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Community Concerns of Orphans and Development Association (Cocoda) COMMUNITY CONCERNS OF ORPHANS AND DEVELOPMENT ASSOCIATION (COCODA) P. O. BOX 712, NJOMBE - CHAUNGINGI STREET ALONG SONGEA ROAD, OPPOSITE TANESCO REGIONAL OFFICE Email:[email protected] Website: www.cocoda.or.tz COCODA 2018 ANNUAL REPORT COMMUNITY CONCERN OF ORPHANS AND DEVELOPMENT ASSOCIATION REPORTING PERIOD: 1 JANUARY – 31 DECEMBER 2018 Projects Implemented Councils SAUTI Project Njombe Region councils: Njombe Town Council USAID BORESHA AFYA Project Njombe District Council USAID KIZAZI KIPYA Project Makambako Town Council USAID Tulonge Afya Makete District Council Wanging’ombe District Council Ludewa District Council Prime Recipients Implementing Partners DELOITTE CONSULTANCY LTD LGAs JHPIEGO Health facilities PACT TANZANIA FHI360 Programme/Project Budget/Year Programme Duration SAUTI 182,970,583 5 Years USAID BORESHA AFYA 31,388,076 5 Years USAID KIZAZI KIPYA 297,158,227 5 Years USAID TULONGE AFYA 159,376,560 5 Years TOTAL: 670,893,446 Report Submitted By o Name: Mary Kahemele o Title: Executive Director o Organization: COCODA o Email address: [email protected] o Phone No: 0754 071 288 1 Table of Contents List of Acronyms / Abbreviations ............................................................................................... 3 Executive Summary ...................................................................................................................... 4 I. PROJECT IMPLEMENTATION ............................................................................................... 6 II. SAUTI PROJECT ................................................................................................................. 6 III. USAID BORESHA AFYA PROJECT .................................................................................. 10 IV. USAID KIZAZI KIPYA PROJECT ..................................................................................... 11 V. USAID TULONGE AFYA ....................................................................................................... 14 Human resources ........................................................................................................................ 19 Challenges.................................................................................................................................... 19 Way forward ................................................................................................................................ 20 Success story ............................................................................................................................... 21 2 List of Acronyms / Abbreviations AGYW Adolescent Girls and Young Women AIDS Acquired Immune Deficiency Syndrome ARV Antiretroviral CBHS Home Based HIV Services CBHSP Community Based Health Services Providers CDO Community Development Offer CHF Community Health Fund COCODA Community concern of orphans and development association COME Community mentors CTC Care and Treatment Clinic DC District Council FSW Female Sex Workers GBV Gender Based Violence GBV Gender Based Violence HBHCT Home Based HIV Counselling and Testing HIV Human Immunodeficiency Virus IGA Income Generating Activities KP Prev Key Population Prevention LGA Local Government Authority MSM Men Sex with Men MVC Most Vulnerable Children OHSP Other Hot Spot Population OVC Orphans and Vulnerable Children PFSW Partner of Female Sex Workers PLHIV People Living with Human Immunodeficiency Virus PLHIV People living with HIV and AIDS PMTCT Prevention of Mother-To-Child Transmission of HIV PP prev Priority Population Prevention PPT Periodic Preservatives Treatment SBCC Social Behavior Change Communication SILC Saving and internal Lending Community SWO Social Work Officer TB Tuberculosis TC Town Council VCT Voluntary Testing and Counselling VSLG Village Saving and Lending Groups 3 Executive Summary Community Concern of Orphans and Development Association (COCODA) formally registered as a non-governmental organization in Tanzania in year 2000 with registration No. 10278 under Ministry of Home Affairs and later in 2015 with registration number 00NGO/00007795. COCODA was registered to operate in Tanzania Mainland but currently implementing its activities in Njombe region. COCODA’s establishment, resulted from intensifying concern among community members in Tanzania mainland over the surging number of orphans, mainly as a consequence to increased number of people infected by HIV and dying from AIDS, majority being adults leaving behind young children without parents. It was obvious then that this trend had a direct negative impact on social and community development. Hence COCODA envisioned offering effective response to this situation through providing education to local