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TUMAINI UNIVERSITY

IRINGA UNIVERSITY COLLEGE


FACULTY OF ARTS AND SOCIAL SCIENCE
DEPARTMENT OF COMMUNITY

FIELD REPORT

FAMILY HEALTH INTERNATIONAL(Fhi 360)

BY

DICKSON MALILA

September, 2011

STATEMENT OF THE COPYRIGHT


Copyright Dickson Malila 2011
All rights reserved, no part of this paper may be reproduced or used in any form or by
any means, electronic, mechanical or otherwise, and including but not limited to
photocopying, recording or any information storage and retrieved system, without prior
written permission from the author or Tumaini University on behalf.

SUPERVISORS CERTIFICATION
I, the undersigned hereafter, certify that I have supervised and read this Field Report and
found it to be in form acceptable for examination by the Tumaini University, Iringa
College.
Supervisors signature
Name
DEPARTMENT OF COMMUNITY DEVELOPMENT.
DateMonthYear

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DECLARATION
I, Dickson Malila declare that the field Report is my original work except where state and
has not been submitted for any other bachelors degree or its equivalent in any other
learning institution.
Candidates signature...
Dickson Malila
DateMonthYear

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DEDICATION
This Field Report work is dedicated to my lovely mother Ruth Ngailo, my fiancee Matha
Mkawe, uncle Silivia Kalua and Mr and Mrs Mbilinyi who fought tooth and nail to make
sure I complete my studies successfully and daily prayer that enable me to pass my
studies at Tumaini University at Iringa.And everyone around me who has contributed to
the great achievement in my education till university level.
May almighty God bless my family!

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ACKNOWLEDGEMENT
I would like to take this opportunity to thank all those who in one way or another
assisted me in doing my practical work . Firstly, I would like to give out my special
thanks to our Almighty God for giving me strengths and good healthy as well as power to
overcome obstacles and challenges towards accomplishing my practical training.
Secondly, I would like to extend my faithful appreciation to Programme officer Mr.Isack
Banzi for allowing me to do my field practical in his organisation . Also, I would like to
acknowledge all staffs for his contribution and valuable attention and follows up towards
my successful accomplishment of field work. They had been always open to me
whenever they noted mistakes and corrected me.
My appreciation is also dedicated to Tumaini University Iringa University college
particularly to my lecturers especially community development
staff,including

the

Head

of

Department

Mr

Andrew

Omary

department
Shirima,

Mr.

Frank,Mrs.Msomba,Ms Nzali,Mr Lekeni and other lecturers who in one way or another
have relieve my field.
I extend my gratitude to my fellow collogues who in one way or another had supported
me whenever I was in need of their advise. These thanks should go to Henry Mbilinyi,
Nyamidela .j. Mgata, Ally Mgaya , Peter Michael ,Onno Mella and Grace Mushi as well.
without forgetting Miss Martha Mkawe, Miss Nesta Kiwelo , Rahel Mbilinyi and Frank
Richard who had given me a very good cooperation during my field time. My God bless
them all.
Finally, I would like to acknowledge my family members, my beloved mother Ruth
Ngailo and my parents Mr and Mrs Mbilinyi, Also my relatives, without forgetting my
Brother Isack Malila , as well as my beloved sister Agnes Mbwilo who through their
prayers, encouragement and support have supported my field accomplishments.
May almighty God bless them!

ABSTRACT
This field report is the result of my practical training at Family Health International(fhi)
for three months as partial requirement of the fulfillment of the degree requirements.
The report base on transmission of basic knowledge at the college into real working
experience (Practical), challenges encountered as a trainee, how did I manage them and
how other influence of working environments shape my ability and understanding in this
course of community development .
Also the recommendations for Tumaini University Iringa University College have been
addressed so that it can facilitate and improve the way students learn and what they will
face in working place

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CHAPTER ONE
1.0. Introduction
This is an internship report compiled in accordance to the partial requirements of the
degree of Bachelor of Arts in Communirty development, Tumaini University, Iringa
University College.
Field work is an opportunity to examine how theory and practical experience within a
particular discipline, interact. Students are provided a window of time in which to
observe and participate in their internship in a way not available in the classroom.
(dictionary.bnet.com/definition/field+work.html)
These are the practical works carried out by organization or University students for the
purposes of research or learning outside the classes or offices. In other words, field work
is an assignment or connection of students to the agency where they get a chance to put
into practice what they have learnt in class and learn from people who have been
practicing for a long time the specialized courses they pursued.
1.1. How did I get in to the organization?
I got to know the organization through online findings and trough those who have been
working there. Having learnt about their objectives I saw that might be the proper place
for me to have field practice training. I decided to apply for field attachment .The
management gave me the chance to do my field there and for an introduction I was given
the summary of the activities that I was going to perform as one of the organizations
staff. I also learnt that most of the activities will be performed in Ilula areas of Iringa
region. I reported at fhi office at 19th of September 2011 ready for my field practical.
1.2.Reasons for choosing the organisation
Among other reasons, I chose to conduct my practical training at fhi due to the fact that
fhi is one among the best NGO`S in Tanzania which conforms and have its
objectives,mission and vission which all of them are going to solve and reduce Tanzania
community problems due to that I expected to get more practical experience under the
organisation .

