October 09, 2009


Wow Cannot Put all Heroes on Blog!

Immaculate is the current Chairperson of KIWAKKUKI (on the right) She is leading a leader of the government and HIV/AIDS programs into KIWAKKUKI. These positions on the board are totally voluntary, and require an immense amount of time and dedication. Hats off to these volunteers who have the ultimate task of making more than 5,000 people happy. Wow!

Dafrosa Itemba, Executive Coordinator and Agnes Urassa, past Chairperson of KIWAKKUKI "discuss" topics at a members meeting

Cuthbert Swai arrives in Moshi after traveling two hours on a motorbike (pikipiki) from the Rombo District, over two hours away. He is bringing his district reports and it has been very dusty. The rains never fell.

Eunice Maringo is head of the finance department, but is acting coordinator whenever Dafrosa is out of town. Somehow she makes miracles happen

Antipas Mtalo leads heroic efforts to lead the VCT efforts at KIWAKKUKI. His staff, including Mama Changali and Anna Malwa provide intense counseling followed by voluntary testing

Agnes Ngowi and Mama Changali share a hug at her retirement. Agnes Ngowi has dedicated herself to the psyosocial care of children affected directly by AIDS for many years.

Theresia heads up education. She is just amazing, funny, smart, and has great ideas about how to get new initiatives going with HIV prevention and now looking at co-infections that are plaguing the region

Cannot have favorites in this group. But Verynice has to rank in the top group. Not only does she willingly lend her reading "screens" to everyone, run out of gas in her little old VW bug on "Main Street" (because it was too expensive to add more), but her heart breaks every time an unsponsored child comes into KIWAKKUKI. Her terrific sense of humor belies a heart of gold.

I would hate to think about what KIWAKKUKI would do without Steven. He documents everything, takes tons of pictures, interprets language of the deaf, helps others with computer issues, seems to know every sponsored school child, but takes care of his own family with love and care. If we could clone more young men to be like Steven, the world would definitely be a better place.

When I first arrived at KIWAKKUKI, I had no idea that I would come to love Mr. Ndano so much. He has endured suffering and grief, hardships that most of us cannot imagine, yet kept an immaculate lab, educated himself about HIV/AIDS, and become a father to many of us...Africans and Mzungus alike. Ayoube, well he will have his own special picture, and his own special place in heaven. Though thank goodness he isn't dead! Ayoube drives carefully everyone around. He is kind, compassionate, never ever complains, and just wants to make you happy. I am quite sure that Ayoube has no enemies, and thousands of friends. Mary Shuma...I think that is her first name...no one ever says Mary, it is always Mary Shuma, what an addition to KIWAKKUKI. She is thoughtful and has brought a powerful program through Life and Living and then you see Steve sneaking in the shot.

What are the characteristics of a Chagga Queen? I have never actually seen a job description, but, if anyone wanted one, I think that Lydia would have to be the model. I have seen her demonstrate condoms (male and female) to groups of over 300, shame a village for not taking care of an HIV-positive mentally disabled mother (widowed, raped, left in a ditch), be a gracious hostess, dance the dance of the Masaai (and be given honorary Masaai queen position), talk to school children, talk to teachers, help with surveying, be the Street Leader, and carry herself always with grace and composure, even under great stress. She is definitely "Lydia the Queen of My Heart"

This group posed for a shot demonstrating the work of the new Information Centre. The special people, Ndosi (driver, Eli (Mr. Everything) John Mwita (or Mwita) Information specialist and founder of the PLHA's Center for Hope, and Juliana, are glue in the group. They provide the helping hand that makes people trust the organization, brings them in for assistance, feeds them, helps them and tries to send them on their way with new information. That is a very hard task in a city that is extraordinarly poor, with or without HIV.

The Grande Dame of KIWAKKUKI is the beautiful Dr. Sabina Mtweve. She is a dedicated pediatrician at KCMC who has now thrown herself into the world of public health. But, she was one of the founders of KIWAKKUKI, and has been a loyal member ever since. She is a stickler for details, and all of us have had to answer to her. That is why we love her! (or one reason)

I would add my daughter into every picture, but it would be unfair given the length of time that KIWAKKUKI has been in operation. But, with another picture of Eli, and CAB board member, Memory Project Member and friend (see feature in September) Melkizedik, the trio look perfect.

The latest VCT tester, Elizabeth has made her mark on the world with her laughter, happiness and outreach. VCT is the key to HIV prevention. Thank goodness we have such a dedicated team.!

Mama Kishe single handedly has created the memory work in KIWAKKUKI. Initially, with no English speaking skills, she taught herself 40 words a night directly from an English Bible. But stored in her brain were the names and locations of hundreds of orphans and vulnerable children who needed help. Not the only answer, but an important piece has been doing memory work, making family trees, finding pictures of family, making wills, finding birth registration and being registered as orphans. Long into the night, Kishe waits for a mother to give birth-too late to get to the hospital and with only she and a few other family members to help. What does she want in return? Help for her memory kids. No more, no less.

