Given the extreme vulnerability of Tanzanian drug users to the HIV/AIDS epidemic, as well as to hepatitis B and C, MdM launched an exploratory mission in early 2010. This was followed by a three month discussion with those already working in Dar es-Salaam (needs assessment, analysis of partnerships and opportunities).
Pilot project tackling HIV/AIDS among people who use drugs
Dar es-Salaam, Temeke municipality - Long term
ACTIVITIES
Given the extreme vulnerability of Tanzanian drug users to the HIV/AIDS epidemic, as well as to hepatitis B and C, MdM launched an exploratory mission in early 2010. This was followed by a three month discussion with those already working in Dar es-Salaam (needs assessment, analysis of partnerships and opportunities). A partnership agreement was signed with the Ministry of Health and one of three municipalities in (Temeke). Two Tanzanian NGOs already working with drug users have started to work on the project in partnership with MdM.
During the last quarter of 2010 the work on the streets finally started, enabling first contact with drug users and improving our understanding of places where drug users go to inject..
RESULTSA team of street outreach workers has been established. A workshop with 50 participants was held to launch the project and a mapping exercise of injection locations was carried out.
OUTLOOKIn 2011, MdM plans a rapid evaluation of the drug users’ practices and experiences. The project will also make harm reduction material and information available, provide HIV and hepatitis screening, and enable access to medical and social services. Particular attention will be paid to the needs of female injecting drug users..
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| Life expectancy 56.9 yrs HDI : 0.398 ; rank: 148/169 *
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Population
Beneficiary : 200
Target : 500
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Personnel
National : 8
International : 2
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Co-ordinators :
Programme : Patrick Beauverie,
Fatima Assouab
Field : Sandrine Pont
HQ : Stéphanie Derozier
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| Funding: MdM Budget 2010 : 88 688 €.
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Tackling HIV/AIDS
Kagera region, Ngara, Biharamulo and Chato districts- long term.
ACTIVITIES
For 17 years MdM has supported the Tanzanian AIDS programme in Kagera region and has introduced several pioneering projects. In 1992, the project took care of HIV-positive children and offered testing and treatment for opportunistic infections in hospital and via home-based care. The programme also included awareness-raising activities on prevention methods and protection against HIV/AIDS.
In 1997, a local NGO, TADEPA, was created to take over the community-based activities. At the time it was supported by MdM, but has since become independent. In 1999, MdM expanded the programme to include a pilot project on prevention of mother-to-child transmission.
Since 2004, the programme has provided antiretrovirals to the 840,000 inhabitants of three districts. In 2010, MdM withdrew from this region and carried out a study to identify the good practices which can be shared with other HIV/AIDS programmes..
RESULTSBetween 2007 and 2010, around 63,000 women were tested and more than 1,400 pregnant women received prophylactic care and more than 2,100 received antiretroviral treatment.
OUTLOOKAt the same time as the Kagera project was drawing to an end, an exploratory mission in Dar es-Salaam evaluated the needs of drug users in relation to HIV/AIDS. This led to the launch of a harm reduction project in the town, a place particularly affected by the increase in drug use.
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| Life expectancy : 56,9 yrs
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Population
Beneficiary : 2 175
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Personnel
National : 22
International : 3
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Co-ordinators :
Programme: Michel Cayrol
Field: Pierre E.D. Sallah
HQ : Stéphanie Derozier
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| Sources de financement : Columbia University, MdM Budget 2010 : 177 986 €.
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Sindimo
33 years old, Nayabososi, five children “I live 9km from Kikomakoma clinic. I’ve been receiving antiretroviral treatment since 2008. Before I got this treatment I couldn’t do anything. I was too exhausted. I get better and better with the treatment and I know that without it I would no longer be here. I speak freely about the illness with my neighbours and my family. I have had my four youngest children tested, and all are HIV-negative.”
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November 2011
* Source : Undp 2010
