Tanzania: Goals

2006

1. Second Health Assessment (HA-2) carried out in 30 mitaa
2. Community Action Board formed as an interim to prepare for meeting Moshi Municipal Council

1. Vacation month and language training

1. Seminar conducted with full Municipal Council of Moshi
2. Revise Training Manual
3. Recruit and train new Assistant Facilitators

1. Second Young Citizens Program implemented in 15 new mitaa for waiting control group
2. Presentation of first results from CHASE study at International AIDS Meeting in Toronto

2005

1. Pilot study of Young Citizens Program in Moshi rural
2. Recruit and train Facilitators and Assistant Facilitators

1. First Young Citizens Program implemented in 15 mitaa in Moshi
2. Parent session conducted in 15 mitaa

1. Second Community Survey (CS-2) conducted in 30 mitaa (treatment and control mitaa only)

2004

Scientific Achievements

1. The NBS is thoroughly engaged in data collection for the baseline community survey. During the month, Earls and Baghdellah met with the NBS team during their training and Earls, Carlson and Baghdellah met with the field supervisors on two occasions. Earls spent a half day in the field in Msaranga (see notes). Carlson and Earls met with Said Aboud in Dar on 2/26/04 to begin preparation for repeated NBS surveys in 2006 and 2007.
2. The Ward officers study is in high gear. During the month the team of Baghdellah, Monyo, Onesmo, Carlson and Earls met twice to discuss in detail the procedures and findings to date. Baghdellah also summarized some of the findings for a demonstration at the Open House. It was decided that a report would be circulated to each ward committee requesting feedback and approval prior to producing final report for publication.
3. Separate conversations were held with Rachel Manongi and Christopher Msoma about their participation. Both enthusiastically agreed to spend between 10 % and 20% effort respectively. Msoma will continue in assuming responsibility for the physical examination and in developing criteria for referral based on observations and data collected in the health assessments.
4. The household, caregiver, child health assessment procedures were reactivated after a period of dormancy. Msoma, Monyo, and Earls met on three separate occasions to discuss measures. A fourth meeting, involving all the staff occurred on 2/22. Physical health assessment techniques were reviewed as well as a survey instrument on adolescent health.
5. Tanya Marchant was recruited to join the CHASE Moshi staff and to take direct responsibility for the sampling, pretesting and execution of the household, caregiver and child health assessment. It is understood that this work will be coordinated with other activities by Baghdellah.
6. GIS maps of ward, mitaa and enumeration areas in Moshi Urban were pursued by Carlson. This involved resolution of incomplete work done by NBS Cartography to produce a digitized map in collaboration with Robert Kanoni of Sustainable Moshi Project. After disappointment with the NBS effort to create a digitized map, the paper versions of maps of all the enumeration areas were obtained. 135 are already being used by NBS as part of the sampling frame for the community survey and the remaining 200 were photocopied and assembled by NBS. These are to be shipped to our Moshi office by Pathfinder and will be given to Kanoni for entering into the digitized maps he already has of ward and mitaa boundaries.
7. A discussion on concepts and strategies of health promotion was held by the staff. Earls also discussed this in detail with Manongi, who later provided a note describing some challenges in pursuing health promotions research in Moshi.
8. On 2/13 and 14, the staff devoted full time to a workshop on participatory learning methods with consultant, Charles Kadonya.
9. Carlson led a discussion on steps in curriculum development for the Home Visit and the Child to Child components of the intervention.
10. An Open House was held on 2/17 at which displays of all scientific aspects of the study design were presented. The event was attended by over 50 people and the study received strong endorsement by the Deputy Mayor of Moshi, who was the guest of honor.
11. Earls and Carlson met with Sylvia Kaaya, Karim Manji, Deborah Ash, Esther Mwaikambo and Lorraine Cordeiro to review study progress while in Dar on 2/25 and 2/26.
12. Trickett and Earls visited one of the top ranked primary schools in Dar on 2/25 to observe teaching practices and policies and student behavior.

1. Carlson, Earls, Trickett and Baghdellah met with John Shao on 2/3/04. This was our only meeting with him. Other meetings were cancelled.
2. A stakeholders meeting was held on 2/18. Detailed minutes of this meeting were recorded by Baghdellah and are now available.
3. Earls met with Raimos Olomi on two occasions to discuss his administrative role in overseeing the smooth operation of the Harvard subcontract to KCM College.
4. Earls prepared a formal letter on performance evaluation for Baghdellah, marking the end of her first seven months with the project.
5. Following a discussion with George Kanza, Earls wrote Shao a letter citing Harvard's expectations on use of indirect costs.
6. Job descriptions for Msoma, Olomi, Baghdellah, Marchant and Manongi were drafted by Earls and circulated to Carlson and Baghdellah for comment.
7. A staff meeting on the SOP was held. Prior to the meeting staff prepared, a memo was drafted by the staff describing several revisions and additions to the existing draft SOP.
8. Earls and Carlson met with Mshana and Romana Olomi to discuss current status of KIWAKKUKI and potential role for this organization.
9. Earls and Carlson met with director of the Sustainable Moshi Project to discuss collaboration and to clarify the nature of mapping work being done by Kanoni.

1. Trickett, Earls and Carlson bought supplies (fans and tables) and plants for the office in Arusha on 2/7/04.
2. Trickett, Baghdellah, Monyo, Muro, Carlson and Earls visited accommodations in Marangu and in Usa that might be used for week-long training sessions.
3. Trickett purchased and installed a fax machine.
4. Two new printers were purchased and installed by Trickett.
5. Trickett worked on setting up table top computers.
6. Trickett trained Moshi staff on use of IBM laptops.
7. Trickett worked on completing a VPN between Harvard and CHASE-Moshi. Despite considerable effort, the technological challenges were not resolved before the visit ended.
8. The two new drivers were nearly completely consumed by assisting NBS in completing the field work.
9. A back-up power supply was installed.
10. Small carpentry projects were started by an excellent fundi.

