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Quarterly Performance
Report (FY18 Q3):
April 1, 2018 – Jun 30, 2018
USAID Cooperative Agreement:
AID-621-A-17-00002
USAID
Tulonge
Afya
This quarterly report is made possible by the support of the American People through the United States Agency
for International Development (USAID) under Cooperative Agreement No. AID-621-A-17-00002, with FHI 360
as the prime recipient. The contents are the responsibility of FHI 360 and do not necessarily reflect the views of
USAID or the United States Government.
2
EXECUTIVE SUMMARY
Highlights this Quarter
Project Background
USAID Tulonge Afya by the numbers
High-level Overview: FY18 Q3 Activities by Funding Stream (Table 1)
Activities conducted by result: RESULT AREA 1
Result 1: Improved ability of individuals to practice healthy behaviors
Furaha Yangu (Test and Treat All) SBCC Campaign
Press conference and media teaser campaign
Media orientation workshops
Pre-launch activities
National launch event and service delivery
Social media activities
Early campaign outcomes
Develop digital tools
VMCC experiential marketing and demand creation campaign
AIDSFREE – Voluntary Medical Male Circumcision Project
Support the MOHCDGEC program units (i.e., NACP, NMCP, RCH, NTLP) and HPS to support
activities such as health days and national campaigns
Result 2: Strengthened community support for healthy behaviors
In 15 enhanced districts, map the ‘SBC system’ of stakeholders
Link grant implementation packages to national- and regional-level media for reinforcing activities
CONTENT
and increased impact
Activities conducted by result: RESULT AREA 2
Jiongeze Tuwavushe Salama
Support GOT to lead grant activities at regional level, with ties to national HPS
Conduct regional orientations on USAID Tulonge Afya-developed SBCC packages and
implementation guides
Result 3: Improved systems for coordination and implementation of SBCC interventions
System audit of key influencers, stakeholders, and alliances for SBCC at national and regional levels
Conduct SBCC capacity assessments
Activities conducted by result: RESULT AREA 3
Strengthen national, regional, and district communication within the HPS
UPCOMING IN Q4
Strengthen the health promotion technical working group (TWG) and the coordination of SBCC
among other TWGs
Improve health promotion reporting at the district, regional, and national levels
IR1. Improved ability of individuals to practice healthy behaviors
IR2. Strengthened community support for healthy behaviors
IR3. Improved systems for coordination and implementation of SBCC interventions
APPENDICES
3
AMEP Award Monitoring and Evaluation Plan
AOR Agreement Officer Representative
ART Antiretroviral Therapy
BCC Behavior Change Communication
CCHP Comprehensive Council Health Plan
CHSSP Community Health and Social Welfare Systems Strengthening Project
CHW Community Health Worker
CIRC Voluntary Medical Male Circumcision (PEPFAR Budget Code)
CPICI Comprehensive Platform for Integrated Communication Initiative
CSO Civil Society Organization
DHIS2 District Health Information System 2
DMO District Medical Officer
DREAMS Determined, Resilient, Empowered, AIDS-free, Mentored, and Safe
EIMC Early Infant Male Circumcision
EGPAF Elizabeth Glaser Pediatric AIDS Foundation
EMTCT Elimination of Mother to Child Transmission of HIV
EOI Expression of Interest
FGD Focus Group Discussion
FHI 360 Family Health International
FP Family Planning
FS Funding Stream
FY Fiscal Year
GBV Gender-based Violence
GOT Government of Tanzania
HCW Health Care Worker
ACRONYMS
HIV Human Immunodeficiency Virus
HKID Orphans and Vulnerable Children Funding Stream
HPS Health Promotion Section
HTXS HIV Care and Treatment (PEPFAR Budget Code)
HMIS Health Management and Information System
IDI In-depth Interview IR Intermediate Result
IRB Institutional Review Board
IP Implementing Partner
IPC Interpersonal Communication
JPPM Joint Planning and Program Meeting
KRM Khangarue Media
LGA Local Government Authority
LTFU Loss to Follow Up
M&E Monitoring and Evaluation
MNCH Maternal, Newborn, and Child Health
MOHCDGEC Ministry of Health, Community Development, Gender, Elderly, and Children
MOU Memorandum of Understanding
NACP National AIDS Control Program
NMCP National Malaria Control Program
NTLP National Tuberculosis and Leprosy Program
PAF Project Advisory Forum
PLHIV People Living with HIV
PMTCT Prevention of Mother-to-Child Transmission of HIV
PORALG President’s Office Regional and Local Government
RAS Regional Administrative Secretary
RCH Reproductive and Child Health
R/CHMT Regional/Council Health Management Team
RMO Regional Medical Officer
SBC Social and Behavior Change
SBCC Social and Behavior Change Communication
SMS Short Message Service
SRH Sexual and Reproductive Health
T-MARC T-MARC Tanzania
TA Technical Assistance
TB Tuberculosis
TOR Terms of Reference
TWG Technical Working Group
USAID United States Agency for International Development
USG United States Government
VMMC Voluntary Medical Male Circumcision
WTS Well Told Story
ZAMEP Zanzibar Malaria Elimination Program
4
EXECUTIVE SUMMARY
This quarter, USAID Tulonge Afya had the privilege of supporting the Government of Tanzania in the
launch of the Furaha Yangu campaign, led by the Prime Minister and the Honorable Minister for
Health in Dodoma in June, followed by a series of regional launches. After over a year of working
extremely closely with Government colleagues, the project has been recognized at the highest level as
an implementing partner that can provide technical support and guidance to the Government in its
determined efforts to effect change that will lead to the adoption of healthy behaviors.
In addition to this success, a tremendous amount of work has been carried out in collaboration with
the MOHCDGEC, PORALG, and other stakeholders in support of the youth and adult strategy
development process; onboarding and early work under the community grants program; support to
other IPs, including AIDS FREE, Kizazi Kipya and Sauti; and technical assistance to the health programs
within the Ministry, including technical assistance on reemerging health issues, such as cholera.
The Health Promotion Section which has the mandate for coordination of SBCC is, with USAID Tulonge
Afya support, revitalizing their role within the regions and districts, re-engaging with Regional and
District Health Promotion staff to provide direction, motivation, and guidance on their co-ordination
role, and sharing of good practice. Capacity assessments have been completed at the national and
regional levels, and the capacity strengthening framework is in the process of being drafted.
Additionally, a national newsletter for Health Promotion is in draft, and a TOR for a new SBCC advisory
committee to the Health promotion and Health Protection Technical Working Group has been
submitted by HPS for internal approval.
A core package of integrated materials for use in communities by facility staff, community health
workers, and CSO volunteers and youth peer educators have been produced and are in use or in
progress. We are also excited that the adult platform, which has been branded Naweza ‘I can’,
embodying the emotional drivers of achievement, a bright future and a caring community, is being
prepared for launch with the first life cycle package of materials for pregnancy and childbirth.
