PEPFAR

AIDS 2012 - 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 MugumyaAfricare 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

Africare FinScopes 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

TZS 0 - 2,00018%

TZS 3,000 - 5,00025%

TZS 5,000 - 10,00029%

TZS 10,000 - 25,00015%

TZS 25,000 - 100,000

10%

More than TZS 100,000

2%

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

Household economic strengthening indicators

Total results

Dodoma region

Iringa region

Singida region

Number of SILC groups formed 650 138 453 59 Number of OVC HH IGA groups formed (chicken, piggery, goats, timber trrees, rabbits, fruits, crops)

614

82

436

96

Number of MVC households participating in HES (SILC & IGA) group activities

13,120

2,613

9,534

973

Total amount of money (US$) saved through SILC in last 6 months

237,568 85,346 143,141 9,081

HES SUMMARY OUTCOMES JAN-JUNE 2012

HEA RESULTS: ACCESS TO HOUSEHOLD FOOD

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laam

Dodom

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Iring

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ya

Mor

ogor

o

Mwan

za

Shin

yang

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Sing

ida

0tan28a566028

0tan9a56609

0tan19a566019

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Little to No Hunger

Moderate Hunger

Severe Hunger

= 68.78%

= 9.05%

= 22.17%

Africare Sample

SILC GROUP MEETING - IRINGA

HEA RESULTS: HOUSEHOLD HUNGER RANKING - AFRICARE REGIONS

Source of food HEA AfricareBuy Food 76.3% 75.9%Food Aid 5.9% 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 madeWater, 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 scheme. @ 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• Iringa 4,637• Singida 701• Total 6,030

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

ENDAsanteni sana

Thank you for listening