Highly Vulnerable Children Research Center

The Tumaini Home-Based Care Program

This case study offers an in-depth study of the Tumaini Home-Based Care Program model and identifies lessons learned that could be applied to other initiatives. While the Tumaini program addresses the needs of both people living with HIV as well as OVC, the case study is focused on specific services for highly vulnerable children, and their effects.  The Tumaini model draws upon the potential of civil service organizations to respond to the needs of children, youth and families. Twenty-three local sub-grantees provided home-based care (HBC) for families affected by HIV and AIDS in five regions of Tanzania. The program, which ended in 2006, endeavored to provide care and support to OVC; to provide care and support to people living with HIV; and to build the capacity of local organizations to provide sustainable HBC services. A number of key program activities were implemented.  The Tumaini HBC program model offers innovative strategies for OVC care and support, strengthening the capacity of families to care for children by directly addressing the needs of PLHA caregivers.

MEASURE Evaluation conducted research on programs for orphans and vulnerable children (OVC) in five unique settings — two in Kenya and three in Tanzania. Case studies were the first phase of MEASURE Evaluation’s targeted evaluations and began the process of information sharing on lessons learned in programming for OVC. Additional evaluation activities under the MEASURE Evaluation targeted evaluation activity included an impact assessment and costing activity for four of the five selected programs.

Case study information-gathering activities included program document review; program site visits, including discussions with local staff, volunteers, beneficiaries, and community members; and observations of program activities. The primary audience for these case studies includes OVC program implementers in Kenya, Tanzania and elsewhere in Africa, as well as relevant policy makers, funding agencies addressing OVC needs, and other local and international stakeholders.

Suggested Citation: Littrell, M., Thurman, T.R., Chatterji, M., & Brown, L. (2007). A Case Study: The Tumaini Home-Based Care Program. Chapel Hill, NC: MEASURE Evaluation

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