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KIWAKKUKI ANNUAL REPORT 2007

Compiled by Itemba D. K

Executive Coordinator

P. 0 Box 567MoshiTanzania

Email: Kiwakkuki@kilionline.com

Website : www.kiwakkuki.org

List of Acronyms

AIDS- Acquired Immune Deficiency Syndrome

ART- Antiretroviral Therapy

ECD- Early Childhood Development

FGM- Female Genital Mutilation

HBC- Home Based Care and Treatment

HIV- Human Immunodeficiency Virus

ICDP- International Child Development Program

KAP- Knowledge, Attitude and Practices

MDG- Millennium Development Goals

MVCT- Mobile Voluntary Counseling and Testing

NSGPR- National Strategy for Growth and Reduction of Poverty

OD- Organizational Development

OI- Opportunistic Infection

OVC- Orphans and Vulnerable Children

PEPFAR- President’s Emergency Plan for AIDS Relief

PLHA- People Living with HIV/AIDS

PLHIV- People Living with HIV

PMTCT- Prevention of Mother to Child Transmission

PSI- Population Services International

SACCOS- Savings and Credit Cooperative Society

SHC- School Health Clubs

STI- Sexually Transmitted Infection

TAF- Tanzania AIDS Forum

TANGO- Tanzania Association of NGO’s

TB- Tuberculosis

VCT- Voluntary Counseling and Testing

WILDAF- Women in Law and Development in Africa

Table of Contents

1.0 The HIV and AIDS Situation in Tanzania and Kilimanjaro. 4

2.0: Background to KIWAKKUKI. 5

3.0 Executive Summary. 5

4.0 Detailed Results per Programme. 6

5.0 Some of the achievements. 14

6.0 Challenges encountered. 21

7.0 Way Forward: 21

8.0 Financial Summary. 21

1.0 The HIV and AIDS Situation in Tanzania and Kilimanjaro

The national HIV prevalence rate among adults aged 15-49 in Tanzania is currently estimated at 6.5 – 7%. According to the PEPFAR Tanzania Country Profile, Adults and children (0-49) living with AIDS at the end of 2005 were 1.4 million. Among the 1.4 million people living with AIDS, 70.5 percent are 25 to 49 years old, and 15 percent are 15-24 years. In young women ages 15 to 24, there is an HIV prevalence rate of 3.8 percent, which is significantly higher than the 2.8 percent prevalence rate among young men in the same age group. Reports also indicate that there has been a recent increase in HIV prevalence among older age groups, with the HIV prevalence rate among women ages 30 to 34 reaching 13 percent. As of 30th September 2007, individuals who received antiretroviral treatment were 96,700 whereas HIV and AIDS (including TB/AIDS) individuals who received care and support in 2007 were 274,100.

In Tanzania, AIDS orphans at the end of 2005 were estimated at 1.1 million. The number of orphans and vulnerable children (OVCs) who were supported nationally in 2007 were 471,300. Moreover, the number of individuals reached with community outreach HIV/AIDS prevention programs that promote Abstinence and/or Being Faithful in 2007 were 2,698,400.

As it is stipulated under the National HIV/AIDS Policy, the government aims to promote early diagnosis of HIV infection through Voluntary Counseling and Testing with professionally conducted pre and post-test counseling. The main aim is to measure and encourage approximately 85 – 90% of population who are HIV-negative to take definitive steps not to be infected, and those who are HIV-positive to receive the necessary support in counseling and cope with their status, promoting their levels and not to infect others. Consequently this will lead to reduced rate of new infections, reduced death rates and reduced percentage of children who are orphaned due to AIDS.

