Funding

• ASUTA at the start in 2010 managed to obtain support from Norwegian Friendship amounting to USD $ 22,000 = TZS 22,600,000 in support the community in Good Governance, education and HIV/AIDS especially in awareness rising on prevention and impact mitigation and Sustainable agriculture in Bagamoyo include provision of seed fund.
• In 2010 to 2015 ASUTA has been awarded TZS 299,975,800.00 through support from Rapid Funding Envelope for HIV/AIDS managed by Deloitte Consulting Ltd to implements HIV project in Bagamoyo. The main objective was to prevent rapid increase of HIV/AIDS infection among communities in Bagamoyo area through creation of comprehensive HIV/AIDS preventive measures to the risk groups of Commercial Sex Workers, Drug users, Bar maids, Migrants and the community at large.
• Through the intervention we managed to provide life skill training and support Income Generating Projects for Commercial Sex Workers, IDU and Barmaids were by 22 IGA groups managed to be formulated and trained in entrepreneurship skills with 17 people in each group. Nevertheless small business suggested to be involved the MARPS sampled as increasing alternative sources of their income rather than sex trade or keeping idle mind with use of drugs for IDU are tailoring machines, carpentry for Drug users and food vending cafes mama ntilie making life possible even outside of such dangerous business rescuing their health influencing community prosperity.
• ASUTA obtained funding support from RFE Round 9 and Round 10 Project worth TZS 299,975,800.00 which also was used to ;Train 62 Peer Health Educators on HIV/AIDS knowledge, 256 Trained on STI/HIV/AIDS awareness and use of condoms to Sex workers, Barmaids, and Migrants, Promotion of voluntary counselling and Testing Increasing routine Testing [VCT], 50,000 condoms Purchased and Distributed, Conducting 22 outreach events Bonanza, Ngoma, drama and Conducting Monitoring follow-up visit and coaching to IGA groups and scale up project sites.

RECENT ACTIVITIES

ASUTA in the past 4 years is worked with SAUTI Program with awarded fund amounting to TZS 2,463,465,004.77 [$1,0730,780.71] for Feb 2016 to 15^th Dec 2020 through JHPIEGO and its partners (EngenderHealth, NIMR and Pact) under USAID support. The Program was seeking in contributing to the improved health status of all Tanzanians through a sustained reduction in new HIV infections in Tanzania in support of the Government of the United Republic of Tanzania’s (URT) commitments to HIV prevention and family planning in Temeke,Kinondoni and Kigamboni District.

ASUTA part of efforts was to reduce the incidence of HIV in vulnerable adolescent girls and young women (VAGYW), the Sauti Program, our effort was to advocate and empower adolescent girls and young women with social protection and safe spaces, education and economic skills, and access to family planning, HIV testing and counseling, and other reproductive health interventions. This will be accomplished through implementation of a combination of prevention activities including provision of clinical services (HIV testing, linkage to HIV treatment, STI screening and treatment, screening for gender-based violence, and family planning services), economic empowerment activities, and social and behavior change communication on adopting safer sexual behaviors and gender equitable norms. The success of these approaches fundamentally rests on shifting political, social, and cultural norms, legal practices, and economic realities that are often slow and difficult to change.

CURRENT ACTIVITIES

ASUTA currently from Feb 2020 engaged with FHI 360 in implementing Epidemic Control (EpiC) which is a global project funded by the U.S. President’s Emergency Plan for AIDS Relief (PEPFAR) and the U.S. Agency for International Development (USAID) which is dedicated to achieving and maintaining HIV epidemic control. It is led by FHI 360 as prime and has a five-year period of performance and for the first year 2020/21 ASUTA has been allocated TZS 1,649,783,889.63

EpiC provides strategic technical assistance (TA) and direct service delivery to break through barriers to 95-95-95 and improve HIV case-finding, prevention and linkage to treatment among key and priority populations (PP)

ASUTA implemented EpiC project in Temeke Municipality in FY20 and below are key accomplishments as of June 2020 computed against annual target:

• Reached 6,696 (64%) KPs(FSW and MSM) with evidenced based HIV prevention services(KP Prev)
• Reached 6,002 (67%) AGYWs with evidence-based HIV prevention services (PP PREV)
• Reached 12,566 (59%) clients through mobile HTS services and received their results out of which 495 (28%) tested positive and 406 (23%) linked to care and treatment
• Reached 1,185 (33%) through Index HTS services and received their results out of 121 (18%) tested positive and 110 (17%) linked to care and treatment
• 768 (27%) received refills for Pre-exposure prophylaxis (PrEP CURR)
• Reached 210 (73%) for ART new through Community ART outreaches
• Reached 959 (36%) for ART refill through Community ART outreaches In FY21 ASUTA will work in partnership with Local Government Authorities, specifically the Council Health Management Teams (CHMT) to plan and implement the interventions.

ASUTA deploy approaches such as hotspot mapping to establish areas where KVPs will be reached, determine size estimation, and plan together with KVPs through micro planning. Furthermore, ASUTA provide capacity building in terms of trainings, orientations, mentorship and supportive supervision to Health Care Providers (HCPs) and Peer Educators (PEs) through engagement with CHMT and the FHI 360 technical team. As part of Health system strengthening, ASUTA engage government health providers for provision of biomedical services and ensuring application of government Standard Operating Procedures and other guidelines.

OBJECTIVES

EpiC has four objectives, which focus on filling existing HIV prevention, case finding, and treatment gaps, and on building long-term sustainability to attain and maintain epidemic control. This grant will support

Objectives 1, 2, and 3 by implementing activities to deliver HIV prevention, care, and treatment services to KVP and AGYW (including DREAMs girls). Specific KVP groups to be reached include Female Sex Workers (FSW) and Men who have Sex with Men (MSM) and their contacts; and AGYW to be reached are those between the ages of 15-24.

The three objectives are presented below.