Results for the reach of our mass media activities are very positive across all health areas Audience
insights in FP, MCH, and TB have all been completed and reported on this quarter and, alongside the
HIV and malaria insights reported on in previous quarters, have informed both the adult and youth
strategy, while our baseline analysis is complete and will be disseminated in Q4.
This has been a very busy and productive quarter and as we move towards the end of the year with a
relentless pace, the project is working extremely hard to ensure a continued close collaboration, not
only with the Government but also with our sister projects, USAID Boresha Afya and fellow IPs as we
all begin to formulate priorities for fiscal year 2019.
This quarter 3 report shares with you the highlights of the results of our work conducted together
with our partners the Government of Tanzania, Khanga Rue Media, T-MARC and TCDC while the large
body of appendices hold the reports and documents we have produced together.
USAID Tulonge Afya Team
5
Project Background
Improved ability
The U.S. Agency for International
of individuals to
Development (USAID) Tulonge Afya
project catalyzes opportunities for practice healthy
Tanzanians to improve their health behaviors
status by transforming socio-cultural
norms and supporting the adoption
of healthier behaviors. It aims to
achieve the following results:
Strengthened Improved systems for
community coordination and
support for implementation
healthy SBCC interventions
behaviors
Highlights this Quarter
During Q3, USAID Tulonge Afya several months of work by the health (MNCH); and tuberculosis
continued to make progress against Test and Treat All Campaign Task (TB) behaviors. Results were
fiscal year (FY) 18 work plan Force, the Furaha Yangu reported and will be synthesized
activities. These included finalizing campaign launched in June, with the findings of consultations
the baseline assessment and marked by a national launch conducted for HIV and malaria in
reporting; continuing radio and print event in Dodoma. The event was previous quarters to inform the
material support under the adult and youth strategies. The
attended by Guest of Honor,
accelerated support strategy; and
Prime Minister Hon. Majaliwa findings will also be applied to
collaborating with stakeholders and
Khassim Majaliwa, as well as the development of effective
audiences to draft the project’s
youth strategy, which has been USAID/Tanzania Mission Director SBCC materials and messages to
accepted by the Ministry of Health, Andy Karas. Launch activities position priority behaviors in
Community Development, Gender, included health provider terms of their emotional—rather
Elderly, and Children (MOHCDGEC). orientations conducted in than purely rational—benefits
Other work plan activities were collaboration with USAID for the target audiences.
providing SBCC technical assistance Boresha Afya; media orientations
(TA) to the government, notably to • Intensive community-level
and press engagement events;
the JIONGEZE maternal and child malaria SBCC activities were
community-level SBCC activities
health (MCH) campaign and conducted during and following
such as roadshows and
implementing partners (IPs); bringing the rainy season in six regions of
interpersonal communication
civil society organizations (CSOs) on the President’s Malaria Initiative
(IPC); social media activities; and
board under the community grants (PMI) (i.e., Geita, Mwanza,
service provision. During the
program; and strengthening capacity Kigoma, Kagera, Morogoro,
at the national, regional, and district seven days of launch activities,
Ruvuma). These activities aimed
levels. Following are particularly 4,724 individuals received HIV
to promote key malaria
notable achievements to be testing and counseling (HTC)
prevention and care-seeking
highlighted this quarter: services, of which 65 percent
behaviors through activities led
were men.
by community change agents,
• The high-profile national launch
• Consultations were held to including in hard-to-reach rural
of the Furaha Yangu (i.e., Test
gather audience insight to areas. In total, 775,167 contacts
and Treat All) SBCC campaign
understand the emotional were made with target
was implemented in close
drivers and barriers to uptake of audiences through IPC activities,
partnership with the National
priority family planning mobile video unit (MVU) shows,
AIDS Control Programme (NACP)
(FP)/reproductive health (RH); cultural theatre, and clinic talks.
and the Tanzania Commission for
maternal, newborn and child
AIDS (TACAIDS). Following 6
USAID Tulonge Afya by the numbers
548 that is
people trained
256 154 238
health providers journalists Community
health workers
11,378,896 6,260 59,907
people heard HIV/AIDS people reached with people reached with
message through community-level SBCC voluntary medical male
TUNAKUTHAMINI on the activities during the circumcision (VMMC)
radio Furaha Yangu launch messages
775,167 638,554 7,080,202
people heard an END TB
people reached with print materials health campaign on the
malaria messages distributed for use by radio
USAID Boresha Afya
partners
8,344,524 15,930,455 5,815,880
people reached with people heard an FP
Wazazi Nipendeni message through People heard a PMTCT
messaging Greenstar radio spot message on the dario
7
High-level Overview: FY18 Q3 Activities by Funding Stream
Table 1. Funding stream-specific activities conducted during the quarter
Funding
Activity Description Output Stream
Support
Formative research Conducted insight-gathering sessions with Audience insight reports to FP/RH
High-level Overview: target
FY18audiences
Q3 Activities by Funding
to understand the Stream
further inform SBCC packages MNCH
emotional drivers for desired FP/RH, TB
Table 2. Funding stream-specific activities
MNCH, and conducted
TB priority behaviorsduring the quarter
Audience insight presentation to
share high-level findings with
stakeholders
Finalized protocol and data collection Institutional review board HIV: HTXS
tools for loss to follow-up study package prepared, including PMTCT
protocol and data collection tools
Accelerated support Implemented radio and print accelerated Accelerated support print HIV: HTXS
support plan to promote priority materials produced and FP/RH
behaviors across focal health areas, distributed to USAID Boresha MNCH
including HIV, FP, MNCH, and malaria, as Afya partners covering HIV
well as cross-cutting gender norms prevention and treatment, FP,
and MNCH priority behaviors, as
well as gender norms:
• 390,000 brochures
• 248,500 posters
• 54 pull-up banners
4,247 radio spots on FP and
MNCH, including malaria in
pregnancy and prevention of
mother-to-child transmission
(PMTCT), priority behaviors aired
2,627 people reached with
campaign messages on TB, HIV,
malaria, FP and RH/MNCH
(source: omnibus survey report)
Launch and rollout of Launched the Furaha Yangu campaign via Campaign launched with strong HIV: HTXS
Furaha Yangu Test and a national launch event and mass media government and partner support. HIV: HVCT
Treat All SBCC campaign and community SBCC activities, including: Initial outcomes included:
• 852 radio spot placements • 4,724 individuals received
• 39 social and digital media posts HTC services, of which 65%
(e.g., Facebook, Instagram, were men, at pop-up HTC
WhatsApp) services in Dodoma as part of
• 192 public service announcements the launch event (testing
(PSAs) yield of 2.3%)
• Outdoor billboards • Substantial media coverage,
• 18 road shows including 54 newspaper
• Pop-up IPC activities with Furaha articles, 17 TV mentions, and
Yangu ambassadors 18 radio and blog mentions
• 2 media orientation meetings • 5,641 individuals (3,940 male
• 2 service provider orientation and 2,320 female) reached
workshops via road shows
• 619 individuals (495 male
and 124 female) reached
through IPC activities
• 191,249 individuals (133,874
male and 57,375 female)
8
reached via social media
content, with more than
40,000 engagements (e.g.,
likes, shares, comments)
• 256 providers oriented on
Furaha Yangu key messages,
and skills built around
providing quality HTC services
in line with the Test and Treat
All service delivery guidelines
USAID Tulonge Afya Draft strategy developed in collaboration Draft youth strategy describing HIV: HVCT
youth strategy with Government of Tanzania (GOT) the behavioral and HIV: HTXS
stakeholders, IPs, and youth communication objectives the HIV: CIRC
project will address to improve FP/RH
health outcomes among youth
ages 10–24. The strategy also
outlines the youth platform
brand, as well as the SBCC
activities and channels that will
be used to achieve the
communication and behavioral
objectives. Behavioral objectives
to be addressed are:
• Delay first sex
• Use a modern contraceptive
method to:
o Delay first birth
o Space future pregnancies
• Use condoms correctly and
consistently
• Get an HIV test (if at risk)
• Go for VMMC
Adaptation of Shujaaz Malaria story line promoting use of For each story line: FP
transmedia platform for insecticide-treated nets (ITNs) and • 500,000 comic books Malaria
youth prompt, appropriate care-seeking at the distributed
first sign of a fever implemented across • Estimated 2 million
the Shujaaz platform (i.e., comic books, youth reached
radio program, social media) Social media posts under the
malaria story line received 7,729
FP story line promoting uptake of FP likes and 387 comments.