Romana isn't behind bars, but they symbolize the importance of her work. She is the secretary for KIWAKKUKI and years of records are secured behind her. How can she type for so many people? We don't know, but somehow it gets done, and she is still smiling and laughing.

Well, one reason that Romana doesn't just give up is because Rayline is behind her copying and collating, and stapling and saying, "How can I help"? Stacks of paper get sorted, and reports are ready. amazing.

Lui in the middle of children. How appropriate. Lui has raised her own, some relatives, served the city, and still dedicates her life to the children. Try to remember a sponsored child's name... Lui knows. Ponder an unponderable question about how to save a group of children...Lui has the answer. Cry, Lui's shoulder is there. Lui-for such a quiet person, she is one unbeatable woman.

Here are the money raisers, and sneaking in are those who love to be in pictures. Alex (thank goodness joined finance) Ayoube who has gotten himself in another picture, Neema, a great salesperson (fundi)...what do you want mama? I will get it for you. The next day it is at the KIWAKKUKI shop at just a fraction higher than at the wholesale place, but saving you a lot of trouble and energy. And the smile? Neema means Grace. Perfect! Then Eunice. Mary Mallwa, who for years held down finance with Eunice and didn't go crazy, and finally Dafrosa.
Many people are left out of this blog, and they are all unsung heroes! I will keep trying.
More pictures to come!

October 05, 2009


Many times our KIWAKKUKI blogs contain sad stories. Children who die too young, parents who die and leave their children orphans, overloaded poor persons standing in line for 10 KG of what we call "corn pellets", in order to make a month of food, trying desperately to get your work done with no power, with the deadlines due and no internet, with no transport to get to the training site....etc, etc, But today my story is a happy one. If only short term. Our Judith... featured in one of the previous blogs, saw a wonderful pediatrician this week. She and Dr. Annie connected. They were able to talk, to be honest about adherence and the problem of stigma at school. Of course, no problems are solved, but at least Judith found a young doctor who understands and with whom she can talk. She is happy to see her again, and I feel confident that her own confidence has been boosted by Dr. Annie. It won't be any easier to face her cruel fellow students, but at the least, she will be determined to work and to prove that she can make it in this very difficult world of being HIV-infected and a girl in Africa. We're cheering for you Judith!

September 09, 2009


Shirika la KIWAKKUKI Kilimanjaro limeanza utaratibu wa kutoa mafunzo ya Jinsi ya kukabili msongo mawazo kwa wafanyakazi wake na kwa wanaojitolea.
Akifafanua haya mkuu wa kitengo cha kukabiliana na Msongo mawazo kazni Dr. A.Mtalo alisema kuwa Msongo ni hali ambayo hutokea kwa watu binasfi, makundi, shirika n.k, hivyo KIWAKKUKI kama tunavyofahamu kuwa tunafanyakazi katika hali Ambazo zinaweza kusababisha msongo, hivyo tumeona ni vema tukapeana semina hii Ambazo mwisho wa siku washiriki watakuwa waelimishaji msingi wa Msongo mawazo kwa lengo la kuwaelimisha wengine

Dr. Mtalo aliendelea kusema kuwa wanalishukuru shirika la Antares la Uholanzi kwa kuanzisha programu hii KIWAKKUKI kwani ni programu ya muhimu na itakayoleta mabadiliko “ Tunalishukuru shirika la Antares kwa kuona kuwa kuna kila sababu ya kwa KIWAKKUKI kuwa na mafunzo haya ili kuweza kukabiliana na Msongo Mawazo ambao huweza kumpata mfanyakazi /anayejitolea au kwa yeyote ambaye anafanya shughuli za KIWAKKUKI”.

Imeonekana kuwa endapo msongo/visababishi vinavyochangia msongo mawazo endapo havitadhibitiwa mapema, inaweza kusababisha utendaji kazi kulegalega na hatimaye kushindwa kabisa kusaidia jamii kama ilivyolengo la KIWAKKUKI.

Mwaka 2004 wataalamu wa masuala ya Msongo walifika KIWAKKUKI na kuandaa dodoso linaloonesha visababishi vya msongo kutoka kwa wanaojitolea na wafanyakazi.

Baada ya kukusanya data kupitia madodoso, wataalamu hawa walirejea nchini kwao Uholanzi na mnamo mwaka 2008 aprili walifika tena KIWAKKUKI kwa lengo la kutoa mafunzo kwa wakuu wa Timu kwa lengo la kuendeleza elimu hii zaidi.
Katika mafunzo hayo yalihusisha Waratibu wa KIWAKKUKI wilayani ,Wawakilishi wa KIWAKKUKI wa wilaya na wanaojitolea toka wilaya zote sita (Same,Mwanga,Rombo,Hai,Moshi Mjinina Moshi vijijini) kwa lengo la kutoa elimu hii ili watakaoelimishwa waweze kuelimisha vikundi vingine.