According to the NACP Report No. 19 of 2004 Kilimanjaro region was the 3rd leading region with the highest number of AIDS cases after Mbeya and Dar es Salaam. However, for the prevalence rates the leading regions are Mbeya:13.5%, Iringa,13.3 and Dar s salaam, 13:10.9. As for Kilimanjaro region it is 7%. The 2006 report on the total number of patients per district for Kilimanjaro region which showed the following rates for every 100,000 of the population: Moshi Rural: 52.2, Mwanga: 75.2, Rombo:77, Moshi Urban: 487, Mwanga: 75.2, Mwanga: 87, and Hai (combined with Siha) :1,005.

When the president of the United Republic of Tanzania, Hon. J.M Kikwete declared a National VCT campaign on14th July 2007 the target population allocated for the region was 12,592. The campaign was launched by the Kilimanjaro Regional Commissioner Hon. Mohammed Babu on 8th September 2007. On the 1st of December, the World AIDS Day, the president instructed for an extension of the campaign until the end of May 2008. Up to 31st January, a total number of 187,172 (78,868 male and 108,304 female) had responded to the campaign. This was an equivalent of 115.12% compared to the regional allocation. The prevalence rate obtained during the 2007 National Campaign for Kilimanjaro were higher for Moshi Urban than for the rural based districts as follows: Moshi Municipal; 3.2%, Moshi Rural;1.96%, Same; 2.51%, Mwanga, 4.09%, Rombo:1.89%, Hai; 1.78%, Siha;2.30%.

2.0: Background to KIWAKKUKI.

For the past 16 years, KIWAKKUKI has been contributing towards addressing the challenges facing the Health Sector in Tanzania such as inadequate human resources to deliver quality health services compounded by poverty in the community which limit’s patients capacity to purchase drugs and also addressing the economic and psychosocial needs of OVC’s and their care givers. By so doing, the organization has participated in the National HIV and AIDS Prevention, Care and Support Programme as well as the Poverty Reduction Strategy.

Apparently, KIWAKKUKI’s approach has been an integration of HIV and AIDS activities into the national long, medium and short term plans namely Vision 2025, National Strategy for Growth and Reduction of Poverty (NSGPR) or MKUKUTA and the Tanzania’s Development Vision 2025. Others include the AIDS Policy and the Millennium Development Goals 1, 2, 3 and 6.

The main programme is HIV and AIDS Prevention, Care, Support and impact mitigation with the components of HIV/AIDS Awareness Raising, Voluntary Counseling and Testing, Home Based Care and Treatment Follow up.

In 2007 KIWAKKUKI planned to address the extreme shortage of VCT counsellors in Kilimanjaro region as well as HBC quality care providers. A proposal was approved to train 20 VCT counsellors and 20 HBC providers at the National Standard level in 2008. In another development, KIWAKKUKI‘s approach to impact mitigation and poverty reduction was stipulated in her strategic thinking process with community economic development processes. This included engaging in alleviating scarcity of safe and clean water, scarcity of irrigation water and capacity building of moderately constructed houses. These and other areas have been seriously impacted by declining community safety nets, and growing income poverty.

3.0 Executive Summary

This report covers the programme implementation period of January to December 2007. This was the first year of implementing the second Strategic Plan of KIWAKKUKI for the period 2007-2011. Since the presentation of 18 Abstracts at the 3rd Multisectoral AIDS Conference in Arusha in December 2006, KIWAKKUKI’s activities have been increasingly recognized and supported. KIWAKKUKI’s grassroots groups went on being pivotal to our work with their courageous leadership and innovation paving the way towards achievement of the National Policies and Strategies.

The activities that were completed in 2007 include a continuation of awareness raising in the community especially in high risk areas using the School Without Walls approach whereby 44,007 community members were reached wherever they were and were sensitized on safe sex, making informed choices and doing away with harmful practices that perpetuate the spread of HIV. Four School Health Clubs with 200 pupils were established to inculcate early responsibility taking among the children for HIV and AIDS prevention and care. Also studies were conducted to assess the children’s Knowledge, Attitudes and Practices so as to inform the methodologies. Another study was conducted to determine the extent to which cultural practices impact the campaign against HIV and AIDS.

