PharmAccess International Tanzania police, prisons, and immigration (TPPI) project : final evaluation report

The aim of this program was to keep the personnel of Police, Prisons, and Immigration Services (TPPI or the Forces), their dependents, and civilians living in the vicinity of the health facilities of these Forces, free from HIV infection. The components of the program were: (1) HIV prevention; (2) prevention of mother-to-child transmission (3) HIV counseling and testing; (4) HIV care and treatment; (5) TB/HIV collaboration; (6) pediatric care and support; (7) pediatric anti-retroviral treatment (ATI); (8) umbrella care and support; (9) orphans and vulnerable children (OVC); and (10) police child-friendly services. The main purpose of this performance evaluation was to: (1) determine the extent to which the expected results of developing a comprehensive HIV and AIDS workplace programs for each of the Forces has been achieved; and (2) provide information and recommendations for planning and designing of any new support program. Guiding questions intended to address the evaluation objectives were: (1) how effective has the program been [and] have the program objectives been met; (2) what are the major results of the program [and] what is the impact of these results; (3) were there specific project management policies, structures, or practices that contributed to either success or failure of intervention implementation; (4) how well is the project working to coordinate planning and implementation of activities [and] how well is the program working in collaboration with other United States Government (USG)-funded programs; (5) are the staffing structure and capacity sufficient to achieve project goals; (6) what worked well, what did not, and why; (7) identify lessons learned, successful interventions for continuation or replication, best practices, significant products and tools of the above projects for possible dissemination and replication; (8) are the content and structures of TPPI"s approach sustainable [and] are they embedded in national structures; (9) does TPPI"s approach empower medical teams in the forces to proactively address HIV needs [and] are there alternative approaches that may contribute to host country ownership; and (10) what could be improved. To the evaluation team"s knowledge, the TPPI program and the Tanzania Police and Defense Force (TPDF) program are the only HIV and AIDS donor-funded projects including care and treatment to be implemented nation-wide in Tanzania. This particularity of the TPPI program, along with its comprehensive nature, offers many advantages and raises challenges. The evaluation team has compiled a set of recommendations detailed under each program area as well as general recommendations. Specific evaluation analyses on program findings, conclusions, and recommendations are provided in detail. (Excerpt, modified)