Awali wataalamu hawa walikuwa wakitoa mafunzo ya kukabiliana na msongo kwa watu waliokuwa wanafanyakazi katika maeneo hatarishi mfano vitani,hospitalini n.k

Mnamo mwaka 2008 mwezi wa 11, wataalamu hawa walikuja tena kwa ajili ya kufuatilia na kuwawezesha wakufunzi kuwa na uwezo wa kwenda kufundisha wengine

Elimu hiyo hutolewa kwa kuangalia Mambo yanayochangia msongo Mawazo, dalili za msongo mawazo,athari za msongo mawazo,na Namna ya kukabiliana na Msongo mawazo

Kwa upande wa wafanyakazi walioko ofisi kuu hupata fursa kufanya mazoezi mbalimbali yanyosaidia kukabiliana na msongo mawazo.Mazoezi hayo yanahusu zaidi suala la kuchua sehemu mbalimbali za mwili na kuruhusu msongo utoweke mwilini.Sehemu hizo ni pamoja na uso, pua, vidole, shingo, miguu, mdomo wa juu na chini, masikio n.k

Picha na matukio mbalimbali:

Mweka hazina wa KIWAKKUKI J.Kanza akifungua rasmi semina ya kukabiliana na Msongo mawazo tarehe 28 april 2009

Theresia Sabuni (Aliyesimama mbele)mmoja wa wakufunzi na msimamizi wa mafunzo KIWAKKUKI akifundisha moja ya mada ya kukabili msongo mawazo(Picha juu)

Msimamizi wa kitengo cha kukabili msongo mawazo(Dr. Mtalo) akiongoza washiriki katika zoezi la kusua misuli ili kuondoa msongo

Sehemu ya washiriki wa mafunzo ya kukabiliana na msongo mawazo wakijadiliana katika moja ya kazi ya vikundi

Romana Mallya mmoja wa washiriki wa mafunzo akiwasilisha kazi ilifanywa na kikundi kuhusu namna ya kukabili msongo mawazo


Wafanyakazi wa shirika la KIWAKKUKI waanzisha utaratibu wa kuwaaga wenzao na kuwapongeza mara wanapomaliza mikataba yao kazini
Hali hii imedhihirika baada ya wafanyakazi hao kuiona kuna umuhimu wa kukaa pamoja na kuwaanga ama kuwapongeza wenzao
Mwenyekiti wa KIWAKKUKI mama Imaculate Mrema alihudhuria hafla hiyo iliyokuwa imeandaliwa na wafanyakazi wanaoendelea na mikataba yao ya ajira.

“Hatua hii ni nzuri maana inapunguza msongo mawazo na kuleta burudani miongoni mwa wafanyakazi” alisema mmoja wa wafanyakazi ambaye alionekana muda wote kuwa mwenyefuraha isiyo kifani.

Hafla hii iliambatana na chakula pamoja na viburudisho kemkemi ndani ya ukumbi mpya wa KIWAKKUKI katika kata ya Korongoni Mjini Moshi.Kadhalika kulikuwa na ma “DJ” ambao walionesha umahiri wao wa kurusha muziki kwa mpangilio uliovutia wengi. “He! Hii kali, huwezi kuamini tunao ma Dj na ma MC humu hakuna sababu ya kukodisha tena MC” alisikika mmoja wa wafanyakazi ambaye alikuwa muda wote akitikisa kichwa chake kwa ladha ya muziki ulivyokuwa ukirindima.

Kadhalika wafanyakazi waagwa walipata fursa ya kuzungumza ambapo zaidi walisema wanashukuru kwa zoezi hili la kuwaaga kwani limeonesha kuwa upendo miongoni mwa wafanyakazi wa KIWAKKUKI .Hivyo waliomba upendo huu udumu na uendelee hata kwa wengine

Wafanyakazi walioagwa ni:
H.G. Ndanu-Fundi sanifu maabara
Mama Shangali-Mshauri Nasihi
Rehema Kiwera-(Aliwakilishwa na Petronila) Mkuu wa Idara ya Kutembelea wagonjwa nyumbani
Joyce Kinabo-Mtembeleaji wagonjwa Nyumbani(Aliwakilishwa na S.B.Moshi)
Piala Arkard -Mtembeleaji wagonjwa Nyumbani
A.Mgonjna- Mkuu wa kitengo cha ushauri nasihi(Aliwakilishwa na A.Mwalla)
Salvatory A.Chami- Dereva
Picha na Matukio

Baadhi ya wafanyakazi waagwa wakipokea zawadi za pongezi toka kwa mwenyekiti wa KIWAKKUKI I.Mrema

Sehemu ya wafanyakazi wa KIWAKKUKI wakicheza “Twist” pamoja na mwenyekiti kuonesha furaha waliyonayo huku wengine wakiwashangilia