methods among sexually active youth
implemented across the Shujaaz platform Social media posts under the FP
story line received 15,035 likes
and 2,007 comments.
SBCC TA to government Jiongeze Tuwavushe Salama MNCH SBCC Jiongeze campaign print-ready MNCH
partners materials refined and radio spots material artwork and broadcast-
produced ready radio spots promoting birth
preparedness and health facility
delivery among pregnant women, Malaria
as well as male partner
involvement in MNCH care
Draft ZAMEP SBCC strategy,
Zanzibar malaria elimination SBCC which will guide Zanzibar malaria
strategy drafted in collaboration with the SBCC activities toward achieving
Zanzibar Malaria Elimination Programme the elimination goal by 2022
9
(ZAMEP) and malaria elimination World Malaria Day radio spots to
stakeholders promote priority malaria
prevention, care-seeking, and
Malaria World Day radio media support treatment behaviors
implemented
Intensive community Malaria community mobilization support 356 community change agents Malaria
mobilization for malaria provided in six PMI regions, including oriented with malaria knowledge
clinic talks, IPC sessions, MVU shows, and and IPC skill. These agents went
cultural shows promoting the following on to conduct:
behavioral objectives: • Clinic talks reaching
• Pregnant women and children 19,660 individuals
sleep under ITNs • IPC sessions reaching
• Pregnant women take 345,437 individuals
intermittent preventive • MVU shows reaching
treatment in pregnancy (IPTp) 74,657 individuals
during antenatal care (ANC) visits • Cultural shows reaching
• Caregivers seeks prompt and 335,413 individuals
appropriate care for symptoms of
malaria
• Patients complete the full course
of malaria treatment
Support to the VMMC demand-creation support Almost 60,000 individuals HIV: CIRC
AIDSFREE project targeting adult men implemented in the reached through experiential
catchment areas of four new AIDSFREE- marketing activities promoting
supported health facilities in Morogoro uptake of VMMC services among
Region. This included experiential adult men
marketing activities, flighting four
strategically-placed billboards, and
providing branded gazebos to serve as
information tents during outreach service
events.
Graphic design TA provided to adapt and
repurpose adolescent-friendly VMMC IPC
session tool kits and guides.
Support to the Kizazi Video production services provided to Video production implementation HIV: HKID
Kipya project begin developing positive parenting plan and draft scripts for a job aid
messages and orientation modules to be for health providers on positive
used as job aids for Kizazi Kipya volunteers parenting:
• Engaged creative agency
to develop story line
• Project team reviewed
the story line
• Monitoring of the video
production
Support to the SAUTI Support initiated to produce key and Procurement evaluation report HIV: KP
project vulnerable population (KVP) short and contract scope of work
testimonial documentaries and (SOW) to guide implementation
digitalization of IPC curriculum of video production
10Activities conducted by result: RESULT AREA 1
Result 1: Improved ability of individuals to practice healthy behaviors Activities conducted by resu
Result 1: Improved ability of Baseline survey
RESULT AREA 1 Baseline survey data were analyzed and verified, and the findings report
individuals to practice
healthy behaviors was submitted to USAID this quarter. The baseline survey captured data
across USAID Tulonge Afya focal health areas and behaviors from 3,814
A detailed description of Result 1 individual interviews (1,339 male, 2,475 female) across 19 regions. The
activities conducted during the results will be used to set project targets, as well as to further inform the
reporting period follows. project’s adult and youth SBCC strategies. Key findings per health area are
shown in figure 2. below.
Conduct assessments to inform
SBCC strategy development
Result 1: Improved ability of individuals to practice healthy
SBCC landscape analysis behaviors
The SBCC landscape analysis The baseline survey captured
report was finalized (Appendix 1). A detailed descriptiondata across
of Result USAIDconducted
1 activities Tulonge during the reporting
An SBCC inventory database that period follows. Afya focal health areas and
captures materials and tools behaviors from
surfaced through the mapping
was also finalized. The database
3,814
Conduct assessments to inform SBCC strategy development
across
Individual
19
will be handed over to the SBCC landscape analysis
MOHCDGEC and installed in its
server to support the health
across
The SBCC 3,814
interviews
landscape analysis report was finalized (Appendix 1). An SBCC
inventory database that captures materials and tools surfaced through the
promotion section (HPS) to build mapping regions
was also finalized. The database Individual
will be handed over to the
a robust, up-to-date, and easy-to- MOHCDGEC and installed in its server tointerviews
support the health promotion
access SBCC repository. section regions 1,339 2,475
19
(HPS) to build a robust, up-to-date, and easy-to-access SBCC
repository.
Baseline survey
1,339 2,475
Baseline survey data were analyzed and verified, and the findings report
was submitted to USAID this quarter. The baseline survey captured data
across USAID Tulonge Afya focal health areas and behaviors from 3,814
Key Findings:
individual HIV(1,339 male, 2,475 female) across 19 regions. The
interviews
results will be used to set project targets, as well as to further inform the
Knowledge
project’s adult and youth SBCC strategies. Key findings per health area are
Slightly overinhalf
shown of the
figure 2. total
below.study population were considered to have
comprehensive, correct knowledge of HIV.
