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AIDSTAR-One
Field Support Workplan (October 1, 2010—September 30, 2011)
Submitted to USAID/Tanzania January 2011
Introduction
As USAID/Tanzania continues to expand both the reach and impact of its HIV
activities, it has collaborated with other development sections, such as Natural
Resource Management (NRM) and Economic Growth (EG) to support integration
of HIV services into non-health services. In order to assist these partners,
USAID/Tanzania identified the need to source timely and accessible HIV
program and technical assistance to support this movement towards deeper
integration efforts. It is critical to the USG to ensure that such partners have easy
access to the necessary support to effectively design and implement state-of-the-
art (SOTA) HIV/AIDS care and/or prevention programs, including those targeting
orphans and vulnerable children (OVC), grounded in scientific evidence and
tailored to local contexts.
Beginning in 2009, USAID/Tanzania requested technical assistance (TA) from
the AIDSTAR-One Project to provide support to NRM and EG partners receiving
HIV/ funding. It is expected that the TA will increase the scope and scale of
integrated HIV/AIDS prevention, care, and OVC programming in non-health
sectors. Two field visits by three AIDSTAR-One HQ staff members were
conducted in 2010 to determine priority areas of technical assistance that
AIDSTAR-One could support. The activities proposed in this workplan were
identified in consultation with USAID/Tanzania and the NRM/EG partners during
these visits, as well as with the input of AIDSTAR-One’s in-country Technical
Advisor.
Background
Tanzania’s HIV epidemic is mature, generalized, and heterogeneous. The
predominant mode of HIV transmission in the country is heterosexual contact
between HIV-infected and uninfected individuals, accounting for approximately
80 percent of infections. Vertical infections from mothers to newborns and
medical transmission account for 18 percent and 1.8 percent of infections,
respectively. Tanzania has had some recent decline in national HIV prevalence.
Between 2003 -2008, the overall adult prevalence fell from 6.7 percent to 5.7
percent (from 6 percent to 5 percent for men; 8 percent to 7 percent for women)1
.
Declines in HIV prevalence were also observed among antenatal women and
blood donors2
. Nonetheless, many challenges still exist in Tanzania’s effort to
achieve reduction in new HIV infections. It is estimated that over 200,000
1
2007-08 Tanzania HIV/AIDS and Malaria Indicator Survey (THMIS)
2
NACP, MoHSW: HIV/AIDS STI Surveillance Report, Report Number 19, October 2005

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Tanzanians are infected with HIV each year. This can be attributed in part to
widespread risky behaviors. For example, in 2008, 18 percent of men and 3
percent of women reported having had multiple sexual partners in the previous
year3
, and 29 percent of married or cohabiting men and 16 percent of such
women4
had sex with someone other than their cohabiting partner.
The inception of Tanzania Commission for AIDS (TACAIDS) was followed by the
development of the first National Multi-sectoral Strategic Framework (NMSF)
(2003–2007). Through this framework, the public and private sectors, local and
international non-governmental organizations (NGOs) and institutions were urged
to initiate interventions aimed at addressing four major thematic areas:
prevention, care and treatment, impact mitigation, and supporting an enabling
environment.
The second NMSF (2008-2012) articulates the broad direction of the country to
further reduce the spread of HIV and to mitigate the impact of AIDS. The
Framework addresses the following main areas: the creation of an enabling
environment for a national response to HIV and AIDS, prevention, care and
treatment and impact mitigation to improve the quality of life of people living with
HIV (PLWH) and those affected by HIV and AIDS, including orphans and other
vulnerable children. All prevention related activities align with the National
Multisectoral Prevention Strategy (NMPS), the Government of Tanzania’s
prevention document.
The Policy, Planning and National Response Directorate within TACAIDS is one
of the units responsible for coordinating all HIV and AIDS policy, planning and
budgeting issues, as well as local and international response in monitoring and
evaluation (M&E), research and data management.
Challenges facing HIV/AIDS prevention on the Tanzania mainland include5
:
• Incomplete geographic coverage of initiatives and services, including
programs that target underlying drivers such as social and gender norms
• The inconsistent definition of and provision of core packages of HIV
prevention services targeted to specific audiences, ensuring that individuals
have access to a comprehensive, high quality range of appropriate services
• The lack of standards, guidelines, or communications strategies for
behavioral interventions, including those targeting most-at-risk populations
(MARPs)
• The need for data, disaggregated by age and sex, on HIV incidence in order
to understand the evolving nature of the HIV epidemic and track program
outcomes
• The uneven use of behaviorally-sound interventions to translate high
knowledge levels into actual individual-level positive behavior change
3
United Republic of Tanzania, UNGASS 2008 Report: Country Progress Report
4
United Republic of Tanzania, UNGASS 2008 Report: Country Progress Report
5
HIV Prevention Strategy for Tanzania Mainland and two year Action Plan, TWG – MWF2