Moreover, 2,238 clients accessed VCT at the centre and 427 in the outreach sub programme in the spirit of responding to the National VCT campaign.

In the work with orphans 2,045 were sponsored with education from Pre School to university. Also, there were 4 more houses constructed for homeless children, 240 more children were trained for memory work and resilience building, 5,266 children were involved in psychosocial support and 1,011 caregivers went on supporting children using knowledge acquired on communicating with children.

As for Greater Involvement of PLHIV, some of them were actively involved in the day to day activities at the centre as volunteers. 8 of their representatives were involved in decision making by sitting in the decision making body for KIWAKKUKI at regional and district levels. Moreover 5 had jobs created for them in the organization. For home based care, 2,298 patients were visited through normal visits and Special Needs Team. Also 1,261 patients were supported with OI’s medication while 2,683 patients who were on ART’s were followed up.

4.0 Detailed Results per Programme.

No

Intervention Strategy

Planned

Output

Actual Output

Outcome

1.0

Community HIV, AIDS and STI’s Education Dissemination for Behavior Change and prevention of new infections.

1.1: 10,000 planned at Information Centres and 50,000 in outreach.

9,655 Males and Females reached at the Information Centres and 34,352 reached in outreach.

- Increased clientele for VCT, increased free talk about VCT in the community as evidenced by requests for mobile services in their areas.



1.2: 4 School Health Clubs in Moshi Municipal were initiated at Njoro, Karanga, Mzalendo and Jamhuri Primary Schools

- The Straight Talk Competition organized between the 4 schools

- 4 SHC formed

- 200 pupils recruited

- One Straight Talk was organised

- Sensitising their peers.

- Several pupils reported change in the way they perceived HIV and AIDS and the broken silence in the families.

- The Straight Talk was viewed as a beginning of maturity in attitudes and behavior change.



1.3: KAP Study conducted among School Health Club members

1.4 Study on Harmful Practices affecting HIV and AIDS Prevention and Care conducted

200 children reached as respondents

160 adult respondents reached, 80 male and 80 female

-99.1%, have heard about HIV 41.6% knew the difference of HIV and AIDS and how to protect themselves. 55% knew about PMTCT, while 84.5% knew that children under 15 years are also vulnerable to HIV. 13.7% admitted to have had sex already.

-The Harmful Practices study revealed that alcoholism and traditional dances encourage people to engage in unprotected sex. Also FGM and commercial sex were contributing factors.






2.0

Members, beneficiaries and staff capacity building

2.1: 2,500 members on HIV/AIDS /STIs, Human Rights and democratization through monthly meetings.

2.2: 50 grassroots groups joined SACCOS for economic empowerment.

2.3: Team Building and OD training for staff and leaders

2.4 Training in Research Skills

- A cumulative total of 4,576 women and a few men attended 10 monthly meetings.

- 30 grassroots groups joined SACCOS.

-1 workshop on Team Building and Organisational Assessment conducted.

- 4 Organizational Development (OD) meetings held.

- 25 staff and council members acquired more skills on research methodology with emphasis on Focus Group Management.

-Demonstration of maturity in levels of discussion and capacity to analyze issues around community participation, human rights abuse and Team Building by members.

-Beginning of Financial sustainability among grassroots groups.

3.0

Greater Involvement of PLHIV (GIPA)

3.1: Promote Positive Living among PLHIV through involving them in various activities.

- 40 PLHIV attended Round table discussion on their current situation.

3.2: 40 PLHIV attended a Lobbying and Advocacy training

3.3: Several PLHIV’ sensitized on the rights of people marginalized by HIV and AIDS.

-More than 30 worked as volunteers at the Information Centre as educators, in the outreach work, counseling and sales in their small shop.

-8 involved in decision making as representatives who sit in the decision making body for KIWAKKUKI at regional and district levels.

