Implementing Multiple Gender Strategies to Improve HIV and ... - ICRW
Implementing Multiple Gender Strategies to Improve HIV and ... - ICRW
Implementing Multiple Gender Strategies to Improve HIV and ... - ICRW
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Prevention (CDC)<br />
• The United States Agency for International Development (USAID)<br />
Partner<br />
Organizations<br />
Implementation partners:<br />
• Africare<br />
• Ministry of Health, Tanzania<br />
• T-MARC Company Ltd.<br />
• 15 partners at the community level<br />
IMPLEMENTATION AND RESULTS<br />
Start-up <strong>and</strong><br />
Implementation<br />
Process<br />
Start-up included formative research <strong>to</strong> explore the fac<strong>to</strong>rs that affect <strong>HIV</strong><br />
transmission in Tanzania, including the dynamics of sexual relationships.<br />
The project then wrote creative briefs for the various campaigns,<br />
sometimes targeting different messages <strong>to</strong> different groups. For example,<br />
in the Sikia Kengele <strong>and</strong> Vaa Condom campaigns, different messages were<br />
created for men <strong>and</strong> women, as women generally wanted <strong>to</strong> be<br />
monogamous while men generally are not obligated <strong>to</strong> be monogamous.<br />
The project then contracted various creative agencies <strong>to</strong> develop materials<br />
for these campaigns.<br />
Local Involvement/<br />
Ownership<br />
A key part of T-MARC’s m<strong>and</strong>ate is <strong>to</strong> form partnerships with Tanzania’s<br />
nascent but growing commercial sec<strong>to</strong>r. T-MARC has established an<br />
exp<strong>and</strong>ing partnership with one of the largest <strong>and</strong> most successful<br />
conglomerates in East Africa, the Sumaria Group, specifically with its<br />
subsidiaries Shelys Pharmaceuticals, which produces <strong>and</strong> markets ethical<br />
pharmaceutical products, <strong>and</strong> its sister company Beta Healthcare, which<br />
markets over-the-counter health products. Consistent with the mission of T-<br />
MARC, Shelys <strong>and</strong> Beta Healthcare strive <strong>to</strong> serve the low-income<br />
Tanzanian market with affordable, quality health products. Generally,<br />
Shelys <strong>and</strong> Beta products are leaders in their categories due <strong>to</strong> their<br />
affordability, strong distribution, <strong>and</strong> vigorous marketing. Currently, T-<br />
MARC <strong>and</strong> USAID are teaming with Shelys <strong>and</strong> Beta in marketing three<br />
subsidized products: Dume br<strong>and</strong> male condoms, Lady Pepeta br<strong>and</strong><br />
female condoms <strong>and</strong> Flex-P oral contraceptive pills.<br />
T-MARC employs a “<strong>to</strong>tal market approach” that involves multiple partners<br />
from the private commercial sec<strong>to</strong>r, NGOs, <strong>and</strong> the public sec<strong>to</strong>r in a<br />
comprehensive effort <strong>to</strong> decrease risky behaviors, increase preventive<br />
health behaviors, <strong>and</strong> generate <strong>and</strong> fulfill dem<strong>and</strong> for an affordable <strong>and</strong><br />
accessible range of preventive health products.<br />
Evaluation<br />
Methodology<br />
T-MARC moni<strong>to</strong>ring, evaluation, <strong>and</strong> research (MER). The principal<br />
purpose of T-MARC MER is <strong>to</strong> track information that will help guide<br />
decision making for the program <strong>and</strong> its partners. MER also involves<br />
gathering information for improving the behavioral change campaign <strong>and</strong><br />
increasing product sales of partners. T-MARC collects data through<br />
periodic household surveys, routine sales data <strong>and</strong> low-cost studies such<br />
as retail audit surveys. In addition, T-MARC uses data from other research<br />
groups, such as Demographic <strong>and</strong> Health Surveys (DHS), when available.<br />
These sources provide T-MARC with additional information <strong>to</strong> moni<strong>to</strong>r<br />
impact <strong>and</strong> progress regularly.<br />
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