1. Complete ward officers study by March 12 (Baghdellah).
2. Complete data entry from ward officers study by March 19 (Onesmo)
3. Edit first draft of report of ward officers' study by March 26 (Baghdellah and Earls).
4. Circulate draft report to ward officers with a request for return by April 2 (Baghdellah).
5. Monitor NBS community survey on a daily basis (Baghdellah).
6. Encourage Monyo and Onesmo to visit field for at least a half day (Baghdellah).
7. Review NBS field procedures, especially as they relate to use of the household listing and collection of demographic and household information. Prepare written report on evaluation of these activities by March 11 (Marchant).
8. Complete first draft of the health assessment, noting that it is incomplete, by March 8 (Earls).
9. Begin English to Swahili translation of this document (Marchant and Baghdellah).
10. Begin discussion group with a small group of bilingual youth advisors by March 15 and prepare a report on this by March 30 (Monyo. Msoma, Baghdellah).
11. Prepare detailed outline on content of home visit manual by March 15 (Carlson).
12. Update timeline and process for completing the training for home visiting and Child to Child by March 30 (Carlson, Trickett and Srouji).
13. Complete write up of notes on PLA workshop with Kadonya using charts produced during the meeting by March 9 (Onesmo).
14. Prepare Progress reports for NIMH and COSTECH by March 25 (Earls).
15. Make plans for data entry and data management within the Moshi office. Consider strategies for hiring a person with knowledge of computers and with the capacity not only to handle data but to act as a resource for financial record keeping should be an asset. Provide a commentary on this consideration by March 30 (Baghdellah and Marchant).

1. Data entry/management of community survey begins at NBS
2. Pretest of youth health assessment instrument

1. Continue editing ward officer's study

1. Complete pilot of youth health assessment instrument (YHA)
2. Proceeding with pilot of caregiver health assessment instrument (CHA)
3. Norris Kamo and Priya Nalkur arrive in Moshi

1. Recruit research assistant for YHA and CHA
2. Train research assistant for YHA and CHA
3. Conduct mini-survey of communities (mitaa) to supplement NBS survey
4. Begin first pilot study of CtC intervention in Cambridge

1. Begin YHA/CHA survey of 720 families
2. Begin pilot study of intervention with focus on GPS/GIS mapping at Mkombozi Children's Centre

1. Continue YHA/CHA survey
2. Data Safety Monitoring Board meets in Dar
3. Complete Mkombozi pilot study

1. Continue YHA/CHA survey
2. Work on HIV/AIDS curriculum

1. Complete YHA/CHA survey
2. Begin second pilot study on intervention in Cambridge

1. Data entry/management of YHA/CHA survey
2. Begin pilot study of intervention in Milea Sita
3. Consult with Roger Hart on intervention

2003

1. Community Survey reviewed and completed
2. Pathfinder International subcontract completed
3. National Bureau of Statistics pre-award assessment completed
4. List of ward councillors and street leaders completed

1. Community Survey translated and readied for pilot test
2. KCMC pre-award assessment done
3. Interviewing for jobs in progress

1. Earls and Carlson visit Moshi to work with Moshi team to interview finalists for two program manager meetings (march 7-15)
2. Earls and Carlson meet with NBS staff in Dar (Aboud and others in attendance) (March 16 - 18)
3. Earls and Carlson meet with Pathfinder - Dar (March 17)

1. Time line for doing community survey readjusted, with plans to start in the period between June and September
2. Renewed emphasis placed on Child to Child as a central component of the intervention
3. Program Managers selected: Oliver Kantai and Jasmine Baghdellah
4. Earls gives lectures at University of Michigan, Johns Hopkins, University of Miami, Harvard, and the Biannual meeting of the Society for Research in Child Development about the project.

1. Pathfinder does Pre-award assessment of NBS
2. Training of two program managers in Cambridge
3. Internal Advisory Group meets

1. Pathfinder does Pre-award assessment of KCMC and KCM College

1. Program managers begin
2. Alice Monyo hired as consultant on youth activities
3. Subcontact with NBS developed and signed
4. Office space in Moshi secured at Kahawa House, centrally locatd in Moshi Urban
5. Background information on administrative structure of Moshi Urban begins
6. Program Manager Kantai visits Child to Child program in Kenya
7. Program Manager Baghdellah visits Child to Child program in Zanzibar
8. Earls presents at NIMH HIV/AIDS and the Family conference in Washington

1. NBS to plan stakeholders meeting for the Community survey with Pathfinder and Baghdellah
2. Subcontract with KCMC and MOU developed
3. Earls and Carlson visit Moshi from, August 22 to September 20, and Dar from September 21 to September 26
4. Mona Srouji begins to consult on Child to Child curriculum
5. NBS signs subcontract agreement
6. Community Survey translated
7. Brochure developed which introduces the project
8. School Fees grant submitted to NIMH
9. Employment vacancy ads for two research assistants, administrative assistant, financial clerk and driver posted

1. NBS conducts pilot test of community survey in limited areas of Moshi
2. KCMC and CHASE-Moshi conduct stakeholders meeting in Moshi
3. Two Toyota vehicles purchased
4. Program office in Moshi at Kahawa House set up

1. NBS does full Community Survey of Moshi Urban over an 8 to 10 week period