-5 jobs created for them in the organization

-29 Human Rights violation cases collected by members and worked upon.

-40 PLHIV attended Advocacy training.

- Reduced hardship of life.

-Increased awareness on Human Rights in community as related to HIV and AIDS.

-Increased access to employment

Increased access to rights by PLHA’s and OVC’s.

4.0

HIV and AIDS Mainstreaming.

4.1 All staff to attend HIV/AIDS/STI’s mainstreaming at KIWAKKUKI as a workplace.

4.2: 2 Family Day Sessions

35 participated, 23 women and 12 men.

- 3 Workplace Sessions held

- 2 family days for HIV and AIDS education organized

.

-Reported increase in discussion of HIV and AIDS at workplace and in families.

-Workplace Policy implemented by supporting a worker’s child and recruiting PLHIV who had required qualifications.






5.0

Conducting Voluntary Counselling and Testing.

5.1: 1,156 Male and 1,201 Female reached for counseling.

Children

5.2: Conduct 2 Phases of Mobile VCT with Phase 1 from October 20th 2007 in four Moshi Municipal Council Wards (High risky) for 2 months and 2 weeks only.

Phase 2 from 22nd Nov.08 at Kikavu Chini and Mtakuja:

- Results at the Information Centre: 981 male and 1,257 female reached. Prevalence rate was 10.75% compared to 14.3% of 2006. Out of these , children under

15 : 145

Female – ve:77 +ve: 13

Male -ve: 68 +ve: 17

Pre marriage couples: 226

- Total clients reached in the outreach were 427

213 Males 5 +ve

214 Female 16 +ve and for Phase 2 , Kikavu Chini: Total

counseled: 249

Male – 152 -ve, 6+ve

Female – 97-ve 6 +ve Mtakuja:

Total clients: 338

Male – 170 -ve, 5+ve

Female 168 –ve, 6 +ve

Grand total: 1,014

Prevalence rate was 4.9%

-Increased number of people living positively by having individualized risk reduction plans in place.

- Reduction of new infections.

-Future treatment costs averted.

-Acquired knowledge on differential VCT results at the centre and in the outreach.

-KIWAKKUKI’s contribution in the National VCT Campaign reported in district, regional and national statistics.



5.3: 264 to receive referrals to other service providers.

Referrals to CTC were 44 clients.

264 clients received referrals.

-Increased access to resources and support.






6.0

Offering Home based care, treatment and support to AIDS Orphans.

6.1: 2000 patients

2,298 patients visited and received treatment and supported by organization and members.

-Increased positive living, improved health, access to care and treatment among patients.








6.2: 50 referrals to other service providers treatment, legal and social welfare.

32 male and 55 female patients received referrals to the centres for Treatment and Care

- Increased access to treatment and legal support.



6.3: 2,000 patients

2,683 Patients

on ART followed up, for monitoring adherence and other ART related consequences.

(1,103 male 1,580 female

33 children )

- Increased positive living, dignity and access to other services.

- Improved health.



6.4: Provision of food and nutrition support to patients on ART and opportunistic medication. 2,500 Patients

on opportunistic infections and ART supported and followed up.

2,155 Patients 733 male 1,422. female served with food and nutrition support.

- Increased capacity to manage day to day activities.

- Reported improved health among beneficiaries.

-Increased food security.



6.5: Promoting self support among PLHIV’s Centre of Hope Club members living with HIV through 2-3 meetings a year to support one another, get education and supportive counseling.

Meeting Attendances at district and ward levels

Same: 821

Mwanga: 205

Hai: 680

Moshi Rural: 1,778

Moshi Municipal: 206

Rombo: 1,555

Total 5,245

-Increased dignity, positive living and capacity to lobby for supportive policies.

-Increased peer psychosocial support.

- Greater involvement of PLHIV through enabling 5 PLHA’s access to jobs.






7.0

Supporting Orphans and Vulnerable children and their caregivers.

