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HIV/AIDS Prevention for Disabled People in Tanzania

Region: Africa
Author: Disabled Organisation for Legal Affairs and Social Economic Development (DOLASED
Consortium Member: Trickle Up Program
Status: Needs Funding Budget: $5390 Collected: $0 Needs: $5390
Goal: to communicate information and protective strategies about the spread of AIDS, to a variety of disabled populations in three Tanzanian communities.
Comment: These populations are not being served by any existing AIDS prevention programs.

Location: Three municipalities of Ilala, Kinondoni and Temeke in Dar es Salaam city, Tanzania, East Africa.

Name of project director: Mr. Gidion Kaino Mandesi, DOLASED Executive Director/Trickle up Program Coordinator for Tanzania

Brief Description of the Project Need

We decided to pursue a specific project to provide HIV/AIDS education and to identify strategic measures to slow down HIV infection rates to blind, deaf, albinos, physically handicapped and mentally retarded persons in our society. HIV/AIDS is the newest challenge and public health crisis in our society. It is a fatal disease. HIV infection rates are increasing among the Tanzanian population. Worse still, most disabled people (3 million in Tanzania, out of a total population of 30 million) are totally lacking the knowledge of how HIV is transmitted or that HIV includes them - that they are at-risk.

Lack of access to appropriate information about HIV/AIDS control measures is the biggest problem to them in our society. Firstly, existing projects on HIV/AIDS do not take into consideration these vulnerable social groups. Secondly, communication strategies to disseminate information on HIV/AIDS control measures are different for persons with disabilities compared to non-disabled persons in society. And thirdly, few disabled persons have access to HIV/AIDS information. Thus, lack of awareness and ignorance on HIV/AIDS amongst disabled persons has not been addressed in the national initiatives trying to combat the HIV/AIDS epidemic. We are therefore committed to implement this project to address the above-identified needs in favour of disabled persons.

Project goals:

(a) The main goal is to slow down the spread of HIV infection rates to disabled persons through informing them of a range of strategies for controlling the disease.

Specific objectives

  1. To provide many disabled persons with access to knowledge of how HIV is transmitted, and to inform them that HIV/AIDS is a fatal disease.
  2. To encourage the disabled to undertake HIV testing to know their health condition.
  3. To provide safe-sexual information like the use of condoms to our target groups.
  4. To give different options to those affected by HIV to accept that situation and to use appropriate advice to find a way to enjoy their lives with the side effects.
  5. To persuade disabled persons to avoid their involvement in all identified acts that may lead people to be affected with HIV/AIDS.
  6. To formulate a strategic action plan with disabled persons on the best means of providing HIV/AIDS education to disabled persons nation wide.

Methods of implementing the project goals:

  1. Conducting a preliminary workshop to develop training materials.
  2. Information dissemination in different formats e.g. Braille format for blind people and in sign language for the deaf.
  3. To conduct a series of 3 training sessions in Ilala, Kinondoni and Temeke Municipalities.
  4. To formulate a strategic action plan for controlling the spread of HIV/AIDS to disabled community.
  5. To undertake monitoring and evaluation of the project.
Expected outcomes:
  1. The knowledge gained concerning HIV transmission will be shared with many disabled persons and their associations in the selected areas; increased numbers of women and men with disabilities will have access to appropriate information about HIV/AIDS control measures to save their lives.
  2. Many disabled people will understand and obtain knowledge about condoms and how to use them in order to control the spread of HIV when they are having sexual intercourse with their partners.
  3. Increase numbers of disabled women and men will undergo HIV testing in recognised HIV testing centers and hospitals within the selected areas.
  4. HIV infection rates will be decreased.
  5. Enhanced wider participation by disabled people in the national campaign against the spread of HIV/AIDS will be achieved.
  6. Greater awareness about HIV/AIDS control measures amongst disabled persons and their families, as well as the public at large, will be achieved.

Project duration: six months project

Additional Information

Gidion Mandesi [photo, right]has provided the following information in response to questions from the doctors from the Virtual Foundation Health Proposal Review panel.

