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Implementing Multiple Gender Strategies to Improve HIV and ... - ICRW

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T-MARC<br />

LEAD ORGANIZATIONS:<br />

COUNTRY:<br />

<strong>HIV</strong> PROGRAM AREA:<br />

Academy for Educational Development (AED)<br />

Tanzania<br />

Prevention<br />

OVERVIEW:<br />

T-MARC (the Tanzania Marketing <strong>and</strong> Communications for AIDS, Reproductive Health, Child Survival<br />

<strong>and</strong> Infectious Diseases Project) uses business partnerships <strong>and</strong> campaigns <strong>to</strong> prevent the further<br />

spread of <strong>HIV</strong> in highly affected communities. To directly improve health, T-MARC is working with<br />

Tanzanian businesses <strong>to</strong> develop or exp<strong>and</strong> markets for health products for <strong>HIV</strong> <strong>and</strong> AIDS prevention<br />

<strong>and</strong> care, family planning, child survival, <strong>and</strong> infectious diseases. T-MARC also is using campaigns <strong>to</strong><br />

address problems that the program implementer identified as exacerbating the epidemic, such as<br />

certain male norms (e.g., multiple partners), limited reproductive health knowledge, <strong>and</strong> low rates of<br />

condom use. The program also includes a grants component for female sex workers <strong>and</strong> women<br />

involved in transactional sex. Evaluations indicate that the campaigns have had wide reach:<br />

1.2 million people through the condom initiative, 600,000 through the “be faithful” campaign <strong>and</strong> 20<br />

million through radio outreach. In the course of program implementation, T-MARC has learned the<br />

importance of addressing men <strong>and</strong> women separately, particularly when discussing sensitive issues,<br />

<strong>and</strong> that repackaging messages for different communities is crucial.<br />

BACKGROUND<br />

<strong>HIV</strong> & AIDS<br />

Program Goals<br />

T-MARC seeks <strong>to</strong> improve the health of Tanzanian families <strong>and</strong> reduce the<br />

transmission <strong>and</strong> impact of <strong>HIV</strong> <strong>and</strong> AIDS by developing or exp<strong>and</strong>ing<br />

markets for health products, improving access <strong>to</strong> affordable health<br />

products, <strong>and</strong> developing <strong>and</strong> managing a broad-based communications<br />

initiative <strong>to</strong> enhance knowledge about core issues related <strong>to</strong> <strong>HIV</strong> <strong>and</strong> AIDS.<br />

<strong>Gender</strong> <strong>Strategies</strong><br />

Addressed<br />

<br />

<br />

<br />

Reducing violence <strong>and</strong> coercion<br />

Addressing male norms <strong>and</strong> behaviors<br />

Increasing women’s legal protection<br />

Increasing women’s access <strong>to</strong> income <strong>and</strong> productive resources<br />

Other:<br />

Description of<br />

Intervention<br />

T-MARC works with Tanzanian businesses <strong>to</strong> develop or exp<strong>and</strong> markets<br />

for health products for <strong>HIV</strong>/AIDS prevention <strong>and</strong> care, family planning, child<br />

survival, <strong>and</strong> infectious diseases that will achieve demonstrable <strong>and</strong><br />

sustainable health impacts. T-MARC works with commercial partners <strong>to</strong><br />

support, develop or launch new or existing products (such as a new male<br />

<strong>and</strong> female condom) <strong>and</strong> <strong>to</strong> cost-effectively build upon existing marketing,<br />

sales <strong>and</strong> distribution networks. At the same time, T-MARC seeks <strong>to</strong><br />

develop <strong>and</strong> manage a broad-based communications initiative that<br />

enhances the knowledge of Tanzanians about core issues related <strong>to</strong> <strong>HIV</strong><br />

<strong>and</strong> AIDS, including accurate information about relevant products <strong>and</strong><br />

services as well as persuasive information <strong>to</strong> encourage <strong>and</strong> sustain<br />

healthy behaviors.<br />

Through qualitative research, AED discovered that male norms including<br />

multiple partners, limited knowledge on reproductive health, lack of access<br />

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