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NEWSLETTER ISSUE 2, APRIL - JUNE 2010

HUMAN DEVELOPMENT TRUST (HDT)

HHDDTT CCoonnttaacctt IInnffoorrmmaattiioonn

Human Development Trust

16 Mikocheni Light Industrial

Area, 1st Floor Josam House

Coca Cola Road

PO Box 65147, Dar es Salaam

Tel: + 255 22 2772264 / 86

Fax: + 255 22 2772299

Email: info@hdt.or.tz

Website www.hdt.or.tz

In this Issue: Note to Readers........................p.1

HDT touching lives of over 450 MVCs in Ngara district........................p.2

PLHIV access funds to improve livelihood................................p.3

PLHIV CSOs receive grants for projects and organizational development, under the R2L project................p.4

Campaign to End Pediatric AIDS (CEPA) launched in Dar es Salaam..p.5

Success Story and General Updates..................................p.6

HDT Program Areas Overview.......p.7

Acknowledgements....................p.7

Note to Readers

Dear readers, Welcome to the second newsletter in 2010. The issue contains a summary of the interventions and results that were achieved in the last three months. The newsletter presents information on three programs namely service delivery, capacity building and policy advocacy. It summarizes the achievements achieved including support to MVC through caring families, support to PLHIV with nutrition and livelihood improvement through access to funds for income generating activities and the national launch and gained support of the campaign to end the HIV transmission from mother to child. We hope that you find this newsletter interesting and that you may join us either by advising us, giving us your comments on how we can improve our work or supporting any of the interventions that you might find touching lives of vulnerable groups. We are grateful to the hard work of colleagues on the ground who continue to make these activities possible and the continued participation and support of benefiaries and stakeholders. Equally important are the donors who support our work, namely; Global Fund for AIDS, Tuberculosis and Malaria (GFATM) through AMREF, The Dutch Government through VSO, Futures Group International, the Global AIDS Alliance (GAA) and Elton John AIDS Foundation (EJAF). With thanks,

Mr. Malanilo, Simon

Act. Executive Director

Development For All!

HDT NEWSLETTER ISSUE 2, APRIL - JUNE 2010

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HDT touching lives of over 450 MVCs in Ngara district, Kagera Region, through caring families

Mr. Robert Rupfizi, caring family member who received grants from HDT in 2007/8 addressing the audience about his achievements obtained through the project.

Some of MVC caring families receive goats to assist them to start income generating projects to support MVC.

The guest of honor Mr. Joseph Elimijio, addressing the guests and participants during the provision of grants to caring families on 24th May 2010.

Human Development Trust (HDT) has been implementing projects for families caring for Most Vulnerable Children since March 2007. The first project was funded by HDT itself for that time whereby 60 caring families with 281 children in the year of 2007/2008. Livelihood project established included such as keeping goats, small businesses and banana plantations. The main objective of the MVC projects is to support caring families to establish sustainable income generating projects in order to support MVC for education, health and others needs. The MVC projects have been very effective and it has been found that the best way to support these caring families is either with small grants to establish small projects which they have chosen by themselves and/or by providing them with start-up capital. Reported by HDT Kagera Regional Program Manager Mr. David Bukozo & Regional Program Officer, Mr. Moses Kabogo.

“Shirika hili shirika linasaidia wanyonge, maisha yetu yataboreka kupitia shirika hili la HDT. Nimesomesha wajukuu wangu watatu sekondari kwa mradi huu kwa kuuza mbuzi, pia tunapata fedha ya matibabu na mke wangu, pia nina mbuzi kumi, asante sana”. Mzee Ruphizi 85 years old resident of Rulenge Ngara. These sentiments were mentioned during the occasion held at Rulenge Ngara on 24th May 2010. The project was funded by Global Fund and it disbursed over 150 goats with value of over five million Tanzanian shillings (Tshs.5,000,000/-) to 50 caring families. Three families received cash of Tsh. 100,000 to establish small businesses. The caring families were from Bukiriro, Munjebwe and Djululigwa villages. ON another hand, the Mayor of Ngara Township, Hon. Bakar Zambaembi, in his speech he said: “Mimi nimepita pita sehemu nyingi katika Wilaya hii sijapata kuona shirika kama hili ambalo linajali watu wa chini. Naomba mlione shirika hili kuwa mkombozi wa wananchi wa Wilaya ya Ngara”. The guest of honor, Mr. Joseph Elimijio, on behalf the district commissioner recognized what HDT does and he appreciates the activities that HDT is implementing in Ngara district.

