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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 />

159

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