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USAID/Tanzania mid-term performance evaluation of the kizazi kipya ?new generations? project

2019EnglishOn title page: Submitted: April 10, 2019 | Evaluated project title: Kizazi kipya also known as new generations HIV / AIDSCODE: 621; Tanzania

Metadata

Authors
Beney, Terence | Laden, Jacob | Usika, Gerald | Konga, Nasson
Contract/Code
AID-621-TO-17-00005 | AID-OAA-I-15-00005 | AID-621-A- | 16-00001 | AID-OAA-1-15-00024
Institution
8414 - ME&A 8612 USAID. Mission to Tanzania
Keywords
HIV/AIDS | Access to services | Case management | Children | Disease prevention and control | Violence KH73 Top/Health/Health care/Disease prevention and control (450.0) | Top/Health/Health care administration/Case management (300.0) | Top/Sociology and psychology/Sociology/Access to services (254.15)
ID
PA00TRS4
File size
2130 KB
Source
Open PDF

Abstract

The USAID Data for Development Project (Data for Development) conducted a mid-term performance

evaluation of the Kizazi Kipya Project implemented by Pact and its sub-grantees. The project?s goal is to

improve the well-being of one million HIV-affected orphans and vulnerable children (OVC) and their

families. Key expected results include improved health, nutrition, education, protection, livelihoods and

psychosocial outcomes, as well as strengthening the HIV continuum of care among HIV positive OVC,

youth, and their families. The evaluation?s purpose is to assess project performance, analyze the

effectiveness of its approaches, assess its prospects for sustainability, and help the Mission to identify best

practices and lessons learned.


The project helped strengthen the national case management system and contributed to the continuum

of care for HIV positive children and adolescents; however, there remains a need to optimize the referral

to care and treatment system and scale-up services to support treatment adherence and viral suppression.

The project contributed to household resilience and women?s empowerment through WORTH+ savings

and loan groups, which show promising sustainability. Violence against children prevention and

parent/guardian training contributed to changing caregiver behaviors towards children. Conversely,

challenges remain in victim response and resolution of gender-based violence cases.


Case management improved access to services: addressing service delivery needs locally, increasing the

frequency of client referrals to services, and smoothing the referral process. However, challenges remain

to the implementation and sustainability of the community volunteer approach. Ongoing donor

commitments and increased government commitment are needed to bring the national case management

system to scale and sustain it after project completion.