Sauti Program

Rafiki Social Development Organization (RAFIKI-SDO) is implementing Sauti project in Shinyanga Municipal within 17 wards in partnership with Jhpiego. The project seeks to contribute to the improved health status of all Tanzanians through a sustained reduction in new HIV infections in support of the United Republic of Tanzania's (URT) commitment to HIV prevention. The program utilizes new, and/or enhances existing, vulnerability-tailored, high-quality combination HIV prevention; positive health, dignity and prevention (PHDP); and family planning (FP) services for key and vulnerable populations (KVP).

Sauti aims that at the end of the five-year project (2015-2020), all Key Vulnerable Population in program communities of Shinyanga Municipal are able to actively participate in a core package of vulnerability-tailored, high- quality, client- and community-cantered combination (biomedical, behavioral and structural) prevention services; with strong and traceable linkages to care, treatment and other referral services, along with the active support and participation of their partners, families, health providers, the wider community, URT structures and the private sector. Sauti will directly contribute to actualization of the National Guideline for Comprehensive Package of HIV Interventions for Key Populations as well as the URT's policies and guidelines for FP and other applicable health areas.

SBCC Intervention

In SBCC intervention Rafiki-SDO seeks to improve positive behaviors and social norms at the individual and community levels, as well as strengthen support for positive gender norms and behaviors within communities to reduce HIV transmission and acquisition. Rafiki-SDO provides education to key and vulnerable population through selected and trained peer educators by using specific SBCC curriculum. SBCC education is delivered by the peer educators at the venues in their respective wards as selected by the reached beneficiaries, after completing SBCC session beneficiaries rewarded tom shoes this is specifically to AGYW as it shown on the picture below;

AGYW received Tom shoes after graduating 10 sessions of SBCC.

Also in SBCC intervention peer educators mobilizing beneficiaries to access biomedical services. Gender norms are reached through SASA approach (Start Awareness Support Action) by informing, agitating and creating a stir about connection of violence and HIV/AIDS. It creates a community of people who are voluntarily ready stop and listen, to take notice and engage in activities against gender based violence. In the community some people volunteered as community activist, champions and drama group who are well trained on gender issues so that to educate other people in the community concerning on gender issues.

SASA drama group during one of the awareness drama held at Chamaguha ward.

Peer educator of Ngokolo wards delivering SBCC education to young FSW

Structure Intervention

Sauti program operate structural intervention where by Vulnerable adolescent girls and young women (VAGYW) who complete the community-based group behavior change communication sessions are enrolled to WORTH+ community savings groups in the designated project areas to serve as a platform to enable vulnerable AGYW to engage in positive lifestyles and become self-reliant by involving them in the integrated HIV prevention and livelihoods interventions. Primary Audience/beneficiaries for the intervention are:
1) Adolescent girls aged 15-19 who are out-of-school, not yet sexually active, but at high risk of becoming sexually active soon, and in settings where there are high levels of transitional and intergenerational sex.
2) Adolescent girls aged 15-19 who are out-of-school and sexually active.
We have empowerment workers in each project ward who are responsible for mobilizing group formation and identification of suitable candidates to join WORTH groups. Vulnerability of these girls is measured by vulnerable index tool.

In WORTH groups, members are mobilized and form a group of 20-25 people. Beneficiaries are provided with 13 financial sessions which contains massages for gender transformative, profitable business as well as importance of savings. Better parenting and nutritional skills is also provided to these groups. In turn Peer educators will deliver family planning and gender norms sessions to WORTH group members. Also WORTH group members has to be linked with CBHTC team to ensure that they got the biomedical services.

Empowerment workers supported by Social Economic empowerment officer (SEEO) conducts weekly WORTH meetings, where Empowerment workers provides support to groups in number of areas .In WORTH group we have mandatory and voluntary savings which are contributed once per week. Beneficiaries also took loans from their savings and start small business to improve their income level.

WORTH group members in their weekely meeting,contributing their mandatory and voluntary savings.

WORTH group leaders in their weekly meeting, Group secretary is reading rules and regulations before they start the meeting.

WORTH group members in their weekly meeting, SEEO is explaining the importance of saving groups.WORTH group members in their weekly meeting, SEEO is explaining the importance of saving groups.

WORTH group members in their weekly meeting, Members and group leaders are keeping their records on their saving books.

Worth group members in their weekly meeting, beneficiaries are filling their saving books.