September 08, 2009


Shirika lisilo la kiserikali la Wanawake Kilimanjaro limetoa misaada mbali mbali kwa wanafunzi wa shule za msingi na sekondari hapa Kilimanjaro
Katika hatua zake za kusaidia serikali kukabiliana na ongezeko la watoto Yatima, KIWAKKUKI imeweza kuwasaidia watoto 6 wa shule ya Msingi Jitegemee Moshi ndani ya Kata ya Pasua kwa kuwapatia sare za shule, madaftari pamoja na kuwalipia michango ya chakula ili waweze kukaa darasani na kusikiliza wanachofundishwa.
Hawa ni wachache kati ya wengi ambao wamenufaika kupitia mradi huo wa watoto Yatima.
Watoto hawa walipata msaada huo kutoka kwa baadhi ya familia zenye mapenzi mema na jamii ya tanzania toka Marekani ambao ni familia ya Dorean Weiss.
Hatua ya familia hii kuanza kusaidia zilitokana na jitihada za mtoto wao aliyekuwa akijitolea KIWAKKUKI mwaka 2007.


Ni Utafiti wa ufuatiliaji unaofanyika katika nchi mbalimbali unaotafuta kutambua viashiria vya matokeo mazuri kwa Watoto yatima.

Hapa Tanzania Utafiti huu unafanyika katika mikoa ya Kiliamanjaro na Arusha. Katika mkoa wa Kilimanjaro ni wilaya za Moshi vijijini, Manispaa, Hai na Siha. Katika mkoa wa Arusha ni wilaya ya Arumeru.

Kupata uelewa ili kuweza kushauri/ kushawishi wadau mbalimbali( kwa mfano Watunga sera, Mashirika ya fedha na walezi) kuhusu mila na desturi za malezi ambazo zinahitaji kuzingatiwa wakati wa mipango ya kusaidia watoto yatima.

Lengo kuu:
Kutumia matokeo ya utafiti huu kuboresha malezi ya watoto yatima kwa kupitia mipango itakayowekwa hapa na kwingine duniani.

1. Kuna haja kutatua matatizo- Je tunajua ni katika mazingira gani mtoto anapata malezi bora zaidi ni kwenye Jamii au Vituo- Ni nini kinatuonyesha kwanini Watoto wengine wanafanya vizuri zaidi na wengine wanashindwa.- Ni wapi pengine tuwekeze fedha za malezi ya Watoto Yatima- Je tumeisha yaorodhesha matatizo au sababu za matatizo ya Watoto yatima.
2. Itatupatia mwanga au majibu ya muundo na mahusiano kwenya jamii

Watoto wote hawa wanafuatiliwa kila baada ya miezi sita kwa kipindi cha miaka mitatu. Wanafuatiliwa na kufanyiwa usaili unaotaka kujua hali za Afya za watoto, Elimu ya mtoto, Chakula, malazi, Msongo wa mawazo na Hali ya kipato cha familia. Washiriki wakuu katika ufuatiliaji huu ni(rasilimali watu):Watendaji wa kata, Wenyeviti wa mitaa, Wenyeviti wa vijiji, Wasaili, Walezi, Watoto na Walimu. Njia kuu tunazotumia kukusanya taarifa ni mahojiano ya moja kwa moja.


Washiriki na maeneo wanayotoka walichaguliwa kwa kutumia mfumo maalumu wa namba kuwachagua ili kuepuka upendeleo.


September 07, 2009

The Growth of KIWAKKUKI

Background to KIWAKKUKI:
KIWAKKUKI is a Kiswahili acronym (Kikundi cha Wanawake Kilimanjaro Kupambana na UKIMWI)Funded in 1990 and around the theme of Women and AIDS; formally registered as an NGO in1995.Fundamental goal is to accelerate Women’s access to Information on HIV and empower them with skills needed to fight HIV/AIDS in their Community. After empowerment, these women have made a big difference in the war against HIV/AIDS in Kilimanjaro region Tanzania. KIWAKKUKI was conceived as a result of the December 1990 World AIDS Day Theme of “Women and AIDS.” This theme inspired women from all walks of life in Moshi town who saw the need to join hands to engage in the campaign against HIV and AIDS in Kilimanjaro in order to mitigate the impact AIDS was bringing in the community. Women and girl children as traditional managers of domestic unpaid labour were the most impacted. “Let’s give women the awareness to become drivers of their own lives their own protection and that of their children. Many women see the need for giving assistance and support to those families impacted by AIDS. They have to bear pressure on those whose lifestyles endanger other families and that of their children. Women are educators of family and community life. They are potentially powerful leaders for change” wrote the late Juliet Howlet.