7.1: 2,000 (existing new ones

- Primary : 1,074

Secondary: 624

Vocational: 347

Total – 2,045

School Results:111 Primary school passed to join secondary school

14 joined high school

5 joined university

3 – Joined Vocational College 1 – taking engineering

43 OVC completed vocational training, 7 were employed 30 became self employed and 6 still looking for employment. 3 completed university and 2 were employed.



7.2: 3 new houses constructed for very needy OVC in collaboration with the community.

- 4 new houses constructed in Hai, Moshi Rural (2) and Rombo districts making a grand total of 36

The community contributed in the process to some extent.



7.3: 3,000 children supported with food and nutrition

3,500 children supported with food and nutrition

-Increased school attendance and performance.

-Some of the OVC are living with HIV/AIDS and food security becomes essential.

Caregivers burden decreased.



7.4 ???

48 families supported with soft loans in Moshi Rural, 96 in Moshi Urban and 48 in Mwanga.

- Increased resilience among beneficiary families.



7.5a Planned a participation of 240 children in psychosocial and memory clubs.

733 children participated in various areas in the community, with 240 on the Memory clubs and 493 on the ECD clubs.

Increased resilience among the OVC.

Increased access to psychosocial support among the ECD beneficiaries



7.5:b Writing 1,000 family and children Memory books

7.6 Reaching 550 children and their caregivers twice a year through interviews on positive outcomes for orphans

2,400 memory books written in Moshi Municipal.

- 530 in January to June and 550 June to December

-Increased reassurance and positive living among children and supportiveness of children to parents.

-Increased awareness on child care and follow up by caregivers.

8. 0

Raising fund for managing KIWAKKUKI activities

Fund raising strategies:

800,000,000/= planned.

Fund raised through various raising strategies: Tshs. 1,096,434,933/34 being an increase of 23.2%

Increased capacity to raise fund by KIWAKKUKI.

9.0

Good governance and Office Development

9.1 Facilitate Team Formation and Team Building.

9.2 Start development of KIWAKKUKI Office Manuals.

9.3 Complete the Strategic Planning Process

9.4 Visit by senior leader in the country.

-KIWAKKUKI Council and staff members shared views on the Team Building Process in a participatory manner.

- Recruited 11 more employees in the MVCT and VCT programmes making a total of 49 employees from 38.

- Managed to complete the 2007 -2011 Strategic Plan which was to guide her work and a new strategic direction

- Plot identified for office construction.

-Started review of Human Resource Development Policy Manuals, Staff Regulations and Accounting Manuals.

- An average of 2,000 members conducted volunteer work in the grassroots increasing visibility of KIWAKKUKI’s work.

- 6 KIWAKKUKI District councils met twice a year to deliberate a plan for decentralization by devolution.

-Madam Salma Kikwete officiated the 16th KIWAKKUKI AGM.

-Increased democratization and participatory governance.

-Participatory Strategic Plan in place.

- Visit by the 1st lady Madam Salma Kikwete at the 16th AGM.

increased recognition of KIWAKKUKI’s work in the community.

9.0

Networking with other service providers

9.1 Identify and refer clients to service providers for Treatment, Human Rights and Law enforcers.

9.2 Build Coalitions with other key players to create space to capacity building, information and experience sharing and lobbying and advocacy for increased HIV and AIDS education and activation of AIDS related policies.

- Several clients referred as indicated above

- KIWAKKUKI joined national networks like, The Tanzania AIDS Forum (TAF) and the Tanzania Association of NGO’s (TANGO) - - - Coordinated an event on behalf of WILDAF in honour 16 Days of Activism Against Gender Violence on behalf of WILDAF.

- PSI gave several booklets, magazines, T. shirts and brochures for distribution.