Attitudes
Knowledge
Slightly over an eighth of the study population had positive attitude toward
Slightly
condomover half of high
use during the total study population were considered to have
risk sex.
comprehensive, correct knowledge of HIV.
Self-efficacy
Attitudes
Less than 10% of the study population reported ease with getting HIV testing
Slightly over an eighth of the study population had positive attitude toward
and counseling, talking to partners about HIV testing, and knowing a place to
condom use during high risk sex.
obtain HIV testing and counseling services.
Self-efficacy
Intent to adopt
Less than 10% of the
half of the study
study population
population (49%)
reported ease with
reported gettingofHIV
likelihood testing
condom
and in
use counseling, talking
the next six to partners about HIV testing, and knowing a place to
months.
obtain HIV testing and counseling services.
Dialogue
Intent to adopt
Eight percent (8%) of the study population reported discussing youth-
Less than half of the study population (49%) reported likelihood of condom
friendly SMC services in the past six months.
use in the next six months.
Uptake
Dialogue
Slightly over half of the study population reported being tested for HIV in the 11
Eight percent (8%) of the study population reported discussing youth-
last six months.
friendly SMC services in the past six months.Key Findings: MALARIA
Knowledge
Slightly over an eighth (18%) of the study population had comprehensive
knowledge of malaria
Attitudes
Knowledge
The majority of the study population (86%) had positive attitudes toward
Slightly over an eighth (18%) of the study population had comprehensive
malaria prevention.
knowledge of malaria
Self-efficacy
Attitudes
Slightly over aofthird
The majority of thepopulation
the study study population (38%)
(86%) had expressed
positive easetoward
attitudes in
accepting IRS operators
malaria prevention. into their home to spray.
Intent to adopt
Self-efficacy
Slightly
Slightly more
over athan
thirdhalf of caregivers
of the (57%) in(38%)
study population the study population
expressed reported
ease in
likelihood of obtaining diagnosis and treatment
accepting IRS operators into their home to spray. for a child less than five years
old with fever in the next six months.
Intent to adopt
Dialogue
Slightly more than
over an half of
eighth of the
caregivers (57%) in the
study population study
(19%) population
reported reported
discussing
likelihood
malaria of obtaining
prevention diagnosis
during and treatment
pregnancy in the pastfor
sixamonths.
child less than five years
old with fever in the next six months.
Uptake
Dialogue
About
Slightlythree-quarters
over an eighthofofcaregivers
the study in the study(19%)
population population (72%)
reported reported
discussing
seeking prompt treatment
malaria prevention for a child with
during pregnancy in thefever.
past six months.
Uptake
Key Findings: FAMILY PLANNING About three-quarters of caregivers in the study population (72%) reported
/ REPRODUCTIVE HEALTH
seeking prompt treatment for a child with fever.
Attitudes
Slightly over a third of the study population (37%) had positive attitudes
toward family planning.
Attitudes
Self-efficacy
Slightly
The over aofthird
majority of thepopulation
the study study population (37%) hadconfidence
(80%) expressed positive attitudes
in obtaining
toward
FP family planning.
information and using FP.
Intent to adopt
Self-efficacy
reported likelihood
The majority of the study population (80%) expressed of in
confidence using modern
obtaining
contraceptives
FP in the
information and nextFP.
using six months.
Intent to adopt
Dialogue
The majority of the study population (80%) reported likelihood of using modern
An eighth of theinstudy
contraceptives population
the next (12.5%) reported discussing youth-friendly
six months.
contraception services in the past six months.
Dialogue
Uptake
An eighth
About of the study
an eighth (13%) population (12.5%)
of non-pregnant reported discussing
adolescents youth-friendly
in the study
contraception services in the past six months.
population aged 15-17 years old reported use of modern contraceptives to
delay first pregnancy until age 18 years.
Uptake
About an eighth (13%) of non-pregnant adolescents in the study
population aged 15-17 years old reported use of modern contraceptives to
12
delay first pregnancy until age 18 years.Key Findings: MATERNAL / CHILD HEALTH
Self-efficacy
Almost half of females in the study population (48%) expressed ease and
confidence in exclusively breastfeeding a baby for the first six months.
Intent to adopt
Self-efficacy
Slightly over half of caregivers in the study population (54%) reported
Almost half of females in the study population (48%) expressed ease and
likelihood of initiating and completing a full course of ANC visits if pregnant
confidence in exclusively breastfeeding a baby for the first six months.
or if a partner gets pregnant in the future.
Dialogue
Intent
Slightlytoover
adopt
an eighth of the population (18%) reported discussing health
Slightly over half
facility delivery of ANC
and caregivers in thesixstudy
in the past population (54%) reported
months.
likelihood of initiating and completing a full course of ANC visits if pregnant
or if a partner gets pregnant in the future.
Uptake
Dialogue
Slightly
Slightly over
over half of female
an eighth individuals
of the population in (18%)
the study population
reported (56%)
discussing who
health
gave birth within the year reported completing
facility delivery and ANC in the past six months. a full course of ANC visits.
Uptake
Key Findings: TUBERCULOSIS Slightly over half of female individuals in the study population (56%) who
gave birth within the year reported completing a full course of ANC visits.
Knowledge
Slightly over an eighth (19%) of the study population had comprehensive
knowledge of tuberculosis.
Attitudes
Knowledge
The majority
Slightly of the
over an study
eighth population
(19%) (84%)population
of the study had positive
hadattitudes toward malaria
comprehensive
prevention.
knowledge of tuberculosis.
Self-efficacy
Attitudes
The
The majority
majority of
of the
the study
study population
population (90%) expressed
(84%) had confidence
positive in seeking
attitudes toward TB
malaria
screening
prevention.and testing, as well as adhering to TB medication.
Intent to adopt
Self-efficacy
The majority of the study population (83%)
(90%) reported
expressedlikelihood of in
confidence seeking TBTB
seeking
screening and testing
testing,inasthe
wellnext six months.
as adhering to TB medication.
Dialogue
Intent to adopt
Less than 10%ofofthe
The majority thestudy
population (8%)(83%)
population reported discussing
reported TB screening
likelihood andTB
of seeking
testing in the past six months.
screening and testing in the next six months.
Dialogue
Less than
Key 10% of the population
Findings: GENDER (8%) reported
NORMS discussing TB screening and
testing in the past six months.
Attitude
Less than 1% of the study population had positive attitude toward gender
norms.
Male support
Attitude
Less
Less than half
than 1% ofofthe
thestudy
studypopulation
populationhad
(43%) reported
positive supportive
attitude towardattitudes
gender
toward
norms. male involvement in MCH.
Gender-based
Male support violence
Slightly
Less thanmore
halfthan a third
of the study(36%) of the (43%)
population study population who reported
reported supportive attitudes
being victims of gender-based
toward male involvement in MCH. violence reported discussing the incident
13
with someone and seeking help
Gender-based violenceFormative research
Consultations to gather audience insight were conducted with target audiences for priority behaviors for
FP/RH, MNCH, and TB.1 Important emotional drivers for each target audience were identified (Table 2).