KIWAKKUKI works in all 6 Districts of Kilimanjaro, where it now considered the leading HIV/AIDS service organization Work started in Moshi town and gradually spiraled out to the grassroots approach whereby 20 sensitized women or more built synergies through group formation to extend services in their areas. Currently there are >150 such groups. These women have since then become brigades for service provision and indicators of KIWAKKUKI’s visibility.
Today the number has risen from 44 at the fist Annual General Meeting on 25th February 1992 to more than 6,000 from virtually all corners of Kilimanjaro region. Formal registration was in July 1995. After the initial meetings held at the Cooperative College, by then and the YMCA the venue moved to the Catholic Bishop’s Chancery with Sr Mary Lauda, then to the ELCT Women’s Department under Veronica Swai and later to the Primary health Department under Dr Janet Lefroy. In 1994 KIWAKKUKI offices were moved to the 1st Floor Rooms 109 + 110 of the THB building.
3.1 Vision:

A community taking appropriate measures to eradicate HIV while contributing efforts to mitigate the impact of AIDS.

3.2. Mission:

To integrate programs that focus on HIV/AIDS information and to increase community participation in providing services to those infected and affected by HIV/AIDS.

3.3. Core Purpose:

To unite women and help them harness the skills and talents needed in order to face challenges and restore dignity, self - respect and purpose to lives on individual and their families mainly AIDS patients and children.

3.4. Core Values:

Voluntarism, Unity, respect, sharing recognition of talents, love, transparency, Accountability to each other, Collaborating and Team culture.

The major commitments of KIWAKKUKI are in harmony with those of the Tanzanian government and also address some of the Millennium Development Goals and so cover 16 out of 18 Strategies streamlined by (TACAIDS) which is a significant contribution to the National Efforts and also touches on 7 out of 8 MDG, a contribution to the UN Efforts.
1995 was a turning point:
2-1- 1995 – The late Ms. Juliet Hardy Howlet the leading Founder died in the UK. May the Almighty God rest her soul in eternal peace.

30-1 – 1995 Annual General Meeting at Kahawa House Membership stood at 371

3 – 7- 1995 Obtained a Certificate of Registration No. SO 8488.

20- 9 – 1995 Moved from THB to Manking 'a Street, Mawenzi Ward

29 - 11 -1995 PLHA's meeting centre moved from Rainbow Centre to KIWAKKUKI and established as "Centre of Hope".

1996-1997: Two External Evaluations Conducted.

2000 was a celebrating year for 10 years of KIWAKKUKI whereby several events were organized for fundraising, PLHIV’s, Roundtable discussion, grassroots groups display for their work and the climax was the World AIDS Day at the YMCA where the World AIDS Day Event focusing “Women and AIDS was held in 1990.

2001 -2002: Conducted Organizational Development Intervention with EASUN, Qualitative Evaluation with FOKUS and ECD Evaluation with BvLF.

2002 purchased a plot of land for constructing an orphans’ Vocational Training Centre.

2003: A VCT Facility and research opened at the centre with the support of Duke University

2004, 2006 and 2008 KIWAKKUKI’s Best Practices presented at the International and National AIDS Conferences International.

2005: 1st Strategic Business Plan launched along Lindi Street for erecting an office building.

2007: 2nd Strategic Business Plan (2007-2011) launched.

December 2007: Construction started with a strong back up or Action Medeor Pharmaceutical Organisation based in Germany and a few other donors.

31st of August 2008 – Moved into our own Office Building along Lindi Street, Korongoni Ward.

1st October: Foundation Stone placed at building by the leader of the Uhuru Torch

7th October: Official Launching of the building and celebrations.

3.6. KIWAKKUKI major HIV/AIDS Strategies:

· HIV/AIDS Prevention through Awareness Raising for community behaviour change.
· Home Based Care and Post test Clubs as an aspect of the Continuum of Support, Care and positive prevention.
· VCT, an Entry point to Treatment, Support, Care and Positive living
· Orphans’ Support as an aspect of the Continuum of Support and Care.
· Impact Mitigation through Community Development Projects and Micro credit.

. KIWAKKUKI in a Nutshell Strategies Approach programmes

KIWAKKUKI’s work is centered on addressing AIDS as a development Challenge by Lobbying and Advocating for Access to basic rights for the beneficiaries as follows:
The right to Accurate Information on HIV and AIDS: Means of transmission, non transmission, Prevention, Behaviour change strategies leading to making informed choices, life skills. This also addresses cultural taboos such as talking about sex in the families between parents themselves and also between parents and children as well as between teachers or instructors and pupils or students in order to sustain family lives and promote an AIDS free generation. Coverage include women members, school children, out of school children, men and the community at large. These are reached in either KIWAKKUKI organized forums or in most cases in community or institutional organized forums. The KIWAKKUKI peer educators reach > 10.000 community members with HIV and AIDS awareness and behavior change messages every year. This has promoted openness and free discussion on HIV and AIDS in the community.