HDT NEWSLETTER ISSUE 2, APRIL - JUNE 2010

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PLHIV access funds to improve livelihood through income

generation activities

HDT provides grants to 150 PLHIV worth 9 million shillings Human Development Trust (HDT) under the sponsorship of Global Fund for Fighting AIDS, Tuberculosis and Malaria Round 4 had planned and implemented an activity of providing grants to 150 PLHIV who were under nutritional support in Rungwe district in Mbeya region. This event was done on 25th June 2010 at Mpuguso ward in Rungwe district. Objective of grant provision to PLHIV under nutritional support is to improve the livelihood of PLHIV in terms of income generation. HDT has observed that PLHIV who have as low CD4 count as below 250 and low weight (BMI less than 20%) often stay in poor health and reduced chance of a full participation in income generation activities. So in order to make sure that these people improve their health and start their normal life, HDT provided nutritional support for six month and after they start to improve their health they are given grants for income generation activities. Beneficiaries and HDT discussed and reached an agreement that the beneficiaries have to choose an animal keeping related projects before receiving grants. The majority of the beneficiaries opted piglets keeping and others choose chicken keeping. A grant was of 60,000/= Tshs where half of it was used to purchase animals (piglets) and the remaining part was given to the

beneficiaries for meeting project initial costs.

PLHIV accessing much needed capital for income generation The grant provision ceremony was done on 25th June 2010 at Mpuguso village in Mpuguso ward. During the ceremony, the Guest of honor was Mr. John Bosco Komba, District Administrative Officer representing the District Commissioner. During the ceremony, the guest of honor informed the beneficiaries of the importance of taking care of the provided grants in order to meet the expected target of increasing their income bearing in mind that the impact of animal keeping projects is not instant and they have to take a little time waiting for that impact. The community in general was informed to reduce stigma to PLHIV and everyone has a role to play in helping them. He said stigma reduction can be reached if every one will be willing to test for HIV and understand his/her status. The community was also reminded to practice every action that helps in preventing new HIV infections Reported by HDT Mbeya Regional Program Manager, Mr.

Dickson Mbita.

One of the PLHIV receiving a piglet and grant from the guest of

honor.

The guest of honor, District Administrative Officer,Mr. John Bosco Komba, representing the District Commissioner, addressing the community during the grant provision ceremony on 25th June 2010.

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PLHIV CSOs receive grants for projects and organizational

development, under the Right to Life (R2L) project

HDT provides 45 million shillings to 12 community based organizations June 28th, 2010, was a memorable and unforgettable day for 12 Positive Partner Organizations (PPO’s) which are supported by HDT under the project of Right to Life project (R2L). These partners’ faces were wrapped by joy after receiving their cheques that were given by the guest of honour Mr. Christopher Bautista, a Project Manager from VSO. The grant was given to 12 PPO’s among 20 who are supported by HDT after writing and submitting the competitive proposals. A total of 45 million shillings were given to the 12 organizations. In his speech, the acting executive director of HDT, Mr Malanilo Simon, advised those who were given grants to do exactly as they wrote in their proposals so as to meet their objectives. The aim is for the partners to keep on running their organization as the project which is funding them is ending this month. As they wrote in their proposals the fund is going to help then run small businesses to at least cover the cost of office rent and other costs like stationeries. The guest of honour, Mr Christopher Bautista thanked the Positive People’s Organizations (PPOs) who received grants for the efforts they have made because without them the project couldn’t have been here today. He promised that they are working really hard for the project to continue, they have submitted a proposal and they are waiting for the feedback, and if it will happen to continue they will add another region, Dodoma, to make four regions including the three regions which we are operating under R2L, Dar es Salaam Mtwara and Kagera. The Positive People’s Organizations (PPOs) which participated got a chance to say few words of thanks. All the PPOs thanked Human Development Trust for the efforts they have made till now for the support and cooperation they have shown. In her words, Mama Monica Simba from TWIHA said, “HDT found us under the tree, we had no focus, but they took us and gave us the trainings on how to run the organization, how to keep records of document and even financial management. Now we have different projects like selling breads, gardening and catering. We are very thankful for their support.” Reported by HDT Program Officer Capacity Building, Ms Jaliath Rangi.

