The USAID Tulonge Afya project (2017–2022) is a cooperative agreement between the U.S. Agency for
International Development (USAID) and FHI 360. USAID Tulonge Afya (Swahili for “Let’s Talk About Health”)
builds upon USAID’s and the Government of Tanzania’s (GOT) strong legacy of implementing social and behavior change communication (SBCC) programs using an integrated approach wherein efforts are organized around the target group rather than the health area. USAID Tulonge Afya is generating demand for services supported by its sister projects, USAID Boresha Afya (UBA).
This report examines findings from a mid-term evaluation conducted by Breakthrough RESEARCH, a USAID-funded research and evaluation project. The purpose of this evaluation is to provide recommendations to enhance the effectiveness of USAID Tulonge Afya’s strategies and activities as the program enters year three. The evaluation identified successes, promising strategies, and interventions that can be sustained throughout the life of the project and scaled-up to other regions and districts.