USAID/Tanzania was among the first missions to place field support funds in the LMS Program after being active in MSH's predecessor  program, the Management and Leadership Program, for five years. The LMS Program operates in Tanzania under the general mandate of building the management,   leadership and governance capacity of key HIV/AIDS organizations on the mainland and in Zanzibar. 

LMS is working with USAID to support and strengthen the Tanzania Commission for AIDS (TACAIDS), the Zanzibar AIDS Commission (ZAC), Civil Society Organizations (CSOs), and Global Fund CCMs in order to maximize the country's efforts in the fight against HIV/AIDS. In partnership with Deloitte, LMS also manages the Rapid Funding Envelope (RFE), an innovative grant-making mechanism that provides short term grants to local CSOs and capacity building assistance to enable them to participate fully in the national response to HIV/AIDS. LMS also helps address the human resource crisis in Tanzania through its capacity building role on the IntraHealth Tanzania Human Resource Capacity Project.

RESULTS

Since 2006, LMS has worked with 96 organizations in-country, providing leadership and management technical assistance and strengthening their capacity to improve and expand HIV/AIDS services at all levels.   

• Under the RFE for HIV/AIDS, LMS has supported four open rounds of grant making, resulting in 113 awards to  civil society organizations. Since the inception of RFE in 2002, a total of 166 sub-grants have been awarded to 136 local Tanzanian NGOs participating in the fight against HIV/AIDS, totaling approximately $22.1 million. Grantee results and innovative approaches have been showcased through Results Conferences organized by LMS on two occasions. 
   
• LMS has strengthened Global Fund structures, procedures, and oversight on the mainland and Zanzibar. Each CCM has Operations and Procedures Manuals, Bylaws, new Secretariats, and technical oversight committees that use Executive Dashboards pioneered by LMS.  LMS also spearheaded the effort to renew CCM constituent membership through transparent processes and provide orientation to new CCM members.
  
  
• LMS provided organizational development and capacity building technical support to the Tanzania Commission for AIDS; the Zanzibar AIDS Commission; three departments or programs of the MOHSW, and; five leading civil society organizations playing key roles in the national response to HIV and AIDS. Areas supported included strategic and operational planning; monitoring and evaluation; human resource management; leadership and governance; financial management; ICT; resource mobilization; inventory and asset management; and team building.
  
  
• Capacity building support has been largely delivered by local Tanzanian consultants recruited and trained by LMS. These local capacity builders have participated in a series of Training of Trainers workshops delivered by LMS on topics of management, leadership and governance.
  

EXPERIENCE IN COUNTRY

Strengthening CSOs through local capacity builders

Collaborating with IntraHealth's Capacity Project to Strengthen Human Resources for Health

Technical Assistance to TACAIDS and ZAC

Rapid Funding Envelope

Global Fund Activities in Tanzania and Zanzibar

Leadership Development Program in Kigoma

Leadership Development Programs in Zanzibar

Technical Assistance to the Eastern, Central and Southern Africa Community of Health (ECSA-HC)
 

Strengthening CSOs through local capacity builders

To address civil society's long term needs for organizational development (OD) and systems strengthening, LMS has helped build an informal local network of capacity-building consultants. Between 2008 and 2009 LMS delivered a series of seven Training of Trainers (TOTs) for local consultants and local MSH staff covering the following topics: leadership development; human resource management; board governance; monitoring and evaluation; coaching and mentoring; organizational assessment; and consulting techniques for organizational development. By building up a local network of expert consultants, the long-term needs of client organizations can increasingly be addressed locally in a cost effective and culturally appropriate manner.

Technical Assistance to TACAIDS and ZAC

Since the Tanzania Commission for AIDS (TACAIDS) was established in 2001, MSH has been a primary provider of short-term technical assistance in planning, management, organizational development, and technical support for key processes and functions. LMS strengthens leadership, accountability, coordination, and resource mobilization within TACAIDS with the ultimate goal of the Commission achieving self-sufficiency in identifying its technical assistance needs. LMS has assisted TACAIDS in reviewing progress against the National Multi-Sectoral Strategic Framework and in planning for its revision. LMS has also provided a program of support to the Zanzibar AIDS Commission in order to help it carry out its leadership and coordination mandate more effectively.

• Making Multisectoral Partnerships Work (PDF)

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Rapid Funding Envelope

The Rapid Funding Envelope (RFE) for HIV/AIDS is an innovative partnership among the Tanzania Commission for AIDS, the Zanzibar AIDS Commission, nine bilateral donors, and one private international foundation. Developed and launched in 2002, the RFE provides grants (up to $200,000) for short-term projects to civil society organizations in mainland Tanzania and Zanzibar. The grants enable civil society organizations to contribute to the national response to the HIV/AIDS epidemic. The international accounting firm, Deloitte and Touche, provides grants management and financial oversight for the RFE, while LMS guides the RFE from a technical and programmatic standpoint.

