In Iringa Region, Deloitte has been working with three CSOs to support over 400 home-based care (HBC) community health workers (CHWs) that provide services such as HIV treatment adherence counseling and support and follow up tracking after missed appointments. Under Tunajali II, beginning in June 2015, Deloitte trained about two thirds of the existing HBC providers (CHWs) using the Ministry’s approved 3-week MNCH curriculum, thereby establishing an integrated HBC-MNCH CHW model. The MUHAS-JHU team used a sequential mixed-methods case study design (both qualitative and quantitative methods), to study existing complex systems involving the training and deployment of CHWs in order to better understand the implications of integration of HIV and MNCH services at the community level.

The study used in-depth interviews, monthly summary data on HIV, monthly summary data on MNCH, HBC demographic data and quarterly ART reports and routinely collected facility-based MNCH data to answer the research questions. Information obtained from this innovative CHW programmatic model is expected to provide evidence to inform the decision making organs of the Ministry during the rollout of the BRN MNCH-CHW and national MA-CHW cadres. 

 The case study research team in Kilolo, Iringa, Tanzania