5.0 Some of the achievements

5.1 Increased pupil’s capacity to educate using “The Fleet of Hope”. An exciting feature is that in the school health clubs pupils were able to use the approach of a ‘fleet of hope’. This is a teaching material for behavior change which activates a motion among the learners when discussing pictures in relation to different behaviors and way of preventing HIV transmission known as ABCD. A for Abstinence, B for Being faithful to one partner who has tested, C for use of a latex Condom and D for Doing other things instead of high risk behaviour and for adults D is for utilization of VCT service before engaging in sexual relations. 40 primary schools in Moshi Municipality received one piece each. One researcher remarked that the only way to get around this disease was education. “We have no vaccine, no magic drug but we have education”

One of the youth who are in a youth Club at primary school teaching her fellow students about the Fleet of Hope in 2007

5.2 Enhanced Organizational Capacity: KIWAKKUKI received a management support from the partners’ normal monitoring visits and consultancy in Financial Accounting, Log frame development, Monitoring and Evaluation and Report Writing. Also there was training in Lobbying and Advocacy, ECD Tanzania partnership formation, Research Methodology, Planning for installation of the Human Resource Development and Financial Manuals

(Process to be completed in 2008) installation and Application of Quick Books Accounting software to enhance financial accountability.

5.3 Increased popularity and Credibility of KIWAKKUKI: The first lady of Tanzania officiated our 16th Annual General Meeting on the 27 of April 2007.

Mama Salma Kikwete(centre) during KIWAKKUKI AGM in 2007

Also, the President of the United Republic of Tanzania Hon. Jakaya Mrisho Kikwete encouraged people to go for a VCT service at KIWAKKUKI in during the launch of the National VCT Campaign in September. This inspired KIWAKKUKI to launch a Mobile VCT service on top of the existing stand alone unit.

Moreover, KIWAKKUKI received letters of appreciation from individuals, like orphans who are supported and PLHIV, the Regional Medical Officer, The Moshi Municipal Director and friends of KIWAKKUKI from all over the world for the service delivered in the community. We feel like the work you do is addressing more than one of the Millennium Development Goals, you are empowering women, helping children attain education and addressing the ongoing problems of the HIV/AIDS crisis.” written by a team of MDG Committee, Diocese of NC, USA.

Another development was the laying of the Foundation stone on the KIWAKKUKI Vocational Training School by the Kilimanjaro Regional Commissioner Hon Mohamed Babu whereby 2 skeletons of classrooms were completed and a set of start up furniture was in place. Construction will go on in 2008 and recruitment and training are planned for 2009.

The Kilimanjaro Regional Commissioner Hon. M. A . Babu placing the Foundation Stone on the KIWAKKUKI Vocational Skills Centre in February 2007

5.4 Mobile Voluntary Counseling and Testing results reflected impact of education

It was evident that the MVCT results proved that people who tested in their community locations had lower HIV prevalence rate (4.9%) than those who dropped at the VCT centre (10.75%). This could be due to the fact that those who report at the VCT centre were already asymptomatic and more anxious about their sero status than those in the community who may decide to test because the facility is there and because they have been reached by ongoing education. This is helping the community members to know their sero status on time, plan for a new or improved way of living and access early treatment and care.

5.5 Increased Networking and Coalition Building: Also, successfully marked with other stakeholders were the national and international events such as Candle lighting, World AIDS day, Local Government day where HIV messages were disseminated to people. KIWAKKUKI played a leading role on the World AIDS Day in Moshi Municipal with several banners and educative messages during the street demonstration. Also KIWAKKUKI took another big responsibility to organize a campaign known as 16 Days of Activism Against Gender Violence which made a big impact in Kilimanjaro and was reported in the press.

Moreover, KIWAKKUKI conducted some private public partnership by distributing food to the AIDS patients and OVC in Kilimanjaro region in collaboration with the Prime Minister’s Office under a special contract originally signed in 2003 and renewed annually, providing medication to patients who missed them in the government health facilities, renovated and purchased pupils’ desks and teachers tables for 2 schools in Majengo ward. Also, an agreement was reached with village and street leaders to conduct Mobile VCT in several communities of Moshi Municipality.

