Tanzania

In Tanzania, BALANCED is supporting the integration of family planning into CRC’s on-going work through the Tanzania Coastal Management Partnership (TCMP) and its Conservation of Coastal Eco-Systems in Tanzania: the Pwani project.  Pwani is integrating health and environment in villages surrounding the Saadani National Park area through USAID Tanzania, PEPFAR (President's Emergency Plan for AIDS Relief) and biodiversity conservation funds. UZIKWASA, a nongovernmental organization based in Pangani town and a local health partner of CRC/URI, implements the HIV-AIDS component including social marketing of condoms. Livelihoods and natural resources management components are implemented under the leadership of an integrated coastal management facilitator located within the Pangani District. TCMP works closely with the regional and district Ministry of Health on the integration of family planning (FP) and health components into the project.

Over the first two years, BALANCED, in collaboration with the Pangani District Health Office, has trained 30 PHE-oriented community based distributors (CBDs), 55 PHE providers (small shop owners), and 63 PHE peer educators. All have been trained to deliver integrated PHE messages in their communities, focusing on the linkages between health and conservation, but also discussing the benefits of family planning and the dual protection of condom use. In addition, the PHE providers sell condoms and the CBDs provide free-of-charge family planning services and other selected reproductive health services including referrals within their villages. The 30 CBDs are proving to play an especially important role in upgrading the quality of reproductive health services at the community level, as there is a shortage of health staff at the dispensaries and most villages lack a primary health care facility. With the CBDs in place, the distance to access FP commodities has been reduced from an average of 7.8 kilometers to less than one kilometer.

BALANCED is also providing hands-on technical mentoring to Wildlife Conservation Society (WCS) Tanzania and the Africa Wildlife Foundation to integrate PHE into their work. This has, for example, included assisting WCS to develop a plan for integrating health and family planning into their Ruaha Landscape Program.