In addition to providing grants to CSOs, the RFE strengthens the management and governance capacity of local actors through group trainings, on-site monitoring and coaching visits, and targeted technical assistance to the sub-grantees. After implementing programs with RFE support, several organizations that had previously never received substantial support, have gone on to receive PEPFAR funding and six have become Global Fund partners. 

• RFE Success Stories 
  
  
  

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Tanzania and Zanzibar have had substantial success winning grants from the Global Fund to Fight HIV/AIDS, TB and Malaria. This has resulted in a dramatic increase in the resources available to fight these diseases within the country. Implementation of these projects, however, has been slow and uneven, and monitoring reports often lack the succinctness required for effective decision-making. Since 2006, LMS/Tanzania has provided ongoing support to strengthen the Country Coordinating Mechanism's leadership and governance capacity and ensure a clear process for identifying and addressing performance problems in the future, including use and updating of dashboards. 

In October 2009, LMS organized an orientation workshop for CCM members and the Zanzibar Principal Recipients. The objective was to assist participants in understanding the structures, guidelines, responsibilities, and processes that underlie successful Global Fund programs, and to increase CCM members' capacity to provide effective oversight. More than 90% of invitees attended, including the chairperson, vice chair, and secretary who participated actively during the meeting. Zanzibar Principal Recipients assessed their own performance against the Global Fund requirements and openly shared their realization of their own limited understanding of Global Fund functions and processes. Through the workshop, members realized how a weak secretariat negatively impacts CCM performance, and developed an action plan to strengthen oversight. In follow-up to the October 2009 workshop LMS has provided in-depth coaching and mentoring to the CCM in Zanzibar.

The first Leadership Development Program in Swahili took place in 2006 in Kigoma, a remote province in Tanzania. A collaborative effort of LMS and EngenderHealth, the program included a total of 40 participants, including three district health teams and six health facility teams. Thanks to the facilitators from ESAMI, ACQUIRE/EngenderHealth, and a local LMS consultant, the program was delivered entirely in Swahili. ACQUIRE is working in Tanzania to strengthen the family planning program in the public sector. The LDP was requested to assist in realizing this goal. The synergy and commitment of these programs became evident in Kigoma as all teams agreed to work on the same challenge: increasing access and coverage of family planning.

• Evaluation Note: Expanding Coverage of Family Planning Services in Kigoma, Tanzania (PDF)
  
  

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Mainstreaming the Leadership Development Program in Zanzibar

In Zanzibar, LMS has used the LDP to build the capacity of the Ministry of Health and Social Welfare (MOHSW), line ministries and district coordinating committees to lead and coordinate the national response to HIV/AIDS.  Since 2006, LMS has conducted six LDPs in Zanzibar, involving 45 teams, and over 220 individual participants. These LDP teams represent every district (10 teams) and line ministry (26 teams) on Unguja and Pemba as well as senior officials (3 teams) and Division Heads (6 teams) from the MOHSW. In November 2009, at the request of the Zanzibar MOHSW, LMS facilitated a Training of Trainers (TOT) for the LDP that was delivered to graduates of the LDP. From this nucleus of local LDP coaches and trainers, nine local coaches are now assisting LDP teams on Unguja and Pemba to review their draft action plans, mobilize resources, and start implementing their projects, thereby providing reinforcement and sustainability of the LDP independently of donor resources. 

To ensure the LDP approach is integrated and applied to address HIV/AIDS challenges well into future, LMS conducted an LDP Orientation and Training for the Zanzibar AIDS Commission in May 2010. The four-day training equipped ZAC staff with the skills necessary to provide coaching of and follow up to other LDP teams, and to benefit internally from the greater use of management and leadership skills.

• Zanzibar Leadership and Management Training Summary Report (PDF)
  
  

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Technical Assistance to the Eastern, Central and Southern Africa Community of Health (ECSA-HC)

ECSA-HC is an inter-governmental regional organization working to foster and strengthen regional cooperation and capacity to address the health needs of its nine member states. The ECSA-HC Secretariat, located in Arusha, Tanzania is the focal point for activities of the ECSA Health Community in the region. From 2007 to 2008, the LMS program with funding from USAID/Africa Bureau provided technical assistance to ECSA-HC on the development of several key documents including the ECSA-HC strategic plan and the ECSA-HC business plan. In 2009, LMS supported ECSA-HC to operationalize the previously developed business plan and engage potential donors.