The Guest of Honour, Mr. Christopher Bautista, a Project Manager from VSO, (representing the Country director of VSO) presents the check to Mwanahamisi Mhando from the Association of Widows in Tanzania (AWITA). Behind are HDT staff representatives, Mr. Malanilo Simon, acting executive director (left) and Mr. Isack Geofrey, the director of finance and administration.

Mama Monica Simba from TWIHA, giving a word of thanks to HDT for their support since 2007.

The organizations who received grants and the amounts are as follows: 1. AWITA (Dar es Salaam) 5,000,000 2. Tupendane (Dar es Salaam) 5,000,000 3. AMWAVU(Kagera) 5,000,000 4. TWEYEMEMU (Kagera) 5,000,000 5. UVIBO (Dar es Salaam) 4,700,000 6. TOCHA+ (Dar es Salaam) 3,600,000 7. TAYOPA (Dar es Salaam) 3,000,000 8. UWAVUBU (Kagera) 3,000,000 9. UTULIVU Lubya (Kagera) 3,000,000 10. SHIDEPHA+ (Mtwara) 3,000,000 11. TUMAINI (Mtwara) 2,700,000

12. TWIHA (Dar es Salaam) 2,000,000

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Campaign to End Pediatric AIDS (CEPA) launched in Dar es Salaam

The Campaign to End Pediatric AIDS in Tanzania was launched on Thursday 29th April 2010 in Dar es Salaam by the Deputy Minister of Community Development, Gender and Children. Speaking at the occasion, the minister said that the Government is committed to increase coverage of service for PMTCT and to that effect it has committed in its strategic plan for health and PMTCT to increase the coverage to 80% by 2012. Speaking to the occasion the CEPA matron in Tanzania, the renowned pediatrician and founder of Pediatric Association of Tanzania which is a CEPA implementing partner, Professor Esther Mwaikambo, said that the efforts were not enough and that more had to be done to ensure that no further child is infected by HIV.

Advocating for priority to PMTCT and related services to ensure eradication of HIV infection from mother to child The guest of honor, Dr. Lucy Nkya, called for development partners to accord priority to PMTCT and ensure that the funds required were available to ensure that Tanzania halt the spread of HIV infection among children. Stressing some important headways to be undertaken, Dr. Nkya said that adoption and implementation of new WHO guidelines will reduce infection from mother to child to below 5% which she said will be a major breakthrough in PMTCT. On the other hand, Dr. Raphael Kalinga the director of Policy and planning representing the executive chairman for Tanzania AIDS commission said that the minister responsible had ordered that no child should be born with HIV as it was possible to prevent. Dr. Kalinga further noted that the benefits of PMTCT are seen in short time span and its economies of scale are high. Giving testimonies, two ladies loving with HIV (Nuru and Diana) who all had children one used PMTCT and had a child not infected and another did not use the services thus got the child who is infected, Nuru who had infected son called for all mothers to use PMTCT. Diana who used OMTCT called for efforts to use her efforts and other PLHIV to educate communities on PMTCT. CEPA Tanzania team is made of Human Development Trust as national lead, Pediatric Association of Tanzania, ANNECCA, Association of Journalist Against AIDS and Tanzania AIDS Forum are further planning to meet the parliamentary committee as they discuss budget to push for budget increase on PMTCT. The Tanzania AIDS forum is engaging over 46 NGOs from different parts of the country to discuss and share the roles fro country wide push. PAT is further planning meetings with Ministry of health, WHO, CDC and PEPFAR for lobbying for a number of agendas. Related media coverage: http://www.dailynews.co.tz/home/?n=9518&cat=home http://thecitizen.co.tz/news/4-national-news/1657-minister-calls-for-single-syrup-for-hiv-victims.html