Also, KIWAKKUKI went on with collaboration in research with the University of Duke and supported practicing students from the Universities of Bergen, Dar es Salaam, Mzumbe, Tumaini, St Augustine and the Institute of Social Welfare.

5.6 Improved Research Methodology Skills: 25 staff and council members acquired more skills on research methodology with emphasis on “Focus Group Management” that enhanced them to collect data in the two studies conducted last year. These skills will sustain future research work at KIWAKKUKI.

5.7 Provided quality care to AIDS patients per district: This was achieved through provision of medication for OI infections, school sponsorship for their children, home based care follow up especially of people on ART and supportive counseling. Food and Nutrition supplements were distributed every 6 months. Moreover, there was advocacy work on gardening, poultry keeping and IGA support to households having very young children. Furthermore, there were referrals made to other service providers and ongoing research to identify and address care giving and treatment gaps.

5.8 Promotion of Early Childhood Development (ECD): The strategic approach was putting the 0 – 8 year olds at the centre by supporting them through their surviving parents, caregivers and communities. Also by the community’s establishment of 2 children’s ECD play grounds making a total of 10. These are meeting places with parents and caregivers for resilience building health promotion and psychosocial support. In addition there was empowering of existing pre schools with ECD principles to make children ready for school. Also there was the launching of the advocacy for ECD issues inclusion in local, national and international poverty reduction policies through the formation of the ECD Partnership of Tanzania. On the part of access to micro credit, 38 beneficiaries who are conducting Income Generating Activities to support the children managed to access bigger loans from their ward based Savings and Credit Cooperative Society (SACCOS). More are expected to access loans from SACCOS in 2008. Another approach was by catering for child protection and addressing HIV and AIDS issues by teachers, administrators and a safe and stimulating learning environment. Moreover, KIWAKKUKI went on linking ECD with ICDP by taking good practices from each.

Pictures for ECD issues, showing recreation activities and Nutritional support for the well being

5.9 Increased access to quality and sustainable life by OVC at various levels.

111 sponsored children qualified to join secondary school from primary school, 11 children qualified to join high school and 5 children joined university. Out of 43 children who completed vocational training, 7 secured jobs in the private sector, 30 are self employed. 2 out of 3 students who completed university secured employment too.

Some of OVC who received support from KIWAKKUKI in smiles after being given school bags and other Scholastic Materials in 2007

Food distribution to OVC is a part of services provided by KIWAKKUKI, Here some of the school children signing food forms in 2007

5.10 Monitoring and Evaluation Strategy.

There was projects’ follow up monthly whereby reports were shared verbally and also in written form. The approach used by KIWAKKUKI entails follow up and promotion of sustainable responses to HIV and AIDS prevention, support and care. District Teams were formed to facilitate district follow up of activities. Also, PLHIV meetings took place monthly and quarterly mainly in the wards instead of districts to minimize meeting costs.

5.11 Improved efforts of sustainability.

Sustainability was enhanced by instituting a team leadership spirit which aimed at enabling greater participation of KIWAKKUKI staff and members in facilitating the implementation of projects as well as working with communities to enable them to implement and follow up HIV prevention and AIDS care. Some of the wards have developed active AIDS Committees which conduct Programmes on HIV prevention, orphans support, small income generation activities and care for the sick.

Moreover, there was the beginning of construction of the office building to enable KIWAKKUKI to own her own premises. Phase one of the construction which comprises of 2 floors, is expected to be ready by end of August 2008. Also there was the constructing of 2 skeletons of classrooms of the Vocational Training Centre. The school is expected to start in 2009 and will also include whole sale, retail shop, meeting facility rental, vegetable gardens. The climax of sustainability will be achieved when we finally integrate our work with the government work in district. The KIWAKKUKI office Building under Construction.

