[Organization Name: Youth Plan Association] United Nations Educational, Scientific and Cultural Organization PROJECT DOCUMENT [Project

Title: Reaching out to the Socially Marginalized Most at Risk: the Young Population]
Summary. This project is designed to contribute to prevention services targeting most at risk population especially youth drug users (DUs), commercial sex workers (CSWs) and men having sex with men (MSMs ) as they constitute a highly concentrated HIV/AIDS population in Zanzibar. As this group is a hidden population, reaching this group requires special approach as a snowball which in a sense means one identified client in a specific population to link another clients within the group. The project shall reach at most risk youth populations MARYPs with effective HIV/AIDS prevention services including counselling, condoms. Besides being a low prevalence area 0.6% (Validation Survey, 2008), Zanzibar has been documenting a concentrated type of HIV epidemic among drug users, commercial sex workers and men having sex with men. (DUs) 25.7%, Commercial Sex workers (CSWs) 12% and men having sex with men (MSMs) 10.5%. The rising spread of HIV in injecting drug users (IDUs), commercial sex workers (CSW), men having sex with men (MSM), create a high potential for a possibly rapidly worsening, generalized epidemic. Injection drug use and needle-sharing are common among IDUs in Zanzibar and result in high prevalence of bloodborne infections. IDUs could present a bridge population for the spread of HIV into the general population in Zanzibar. Intensified prevention, advocacy, and community mobilisations services are thus immediately required to prevent the spread. A survey conducted in 2007 revealed that of the 508 study participants, 198 (38.9%) was IDUs. The proportion of male IDUs (39.6%, 191/482) was larger than the proportion of female IDUs (26.9%, 7/26). Blood sharing or flashblood is a practice in which one IDU with no access to drugs gets an aliquot of blood from a friend who has just injected himself with a drug. The first IDU draws blood back into a syringe until the barrel is full and then passes the syringe to the second injector. This practice has been documented since at least 2005 in female IDUs in Dar es Salaam, Tanzania. In Zanzibar, the practice of sharing flashblood was documented in 9.1% (18/198) of male IDUs all of whom were from the urban areas. Although IDUs are already at high risk of contracting blood borne infections, their vulnerability is increased by the practice of needle sharing because of the risk of sharing residual and potentially infected blood across users. Needle sharing was reported by 45.9% (91/198) of the IDUs. About 46.6% (89/191) of male IDUs shared needles. About 29.8% (59/198) of IDUs reported that water cleansing of injecting paraphernalia (syringes) was the most commonly practiced sterilization technique. Sexual behaviour plays an important role in the transmission of HIV and other STIs. The rapid assessment also examined risky sexual behaviours that overlap with drug use. Fifty-nine percent (300/508) of DUs reported having had their sexual debut between the ages of 15-19 years; 22.6% (115/508) between the ages of 20-24 years; and 7.1% (36/508) under the age of 14 years. The median age for sexual debut was 18 years of age. Nearly 71% (359/508) of the study participants reported having multiple sexual partners in the past 12 months. Females reported higher numbers of multiple sex partners compared to males 76.9% (20/26) v. 70.5% (340/482). Eleven (11) of 21 females (52.3%) reported five or more sex partners in the last 12 months. About 11.6% of male study participants (56/482) reported having had at least five (range 5-130) sexual partners in the last 12 months. Five of the study participants said that the partners were too numerous to remember Zanzibar have a fairly abundant HIV/AIDS services as from the supplier side, the use of services in some instances is not consistent with the supply. This phenomenon is linked with low awareness of existing services but also the conflict of interest among service providers (stigma) between their personal moral value and the universal right to health. There is lack of human face in dealing with these social marginalized population as people believes that this approaches is too liberal and alternative approach is strict punishment. To increase utilisation, the project shall make popularization of the existing HIV/AIDS services in Zanzibar including (PMTC, PEP, VCT, Condom, HIV/AIDS hotline). The project shall on one hand enhance awareness raising on health rights to provoke demand for access to effective reproductive health services (including HIV/AIDS services) to MARYPs as well as to the general population .

Contents Section I. Project Strategy Section II. Results and Budget Framework Section III. Workplan and budget

Section I - Project Strategy 1.

