guardians to be effective primary
        sexuality educators for their children through Families Matter! tools and skills
     2. Increase the knowledge and skills of pre-adolescents aged 9-12 years to
        effectively practice abstinence and to reduce sexual risk behaviors
     3. Create a supportive environment that increases adolescents’ self efficacy to delay
        sexual debut and avoid risk
     4. Build local human and material capacity to roll-out and scale-up the Families
        Matter intervention.
The program works in Mtwara and Ruvuma regions.


How the program contributes to USG PEPFAR goals
The Families Matter! Project implementation will contribute to President’s Emergency
Plan for AIDS Relief (PEPFAR) new indicator number P8.1.D Number of the targeted
population reached with individual and/or small group level preventive interventions that are
based on evidence and/or meet the minimum standards required P8.2.D. Number of the targeted
population reached with individual and/or small group preventive interventions that are
primarily focused on abstinence and/or being faithful, and are based on evidence and/or meet the
minimum standards required.


How the program contributes to GOT’s strategy and framework for HIV/AIDS
The GoT has highlighted youth HIV prevention as a top strategic priority. This is
reflected in the current National Multi-sectoral Framework on HIV/AIDS 2008-2012.
The Families Matter! Project aims to bring about a difference in Youth HIV/AIDS
prevention efforts by targeting parents of pre-adolescents so that to equip them with the
necessary skills and knowledge about sexuality and risky sexual behaviours, encourage
abstinence and enhance delayed onset of sexual debut. By so doing the program hope to
29
reduce the number of HIV infections among youth, reduce the number of school
dropouts due to pregnancies, and reduce infection with other STIs. Working in
collaboration with its partners, the project will also ensure strengthening of
organizational and institutional capacity of the local organizations working in the same
area of HIV prevention, to significantly contribute towards reaching the objectives of
the program.


The adaptation and implementation of Families Matter! Project in Tanzania is guided by
the following six principles: community acceptance and ownership, collaboration,
supportive supervision, integration, sustainability and cost effectiveness. The program
duration is of five years, (1st Sept. 2008 – 31st August 2013) with a total basic funding of
USD $ 400,000 per year.


Section 2:

Program Narratives for all Program Areas
For this quarter of implementation, the following have been accomplished: -
     i.   Information workshops in new implementation areas
 ii.      Community mobilization for parents’ recruitment and screening.
iii.      Delivered two waves of trainings of parents in five weekly sessions
iv.       Engaged a new sub grantee (HDT) to replace the Mtwara (CYODO) and Ruvuma
          (ORES) ones.




  i.      Informational workshop/meetings

30
When scaling up in a new administrative area (ward), the local communities need to be
oriented about the program through informational workshops or meetings. These are
held with leaders/ opinion makers of different groups of people which include
teachers, religious leaders, the youth, the Ward Multi-sectorial AIDS Committee,
parents of 9-12 year old children, prominent elders and ward administrative officers.
The community leaders are given an overview of the program and are allowed to ask
questions for further clarification. The process of community mobilization starts once
the community leaders are informed and aware of the program. In Mtwara Region, one
informational meeting was conducted in the Ufukoni ward. In Ruvuma, one
informational workshop/meeting was conducted in Peramiho ward.


 ii.   Community mobilization for parents’ recruitment and screening:
The team worked with the new trained sub grantee, Human Development Trust to
conduct community mobilization of the parents in the two regions using the methods
such as public address systems, community theaters, and door to door methods. The
sub grantee is well oriented on how to conduct community mobilization and works
under supervision and assistance of the regional coordinators. Other methods that are
sometimes used include school announcement approach and use of invitation fliers.




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   iii.   Delivered two waves (training of parents in five weekly sessions)in each
          region


Due to the holiday season for school children,
this time around facilitators in both regions
were conducting two sessions in a day.
In both regions training was conducted four
days a week. In the current quarter (Oct – Dec
2011) the project trained a total of 2,592 parents
from both regions (female = 2044 (79%) and
male 548 (21%).       Regionally, the data was
Mtwara 1440 (F=1002, M=438) and Ruvuma                  Training session in Ruvuma
1152 (F=986, M=166). There were no drop outs
in Mtwara. In Ruvuma the total number who
dropped out were 23 due to social and economic
reasons such as travelling, ill health etc.


   iv.    Engaged a new sub grantee (HDT) to replace the Mtwara (CYODO) and
          Ruvuma (ORES) ones.
  The project engaged a new sub-partner named Human Development Trust (HDT), who
  has a massive experience working with communities in Tanzania in various social and
  economic aspects. HDT is keen in capacity building of local grass roots NGOs. This new
  sub-contractor works to mobilize communities to attend the training sessions, assist the
  regional coordinators in preparation of waves and provision of necessary support



  32
during the training sessions. T-MARC plans to strengthen capacity of its sub grantees
by ensuring they hire well qualified staff and have good infrastructure.


 v.      Monitoring Plan
A series of monitoring tools are provided under the FMP adaptation and
implementation manual. There are various stages of monitoring the program and each
is assigned a specific position. In nutshell monitoring of the training activities will be
categorized as follows:


Program Manager -Analyze processed information for decision making and reporting
purposes.