A. Awareness Raising
· Information centre-daily education
· School health programmes
i. Parents/break the silence
ii. Income Generating Activities under school health clubs
· Work place education programme
· Outreaches (in risk area, church places, mosque, WDC etc.)
· Community theatre in high risk
· Youth Talk to Youth In school & out school youth
o Songs, Role plays,
· The Fleet of Hope (focuses on behaviour change)
· Sensitizing Community Forum
Using Research as a Strategic Approach to inform Service:
• Identifying service provision gaps in HIV/AIDS Policy on Prevention, Support & Care..
• Generating data on prevailing HIV risk factors among people presenting for VCT, school children, common OI’s and clinical characteristics of patients in the HBC, KAP
• Presenting scientific findings.
• Results to 4 primary schools in Moshi Municipal: Fe:116 and Male: 117
• School children already engaged in sexual matters were- F: 62 and M:41
• Community’s views on persistent cultural misconception habits which lead to spread of HIV & AIDS were Widows’ inheritance, Female Genital Mutilation and Witch craft/Superstition
Conclusion: More girls start sexual debut earlier than boys.

The right to access basic needs and care by women donating their time, energy and small resources to conduct home based care and support on the African neighbourly basis. The

KIWAKKUKI volunteers follow up > 3,000 patients every year in their homes and they have revived hope to several of them and reduced stigma in the families and community at large. Some of the patients are referred by the grassroots women and the KIWAKKUKI medical staff for further examination, CD4 count, treatment and legal aid and other social support. > 500 referrals are made per year.

· Home visits-Normal Visits & Special Needs Team.
· Referrals –External (KCMC & Mawenzi)
· Providing Treatment for Treatment of opportunistic Infections (OI)
· Follow up on adherence for who are on ARV.
· Research along side HBC (THIRST & ISAAC.)
· Income Generating Activities to PLHAs.
· School Health Club

4.3. Voluntary counseling and testing (VCT)

The right to health care and early access to treatment. The grassroots women have mobilized and escorted several individuals and families from their villages to access VCT services at KIWAKKUKI and other centres. >11,000 clients have been reached since 2003. Consequently, those who have been found HIV positive have accesses early treatment and care. Normally they get referrals from the VCT centres.
· Free same day results VCT services
· Internal referrals
· External referrals
· Quarterly VCT committee meeting
· Quarterly PLHAs meeting in their respective Districts/Wards
· Mobile VCT (MVCT)

Research along side VCT on:
· Social demographic characteristics
· Risk sexual behaviour
· Reasons for Testing
· Health Status
· Effects of consequences of Testing
· Coping Health AIDS in Tanzania(CHAT)
Effects of consequences of Testing
We have been able to see that those HIV Negative clients who have come to KIWAKKUKI for repeat testing has largely been able to retain their sero negative Status. VCT has been a tool for their behaviour change.1st Time Testers were 12,082 (85.43%) and 2nd Time Testers were 2,448 (17.31%).In 2003/2004:We Tested 5,269 (prevalence rate:16.6%) while in 2005:We Tested 2,778 (479+ve prevalence rate:17.24%).In 2006:We Tested 2,610 (prevalence rate: 13%) while in 2007: 11% and 2008: 9%
Conclusion: Not all clients turn up for 2nd test
• Prevalence rate is high but going down.
• Male Tested were 213 (5+Ve and 208-Ve)
• Female Tested were 214 (16+Ve and 198-Ve)
• Prevalence rate at the community during Mobile VCT is 4.9%
Conclusion: HIV prevalence is lower with MVCT but still higher for women than men

4.4: ORPHANS’ SUPPORT: OVC who have access to education, skills training, shelter, recreation, good nutrition health and succession plans through memory work

The right to education and equal opportunities for education. The grassroots women do identify needy orphaned girls and boys for school sponsorship and facilitate their placement into various levels of education. Some of these have made it to University level and many to diploma level and many others have acquired vocational skills. Some of these children are heading families and have assumed roles of parenting by supporting their siblings. >12,000 orphans have been supported since 1998. In 2008 sponsored children: Primary school: 1,182, Secondary school: 716Vocational Skills: 43 which make total to be 1,941

These women have also organized the provision of the right to shelter for the child headed homesteads and other very desperate households. The grassroots women have linked these households with the head office for the construction of shelter. The women have worked with the community leaders to contribute towards the construction of such houses which legally belong to the children. >than 35 houses have been constructed up to December 2007.

The right to social wellbeing (of the beneficiaries): The grassroots women are also supervisors of another form of informal micro enterprise conducted by PLHIV and OVC surviving parents and caregivers. These get a loan of an equivalent of 95 USD each to run Income Generation Activities (IGA’s), the profit of which is used to support children to access their rights of education, health, food and nutrition as well as psychosocial support. AIDS has made surviving parents and caregivers more destitute as grandparents have to be parents again!
The right to identity and protection: KIWAKKUKI has discovered that many orphans have no birth certificates. They have been linked with the human rights organization, KWIECO which facilitates access to this basic right. Moreover, the children’s protection has been enhanced through the Memory Project which facilitates the surviving parents to disclose their sero status to their children. This has lead to joint planning of the children’s care and family property as a future protection for the children. 180 wills have been written as added value towards protection of the children and widows and 288 birth certificates are in process.

