USAID Boresha Afya

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



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).

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.

IDYDC  supports to attain the above core program vision by implementing the programs Result area number (3) in Iringa Municipal Council, Mufindi District Council and Mafinga Town Council. During the reporting period, the total number of 13527 PLHIV have been reached with Community Based Health Services through Community Health Workers and linked with nutritional, economic and legal services/ institutions for more support, also through community Biomedical services, 126 HIV positive clients have been identified through testing of 1298 people. SBCC sessions among Key and vulnerable Populations have been conducted and reached 736 Female Sex Workers and vAGYW (vulnerable Adolescent and Young Women).

Implemented Project Intervations:


Provision of bi-directional linkage to PLHIV and NON-PLHIV community members to CBHS services. 897 total new PLHIV joined CBHS.


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.


Conducting Social Behavioral Change Communication among Female Sex Workers (FSW) and vulnerable Adolescent Girls and Women (vAGYW). Where 239 FSW and 518 vAGWY have been reached.

Project Impact..

The project has managed to contribute on PEPPER 95% indicators as follows, the first 95% on identifying all unknown HIV positives people where the total number of 219 have been identified, the second 95% on linkage and retention of all identified HIV positive clients, the project has contributed to retain 83% of PLHIV who are on treatment, 95% of all HIV clients to suppress their viral loads. IDYDC contributed to sensitization and hence the collection of blood samples of 79% of all clients collected samples


Project activities depend mostly on donor funding which hinders organization creativity and sustainability which needs more funds to reach the community.

ALSO Communities are dynamic; sometimes the project faces challenges on working with them especially during tracing of LTFU and community HIV index testing and linkage.