Tanzania

We are working to address the hardships facing Tanzania’s most vulnerable children by collaborating with communities, local institutions, and the government to provide a full range of services and opportunities to keep them healthy, safe, schooled, and remain HIV negative.

Tanzania

We deliver evidence-based interventions for at-risk adolescent girls and young women to keep them retained in secondary school and HIV-free. We layer comprehensive, integrated services at the individual, family, school, and community levels to interrupt the pathways that lead to school dropout, teen pregnancy, and HIV/AIDS. We empower adolescent girls and young women, engage adolescent boys and men as agents of change, strengthen families, and foster safer and more equitable learning environments in secondary schools.

We build the capacity of our partners (local NGOs, local government authorities, community structures, and school systems) to provide evidence-based life skills, education, financial literacy, social protection, positive parenting skills, and HIV prevention services. We strengthen the social services sector through expert technical assistance to technical line ministries.

INNOVATIONS:
  • We are supporting out of school study groups to equip teen moms with social assets, financial literacy, and entrepreneurial skills to help them to achieve stability, remain healthy and pursue longer-term goals for growth.
  • We are piloting an innovative early warning system in secondary schools to identify girls at risk of school drop-out and provide them with the supports needed to retain them in school.
  • We provided expert technical assistance to the Ministry of Health, Community Development, Children, Elderly, and Gender (MoHCDGEC) and led the development of a National Integrated Case Management System that has been adopted by the Government of Tanzania and rolled out to 84 districts.
  • Our Local Government Advocacy platform, Multi-Sectoral School Assessments, and Community Nutrition Assessment and Education platforms are scalable, multi-sectoral service delivery platforms, which effectively integrate clinical HIV services and social protection services while improving coordination between facility and community-based service providers.

Health and HIV

We provide a holistic package of HIV prevention, ART adherence support, life skills, entrepreneurial training, and youth savings groups for out of school adolescent girls and teen mothers to keep them HIV free or virally suppressed, and on track to pursue their life goals. We layer an evidence-based parenting skills curriculum for teen mothers that promotes interactive stimulation techniques critical in helping HIV exposed infants meet early childhood developmental milestones.

We support the Ministry of Health, Community Development, Gender, Elderly and Children (MoHCDGEC) to roll out a National Integrated Case Management System (NICMS) for vulnerable children and families affected by HIV. The NICMS provides a framework at the district level for the coordination of all services providers across the sectors of HIV/AIDS, health, protection, and social welfare. We are training community case workers that work directly with families and children affected by HIV and community and clinical service providers in the delivery of vital HIV and social protection services.

We prevent new HIV infections in adolescent girls and retain them in secondary school using a holistic model that intervenes at the individual, school, and family levels. At the individual level, we build the protective assets of adolescent girls with a focus on HIV education, adolescent sexual reproductive health, negotiation skills, violence prevention, gender equality, and goal setting. We enlist adolescent boys as partners and agents of change. At the school level, we implement an innovative secondary school dropout early warning system and equip teachers and school committees with knowledge, skills, and tools to prevent and respond to school-related gender-based violence. At the family level, we support community savings groups and layer a positive parenting curriculum to help parents and caregivers to effectively and pro-actively communicate with adolescents about adolescent sexual reproductive health, HIV prevention, relationships, and gender-based violence.

Livelihoods

We help marginalized households and adolescents move along a continuum from socio-economic vulnerability to resilience through our community savings group model, known as LIMCA (Livelihood Improvement for Mothers, Caregivers, and Adolescents). LIMCA builds financial literacy skills, strengthens social networks, promotes the practice of savings and goal setting, provides access to micro-loans, and helps members develop positive coping mechanisms in the face of economic shocks. By layering other services onto the LIMCA platform, such as business skills, positive parenting, gender-based violence prevention, and gender equality training, LIMCA serves as a platform for integrated service delivery.