CEPA TANZANIA NEXUS: 2010 – 2012 CAMPAIGN WIDE OBJECTIVES AND PRIORITIZED ADVOCACY OUTCOMES

CORE OBJECTIVE #1: Family Centered Care and Nutrition Priority 1.1: Rapid adoption and implementation of new WHO guidelines on antiretroviral therapy, PPTCT+ (option b) and infant feeding by 2012. Priority 1.2: Development, adoption and implementation of Family Centered Care and Nutrition guidelines at country and global level by 2012.

CORE OBJECTIVE #2: Early Infant Diagnosis and Treatment Priority 2.1: Development and implementation of early infant diagnosis and treatment (EID/T) guideline to increase testing of children within 10 weeks of deliveries by 2011. Priority 2.2: Effective Policy and monitoring mechanisms in place to improve efficiency of PCR testing results in CEPA countries by 2012.

CORE OBJECTIVE #3: Access to appropriate Medication and Commodities Priority 3.1: Accelerated national registration, procurement and distribution of pediatric first line fixed dose combination (FDC) medicines by 2012.

CORE OBJECTIVE # 4: Full funding Priority 4.1: Increased national budgets for PMTCT+ and pediatric treatment services by 2012

CROSS CUTTING OBJECTIVE #5: Programming to achieve CEPA Impact Priority 5.1: Global Fund programming opportunities include sufficient funding for all four prongs of PPTCT+, coverage targets and pediatric treatment in CEPA countries by 2012.

CROSS CUTTING OBJECTIVE #6: Overcoming Human Resources Crisis Priority 6.1: Expand and improve human resources capacity to support scale up of PPTCT+ and pediatrics treatment services by 2012.

CROSS CUTTING OBJECTIVE #7: Overcoming Stigma and Discrimination Priority 7.1: Effective policy and monitoring mechanisms in place to reduce stigma and discrimination to support scale up of PPTCT+ and pediatric treatment services by 2012.

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Success Story

Improving Livelihood and Community Support for People Living with HIV/AIDS (PLHIV) and Most Vulnerable Children (MVC) HDT embarked on a new project in May 2010, with funding from the Elton John AIDS Foundation (EJAF-UK), an international donor which supports innovative HIV prevention programs, efforts to eliminate HIV &AIDS stigma and discrimination and direct care and support services to people living with HIV/AIDS (http://www.ejaf.org/). This new partnership is vital to enable HDT to expand its services to its beneficiaries. The expected results of this 2 year project (with above title) are: Outcome 1: Improved quality of life of PLHIV (improved health, improved self esteem and improved livelihood). Outcome 2: Improved access to basic needs for MVC (through their caring families) and educational bursaries. Outcome 3: Improved documentation of evidence for sustainability to influence policy and practice related to PLHIV and MVC. Long term Impact: Improved health and livelihood of PLHIV and MVC (through caring families). The project will be implemented in 5 districts in the regions of Kagera, Mbeya and Dar es Salaam. The direct beneficiaries will include: 250 PLHIV; 1,500 MVC, through support to 500 caring families; 60 Community Home-Based Care (CHBC) providers; 30 PLHIV support groups. Indirect beneficiaries will include numerous additional

PLHIV and other community members and stakeholders.

General Updates

Would you like to get involved and contribute to improving the lives of those most in need in Tanzania?

• Become an HDT Goodwill Ambassador: Help raise awareness and funds to reach more beneficiaries.

• Volunteer for HDT in Tanzania. Visit www.hdt.or.tz for more details...