Youth-plan organization started after the concern was felt on the problems facing youth especially in employment, HIV/AIDS, as well as their capacity to enter into the global market. The global Youth Employment Summit (YES) in Alexandria, Egypt in 2000 streamlined the idea among the founding members, which discovered that in order to have able society in future something should be done to address youth problems before it was too late. As a movement, youth in Zanzibar founded the Youth Plan with the following objectives: o Advocate for meaningful participation of young people in development mainstream. o Working to improve Sexual Reproductive Health Rights of young people. o Building youth towards self employment o Extension of youth friendship, mutual understanding, peace and collaboration world wide through debates, networking and forums. o Planning for empowerment through skilful training and higher education to youth through any way relevant, from educational, academic or professional o Establish International Youth Village for carrying out various youth activities which include International Youth Festivals, science and study camping, meetings, forums, sports, research among others to foster youth, parents and community development o Acting AS agency for youth and developmental activities The current Project leaders are: ISSUE 1 Office Bearers: Ibrahim Abdulla Hamad Executive Director 24 yrs Hafidhuu Salim (Ms) Deputy Executive Director 23 yrs Mr. Sultan Alawy Plannin, Administration and Public Relations 23 yrs Hamisa Bakar (Ms) Financial Officer 27 yrs Dadi Hamad (Mr.) Program Officer 25 yrs Sada Issa Ali (Ms.) Program Assistant 24 yrs Ali Rashid Salim Ms. Technical Advisor (52) yrs Janet Kiwia (Ms) - Program Assistant (25 yrs)

Organization or group submitting the project. [

2.

Board members Mrs SABBAH SALEH ALI BOARD CHAIRPESON (25) Mr. AMOUR KHAMIS SILIMA BOARD MEMBER (37) Mr. ABUBAKAR SUWEID JUMA BOARD MEMBER (40) Mr. SHEHE ALI HAMAD BOARD MEMBER (28) Mrs MARYAM SAID NOFLY BOARD MEMBER (37) Ms. KADIJA MAKAME BOARD MEMBER 20

The previous activities of the organisation are: ACTIVITY 1 Awareness campaign against HIV/AIDS discrimination and stigmatization Capacity Building Support from The Pemba Island Relief Organisation (PIRO) ORIGIN OF THE FUNDS OWN CONTRIBUTI ON AMOUNT SPENT 200,000 YEAR REMARKS 2003 FUNDRAISING WITHIN ZANZIBAR BY YOUTH-PLAN

The World Population Foundation (WPF) Netherlands

2 Promoting Girls Child Education

Banyan tree through Changamoto NGO

1,800,000 2004 Youth Plan was assisted with PIRO on office equipment as a part of capacity building to improve sexual reproductive health information and services of Youth Plan 5,000,000 2005 COMMISSIONED PARTIALLY JOB AT FUKUCHANI SCHOOL BY CHANGAMOTO 300,000 2006 Zanzibar AIDS Commission

3 HIV/AIDS awareness campaign 4 Documentary programme on Micheweni community for

Activities for commemorat ion of World AIDS day Zanzibar Strategy for Growth for Reduction of

3.500.000 2007 VIDEO PROGRAMME DID AS A CONSULTANCY

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observing old women and children including orphans and MVC

Poverty (ZSGRP) through UNDP funds

5 Supporting School Twining Program

The Pemba Island Relief Organisation (PIRO)

630,000

JOB MEANT TO PROMOTE MICHEWENI VILLAGE IN PEMBA TO BECOME A MILLENIUM VILLAGE. MICHEWENI IS THE MOST POVERTY STRICKEN AREA IN ZANZIBAR ISLANDS. 2008 Supporting Learning Without Fear A program to advocate against punitive measures in School

The proposed project is felt by concern of increased risks of young people in Zanzibar as a result of tourism boom which young people from Kenya, Congo, Tanzania Mainland and Uganda coming to Zanzibar in the tourism market as well increased mobility of young people from Zanzibar to Mainland Africa for business opportunities. 2. HIV/AIDS and the human rights based approach. The proposed project advocate for rights to HIV/AIDS information and services to at most risk young population including MSM, CSW and IDUs. 3. Objective, results and activities

