“Evidence Based OVC Programming” How Household economic assessment informed HES Strategies for HIV/AIDS Affected OVC Hou

1. “Evidence Based OVC Programming”How Household economic assessment informed HES Strategies for HIV/AIDS Affected OVC Households A success story of Africare – PamojaTuwalee USAID funded project in Tanzania By Herbert Mugumya Africare Tanzania

2. 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

3. Background: How HEA informed OVC Program Strategy Implementation Developed MOU – IMARISHA & PamojaTuwalee Household Economic Assessment (HEA) survey tool developed by DAI IMARISHA for use with PamojaTuwalee 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

4. HEA Results: Savings and Financial Access Financial Access Savings (among people who save)

5. 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

6. SILC GROUP MEETING - IRINGA

7. HES SUMMARY OUTCOMES JAN-JUNE 2012

8. HEA RESULTS: ACCESS TO HOUSEHOLD FOOD

9. SILC GROUP MEETING - IRINGA HEA RESULTS: HOUSEHOLD HUNGER RANKING - AFRICARE REGIONS

10. STRATEGY: FOOD SECURITY AND NUTRITION Increased food security Improved nutrition education • 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 made Water, sanitation & hygiene

11. Outcomes: Caregivers practicing backyard vegetable gardening

12. 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.

13. 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

14. Access to basic education (costs paid - caregivers savings) Number ofMVC supported to return to by region • Dodoma 692 • Iringa 4,637 • Singida 701 • Total 6,030

15. 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

16. ENDAsantenisanaThank you for listening