A grandfather’s toil for his 5 grandchildren Grandfather Robert Rupfizi from Rulenge village, Ngara district, is a great example of many grandparents who are caring for their grandchildren who have no other relatives to take care of them. These children are also referred to as Most Vulnerable Children (MVC) and include children who even more vulnerable due to HIV&AIDS, for example, those children who have lost one or both parents to AIDS or those whose parents or other relatives cannot support them due to illness related to AIDS or those who have been rejected by relatives due to stigma associated with HIV. Mr. Rupfizi was one of the first MVC caring families to receive support from HDT in 2007. He has 5 grandchildren (3 girls and 2 boys), aged between 10 and 19, in his care that he has managed to support. After receiving a grant to help him start up income generating projects, he has managed to support his 5 MVC and has even managed to send all of them to school, even two to secondary school. In his own words he explains how he has done it: “When HDT gave me the grants Tshs.150,000. I managed to establish two projects which are goats keeping and local brew making and selling. I bought four goats for Tshs.90,000 and local brew four crates for Tshs.60,000 and after three years 2007/2010 I have already sold five six goats worth Tshs.180,000 and in local brew I got profit of Tshs.110,000 and cancelled the project. Prior to receive these grants I didn’t have any cash so these projects have helped me to pay school fees, basic needs like food and clothes and to pay the treatment charges in the hospital after selling two goats for Tshs.60,000. I am very happy two grand children already completed form four and others are near to complete primary education. HDT is a good organization because it helps people who are very poor compared to other organizations; I thank HDT for supporting me”.

Reported by HDT Kagera Regional Program Manager Mr. David

Bukozo.

Grandfather Robert Rupfizi from Rulenge village with two of his 5 MVC who he has managed to support since receiving support from HDT in 2007 for income

generation.

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HDT Program Areas Overview

Program Area Description Main Activities

Capacity Building

Strengthening the capacity of CSOs in organizational and project management for progressive development and effective high quality service delivery to beneficiaries. Under this program area is a sub department, Research and Training, for consultancy work.

- Organizational Capacity building - Funds support for organizational development and for IGA projects for beneficiaries - HIV workplace programs

Policy Advocacy

Engaging with policy makers, with and on behalf of CSOs to influence policy and practice. Coordinating CSOs for effective strategic advocacy work.

- Policy review - Networking - HIV budget analysis - Training on Policy Advocacy

Service Delivery

Working in partnerships with stakeholders to address the actual needs of the communities, thus instilling ownership and guaranteeing sustainability. Target groups are PLHIV, MVC, women, youth and old people.

- Nutritional support to PLHIV - Support to caring families of MVC - Community education on HIV&AIDS

HDT would like to take this opportunity to thank the development partners who have supported us with our work to reach the most vulnerable people. We would also like to thank those who have expressed interest to work with HDT and more importantly those communities who have participated in our interventions, helping us help them improve their lives. Recent support from Donors: Global Fund for AIDS, Tuberculosis and Malaria (GFATM) through African Medical and Research Foundation (AMREF); Netherlands Ministry of Foreign Affairs through Voluntary Service Overseas (VSO), Futures Group International, Egmont Trust (ET); Global AIDS Alliance (GAA); and Elton John AIDS Foundation (EJAF). Other Support: Private individuals and local partners (too many to mention here). Local Governments: We would like to express our heart felt gratitude to leadership of the following districts for their continued support with our activities: Rungwe district, Kyela district, Ngara district, Biharamulo district, Kinondoni district, Muleba district, Bukoba rural district, Mikindani district and Mtwara district. Last but not least all HDT staff for their enduring hard work to ensure beneficiaries are reached. Current Staff: Mr Ally Abdallah, Mr David Bukozo, Dr Peter Bujari, Mr Mixcus Buzoya, Ms Alice Edwin, Mr Geoffrey Isack, Mr Halifa Juma, Mr Moses Kabogo, Ms Agnes Kisala, Mr Emannuel Makwaya, Mr Simon Malanilo, Ms Violet Mathew, Mr Dickson Mbita, Ms Jackline Nusurupia, Ms Noumi Oosterwijk (volunteer), Mrs Jaliath Rangi, Mr Henry Siwale.

HDT Vision Our vision is a society where health is a priority and where rights of children, youth, women, men and old people are respected in all understandings. [Health is defined as a state of well being and not merely the absence of disease or infirmity.]

HDT Mission Our mission is to pioneer new standards of substantive equality for men, children, youth and older people throughout the country through working with communities and their

organizations.

Acknowledgements