Overall Objective: In the implementation of the proposed project, Youth Plan Association shall adhere to two principles, (i) The provision of HIV/AIDS services to most at risks young population (MARYPs) -dealing with the immediate issues and problems, and (ii) The building and strengthening of local capacity and community mobilization, (this is to ensure sustainability and generate capacity and focus on the longer term issues). The project shall thus have two objectives : i. Strengthen HIV/AIDS information and services to MARYPs; and ii. Capacity building and mobilization of local service to improve comprehensive HIV/AIDS services. Results 1. Strengthen HIV/AIDS information and services to 60 DUs, 90 CSWs and 30 MSMs

2. Capacity building and mobilisation of local service providers (6 CSOs, 4 FBOs, 3 Private Health Clinics) to improve comprehensive HIV/AIDS services to MARYPs 3. Increase awareness on MARYPs in the general population. 4. Improved internal capacity of Youth Plan in providing HIV/AIDS services to at most risk youth population. Activities Activity 1.1: To develop organisational protocol and procedures for dealing with DUs, MSM and CSW. Activity 1.2: To provide services at the drop inn centres through face to face counselling Activity 1.3: To provide outreach services to DUs and CSW. Activity 2.1: To conduct training workshop on rights to health Activity 2.2: To conduct modular training on psycho counselling with regards to HIV/AIDS and MARPs. Activity 2.3: To conduct training on harm reduction. Activity 2.4: To conduct public forums on rights to health Activity 2.5: To prepare and distribute materials for mass media campaign 4. Impacts. % of youth especially those at most risks demanding harm reduction services. Community supporting groups at risk to protect themselves from HIV/AIDS More CSOs, FBOs providing harm reduction services. Improve awareness to health rights with emphasis on Sexual Reproductive Health Rights (SRHR) including HIV/AIDS services .

5. Alliances. [Youth Plan shall seek consultation and backstopping from the Zanzibar AIDS Commission, Email address: advocacy@zanlink.org The Executive Director Zanzibar AIDS Commission (ZAC) P.O. Box 2820 ZANZIBAR, Tanzania Tel: (+255) (0)24-223 1152 Fax: (+255) (0)24-223 1152 Email:zac@zanlink.com, zacadvocacy@zanlink.com>, asha abdulla" <ashabdulla@hotmail.com>, Nuru Mbarouk" <nururam@hotmail.com>,

6. Associated risks. [Explain the envisioned risks associated to the project execution] The main risks that may delay or reduce the effectiveness of the proposed project are: The social- cultural and political environment in Zanzibar if not remain conducive The project causing confusion in the community causing community turning 100% un-cooperative
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Our plan for dealing with these risks are: Developing protocol and procedure for dealing with most at risk youth population. Making consultative discussion with all gatekeepers at the initial level.

Section II Results and Budget Framework General Goal: Strengthen HIV/AIDS information and services to MARYPs. Results 1. Strengthen HIV/AIDS information and services to 60 DUs, 90 CSWs and 30 MSMs Benchmarks / Indicators Youth Plan protocol and guidelines for dealing with young people who are MSM, CSW and DUs developed. # of young people by gender received services at the centres and provided with counselling. # of young people by gender reached through outreach services at the centres # young people who are MARPs demanding HIV/AIDS services # of referrals made by youth plan # of young people persons using the free HIV/AIDS telephone hotline Activities Activity 1.1: To develop organisational protocol and procedures for dealing with DUs, MSM and CSW. Activity 1.2: To provide services at the drop inn centres through face to face counselling Activity 1.3: To provide outreach services to DUs and CSW. Associated resources (US $) 640.00

266.67 746.67

TOTAL

1,653.33

General Goal: Capacity building and mobilization of local service to improve comprehensive HIV/AIDS services Results 2.Capacity building and mobilisation of local service providers (6 CSOs, 4 FBOs, 3 Private Health Clinics) to improve comprehensive HIV/AIDS services to MARYPs Benchmarks / Indicators # of CSO, FBOs, Private Health Clinics providing HIV/AIDS services to most at risk young people. Activities Activity 2.1: To conduct training workshop on rights to health Activity 2.2: To conduct modular training on psycho counselling with regards to HIV/AIDS and MARPs. Activity 2.3: To conduct training on harm reduction. Associated resources (US $) 1,455.00 955.00

885.33 3490.00 273.33 250.00

Subtotal 3. Increase awareness on MARYPs in the general population

# People accepting a need for provision of harm reduction. # of shows and IEC materials developed

Activity 3.1: To conduct public forums on rights to health Activity 3.2: To prepare and distribute materials for mass media campaign