These drivers are expanded upon in summary reports in Appendices 2–4. The consultations also identified
key barriers to desired behaviors. These findings will be used to support finalization of the project’s youth
and adult strategies and will inform creative briefs for SBCC materials to be developed, in Q4.
Table 2. Emotional drivers of target audiences for FP, MNCH, and TB
Prominent Emotional
Target Audiences Health Area(s) Additional Emotional Drivers
Formative research Driver
Young women (ages
Consultations 15–17)audience
to gather FP insight were conducted
Belonging with target audiences
Status, achievement,
for priorityrecognition
behaviors for
Young men (ages 15–17) 1 FP Status Belonging,
FP/RH, MNCH, and TB. Important emotional drivers for each target audience were identified recognition, achievement
(Table 2).
Single young women (ages
These drivers are expanded upon in summary reports in Appendices 2–4.Achievement,
The consultations also identified
FP, TB Independence/control recognition, belonging
18+)barriers to desired behaviors. These findings will be used to support finalization of the project’s youth
key
Single
and young
adult men (ages
strategies 18+)
and FP, TB creative briefs
will inform Status Control,
for SBCC materials to be achievement,
developed, in Q4.recognition
Married young women and Independence/control, status,
FP, TB, MNCH Family values
mothers nurturing
Table 2. Emotional drivers of target audiences for FP, MNCH, and TB
Married men and fathers FP, TB, MNCH Status Control, achievement, recognition
Older women TB Recognition Control, family values, status
Older men TB Achievement Recognition, status, belonging
Women undergoing TB
TB Belonging Nurturing, achievement
treatment
Men undergoing TB treatment TB Belonging Independence, status, achievement
Health workers FP, TB, MNCH Recognition Status, nurturing, poverty of time
Gender and youth assessment Conduct a stakeholder strategy Adapt, develop, and launch
development meeting comprehensive SBCC support for
Data collection and analysis for the healthy behaviors
gender and youth assessment were A four-day youth strategy
ongoing this quarter. The development workshop was Accelerated support strategy
assessment involved a desk review conducted this quarter with 21 Provision of accelerated support
and qualitative data collection stakeholders, including youth, in continued this quarter across print
through key informant interviews attendance. During this workshop, and radio, as shown in Table 3. In
with government officials, local data from the project’s formative addition to the materials selected for
gender experts, community leaders, activities, baseline research, and accelerated support during the
and health providers and through rapid desk reviews were reviewed stakeholder meeting in Q1, print
focus group discussions with project and used to identify barriers to the materials addressing male partner
target audiences (i.e., male and performance of priority behaviors, involvement, GBV, and youth uptake
female youth ages 18–24, male and and to identify communication of FP and youth-friendly sexual and
female parents and caregivers of objectives. Key behavioral objectives reproductive health services were
children under 5, and were delineated with stakeholders requested by partners this quarter to
mother/daughter and father/son earlier in the year as part of the address the shortage of information,
pairs). Findings will be reflected project’s behavior prioritization education, and communication
within the project’s adult and youth workshop. A draft of the youth materials at the health facilities. In
strategies, and a final report will be strategy (Appendix 5) will be response to this request, USAID
shared in Q4. validated by key stakeholders early Tulonge Afya convened a materials
next quarter, and the strategy will be technical review meeting; messages
Support and facilitate consensus on finalized. were reviewed, adapted, produced,
priority health behaviors, and delivered this quarter (Table 3).
audiences, and strategies Preparations were also made this Materials provided to each USAID
quarter for a similar adult strategy Boresha Afya partner are listed in
development workshop, which will Appendix 6.
take place early in Q4.
14
1
Similar insight-gathering consultations were conducted in previous quarters for HIV testing, care, and treatment, and for malaria.
Gender and youth assessment
1Health Number
Campaign Material Topic and Behavioral Objective
Area Produced
IPTp: Pregnant women complete at least three doses of
sulphadoxine pyrimethamine (SP) to prevent malaria during 586
pregnancy
Wazazi Radio Exclusive breastfeeding: New mothers exclusively breastfeed their
MNCH 389
Nipendeni spots infant for the first six months after birth
Postnatal danger signs: Early identification of danger signs for
546
mother and baby
Facility delivery: Pregnant women deliver at the health facility 394
Benefits of FP services: General population know the benefits of FP
Radio 500
services
spots
Youth uptake of FP: Youth access FP services 460
Male partner engagement posters: Male partners become involved
50,500
in FP/RH services
FP Green Star Male partner engagement brochures: Male partners become
124,000
Print involved in FP/RH services
media Youth FP planning posters: Youth access FP services 69,500
Youth FP brochures: Youth access FP services 134,000
Youth FP service awareness pull-up banners: Youth access FP
54
services
GBV awareness posters: Men are encouraged to be involved in
49,500
Gender and RMNCH and family planning services
Gender Print
GBV Gender-based awareness brochures: Advocacy is disseminated for
norms media
Awareness prevention of GBV among men to improve reproductive and 64,000
maternal health
During this quarter, media monitoring was conducted to track the estimated number of people reached through
project-supported radio spots (i.e., Wazazi Nipendeni, Green Star). Additionally, the MOHCDGEC continued to
support airing of Tunakuthamini and Stop TB radio spots this quarter after USAID Tulonge Afya’s accelerated
support for these radio spots ended. Media monitoring data for all four campaigns are presented in Table 4.
Table 4. Number of adults reached with accelerated support radio spots this quarter
Health Campaign Type No. of spots produced and aired % of pop Estimated
During
Areathis quarter, media monitoringofwas conducted to track the estimated number of exposedpeople reached through
Population
project-supported radio spots (i.e., media
Wazazi Nipendeni,Type
Green Star). Additionally,
No. the MOHCDGEC continued
reached to
support
MNCH airing of Tunakuthamini
Wazazi nipendeni and Stop TB radio spots this
Toto Langu-PMTCT quarter after
605USAID Tulonge
23% Afya’s accelerated
5,815,880
support for these radio spots ended.
promoting priority Media monitoring data for all four campaigns are presented in Table 4.