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• The lack of human capacity in behavioral interventions for HIV prevention,
including behavior change communications
• Achieving the appropriate mix and utilization of interpersonal and mass media
communications approaches, with incorporate interactive elements
• The lack of thorough integration of HIV prevention services into existing
facility- and community-based facilities and programs
• The inconsistent use of data for program design, tracking/monitoring, and
evaluation, including the evaluation of HIV prevention interventions to
understand impact
• Insufficient coordination and partnership between public, private, and civil
society partners at the national, regional, district, and community levels
Goal and Objectives
The goal of AIDSTAR-One technical support in Tanzania is to serve as a
resource of technical expertise for NRM/EG partners. AIDSTAR-One will provide
support to implementing partners from non-health sectors identified by USAID to
help them design, implement, monitor and report on HIV prevention, care, and
support activities implemented through their non-health programs and networks.
The objectives of AIDSTAR-One technical support are:
1. Ensure HIV/AIDS program models, approaches and activities reflect state-
of-the-art prevention, care and support programming, are grounded in
scientific evidence, and respond appropriately to local contexts
2. Assist partner organizations better understand and follow PEPFAR
reporting requirements and strategic direction
3. Maximize effective utilization of multi-sectoral partnerships and networks
to achieve both programmatic impact and cost-efficiency through close
collaboration and coordination with key national and local government
counterparts and other stakeholders.
Proposed Activities
The following activities aim to support the integration of HIV/AIDS activities into
non-health sectors, assist NRM/EG partners to implement and monitor HIV/AIDS
prevention, care and support activities, and increase outreach to diverse
communities by utilizing NRM/EG organizations networks:
1. Identify and analyze different models/approaches for mainstreaming
HIV/AIDS into development programs and provide recommendations to
USAID/Tanzania and NRM/EG partners

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2. Strengthen program monitoring and evaluation capabilities and routine
use of data for decision making
3. Support NRM/EG partners in the development of workplans and progress
monitoring plans in accordance with PEPFAR standards and strategic
direction
4. Support creation of linkages between NRM/EG partner organizations and
other USAID-funded HIV programs in Tanzania
5. Facilitate exchange of knowledge and experiences of integrating
HIV/AIDS activities among the NRM/EG partner organizations.
In carrying out these activities, AIDSTAR-One will position itself in a support role
to the NRM/EG partners, reinforcing their ownership of their programs.
AIDSTAR-One will also assure that the partners are in agreement with the
proposed activities and benchmarks, allowing their self-perceived needs to be
reflected in the workplan, while informed by AIDSTAR-One’s technical
knowledge of global best practices. AIDSTAR-One will also make every effort to
take advantage of existing tools and TA resources, adapting them when
necessary. AIDSTAR-One will work closely with USAID/Tanzania and
PEPFAR/Tanzania partners to identify those tools and resources that may be
applicable for supporting NRM/EG partners.
The primary NRM/EG partner and programs AIDSTAR-One will work with are:
• The Jane Goodall Institute (JGI) through their project in collaboration with
George Mason University (GMU)
• The African Wildlife Foundation (AWF) through their SCALE project
• The Tanzania Coastal Management Program (TCMP) and the University
of Rhode Island (URI)-Pwani project
• Fintrac’s Tanzania Agriculture Productivity Program (TAPP).
Further information on specific programs is included as appropriate below.
1. Identify and analyze different models/approaches for mainstreaming
HIV/AIDS into development programs and provide recommendations to
USAID/Tanzania and NRM/EG partners
AIDSTAR-One will help the NRM/EG organizations strengthen their
programmatic activities with a focus on technically sound, state-of-the art
implementation. AIDSTAR-One will work with the NRM/EG partners to identify
best practices and opportunities for expansion or improvement. AIDSTAR-One
will also help the NRM/EG partners to identify challenges and possible solutions,
including areas where additional technical assistance or resources are needed.
To improve implementation, AIDSTAR-One and the NRM/EG partners will draw
upon models and approaches to mainstream HIV/AIDS into non-health sectors