The right to social wellbeing (of the care providers): The grassroots women have also been sensitized to seek economic livelihood and be able to shift from ill being to well being. This helps to minimize their dependence on men and controls the spread of HIV. In groups of 3 up to 5, women have formed a mutual support system whereby they inject money as a saving and take loans after a minimum of 6 months. The team is its own collateral and they get new funding every time they complete a cycle of loan fund. The members are obliged to run small businesses and use the profit to increase their income and provide material support to the orphans and PLHIV.

KIWAKKUKI works in partnership with other HIV/AIDS partners in Kilimanjaro as follows:
• Clinical Referrals at KCMC Hospital. HAART Clinic, Dermatology, Paediatric and Majengo Health Centre for Sexually Transmitted Infections Clinic, PMTCT.
• Kibong’oto hospital for TB chest clinic, Mawenzi hospital provides Exemptions and free medicine, Early management of opportunistic infections and free ART.The Government: Good collaboration with the Reg. Commissioner’s office, The RMO’s, The Social Welfare Office , The 5 Distr. Comm.’ offices, The 6 Distr. Exec. directors’ Offices, the 6 DMO’s Offices, ward and village offices. - Collaborators: KWIECO a Human Rights support org. Others: Amani Str. Children Centre, Mkombozi Str. Children Centre, TACAIDS, Mildmay International. Network membership: TAF,TANGO.KIGEN
Training and Research Partnerships
• The University of Dar es Salaam- ICDP
• Tumaini University – Patients based Researches
• Moshi University of Cooperative and Business Studies – KAP Studies
• Duke University- Patients & Children Researches.
• Oslo Deaconic Nursing College -Nursing
• Bergen University- Social Work

September 04, 2009

PLHAHow they survive

How the people live here

KIWAKKUKI September 4, 2009

I promised to continue the stories of the brave people who are part of the KIWAKKUKI family. In morning meeting today, we heard two students from the capitol city of Dodoma express their appreciation for all that they had learned from KIWAKKUKI. One of the things they told us was that when they came to their field placement, they thought that people living with HIV only had to deal with the disease. They didn’t realize that they also suffer from the other problems that people living in a poor country also have, but in addition, they deal with their illness and the STIGMA connected to it. As they said, “Shidas mbali mbali”! Translated, all different sorts of problems. As if to underscore what they said, a lovely lady who is HIV-infected reported that a thief came last night and stole everything she had. She had a shy smile on her face as she said, Thank God, that she wasn’t hurt. But, the man had taken advantage of her because of her HIV. The two students said that they learned that people with HIV had to find ways to speak up for themselves, and they now realized that this was very hard. They appreciated the work that KIWAKKUKI does in trying to help HIV+ persons to accept their illness and go about the other difficult things in life.

Cecelia and Ndosi (Ndosi is a KIWAKKUKI driver)

Blandi and John

My second story is about Blandina. Blandi is a young woman who became infected with HIV many years ago. At first, her husband wanted to leave her and treated her very badly. She found out about her HIV when she had her first child. This child died. She was incorporated into the memory project and worked with her husband on her story. They built a family tree together so that other family members would know and appreciate her story. This memory work has been healing for the couple and he is treating her better now. They had another child who is not infected. But, her struggles do not end there. Blandina spoke no English when I first met her 5 ½ years ago, but she has worked very hard to improve. As she learned English, she also learned the importance of standing up for herself, and not being ashamed. She volunteered with the memory project, working with children’s clubs, listening to their stories, helping them to express their sadness over being orphans and living with HIV. In one of these clubs, she heard the story of a young boy who talked to his sister about learning that both his parents had HIV, and how they died, and then learning that both he and his sister were also HIV-infected. These two acted out their story as if they were on a telephone. The children were crying before their story was over. She helped to comfort them and to give them hope for the future. Since that time, with her help, these children have acted out their story for schools, meetings, and businesses. Because of her skill with young people, she was hired for one of the mobile Voluntary Counseling and Testing (MVCT) counselors, and was found to be very good at this job. She had unusual compassion for people entering the system through counseling and testing. As her comfort level with people continued to grow, she was then hired to be part of the CHAT, Children with HIV/AIDS project in Tanzania. She carries herself with pride and honor.

Blandi has friends everywhere because she does not shrink from others. She joined an internet group of women with HIV, and in particular found a friend who visited from the US and they found a common bond.

The KIWAKKUKI folks are amazing. Some of them will appear in pictures. The woman who was robbed last night, John who has lived with HIV for 20 years and continues to thrive and others. John’s first born son died from AIDS two years ago at the age of around 24 and John himself suffered an accident in which his arm had to be amputated. Yet, each day he rides his bicycle about 10 kilometers from his home to KIWAKKUKI to work with the VCT program. A huge smile covers his face as he works. He married an HIV-negative woman who has accepted him with all her heart, and though there were problems from neighbors who thought that they should not marry, they rose above these critics and persuaded them that they had the right to live a full life regardless of John’s HIV status. Now he is one of the leaders of the community.