MNCH behavioral Birth Plan 934 13% 3,287,237
Table 4. Number of adults reached Radio
objectives with accelerated
3SP dosesupport radio spots this 586quarter 22% 5,563,016
spots Exclusive BF 778 15% 3,792,965
Postnatal Danger 546 11% 2,781,508
Signs
Bahati Delivery at 394 33% 8,344,524
Health Center
FP Green Star Mama Ndimu 500 63% 15,930,455
Campaign promoting
MFPM and Male Radio Mnong'ono 460 25% 6,321,609
partner support spots
HIV and Tunakuthamini Uncle & Nephew Supported by 23% 5,815,880
AIDS Campaign GoT this Quarter
Radio Husband & Wife Supported by 45% 11,378,896
spots GoT this Quarter
Cousins 14% 3,540,101
TB End TB health Radio End TB health Supported by 28% 7,080,202 15
campaign spots campaign GoT this QuarterTo assess changes in reach, Following are the key results from baseline to midline:
exposure, and recall during the
period of accelerated support, Ipsos The proportion of respondents Across all Wazazi Nipendeni radio
Tanzania was commissioned to Following are the key
who reported resultsheard
having from baseline to midline:
spots aired, exposure was highest
conduct baseline (i.e., January 2018), Wazazi Nipedeni messages for the facility-based delivery spot
midline (i.e., May 2018), and end line increased by 19 percent, to 28 (33 percent), and was lowest for
(i.e., July 2018) surveys to assess the percent, with the highest gains the early initiation of
impact of the accelerated support. breastfeeding spot (3 percent),
among adults ages 25–34
The baseline point was to assess the
(increased from 12 percent to 43 suggesting a need to take a
extent to which the existing
percent between January and different media approach for
campaign was recalled before the
accelerated support. The midline May). breastfeeding messages under
survey, meant to assess the effect of the project’s parenting and
the support, was conducted this caregiving package.
The proportion of respondents
quarter using computer-assisted who proportion
reported having heard
The of respondents
telephone interviews with 402 adult Tunakuthamini
who reported messages
having heard The proportion of respondents
respondents.
increased by 16 percent.
Wazazi Nipedeni messages Across
who all Wazazi
reported Nipendeni
having radio
heard Green
Additionally, reach and recall data increased by 19 percent, to 28 spots aired, exposure was highest
Star FP messages increased by 14
for campaigns implemented under percent, with the highest gains for the facility-based
percent, to 38 percent, delivery spot
with the
The proportion of respondents
the project’s accelerated support The
among
proportion
adultsof respondents
ages 25–34 (33 percent), and was lowest
highest gains among adults ages for
who reported having heard
strategy were collected from 2,627 who
(increased
reported
fromhaving
12 percent
heard to
End43 the early
18–24 initiationfrom
(increased of 19 percent
Tunakuthamini messages
individuals using the omnibus survey TB
percent
messages
between
increased
January
by 18 and breastfeeding
to spot (3 percent),
48 percent between January
increased by 16 percent.
conducted in June/July 2018. Results percent.
May). suggesting
and May). a need to take a
are shown in Tables 5 and 6. different media approach for
breastfeeding messages under
the project’s parenting and
To assess changes in reach, The proportion
caregiving of respondents
package.
The proportion of respondents
exposure, and recall during the who reported having heard Green
who reported having heard End
period of accelerated support, Ipsos Star FP messages increased by 14
TB messages increased by 18
Tanzania was commissioned to percent, to 38 percent, with the
conduct baseline (i.e., January 2018), percent.
highest gains among adults ages
midline (i.e., May 2018), and end line 18–24 (increased from 19 percent
(i.e., July 2018) surveys to assess the
to 48 percent between January
impact of the accelerated support.
and May).
The baseline point was to assess the
extent to which the existing
campaign was recalled before the
accelerated support. The midline
survey, meant to assess the effect of
the support, was conducted this
quarter using computer-assisted
telephone interviews with 402 adult
respondents.
Additionally, reach and recall data
for campaigns implemented under
the project’s accelerated support
strategy were collected from 2,627
individuals using the omnibus survey
conducted in June/July 2018. Results
are shown in Tables 5 and 6.
16Table 5. Message reach for campaigns supported under the USAID Tulonge Afya Accelerated Support Strategy,
with age and gender disaggregation
Table 5. Message reach for campaigns
Totalsupported under the USAID Tulonge Afya Accelerated Support Strategy,
with age and gender disaggregation
Respondents
who
Reported Respondents
Respondents Reached, by Age
Having Seen Reached, by Gender
Health or Heard a
Message
Area Message
about…
N (%)
Female Male 15–17 18–24 25–30 31–49 50+
N (%) N (%) N (%) N (%) N (%) N (%) N (%)
HIV testing and early
antiretroviral (ARV) 1713 (65) 943(55) 770(45) 129(7) 439(26) 480(28) 561(33) 104(6)
drug initiation
PMTCT: HIV testing
and early ARV drug 1588 (61) 947(60) 641(40) 93(6) 382(24) 469(29) 549(35) 95(6)
initiation
HIV Starting HIV
treatment for
1393 (53) 781(56) 612(44) 87(6) 353(25) 401(29) 463(33) 89(7)
people living with
HIV (PLHIV)
Adherence to
antiretroviral 1210 (46) 689(57) 521(43) 65(5) 280(23) 360(30) 429(36) 76(6)
therapy (ART)
Use FP methods to
FP 1504 (57) 900(60) 604(40) 84(6) 377(25) 440(29) 514(34) 89(6)
space pregnancy
Starting ANC for
1619 (62) 1025(63) 594(37) 84(5) 416(26) 463(29) 556(34) 100(6)
pregnant women
Health facility
1647 (63) 1043(63) 604(37) 93(5) 424(26) 461(28) 559(34) 110(7)
delivery
IPT3 during
pregnancy for 1076 (41) 758(70) 318(30) 39(4) 211(20) 329(30) 431(40) 66(6)
malaria prevention
Completing 4 ANC
visits by pregnant 1095 (42) 747(68) 348(32) 46(4) 231(21) 327(30) 408(37) 83(8)
women
Birth plan 1013 (39) 671(66) 342(34) 46(4) 240(24) 291(29) 373(37) 63(6)
MNCH Breastfeeding after
944 (35) 716(76) 228(24) 35(4) 202(21) 287(31) 362(38) 58(6)
birth
Pregnant women
should use ARV
drugs immediately 1262(48) 814(65) 448(35) 60(5) 298(24) 365(29) 461(36) 78(6)
after finding out that
they are HIV-positive
Know danger sign
for newborns and
take them to a 774(29) 547(71) 227(29) 26(4) 164(21) 234(30) 302(39) 48(6)
health facility
immediately
Go for TB screening
TB 1192(45) 653(55) 539(45) 66(5) 284(24) 343(29) 414(35) 85(7)
and treatment
17Table 6. Recall of campaign names/messages for campaigns supported under the USAID Tulonge Afya
Accelerated Support Strategy, with age and gender disaggregation
Table 6. Recall of campaign names/messages for campaigns supported under the USAID Tulonge Afya
Total
Accelerated Support Strategy, with age and gender disaggregation
Responde
nts Who
Reported Respondents Who
Having Recalled, by Gender Respondents Who Recalled, by Age Group
Messages Seen or n(%)
Heard a
Message
about…
Male, Female, 15–17, 18–24, 25–30, 31–49,
N (%) 50+, n(%)
n (%) n (%) n (%) n (%) n (%) n (%)
Test for HIV and start
115(28
ARV drugs early if you 411(24) 167(41) 244(59) 16(4) 122(30) 132(32) 26(6)
)
test positive
Pregnant women
testing for HIV and 356(22) 116(33) 240(67) 6(2) 95(27) 116(32) 119(33) 20(6)
starting ARV drugs
Starting HIV
259(19) 107(41) 152(59) 8(3) 65(25) 85(33) 85(33) 16(6)
treatment
Adherence to ART
(taking ART every day 202(17) 76(38) 126(62) 5(3) 57(28) 61(30) 65(32) 14(7)
for life)
Use FP methods to
382(46) 123(32) 259(68) 11(3) 93(24) 125(33) 132(35) 21(5)
space pregnancy
Starting ANC for
389(24) 103(26) 286(74) 15(4) 96(25) 115(29) 141(36) 22(6)
pregnant women
Delivering babies in 111(27
413(25) 125(30) 288(70) 18(4) 114(28) 149(36) 21(5)
health facilities )
Pregnant women
taking SP/Fansidar at
least three times
295(27) 73(25) 222(75) 7(3) 57(19) 86(29) 130(44) 15(5)
during pregnancy to
prevent getting
malaria
Completing four ANC
198(18) 45(23) 153(77) 7(3) 43(22) 65(33) 72(36) 11(6)
by pregnant women
Birth plan 157(16) 51(32) 106(68) 3(2) 49(31) 50(32) 48(31) 7(4)
Breastfeeding after
185(20) 36(19) 149(81) 4(2) 40(22) 66(36) 67(36) 8(4)
birth
Know danger signs for
newborns and take
124(16) 28(23) 96(77) 3(2) 32(26) 34(27) 49(40) 6(5)
them to a health
center immediately
Go for TB screening
and treatment
services when you 278(23) 127(46) 151(54) 10(4) 67(24) 83(30) 100(36) 18(6)
experience the TB
signs and symptoms
18Furaha Yangu (Test and Treat All) SBCC
Campaign
The Furaha Yangu campaign supports • Go for HTC (targeting those at higher risk).