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that have met with success in other settings. AIDSTAR-One will consult its
technical teams, partner organizations, and the project’s databases to identify
promising approaches and models and conduct a detailed analysis to determine
if these programmatic responses can provide guidance to NRM/EG partners and
USAID/Tanzania for current and future programming. A literature review with
recommendations will be prepared and disseminated to NRM/EG partners and
USAID/Tanzania.
AIDSTAR-One will also develop and disseminate two case studies on selected
programs that have effectively mainstreamed HIV/AIDS into their non-health
activities. Both case studies will synthesize successful and innovative practices
as tools for new program development and implementation and aim to support
replication tailored to the local context. The purpose of the case studies is to
move beyond the “what” to the “how” the work was accomplished. The case
studies will be 5 to 10 pages in length each and will be printed and distributed in
both hard copy and electronically.
2. Strengthen program monitoring and evaluation capabilities and routine use
of data for decision making
Routine reporting will be encouraged as a programmatic activity. After NRM/EG
partners have created new or modified existing monitoring and evaluation plans
to include PEPFAR indicators, AIDSTAR-One will provide technical assistance in
implementing those plans. AIDSTAR-One will support NRM/EG partners in
collecting both quantitative and qualitative data on programmatic activities to
obtain a more holistic picture of these activities’ impact.
In addition to the routine monitoring activities and data collection, AIDSTAR-One
will support the NRM/EG partners to develop special studies focusing on
particular topics. For example, through their work on livelihood development, the
partners may be affecting gender relations in their catchment communities.
Surveying community members could help ascertain the effect the programs are
having—positive or negative—on gender norms and relationships at the
individual and community level.
AIDSTAR-One will provide technical assistance in using monitoring data to
inform program planning and management of activities, facilitating data-driven
decision making. Monitoring and evaluation information will be used to feedback
into program plans to ensure the technical approaches used are evidence-based.
Additionally, AIDSTAR-One will utilize its network of partners with expertise in
quality improvement to focus on quality, working with the NRM/EG partners to
identify areas of data quality and quality improvement in services.

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3. Support NRM/EG partners in the development of workplans and progress
monitoring plans in accordance with PEPFAR standards and strategic
direction
When planning for future activities, AIDSTAR-One will provide technical
assistance to the organizations to not only develop their next year’s workplans,
but also build these into longer term strategies. These activities will draw upon
information gleaned from key informant interviews to expand into identified areas
of opportunity and to address challenges.
Illustrative activities include:
• Review training curricula and materials with JGI-GMU, AWF, and Fintrac
• Develop follow-up plans for staff trainings
• Adapt data collection and reporting tools developed by AWF for Longido
Community Integrated Program (LOOCIP) and train staff on tool and
reporting
• Provide technical assistance to FINTRAC to develop implementation plan
for subgrantee AIDS Business Coalition Tanzania (ABCT)
• Conduct key informant interviews with program staff to identify
programmatic best practices, challenges, and opportunities.
AIDSTAR-One will also organize an integration workshop for NRM/EG partners
that will include two sessions on monitoring an evaluation. One session will focus
on the PEPFAR strategy to better orient NRM/EG staff to the current five-year
strategy, including how HIV/AIDS programming fits into the larger health and
development context. Particular focus will be placed upon relevant areas, such
as gender, OVC programming, and integration. Another session will review the
USG funding and reporting cycle, to demonstrate to NRM/EG partners how
planning and reporting are coordinated and to help them incorporate these
processes into their annual cycles. PEPFAR has already provided training
sessions on indicators, M&E reporting, and the use of the data reporting
systems; these sessions would supplement those trainings.
AIDSTAR-One will also work with NRM/EG partners to ensure their materials
conform to PEPFAR standards. In collaboration with New Partners Initiative
Technical Assistance (NuPITA), AIDSTAR-One will provide technical assistance
to the NRM/EG organizations already conducting trainings and developing
integration materials to align them with PEPFAR requirements and indicators as
appropriate.
Illustrative activities include:
• Review relevant components of PEPFAR 2009-2014 Strategy in an
orientation session during the M&E workshop
• Conduct key informant interviews with M&E and other relevant
programmatic staff on their experiences with the PEPFAR reporting