Program/M&E Officer
     -   Collate Data
     -   Process Data
     -   Summary of group summary sheet
     -   Design Excel sheets for logistical use by Regional Coordinators
Regional Coordinators
     -   Printing and distribution of forms as requested by Facilitators.
     -   Collect completed Session Logs.
     -   Collect Participant Satisfaction Questionnaire (session V)
     -   Complete Facilitator Observation Forms
     -   Complete FMP Group Summary Sheet
     -   Pre-intervention planning meeting with partners (venue, transport, logistics)
     -   Debriefing meeting held weekly with Facilitators

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Facilitators
     -   Complete necessary monitoring forms during FMP cycles (Facilitator Checklist,
         Demographic Information Form, Participant Attendance Checklist, Session Logs,
         participant Satisfaction)
     -   Assist   FMP     participants    in   completing     necessary     monitoring     forms
         (Demographic Information Forms, Participant Satisfaction Questionnaires)
     -   Give completed forms to Regional Coordinators on a scheduled basis
     -   Request additional forms as needed from Regional Coordinators
     -   Updating training manuals with the latest versions


     A. Highlights Box:

                                Highlights and Accomplishments Box

            Information Workshops in both regions

            Community mobilization for parents’ recruitment and screening.

            Delivered two waves in each region (training of parents in five weekly sessions)

            Engaged a new sub grantee to work in both regions



B. Background on program areas
Families Matter! Cooperative Agreement in Tanzania supports promotion of positive
parenting and effective parent - child communication about sexuality and sexual risk
reduction for parents of 9 -12 years old, by empowering those parents with necessary
skills and knowledge to be able to overcome communication barriers associated with
sexuality topics. The program works in two regions of mainland Tanzania, namely
Ruvuma and Mtwara.
34
Families Matter! Program (FMP) in Tanzania is implemented by T-MARC Tanzania in
partnership with two sub-contractors namely Human Development Trust (HDT) for
Mtwara and Ruvuma regions as well as Wanawake na Maendeleo (WAMA)
Foundation at national level. T-MARC also works in collaboration with CDC-Tanzania
and the Ministry of Health and Social Welfare (MoHSW).                 The FMP CoAg no.
1U2GPS001147-04 was initiated in September 2011. The activities were conducted from
1st September, 2011.

     C. Brief description of activities planned for the next quarter
For the next quarter the following activities have been planned:
     1. Continue delivery of training waves to parents of 9 – 12 years old. Two waves
        are planned to be delivered in each region, providing training to about 2592
        parents from both regions.
     2. Conduct an outcome evaluation of the project – Protocols have been reviewed
        and submitted to ADS.
     3. Adaptation and piloting of the sixth module on violence against children (VAC)
        – Protocol has been reviewed and submitted to ADS.
     4. Training of 16 Facilitators as Master Trainers for Families Matter! Project


The above activities build on the core of the FMP project especially the delivery of
trainings to the parents of 9 -12 years old.




35
     D. Challenges:
During the delivery of parents training, parents need to be given T-shirts and other
promotional materials which are expensive given the small amount of funds given to
project. Some parents dropped in the middle of training especially in Ruvuma due to
economic and social reasons. Male participation thought encouraging is still minimum
as they prefer to be engaged in their economic activities rather than staying in a class for
three hours. T-MARC has addressed both problems by continuing to educate the target
population about the importance of the project to their own families’ well being as well
as build capacity of sub grantees. The project team will continue to utilize the positive
relations with the local government authorities to overcome these challenges. Other
challenges include distance to the implementation areas, rains, lack of tarmac road etc.


     E. Modification of planned activities:
In both regions, the project has replaced the sub grantees (ORES and CYODO) and
engaged a new sub grantee named HDT. This new sub grantee has started to work
since October, 2011. The selection of the new sub partner was a competitive process that
was conducted in collaboration with CDC – TZ.


Section 3: Program Management
     A. Administration: Human Resources
There are no changes on this category.




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     B. Administration: Upcoming Procurement, Sub-Contracts, and Travel
Equipment:     The project expects to dispose of one of its vehicles which proved to be
expensive to run due to increasing maintenance costs.
New Procurement or Sub-Contracts: The project will also in the next quarter provide the
existing sub grantees with the budgeted funds for community mobilization and
recruitment activities.
Travel and TDY: Expecting team from Atlanta to visit the project, Kim Miller and
Drewallyn Riley from Atlanta.

Annex: Photos




     US Ambassador Alfonso Lernhardt poses for a group photo with participants of the FMP
              program in Mtwara. This was during his recent visit to the project.
37
 A girl student and beneficiary of the FMP project tells of the success of the project in Mtwara.
               This was during the US Ambassador’s visit to the FMP in Mtwara




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