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Tanzania[2008–Present] At the request of USAID/Tanzania, FANTA is assisting the Ministry of Health and Social Welfare (MOHSW) with integrating nutrition services into the national HIV response and helping to design a Food by Prescription (FBP) program in Tanzania, a focus country under the President’s Emergency Plan for AIDS Relief (PEPFAR). FANTA works to strengthen the capacity of government health providers and PEPFAR Partners in nutrition assessment, counseling and sustainable nutrition support provided at palliative care, orphans and vulnerable children (OVC), antiretroviral therapy (ART) and prevention of mother-to-child transmission of HIV (PMTCT) sites. Initial FBP Program: FANTA has been working with the Tanzania Food and Nutrition Centre (TFNC), which initiates and coordinates national nutrition activities, to develop an initial FBP program in care and treatment centers (CTCs) in nine sites and train health care providers in other CTCs in routine nutrition assessment counseling for people living with HIV (PLHIV). FANTA also worked with the TFNC to develop an FBP training manual and related job aids for physicians, nurses, dietitians and counselors in CTCs. Several PEPFAR Partners are helping implement the FBP activities. Promising Practices in Nutrition, Food Security and HIV Programming: The Regional Centre for Quality of Health Care (RCQHC) in Uganda and FANTA reviewed nutrition, food security and HIV programs in Kenya, Malawi, Tanzania, Uganda and Zambia to identify and document promising practices to help understand what works, replicate successful approaches and incorporate lessons into programs. The findings are available in the report, Nutrition, Food Security and HIV: A Compendium of Promising Practices. Exhaustive Measurement (EM) of Mortality Method: FANTA with the London School of Hygiene and Tropical Medicine conducted a study to evaluate an alternative approach to obtaining a population-based measure of mortality, the EM method. The EM method captures deaths through an exhaustive search for all deaths occurring in the community over a defined and very short recall period. Sites selected for the study included Afghanistan, Thailand, Malawi and two refugee camps in Western Tanzania. The study report, A New Method to Estimate Mortality in Crisis-Affected Populations: Validation and Feasibility Study, evaluates the validity of the EM method against a gold standard measure of mortality based on capture-recapture analysis in various operational settings.
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