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systems and feedback from country, regional, and other USG/PEPFAR
offices
• Provide technical assistance to JGI-GMU and AWF to develop HIV/AIDS
awareness and prevention modules in line with PEPFAR requirements
and integrate into NRM trainings
• Provide technical assistance to FINTRAC to develop training curriculum
and data collection tools in line with PEPFAR requirements.
4. Support creation of linkages between NRM/EG partner organizations and
other USAID-funded programs in Tanzania
AIDSTAR-One’s field based technical advisor will serve as a liaison for NRM/EG
partners with other USAID-funded projects in Tanzania to identify resources and
facilitate the exchange of information. USAID/Tanzania will provide the technical
advisor a list of projects with contact information so that she can arrange
meetings and begin compiling information about activities and available
resources which can assist the NRM/EG partners. The technical advisor will keep
NRM/EG partners apprised of opportunities for potential collaborations with other
USAID-funded projects, facilitate contact between organizations, and coordinate
the exchange and utilization of tools, frameworks and other resources. If the
NRM/EG partners are interested in a specific topic which falls under the expertise
of other USAID-funded projects, the technical advisor can also organize
meetings and invite other projects to present.
Emphasis will be placed in leveraging the comparative advantage of other USAID
partner’s in the development and/or adaptation of Behavioral Change and
Communication materials. Some of the NRM/EG partners have expressed the
need to identify key prevention messages and develop communication materials.
AIDSTAR-One will work closely with other USAID funded programs to support
NRM/EG partners develop, validate, and produce prevention materials.
5. Facilitate exchange of knowledge and experiences of integrating HIV/AIDS
activities among the NRM/EG partner organizations
The Technical Advisor will be in regular contact with the NRM/EG partners and/or
sub-grantees through site visits and meetings in Dar es Salaam.
AIDSTAR-One will also organize workshops and meetings covering topics and
issues related to the integration of HIV/AIDS activities. The technical advisor will
work closely with NRM/EG partners to identify areas of interest and develop the
content. A three-day workshop on integration is proposed for February 2011. The
objective of the workshop is to provide NRM/EG partners a framework for
integration (designing and implementing activities, and measuring progress and
impact), and give them the opportunity to exchange program experiences. This
workshop can also provide NRM/EG partners useful information for the Semi
Annual Report (SARP) submission in April 2011.

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AIDSTAR-One will organize the workshop in Dar es Salaam or Arusha.
AIDSTAR-One will develop the content in consultation with the NRM/EG
partners, their sub-grantees and USAID. USAID will cover the costs of the
workshop, and NRM/EG partners will be responsible for their travel and hotel
costs.
AIDSTAR-One will also organize and host an annual meeting for the NRM/EG
partners to facilitate the exchange of information and experiences among the
organizations. In the past, USAID hosted these meetings, but AIDSTAR-One will
take on this responsibility in the future. The annual meeting will provide a forum
for mutual support on external and internal mainstreaming, allow for cross
organizational learning and provide an opportunity for sharing emerging lessons,
good practices and case studies. The meeting will also help formulate action
points, resolutions and recommendations on future programming and the way
forward.
AIDSTAR-One will develop the agenda for these meetings in collaboration with
the implementing partners, their sub-grantees and USAID. The meeting venue
will rotate to give NRM/EG partners the chance to showcase their efforts (site
visits will be included in the agenda). The duration of each meeting will be two
days to give participants sufficient time to share experiences and participate in
site visits to observe how activities are implemented. AIDSTAR-One will be
responsible for the facilitation, documentation of the meetings, and distribution of
meeting reports.
Timeline
Activities and Products
Nov—
Dec
2009
Jan—
Mar
2010
Apr—
Jun
2010
Jul—
Sep
2010
Develop and obtain approval
for AIDSTAR-One workplan
X
Identify and analyze different
models/approaches for
mainstreaming HIV/AIDS into
development programs and
provide recommendations to
USAID/Tanzania and
NRM/EG partners
X X