Subtotal 4. Improved internal capacity of # PIRO capable of imparting efficient Youth Plan in providing HIV/AIDS services to the most at risk young services to at most risk youth population population. Subtotal TOTAL

Monitoring, Evaluation, Reporting. Program Management

523.33 885.33 1,330.00 2,215.33 7,932.00

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Section IIIWorkplan and budget [please note the last three month period Q4- only covers one month of execution] Results Activities Execution period Responsible (10 months) Q1 Q2 Q3 Q4 Budget ( Please see detail budget) Detail
Consultant fee: 1 consultant @500,000 fee Dissemination workshop participants allowance: 20 people for 1 day @ 5,000 Publication: 20 copies @ Tshs 5,000 Venue: for 1 day @Tshs 60,000

Amount (US $)
640.00

1. Strengthen HIV/AIDS

information and services to 60 DUs, 90 CSWs and 30 MSMs

Activity 1.1: To develop X organisational protocol and procedures for dealing with DUs, MSM and CSW.

Activity 1.2: To provide services at the drop inn centres through face to face counselling

Counselling and other face to face services (Routine activity not costed) 2000 Condoms at Tshs 200

266.67

Activity 1.3: To provide outreach services to DUs and CSW.

Distribution of SRH Commodities (condoms and IEC materials) in the District: 2 visits in 4 months @ 100,000 Transport support to outreach activities for trained 10 young peers including (ExDus, CSW and Ex - CSW): 2 peers MARPS in 4 months @ TShs 40,000

746.67

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2.Capacity building and Activity 2.1: To conduct mobilisation of local training workshop on service providers (6 CSOs, rights to health 4 FBOs, 3 Private Health Clinics) to improve comprehensive HIV/AIDS services to MARYPs Activity 2.2: To conduct modular training on psycho counselling with regards to HIV/AIDS and MARPs.

Activity 2.3: To conduct training on harm reduction.

Participants Transport allowance: 30 participants in 2 days @ TShs 15,000 Facilitators Allowance: 2 person in 2 days @ Tshs 50,000 Stationaries: package for 32 person @ Tshs 2,500 Drinks & Snacks: 32 person 2 days @ Tshs 2,500 Venue: 2 days @ Tshs 60,000 Transport: Car hire 2 days @ Tshs 80,000 Participants Transport allowance: 25 participants in 2 days @ TShs 15,000 Facilitators Allowance: 2 person in 2 days @ Tshs 50,000 Stationaries: package for 27 person @ Tshs 2,500 Drinks & Snacks: 27 person 2 days @ Tshs 2,500 Venue: 3 days @ Tshs 60,000 Transport: Car hire 3 days @ Tshs 80,000 Participants Transport allowance: 25 participants in 2 days @ TShs 15,000 Facilitators Allowance: 2 person in 2 days @ Tshs 50,000 Stationaries: package for 27 person @ Tshs 2,500 Drinks & Snacks: 27 person 2 days @ Tshs 2,500 Venue: 3 days @ Tshs 60,000 Transport: Car hire 3 days @ Tshs 80,000

1,080.00

1,455.00

955.00

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3. Increase awareness on MARYPs in the general population

Activity 3.1: To conduct public forums on rights to health

Dialogue facilitator: 2 people @ Tshs 50,000 Transport : 1 car @ Tsh 60,000 Drinks & Snacks: 84 person @Tshs 2,500 Honororia: 1 person @ Tshs 40,000

273.33

Activity 3.2: To prepare and distribute materials for mass media campaign

300 A3 Posters @ Tshs 1,250

250.00

4.Improved internal Monitoring, capacity of Youth Plan in Reporting. project implementation providing HIV/AIDS services to at most risk youth population.

Evaluation, X

Board meeting: 6 people in 2 sesssions @ Tshs 20,000 Bi annually stakeholders meeting: 40 people in 2 days @ Tshs 100,000 Fuel for M& E officer: 30 litres per month in 6 months @ 1,600

885.33

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Program Management

Project Manager : 1 person in 6 months @ Tshs 20,000 Communication: 6 months @ Tshs 50,000 Stationery: 6 months @ Tshs 50,000 Office electricity: 6 months @ Tshs 30,000 Bank Charges: six months @ Tshs 15,000

1,380.0 0

Total

7,932.00

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