KIWAKKUKI OFFICE CONSTRUCTION

At the district level, KIWAKKUKI still enjoyed Hai, Moshi Municipality and Moshi Rural office spaces donated by the Local Government. Unfortunately, the Rombo office space was claimed back by the DED. At the ward and village levels KIWAKKUKI still accessed several spaces. Also, there was some support received from the government such as medicines, Test Kits, and the KIWAKKUKI Same office received some funding for OVC from the Same District Council. Other fund raising events included Valentines’ Dinner Dance and sale of different products which is ongoing. The outcome is reflected in the financial statement at the end of this report.

5.12 Acknowledgement to KIWAKKUKI Partners and Donors for Institutional Capacity Building

1 Healthlink Worldwide: Training in Communication for Advocacy held in Moshi. Partners’ meeting held in London.

2 Women’s Front of Norway- Staff Capacity Building, Grassroots groups soft loans, experience sharing in Zanzibar and Dar es Salaam. Contributing to the KIWAKKUKI Office Complex.

3 Oxfam Ireland : Log frame development, Report Writing, Development of 2007-2011 Strategic Plan, research methodology, development of KIWAKKKUKI Training Manuals, contributing to the KIWAKKUKI office complex.

4 Oxfam International: Internal and External HIV and AIDS Mainstreaming

5 BvLF- ECD Tanzania Network Strategy Formulation, Facilitation of Organizational Development, Care International and BVLF Joint Strategizing held in Entebbe.

6 Duke University – Training in Research Methodology, International Conference presentation on “The Role of Universities in Community Development” Attending International CAB Meetings in Washington DC and Maryland, Contributing to the KIWAKKUKI Office Complex.

7 SFA- Primary school renovation and furniture support, attending a Board Meeting in Bergen-Norway

8 Bergen University: Attending and contributing to an International Conference on “Grassroots and Academia Fighting Marginalization in Bergen, Norway.

9 Child Foundation: Working out better ways of scaling up support to children in need. Identifying potential donors for constructing a vocational training centre.

10 Cives Mundi- Enabling KIWAKKUKI to embark on community development projects such as rain water harvesting, revival of traditional irrigation projects and community awareness raising on construction of low cost housing, health care training and renovation of health facilities.

11 Action Medeor – Enabling the start of construction of the KIWAKKUKI Office Complex and a promise to support the training of 20 counselors and 20 HBC providers at the national standards as well as training of home based care providers including support with working tools

12 Mai Bente and Friends- contributing to the KIWAKKUKI Office Complex and support to an orphanage which collaborates with KIWAKKUKI.

6.0 Challenges encountered

  • High work load for District Volunteers.
  • Sustainability of KIWAKKUKI in terms of integration of interventions with the government is still unmet.
  • Raising sufficient resources to actualize the Strategic Plan.
  • Establishing Teams that are working.
  • Documenting for impact, what kind of information do we collect as part of changes that can be of impact and over what time frame?
  • High demand of VCT service in the community thus creating burn out to the VCT staff.
  • Inadequate trained counselors and HBC providers who meet the national standards.
  • Outdated Human Resources and Financial Policies for a fast growing organisation.

7.0 Way Forward:

  • Initiate part time volunteers in the 7 district offices.
  • Establish strong links with the local government to facilitate access to more funding.
  • Increase visibility to community initiatives through capacity building for teams and improved documentation.
  • Train at least 20 HBC providers and 20 VCT counselors at the National Standard level.
  • Scale up a Mobile VCT service to cover villages in Moshi Rural, Hai, Mwanga and Rombo districts.
  • Complete the exercise of reviewing KIWAKKUKI Human Resources and Financial Policies.

8.0 Financial Summary

KIWAKKUKI cordially appreciates the contributions of all the donors and partners

who supported our endeavors of 2007 the outcome of which was 1,096,434,933.34

being an increase of 23.2% from 2007. The Income and Expenditure Charts are

displayed on the next page.



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