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Activities and Products
Nov—
Dec
2009
Jan—
Mar
2010
Apr—
Jun
2010
Jul—
Sep
2010
Identify and document
successful experiences with
integration models through
the development of case
studies
X X
Strengthen program
monitoring and evaluation
capabilities and routine use of
data for decision making
X X X
Support NRM/EG partners in
the development of workplans
and progress monitoring
plans in accordance with
PEPFAR standards and
strategic direction
X X X
Support the creation of
linkages between NRM/EG
partner organizations and
other USAID funded
programs in Tanzania
X X X
Facilitate the exchange of
knowledge and experiences
of integrating HIV/AIDS
activities among the NRM/EG
partner organizations
X X
Management and Staffing
To provide consistent quality technical assistance, AIDSTAR-One hired a full-
time local technical advisor to provide direct TA and oversee consultants
contracted for short-term assignments. AIDSTAR-One is sharing office space
with AMCA Inter-Consult Ltd., a consulting firm based in Dar es Salaam.
AIDSTAR-One will provide support through its Arlington, Virginia headquarters
primarily through the position of Country Program Manager. The Country
Program Manager will be the primary communications liaison between the
country office and project headquarters, and will also liaise with AIDSTAR-One
Technical Team Leads to ensure that timely and appropriate technical assistance
is provided.

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Besides the headquarters support provided by the Country Program Manager,
the AIDSTAR-One Project Director will also be involved as needed.
Short-term technical assistance will be provided as needed by both local and
international consultants and/or staff from AIDSTAR-One, or from JSI or any of
the AIDSTAR-One partner organizations. A preference will be given to using
local consultants when possible. When using international consultants,
preference will be given to using consultants from the Africa region.
Deliverables
1. Quarterly progress reports
2. Meeting/workshop reports
3. Literature review with recommendations
4. Two case studies
Budget Line Items & Checklist for Field Support under Task Orders
(Submitted by TO Contractor for all Mission-funded activities)
Labor* $129,330
Fringe Benefits** $
Consultants $ 90,600
Allowances $
Travel and transportation $146,928
Subcontracts $
Other Direct Costs $241,052
Overhead** $ 29,215
G&A** $
Subtotal $ 637,125
Fixed Fee** $ 31,856
Total Estimated CPFF of Activity $ 668,981
*List of labor categories (or estimates daily rates) and Level of Effort (LOE)
proposed for this activity.
Labor Category LOE (days)
Project Director (JSI Staff) 4
Country Program Manager (JSI Staff) 75
Technical Officer (JSI Staff) 30
Local Sr. Technical Advisor (Local Staff) 195
F&A Officer (Local Staff) 100
International Consultants 120
Local Consultants 150
TOTAL LOE 674

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**TOCO will verify that indirect rates and fee are in accordance with established
contract/task order rates. (JSI approved overhead rate is 78%)
Checklist for Field Support activity
_X Total LOE for field support labor not exceeded
_X_ No deviation from Task Order SOW
___ Local Salaries are in accordance with local compensation plan
___ Source Origin waivers are in place if necessary
___ No new subcontracts are necessary
The information contained above is true and accurate and reflects our best
estimates of the total activity’s cost
January 6, 2011
_____________________ _________
Contractor Date
I have reviewed the SOW and find that it is within the overall TO Scope of Work. I
have reviewed the proposed workplan and budget associated with this activity
and finds them to be reasonable.
____________________ _________
TO COTR Date
I have reviewed the proposed workplan and budget associated with this and find
them to be reasonable.
____________________ ________
Mission Activity Manager Date