community members to increase awareness on facts about HIV/AIDS in order to reduce new infections and stimulate mobilization for all matters related to HIV/AIDS including care of orphans. Since its establishment COCODA has recorded scaled achievement as evidenced by substantial numbers of community members reached by various programmatic interventions implemented by the organization as well as heightened level of partnership with funding partners, the government as well as community based implementing partners. In the financial year of 2018, COCODA continued to implement four awarded project in all councils of Njombe Region, these were SAUTI project under JHPIEGO implemented in all six councils of Njombe Region, USAID Boresha Afya project funded by USAID under DELOITTE implemented in Ludewa district council and Wanging’ombe district council, USAID Kizazi Kipya project funded by USAID under PACT Tanzania implemented in Njombe District council, Njombe Town council and Makambako Town council and USAID Tulonge Afya funded by USAID under FHI360. Through the four projects, COCODA achieved to implement demand creation interventions for HIV, STIs, FP and GBV screening services reaching 90511 KVPs in all six councils of Njombe region. The organization also managed to reach 11543 PLHIVs adults and children 4 with at least one of care and support services outside or in health facilities in Ludewa and Wanging’ombe councils. However, the organization identified 6775 OVCs in Njombe DC, Njombe TC and Makambako TC and reached them with nutrition, health, psychological support, education, food and household economic strengthening services through PEPFAR OVCs program. Moreover, COCODA managed to conduct Interpersonal Communication interventions for HIV test and treat, FP and ANC services in Njombe Town council reaching 45748 men and women at risk of HIV, pregnant women and youth both males and femals (aged 15 -24). All these projects have been implemented in collaboration with the Government at all levels. 5 I. PROJECT IMPLEMENTATION In supporting government initiatives COCODA has implemented its activities in collaboration with other stakeholders. Majority if not all projects that have been implemented by COCODA have had their main percentage of work requiring management of field work activities at community level. At each one given time COCODA has been implementing multiple projects in multiple community areas. The following is the description of projects implementation for the period of financial year 2018 in Njombe region basing on projects; II. SAUTI PROJECT Sauti project is the five years comprehensive HIV prevention project targeting Key Vulnerable Population (KVP’s). Funded by USAID through PEPFAR fund and it is managed by JHPIEGO in partnership with Pact Tanzania, Engender Health and NIMR Mwanza. Sauti project seeks to contribute to the improved health status of all Tanzanians through a sustained reduction of new HIV infections in support of the United Republic of Tanzania’s (URT) commitment to HIV prevention. The project is implemented through three key interventions that are biomedical intervention, Social Behavior Change Communication intervention and structural intervention with addition of research which is cutting across all intervention. COCODA in FY 18 in partnership with JHPIEGO regional Sauti team implemented Sauti project activities in six councils of Njombe region. These councils are Wanging’ombe DC, Makambako TC, Njombe DC, Njombe TC, Makete DC and Ludewa DC, the intervention implemented by COCODA are Social Behavior Change Communication education to Female sex workers (FSW) and Adolescent Girls and Young Women (AGYW) as well as demand creation in different hotspots to the KVP’s not reached with SBCC education classes to access biomedical services offered by Sauti regional team. These biomedical services included HIV testing and counseling on sexual transmitted infection, Family planning and GBV Screening. 6 SBCC Intervention During this FY 18 COCODA SBCC through Community Based Health Service Providers managed to mobilize KVP clients and conduct SBCC education in different wards of the region with which total of 6011 clients were reached with SBCC education among them 2530 were AGYW, 3290 were FSW and 191 were MSM. HIV testing and counseling services were accessed by 5243 participants in which total of 162 HIV+ clients were identified however managed to enroll into CTC total of 155 participants. Family planning methods were offered to 1126 participants also STI screening was done to 3386 SBCC beneficiaries therefore 143 FSW were identified with syphilis and they were given treatment. The table below shows participants reached with SBCC education and biomedical services offered during October 2017 to September 2018 reporting period.
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