the GOT’s efforts to achieve the 90-90-90 • Enroll as soon as possible into care and attend appointments as
goals for testing, treatment, and advised by your health provider upon testing positive for HIV.
suppression of HIV/AIDS by increasing
• Follow health provider instructions and take ART regularly.
awareness of the new Test and Treat All
service modality and increasing demand • Return to the health facility as scheduled and obtain routine
for Test and Treat All services among viral load testing.
those at risk for HIV. The campaign aims • Work with a health provider to inform your sexual partners, and
to contribute toward uptake of the link them to testing and counselling services.
following priority HIV testing and • Go for TB screening and testing services.
treatment behaviors:
Further, the Furaha Yangu campaign was • Raise awareness of the GOT’s new Test and Treat All strategy and
developed to achieve these primary related service delivery changes.
objectives: • Generate demand for Test and Treat All services.
• Shift norms around HIV, from being seen as a death sentence to
being seen as a chronic disease that, with treatment, can result
in a healthy and normal life with reduced transmission to loved
ones.
• Transform gender norms that clinics are for women and that
accessing health services is a sign of weakness for men.
• Generate community advocacy and engagement in the delivery
of campaign interventions.
The Furaha Yangu campaign is This quarter, working in close Key activities completed in the
being rolled out in a three-phased partnership with the development of and preparation
approach, with the first phase MOHCDGEC, through the NACP for this campaign are summarized
focused on raising at-scale and TACAIDS, USAID Tulonge below, with preliminary results
awareness and targeted demand Afya launched the first phase of following.
for Test and Treat All services. the campaign with a public event
(Note: Subsequent phases will be in Dodoma on June 19, 2018, Materials development
rolled out under the adult with Prime Minister Hon. A minimum package of SBCC
platform Wellness package. See Majaliwa Khassim Majaliwa; materials were developed,
Appendix 7). USAID/Tanzania Mission finalized, and endorsed by the
Director Andy Karas; and other MOHCDGEC and USAID (Table 7).
notable guests in attendance. The artwork for these materials
can be found in Appendices 8–10).
This package will be added to and
refreshed over the course of the
campaign.
Furaha Yangu (Test and Treat All)
SBCC Campaign
The Furaha Yangu campaign
supports the GOT’s efforts to
19
achieve the 90-90-90 goals for
testing, treatment, and
suppression of HIV/AIDS byTable 7. Furaha Yangu phase one SBCC materials
Table 7. Furaha Yangu phase one SBCC materials Facility and Community
Mass Media Print Materials Supplementary Materials
Materials
Radio Print materials Service provider and facility Launch branding
Four (45–60 sec) radio Six brochures focused on: materials • Press conference
spots targeting: • Importance of Test • Service provider campaign branding banners
• Men 18 to 24 years and Treat All services orientation manual • Launch event branding
• Men 25 to 40 years • ART adherence • Provider commitment banners
• Adolescent girls • Importance of Test badge • Launch event
and young women and Treat All services • Most frequently asked announcement banners
for children questions fact sheet and poster
TV and digital media • Importance of • Service invitation coupon • Launch event invitation
• Furaha Yangu song adhering to Care and • Service provider T-shirts cards
• 60-sec TV spots Treatment Clinic (CTC) • Service notification stickers
• testimonial videos appointments • Facility pull-up banner Promotional materials
(targeting female • ART supporter’s roles • Presentation handout for • T-shirts for CHWs and
and male • Benefits of CTC journalists volunteers
individuals referral services • Wrist bands
separately) IPC material • Polo shirts
• 6-sec mobile media Five poster executions IPC session flipchart • Key holders
digital ads • Wheel covers
• Seven creative Test and Treat All Community advocacy • Bumper stickers
executions of message guide materials • Canvas bags
Google ads • Religious leader advocacy
and talking point guide
Outdoor media • Community leader advocacy
• Five billboard and talking point guide
executions
Working in close collaboration with National Council of People Living Provider orientations to support
With HIV And AIDS (NACOPHA) and USAID Boresha Afya partners, PLHIV Test and Treat All campaign
models were recruited and used for all the creative thematic images to rollout
strengthen the credibility, authenticity, and delivery of the campaign
messages and call to action. Using a project-developed
orientation guide and materials,
provider orientations were rolled
out across all USAID Boresha Afya
regions by a team of 19 master
trainers from MOHCDGEC, USAID
Tulonge Afya, and USAID Boresha
Afya (North/Central). A more
detailed summary of the
orientation objectives and
outputs is provided under IR2.
20Media orientation workshops Press conference and media teaser campaign
This quarter, 69 journalists and 40 A national press conference with attendees from 39 prominent media
reporters from key media houses houses for TV (8), radio (12), newspaper (8), and blogs (11) was
in Dar es Salaam, as well as 45 conducted in Dar es Salaam on June 12, 2018, to announce and promote
reporters in Dodoma, attended the campaign launch event and share key campaign messages. Speakers
an orientation on the Furaha at the event included NACP Manager Dr. Angela Ramadhan,
Yangu campaign, the USAID/Tanzania Deputy Health Program Director Ms. Ananthy
Government’s HIV/AIDS strategic Thambinayagam, and TACAIDS Executive Director Dr. Leonard Maboko.
priorities, and stigma-free
reporting.