Their stories are unique only because they have conquered many of the fears and discrimination that haunt others. As peer educators, they serve to be the voice of the voiceless and it is precisely because of KIWAKKUKI that they have been able to do this.

Here are some of the heroes, Verynice, Theresia, Rayline, Ellie.....Every day they come to work with smiles amidst the angst.

September 03, 2009


Here we are at KIWAKKUKI at its new location in Moshi. The building is shiny, and the staff are enthusiastic. But, the needs are grave. With the economic crisis globally, there is little money to go around. Although, KIWAKKUKI proudly believes that it has helped the national HIV+ prevalence rates to decrease by at least 1% through their counseling, testing and education programs, they are still burdened by the orphans left behind in the first wave of the epidemic, and by the positive persons who are striving to maintain a quality of life.

Let me highlight a survivor of this epidemic:
Melkizedik is an 18 year old young man who has no parents. He has some distant relatives who for years shuttled him back and forth. Melki never knew that he was HIV-infected until he got quite ill and was admitted to KCMC Hospital. A fabulous Assistant Medical Officer, Rehema Kiwera, cared for him there, and helped him adjust to his new diagnosis. She helped him to find a place to live with a "small" sister. (This means the daughter of a different wife of Melki's father-both of whom are dead). This living situation was hardly acceptable but for over a year Melki remained in this home. His "small" sister sold used clothes for a living, and had her two small children to care for in addition to Melki. There was no electricity in the house, and the family barely survived on her income.
Melkizediki was so popular at KIWAKKUKI that he earned a place on the Community Advisory Board (CAB) for the Duke researches. During this time, he participated in the Memory Project, which allowed him to make a Memory Book and trace his family roots. These books have served young people in many ways and have allowed them to find some family members, to locate their tribe, and to help them find closure on the deaths of their parents. One advantage of belonging to the Memory Project is that young people are also registered as orphans, and this helps them to be eligible for discounts for school fees and for other services. But, one thing for Melki was that he wanted to attend school more than anything else, and he had not been in school for some years as he had been sent back and forth from Moshi to Dar Es Salaam.
Melkizediki was lucky. During the time that he was attending the CAB meetings and attending Memory Project work, some wonderful volunteers were spending time at KIWAKKUKI. Just some of them, Jennifer L., Tone A., Jennifer A., Caitlin H., Kimberly W., were so touched by his desire to return to school, to make a better life, and to try very hard to improve; and, at the same time to take every one of his pills every day, to attend the clinic at KCMC on a regular basis, and to be able to speak publically about his HIV, that they agreed to help to support him. Jennifer L. paid his school fees while the others began support. They and their parents, as well as the Weiss family has made Melkizediks dream begin to be a reality.
Melkizediki has a long way to go. He had to leave the "small" sister's house and has moved into a place of his own. The cost is overwhelming, and in this room, though he has electricity and quiet, he has no mentoring for school, and his chances of making his grades all the way through secondary are questionnable. Supporting him for this period of time will be difficult, especially in these tough economic times. His only hope is his support from KIWAKKUKI and from these wonderful friends who have sacrificed much to help him remain in school.
Melkizediki tells me-Say a big "Asenteni Sana" for all who have helped. (Thank you very much). I know who you are, remember you all, and want to see you again!

Stay tuned for a picture of Melkizediki and for more stories from KIWAKKUKI

June 25, 2009

In Washington DC

In Washington DC at a national meeting, I ponder the diversity of humanity. My job as an outreach coordinator and liaison means that I find some common thread, some linkage to such a wide breadth of humanity, that even I at my late stage in life am baffled as my father used to say. I am first baffled at the way that US citizens simply believe that everything is so available to them that surely it is available to the world at large. Here I am, mentoring a person whose English speaking skills are minimal, but who is trying really hard. He is in the midst of 200 (small group) 5,000 (large group) folks who speak very quickly, and who expect that he can find his way oh so easily. He is reading everything but ever so pole pole. The crowd has moved on. At each turn a person whom I sit next to says, "wow" I have learned so much from you. Why? well because I mention that computers at home where there is no electricity, running water or hard floor, might not be the best use of resources, but don't mean that the person cannot be a good community person. He and I wend our way through the crowd. He is given a check and we have to find the bank to cash it. We get to the bank. He has not endorsed a check before! And today, they required a finger print from him. Thumb. Right. What is the kiswahili? thumb? I don't know...right...Kulia. What is the money for he asks and wants to wire it to Tanzania..... No I say. You have to buy your food with this money. Oh. All this money? Yes. Save what you can and you can carry it back. Oh, he says.

We find that Obama has read about our program in Tanzania. Does he love it like we do? Does he care? Does he know that this man is here, in a new country, without a clue, trying so hard to understand what is going on around him. A man whose wife deserted him, who won't let him see his two children, who was fired from his job, who is trying soo hard. I don't know. Obama cannot care about everyone. But surely says Thomas, he cares about us. Oh I hope so.

February 09, 2009