Marc Cunningham, MPHMEASURE EvaluationJohn Snow, Inc. (JSI)

10 June 2015Measurement for Accountability for Results in Health SummitWashington, DC USA

Empowering Local Decision Makers in Iringa, Tanzania:PLACE Lite and the Iringa

Participatory Mapping Exercise

Better data are local data…

…that are used for local decisions

3

Iringa9%

Njombe15%

National prevalence: 5%

HIV Prevalence: Iringa and Njombe Regions

2011-2012 Tanzania HIV/AIDS and Malaria Indicator Survey

4

Iringa and Njombe Regions

Priorities for Local AIDS Control Efforts (PLACE)

Lite Iringa, Tanzania

Iringa Participatory Mapping Exercise:

Service Catchment Areas

“Truck stops are usually visited by sex workers in the evenings, when more than 70 trucks are parked before heading to their eventual destinations.”

Qualitative

Quantitative(Iringa Urban)

PLACE Lite

Patron characteristics (%) Attended by migrant workers 89.5 Attended by truck drivers 81.5 Attended by road workers 70.8 Attended by plantation workers 63.1 Attended by miners 0.0

Prevention activities (%) Condoms available at venue 21.5 Condoms available within 10 min walk 47.7 Any HIV prevention activity 78.5

“Several times [when] we allocate [implementing partners] to some area, especially the distant areas they say they cannot go there because they do not have enough fund to operate to that area. .... This results to some areas being well served while others underserved.”

Iringa Participatory Mapping Exercise

Iringa Participatory Mapping Exercise

Facility Based Services

•Prevention of mother to child transmission•Voluntary Counselling and Testing•Care and Treatment•Voluntary Male Medical Circumcision

Community Based Services

•Prevention and outreach•Home based care•Orphans and vulnerable children

Audiences •USAID|Tanzania•MOHSW •CBOs and NGOs

Information Products•Reports •Online maps •Regional and District Workshops

Sharing the Data

• Guide the comprehensive response to HIV in Iringa (MOHSW, USAID and Partners)

• Identify gaps in coverage (Ludewa District)• Advocate for additional services (Mufindi

District)

How Were the Data Used?

Identify Coverage Gaps

Advocate for Services

“I used coverage maps to argue that we needed to add coverage of CTC sites in the areas where no CTC existed, funding was allocated for four existing health facilities to begin offering care and treatment sites.”

“Maps provide comprehensive visual data which is easy to access and interpret.”

Two ways we can encourage the use of local data:

Better data are local data…

…that are used for local decisions

• Participatory data collection efforts

• Provision of local data to local actors in accessible formats—such as maps

District, community and facility staff who provided support during data collection

Collaborative effort •PLACE team based at UNC Chapel Hill•Futures Group Tanzania field office•GIS team at John Snow, Inc.

Acknowledgements

MEASURE Evaluation is funded by the U.S. Agency for International Development (USAID) under terms of Cooperative Agreement AID-OAA-L-14-00004 and implemented by the Carolina Population Center, University of North Carolina at Chapel Hill in partnership with Futures Group, ICF International, John Snow, Inc., Management Sciences for Health, and Tulane University. The views expressed in this presentation do not necessarily reflect the views of USAID or the United States government.

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