Education

We improve retention and attendance for adolescent girls in secondary school using a holistic model that intervenes at the individual, school, and family levels. At the individual level, we build the protective assets of adolescent girls with a focus on negotiation skills, violence prevention, gender equality, goal setting, HIV prevention, and adolescent sexual reproductive health. We enlist adolescent boys as partners and agents of change. At the school level, we implement an innovative secondary school dropout early warning system and equip teachers and school committees with knowledge, skills, and tools to prevent and respond to school-related gender-based violence. At the family level, we deliver a positive parenting curriculum to help parents and caregivers to effectively and proactively communicate with adolescents about adolescent sexual reproductive health, HIV prevention, relationships, and gender-based violence.

Social Protection

We strengthen the social and protective assets of adolescent girls and young women through a social protection package that includes life skills, sexual reproductive health, gender-based violence prevention and response, HIV prevention, ART adherence, financial literacy, and savings groups. Our platforms reduce risk to violence and HIV, build social networks, promote health-seeking behaviors, and empower them to navigate harmful gender norms. We simultaneously engage adolescent boys and men as partners in violence prevention and social norms change. We support community savings groups and layer a positive parenting curriculum to help parents and caregivers to effectively and pro-actively communicate with adolescents about adolescent sexual reproductive health, HIV prevention, relationships, and gender-based violence.

Systems Strengthening

We provide expert technical assistance to the Ministry of Health, Community Development, Gender, Elderly and Children (MoHCDGEC) to design and roll out a National Integrated Case Management System that provides vital social protection services and referrals for vulnerable children and families affected by HIV. Through the systems strengthening approach, we support the MoHCDGEC to take greater ownership of initiatives for children and families made vulnerable by HIV and ensure the provision of integrated comprehensive social protection and clinical HIV services. The National Case Management System connects and coordinates all service providers working with children across the different sectors of HIV/AIDS and health, protection, and social welfare.

Adolescent Girls and Youth

In Tanzania, HIV prevalence rates for adolescent girls and young women age 15-24 are almost three times higher than young men in the same age cohort. Girls account for 71% of new HIV infections among adolescents in Saharan Africa.

We strengthen the social and protective assets of adolescent girls and young women through a comprehensive package that includes life skills, sexual reproductive health, gender-based violence prevention and response, HIV prevention, ART adherence, financial literacy, and savings groups. Our comprehensive platforms reduce their risk to violence and HIV, build their social networks, empower them to navigate harmful gender norms, and promote health-seeking behaviors. We simultaneously engage adolescent boys and men as partners in violence prevention and social norms change.

We provide a comprehensive package of HIV prevention, ART adherence support, life skills, entrepreneurial training, and youth savings groups for out of school adolescent girls and teen mothers to keep them HIV free or virally suppressed, and on track to pursue their life goals. We layer an evidence-based parenting skills curriculum to teen mothers that emphasizes interactive stimulation techniques that are critical in helping HIV exposed infants meet early childhood developmental milestones.

We prevent new HIV infections in adolescent girls and retain them in secondary school using a holistic model that intervenes at the individual, school, and family levels.

empowered to combat violence and gender discrimination

participating in community savings groups

equipped to prevent and report gender-based violence

Success Story

Woman with her cows

Poverty seems like an unexplainable phenomenon in Bashey village of Karatu District in northern Tanzania. With one planting season that lasts hardly three months per year, reliance on farming enterprises, and no local financial institutions, community members are simply out of work for the better part of the year, waiting for the next rainy season to make ends meet.

“This is the root cause of our misery here,” says the mother of five, Katarine Amsi (51), adding, “We have ideas, but it is very challenging to achieve them in these circumstances.” Household poverty and economic shocks contribute to a family’s decision to pull children, particularly girls, out of school and thus feeding into the cycle of poverty.

To learn more about how our programs are helping Katarine to become financially independent, read the rest of this story here.

Testimonials

His perspective has changed because in the past/previously he would not involve in me in making decisions, but now he involves me in business deals and family decisions.

Caregivers Day
LIMCA savings group participant