Overall Achivement in Structural Intervention For FY 16 and FY 17

Success Stories In Structure Intervention

This is Halima Nassoro a young woman of 24 years. She is living with her husband and have two children. She is a member of UAMINIFU WORTH+ group at Dome Street, Ndembezi ward. The group is registered at district level .This group started saving on 12th April 2016.

In this group, they began to save mandatory saving of 500/= shillings each week, but when started the second cycle they changed the mandatory saving rate from 500/= shillings to be 1000/= on weekly basis and voluntary savings depend on the income of each member.

They are also taking loan from their savings to increase the income level of each member. Halima started to take a loan of 20,000 / = for one month and started a business selling secondhand clothes for female (Madela), this business gave her the profit and she was able to repay back the whole loan on the provided timeline. Halima took another loan of 100,000 / = for three months where she opted to start another business of selling shoes popularly known as �yeboyebo� as shown in the figure above. She use to sell the shoes in local market including Ngokolo on Saturday and Old Shinyanga on Sunday.

Halima is preaching on the great success she got from the group, before joining the group Halima was not having any business or income generating activity .Secondly Halima is now respected (she is not begging again as in the past).She can now support the family by providing important needs like sugar, salt, cooking oil, vegetables, rice and others needs as required (something which was not easy before joining the group).

�I am very grateful to this organization, I�m requesting the organization to continue to help us (young women with low level of education and others who are abused and subjected to severe sexual violence from the perspective of our community)� .

Happiness Michael from UAMINIFU WORTH+ group is a girl aged 23 years, lives at Ndembezi ward Shinyanga Municipal Council with her husband and their son. Happiness joined a group in 2016 through CBHTC+ team mobilization. Happiness was mobilized to join the group after being provided with family planning and tested for HIV. Health providers encouraged Happiness to join WORTH+ group by linking her with empowerment worker. It was very difficult for Happiness to join the group as she was not having any income generating activity to support her to get initial savings. Happiness joined a group but she was not contributing for the first three weeks, they were then trained on financial literacy sessions on the meaning of saving and its importance. Happiness understood and went home with new idea. She started minimizing the cost in her daily spending so that she can be able to contribute for mandatory savings in the group. After two months Happiness was now a good member as she also got support from her husband. She was attending the meeting as planned and contributed mandatory and voluntary savings. She therefore qualified to take loan from her group. Happiness took 20,000TZS for one month and started to sell soap in the street, she managed to continue with her business and repay back the loan as required. She there after took 50,000TZS from the group as a loan for one month and start selling bedcovers, she also repaid back the loan as required. Happiness furthermore took another loan of 100,000TZS for two months for the small kiosk of selling salt, fruits, vegetables, cooking oil and other important commodities as shown in the figure above.

Happiness was also provided with better parenting sessions which supported her to take care of her son (of 1 year and 7 months).She was also provided with behavioral change communication sessions which helped her to become a strong women, decision maker in the family and she is now not afraid of speaking to the public.

�For sure this group has helped me a lot, before I joined the group I was not contributing anything to the family income as I was not engaging in any income generating activity. It was also difficult for me to make decision on family issues. I�m now supporting in house hold�s needs like buying food, clothes for my son, furniture and we have achieved to buy a plot with my husband though this business."

"I can advise my fellow women not to join in many saving groups as it will be difficult for them to attend all meetings as required and if they took loan from each group it will be difficult for them to repay the loan as planned. Also I can advise my fellow women who are in groups to engage in income generating activities like business so that they can get saving and loan repayment."

Biomedical Intervention

In the period of financial year 2016 and 2017, Rafiki-SDO served Adolescent Girls and Young Women (AGYW), Female Sex Workers (FSW) as well as Partners of Female Sex Workers with high quality services (group education ,individual counseling ,HIV counseling and testing family planning services ,screening and referral to STIs ,gender-based violence ,TB ,alcohol and drug use ,linkage and adherence ,support for HIV care and treatment )and other areas as assigned and in accordance with MOHSW guidelines through biomedical hired staff and Government Nurses.

The biomedical services were provided through Mobile CBHTC+ services at hot spots and to WORTH+ and SBCC groups as well as through Partner Notification approach, where sexual partners of an HIV infected individual, referred to as the �index case�, are offered HTS at the mobile CBHTC+ sites or at their residence (home based testing). All biomedical services and partner notification should be offered in line with the national guidelines and Sauti biomedical SOP: index cases are identified.

The graph below indicates the achievements made in FY16 and FY17 in Biomedical intervention