The orientations also aimed to The press conference was followed by a six-day outdoor social media
engage the media as a long-term teaser campaign to stimulate and promote discussions around the
strategic partner and promoter of campaign’s theme of “My Happiness.” Additional promotional support
the Furaha Yangu campaign, Test for the campaign and the public launch event was provided via a 60-sec
and Treat All services, and the public announcement radio spot delivered by the Minister of Health Hon.
GOT’s HIV/AIDS endeavors. Ummy Mwalimu. The announcement was aired for seven days across
Training for community radio four national radio stations and two regional radio stations in Dodoma.
pernelist have been held in
Tabora, Mwanza, Iringa, and
Njombe, focusing on how to
report on health issues accurately
(with emphasis on not using
terminology that stigmatizes
PLHIV).
21s
Social media activities
Following this, the Furaha Yangu campaign secured comprehensive A social media and digital
media coverage:
media placement strategy was
developed (Appendix 12), and
54 17 activities were rolled out. This
print articles across campaign mentions across
8 newspapers eight TV stations included creation of social
media accounts (i.e.,
18 WhatsApp, Facebook,
54 17
campaign mentions across 12 radio
print articles across stations and 12campaign mentions
popular blog sites across Instagram) through which the
8 newspapers eight TV stations launch event was promoted
A detailed Furaha Yangu media coverage report is found in Appendix 11.
and key Test and Treat All
messages shared. Developed
USAID Mission
and placed social media
Director, Andy
Karas addressing content can be obtained
the public during through the campaign’s
the launch. Facebook account:
facebook.com/furahayanguni.
Pre-launch activities National launch event and service
AFive
detailed Furaha
interviews with Yangu media coverage
prominent delivery report is found in
leaders including
Appendix 11. local celebrities The national launch events, as
and representatives of described further below, included
President’s office regional keynote speeches from religious
administrative and local leaders and five high-level invited
government (PORALG) and dignitaries from the PORALG,
MOHCDGEC were conducted with USAID/Tanzania, and the
two regional radio stations in MOHCDGEC; edutainment
Dodoma to further promote the performances; SBCC activities;
campaign launch event, and to and service delivery. In his
increase awareness of the speech, the prime minister
campaign. The use of experiential expressed his concern regarding
marketing and radio interviews Tanzania’s low performance
contributed to service uptake and against the first 90 (HIV testing)
community participation in the and declared that he would
national campaign launch. champion HIV testing efforts by
serving as an ambassador.
Since the launch of the social
Pre-launch activities
Five interviews with prominent media campaign on June 19,
leaders including local celebrities the Furaha Yangu social media
and representatives of content has reached more
President’s office regional than 190,000 people (of which
administrative and local 70 percent have been men)
government (PORALG) and with more than 225,000
MOHCDGEC were conducted with impressions, 203 comments,
two regional radio stations in 76 shares, and 32,732 likes on
Dodoma to further promote the posts.
campaign launch event, and to 22
increase awareness of the
campaign. The use of experientialServices were offered during the Table 8. Number of individuals tested for HIV during Furaha Yangu public
week of the launch (i.e., June 17–22, launch event
2018), thanks to coordination by the
Dodoma regional AIDS control
coordinator and the support of Gender Number Tested Number Positive Positivity Yield %
service delivery partners, USAID
Male 3,061 51 1.7%
Boresha Afya (North/Central),
AMREF, Walter Reed, Jhpiego Female 1,663 59 3.5%
(Sauti), and Pharmaccess. Services Total 4,724 110 2.3%
offered included HIV testing, TB
screening, cervical cancer screening, Additionally, during the launch week, ambassadors reached 495 men and
blood pressure checks, eye exams, SBCC activities were conducted 124 women through IPC sessions at
and blood glucose testing. During around Dodoma. This included road 18 locations where the campaign’s
this period, 4,724 individuals shows in 18 strategic locations target audiences gather, such as
received HTC services, of which 65 across Dodoma City through which bodaboda stands, garages, and
percent were men (Table 8). The 3,553 men
Services wereand 2,088 during
offered womenthe were
week ofkiosks.
the launchCampaign
(i.e., June 17–22,brochures,
2018),
positivity yield was 2.3 percent. reachedto coordination
thanks with key Furaha Yangu regional
by the Dodoma discussion AIDSguidelines, edutainment
control coordinator and
Given the nature of the event, a low messages
the supportand weredelivery
of service engaged in skits,
partners, USAIDgiveaways,
Boresha Afya and Q&A sheets
(North/Central),
testing yield was anticipated. SBCC discussion
AMREF, around
Walter Reed,HIVJhpiego
testing.(Sauti),
In were available and Services
and Pharmaccess. used during the
offered
activities to be rolled out at the addition, HIV
included a team of sixTBFuraha
testing, Yangucervical
screening, roadcancer
shows.screening, blood pressure
community level, including through checks, eye exams, and blood glucose testing. During this period, 4,724
the community grants program Figure 3. Individuals
individuals received HTC reached during
services, community-level
of which 65 percent were SBCCmen activities
(Tableas8).part
The
(Activity 2.2.1), focus on creating of campaign launch in Dodoma, disaggregated by age and gender
positivity yield was 2.3 percent. Given the nature of the event, a low testing
demand for testing among higher- yield was anticipated. SBCC activities to be rolled out during
Additionally, at the community level,
the launch week,
risk groups (i.e., men 25–35, PEOPLE REACHED,
including through the community BY AGE
grants AND SEX
program (Activity 2.2.1),
SBCC activities were conducted focus on
adolescent girls and young women, creating
Figure demand forreached
3. Individuals testingduring
amongcommunity-level
higher-risk
around Dodoma.groupsSBCC (i.e., men as
activities
This included25–35,
part
road
pregnant women, key populations, adolescent
of campaign girls
1200 andinyoung
launch Dodoma,women, pregnant
disaggregated
shows women,
by
in age
18 key
and populations,
gender
strategic and
locations
1043
and HIV-exposed children) to HIV-exposed children) to
940maximize testing yields.
across Dodoma City through which
1000
maximize testing yields. Table 8. Number845of individuals tested for HIV during Furaha Yangu public
725 3,553 men and 2,088 women were
No. of people
800
launch event reached 655 with key 555
Furaha Yangu
600 messages and were engaged in
450
428
400 discussion around HIV testing. In
Gender Number Tested 193 Number Positive Positivity Yield %
200
164 addition, a team of six Furaha Yangu
134
53 43 49524men and
Male 4 3,061 ambassadors
4
51 reached 1.7%
0 124 women through IPC sessions at
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