USAID Boresha Afya

Project Objective: To increase access to health services at the community level by aligning community-related activities.

Summary

USAID Boresha Afya – Southern Zone is a five-year project (October 1, 2016, to September 30,
2021) funded by USAID (United States Agency for International Development), that aims to
support the Government of Tanzania (Got) in increasing access to high quality, comprehensive
and integrated health services, with a primary focus on HIV/AIDS, maternal, neonatal, child and
reproductive health, malaria and nutrition outcomes. USAID Boresha Afya – Southern Zone
covers geographic areas with high disease burden in Tanzania, namely Iringa, Njombe,
Morogoro, Lindi, Mtwara and Ruvuma (Malaria only). It is implemented in 43 councils. The core
vision of USAID Boresha Afya Southern Zone is to create a dynamic, integrated platform for
delivery of health services that emphasizes strong collaboration between government, health
facilities and communities to increase access to high quality, comprehensive and integrated
health services, especially for women and youth, with a focus on maternal, neonatal, child and
reproductive health and nutrition outcomes

USAID Boresha Afya – Southern Zone is a five-year project (October 1, 2016, to September 30,
2021) funded by USAID (United States Agency for International Development), that aims to
support the Government of Tanzania (Got) in increasing access to high quality, comprehensive
and integrated health services, with a primary focus on HIV/AIDS, maternal, neonatal, child and
reproductive health, malaria and nutrition outcomes. USAID Boresha Afya – Southern Zone
covers geographic areas with high disease burden in Tanzania, namely Iringa, Njombe,
Morogoro, Lindi, Mtwara and Ruvuma (Malaria only). It is implemented in 43 councils. The core
vision of USAID Boresha Afya Southern Zone is to create a dynamic, integrated platform for
delivery of health services that emphasizes strong collaboration between government, health
facilities and communities to increase access to high quality, comprehensive and integrated
health services, especially for women and youth, with a focus on maternal, neonatal, child and
reproductive health and nutrition outcomes

Implemented Project Interventions
  1. HIV: Provision of bi-directional linkage to PLHIV and NON-PLHIV community members
    to CBHS services. 897 total new PLHIV joined CBHS, Sensitization of index contacts from facility level on testing, Sensitization of CTC clients on the collection of blood samples for Viral Load
    testing, and Provision of Biomedical and SBCC services to Key and Vulnerable Populations.
  2. Tuberculosis: TB screening campaign to all OPD attendants in all health facilities and at the
    community level, AND Linkage of all TB presumptive cases from the community to facilities through
    contact tracing.
  3. Family Planning: Sensitization on integrated family planning at community through CHWs, IDYDC
    plays sensitization role while Health Care Workers from facility level provides
    services on Family Planning, Tuberculosis and HIV.
  4. Community integrated HIV services to Key and Vulnerable Populations (KVPs).
IMG_18052019_150058

Best Practice

Intensive TB screening at OPD and community level through TB CHWs have continued to bring positive changes even in this quarter, the activity has now well understood particularly at the community level. If you view the below table which clearly shows the analysis on the difference between community and OPD screening, where at OPD they screened a large number of clients but low positivity and vice-versa is true for a community screening in both quarters