1. Both disabled and non-disabled persons can get access to HIV screening and treatment for the associated diseases in some health centres, hospitals and established special Voluntary Counselling and Testing centres such as Angaza and AMREF available in Ilala, Kinondoni and Temeke Municipalities in Dar es Salaam, City. These centres can accommodate individuals with particular disabilities.
In reality, there are no special mechanisms identified/established to guide these centres on how best to provide their services to disabled population. They are providing their services on inclusive basis.
Individuals who test positive can get appropriate counselling services from Voluntary Counselling Centres; recommended balance diet and treatment for the HIV/AIDS associated diseases from health centres and hospitals by using recommended available medication; and home care services provided by their relatives.

2. We have chosen Ilala, Kinondoni and Temeke municipalities in Dar es Salaam city to be localities for conducting these workshops for the following reasons:

3. We have contacted the volunteer health services project under Care International to give us relevant literature on HIV/AIDS in Tanzania for the advocacy purposes. We have also communicated with the Tanzania Braille Printing Press to prepare in Braille format such training materials they have accepted to comply with our needs pending upon the availability of funds for that work. We have also collected basic materials such as the national policy on AIDS and other literature from Tanzania Commissioner for AIDS (TACAIDS), National AIDS Control programme (NACP), Ministry of Health and from SINAI Trust Fund. We have identified key stakeholders to participate in the training workshop, identifying venues for training workshops and preparing rapid needs assessment including the direct beneficiaries of the project.

4. With regard to question about the cost, the proposed budget is not high. It is reasonable and represents value for money. With regard to costs for transport and daily morning/evening coffee/tea/soft drinks and lunch are combined together in the budget line. The detailed breakdown is as follows: $2 is budgeted for morning /evening tea and coffee with bites for a person. $2 is budgeted for lunch for a person. $1 is budgeted for soft drinks/drinking water for a person each day. $5 is budgeted for daily to and fro transports per a person. We decide to pay such amounts to ensure that every participant should come on time without any delay. He/she can take a taxi from home to the venue of the training workshop. We think that by using taxi transport can be better for disabled to come in time instead of insisting them to use private mini buses which can lead them to come very late in the training venue.

5. Explanation regarding the USD 700 for project analysis are as follows: We have decided to conduct evaluation exercise after the expiration of the project period by using both internal and external evaluators in order to ensure objectivity and learning. Consultants' fees for external evaluators are $150 for the whole exercise. 2 internal evaluators will be involved each one will be paid $50 x 2 = $100 as compensation for their time spent for evaluating exercise. The evaluation exercise will be conducted within 15 days. Daily transport for 3 persons to make physical visits and conducting interview with our stakeholders is $5 x 3 person x 15 days = $225. Daily meal allowances (include costs for tea/coffee with bites, drinking water/soft drink and lunch) $5 x 3 persons x 15 days =$225. Budgeted for this evaluation exercise is $700.

Two individuals who have been aware about the proposal are:

  1. Kibasila R.A Acting Manger Tanzania Braille Printing Press P. O. Box 3680 DAR ES SALAAM TANZANIA Telephone: (255) 22 - 2180784, Mobile phone: (255) 741 ĘC 404240
  2. Samwel Mluge Secretary General Tanzania Albinos Society P. O. Box 9644 DAR ES SALAAM TANZANIA Mobile phone: (255) 741 - 457667

Costs for conducting preliminary workshops to develop training materials on HIV/AIDS<
Stationary: $80;
Daily transport and subsistence allowances for 10 participants: $10 x 10 participants x 2 $200;
Hiring of venue 2 days: $100;
facilitators' fees: $200
Costs for conducting 3 training sessions in 3 different municipalities
Stationary for 3 municipalities: $300;
Daily transport and subsistence allowance for 90 participants from 3 different municipalities: 90 x $10 x 2 $1,800;
Hiring of 3 venues in 3 municipalities: $50 x 2 days x 3 $300;
consultants fees for 3 trainers: $100 x 3 trainers $300,
Daily transport and meals for 3 trainers: $10 x 3 trainers x 2 days x 3 municipalities $180;
Costs for project management
DOLASED facilitation up keep of 4 staff members each $50 x 4 $200
daily transport for DOLASED staff to monitor project implementation $10 x 4 x 2 days x 3 municipalities $240
telephone, fax, email and postage: $300
typing and photocopying services: $200
Costs for meetings: $100
Report writing: $200
Unforeseen expenses: $100
Costs for project evaluation and follow up project outcomes: $700
Virtual Foundation Administrative fee: $490
Total Requested for Project: $5,390