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This report comprehensively summarizes the FHI/AIDSCAP program in Tanzania (1991-1997). The report includes a background and country context for the program, as well as an overview of the Tanzania AIDS Project, and a discussion of work undertaken to mobilize communities and strengthen capacity; support interventions and create an enabling environment; and conduct research and evaluation. Lessons learned from the program are also listed.
Table of Contents I. Introduction (See Below) II. Background and Country Context III. The Tanzania AIDS Project: An Overview V. Supporting Interventions and Creating an Enabling Environment VII. Important Lessons Learned From TAP's Experience VIII. Subproject Highlights A. NGO Cluster Projects I. Introduction Tremendous effort and resources have been devoted to controlling AIDS in Tanzania since the disease was first reported there in 1983. Despite successes in increasing knowledge about AIDS and more recently in reducing high risk sexual behavior, the epidemic spread rapidly in the last 12 years. AIDS prominently marks Tanzania's social and health landscape with escalating orphanhood, destitute families, and overwhelmed health care institutions. The Tanzania AIDS Project (TAP), the most recent of the United States Agency for International Development's (USAID) efforts to assist the country in controlling the disease, developed an AIDS program commensurate with the epidemic's magnitude and consequences. The project adopts a programmatic mind set stressing holistic and long-term investment. Dissolving the boundary that distinguishes prevention from care and support, the TAP project embraces with equal commitment activities aimed at stemming the spread of the disease and those that aim to help Tanzanian communities cope with increased disease burden and excessive AIDS-related death. Through intervention approaches that work from within target communities -- community mobilization, empowerment, and capacity building -- the program seeks explicitly to interlace HIV/AIDS programming into the country's political structures, educational and health institutions, and traditional and popular culture. The intended end product is a far reaching, sustainable, and community-owned program. When considered as an incremental, long-term investment process, the TAP team is confident that during this project period and with the assistance of numerous collaborators, it made significant strides toward achieving this ambitious goal. |
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