Also another reasons is to fulfill the partial fulfillment of the course in order to attain the
Bachelor Degree in Commuinty development of Tumaini University - Iringa University
College, apart from getting the practical experience in the workplace after the theory
attained in the class, which will be of help later in career opportunities, field helps to
create job opportunities to students, because sometimes you may be given the promise to
go to work to a place where you did your field work.
This particular report describes the experience which I gained at the fhi , under The new
project of roads 2 in Ilula . During that period, I managed to positively convert the
theories and skills that I acquired at Tumaini University College into practice.
In this report, briefly historical background of the organisation which include
vision,mission, roles of the organisation, and objectives, and other matters concerning
organisation .Also this report will site the strength and weakness observed, conclusion
and the recommendations will be suggested.
1.3. Historical Background of Family Health International 360
Family Health International grew from a contraceptive research project begun at the
University of North Carolina at Chapel Hill in 1971. An initial grant from the US Agency
for International Development (USAID) helped establish the International Fertility
Research Program (IFRP), which became an independent, nonprofit organization in 1975.
In 1982 IFRP changed its name to Family Health International. Since then Family Health
International work expanded beyond family planning into other areas of reproductive
health research and technical assistance. In 1986, FHI began working on early strategies
to prevent HIV infection and in 1987 FHI was awarded USAID's first five-year
HIV/AIDS prevention program in developing countries. Continuous funding since then
from USAID, the National Institutes of Health (NIH). In 2010, Family Health
International rebranded itself with the new tagline, The science of improving lives,
highlighting FHI's commitment to empirical science empowering the worlds most
vulnerable people. The name was also simplified to FHI, reflecting a broadened scope
that encompasses health and development as well as service to families, communities,
and nations. Family Health International has 2,500 staff conducting research and
implementing programs in fifty-five countries.

1.4.Vision
FHI 360 envisions a world in which all individuals and communities have the opportunity
to reach their highest potential.
1.5.Mission
To improve lives in lasting ways in the U.S. and around the world.
1.6. Objectives of the organization (specific in Roads II project)
1 To increase youth HIV/AIDS prevention knowledge and skills
through a robust HIV prevention activities.
2 To address gender based violence (GBV)/alcohol, drug and
substance abuse among youth as a HIV prevention strategy.
3 To build capacity and skills in cluster staff through program and
business management trainings

to improve efficiencies and

effectiveness of cluster HIV and health programming in Ilula.


1.7. Location of the organization
FHI office is located at ILULA area, Mtua/Majengo Mapya Street opposite Ilula Police
station in IRINGA region.
2.0. TECHNICAL PART.
2.1. DESCRIPTION OF THE DUTIES AT THE INSTITUTION.
For three months I worked with FHI as a community development facilitator. I was
working within the office but most of my assignments were done in the Ilula village areas
of Iringa region. I used to spend few days and sometimes a week in villages living and
working with people. I was assigned different duties that were relevant to my career. The
following are some of the activities that I did.

FIELD TRIPS TO KILOLO MPYA VILLAGES

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CREATING AWARENESS TO WOMEN ABOUT HIV AND AIDS

ATTENDING VILLAGE MEETINGS

VISITING PEOPLE WHO AFFECTED BY HIV/AIDS SOCIETY SETTLEMENTS.

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6

COLLECTING DATA ABOUT HIV AND AIDS IN ILULA SOCIETY.


REPORT WRITING.

ATTENDING ORGANIZATION MEETINGS.

MEETING WITH KDF DIRECTOR AT MTUA VILLAGE

ATTENDING MEETING WITH ILULA POLICE STATION

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WORKING WITH IDYDC IN MVC (MOST VULNERABLE CHIDREN) AT IPOGORO

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BRIDGE.
ATTENDING SPECIAL CLASS.MMEKWA ORGANISED BY IDYDC AT SABASABA

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CENTRE TO CHIDREN UNDER 14-24


PARTICIPATING IN GIVING DIFFERENT TRAININGS IN VILLAGES.

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CONDUCTING DIFFERENT ORGANIZATION ACTIVITIES.

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ATTENDING SEMINAR OF BEHAVIOUR COMMUNICATION CHANGE (BCC) AT

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ILULA.
WRITING REPORT OF BEHAVIOUR COMMUNICATION CHANGE.
ATTENDING MEETING WITH PROJECT MANAGER TO KDF AND USE SWOT

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ANALYSIS IN ASSESMENT.
ATTENDING MEETING WITH JPIEGO PROGRAME OFFICER.
PROVIDING COUNSELLING TO SECOND YEAR STUDENTS OF VOCATION

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TRAINING CENTRE AT SABASABA CENTER.


WRITING LETTERS TO VEO/WEO AS IMPLEMENTING PARTNERS TO ROAD II

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PROJECT AT ILULA VILLAGE.


ASSISTING THE PROGRAM MANAGER IN PROJECT PROPOSAL DEVELOPMENT

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CONSULTATION WITH KDF CONCERNING CARE AND SUPPORT WHO LIVE WITH

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HIV AND AIDS


ASSISTED FHI PROGRAME OFFICER ON ANNOUNCING VACANCIES.

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2.2. LESSONS LEARNT


First, I learned that, the development agents, whether governmental or non-governmental
organizations, must be careful when facilitating development programs and being sure of
what they promise and plan to do with the community knowing that they are dealing with
people who understand very well what development is, and so whenever they feel they
have been told lies they loose trust to everybody who comes near them as a result their
mistrust affects their participation and become an obstacle to development.
Second, a Community facilitator must be friendly, interactive, and full of respect to all
people despite their social classes, also must be good listener and understanding, creative,
innovative and able to change accordingly so that he or she can easily cope with the
people he or she works with. He/she is also supposed to maintain the encouraging
situation that can help the respondents to feel more comfortable to share their problems.
Third, I learnt that, in order for any community development project to be sustainable
there should be effective participation between the facilitator and the community as a
major tool to make the positive effects of any community program.
Fourth, the field work has helped me gain competence and develop confidence which I
had less of it before, now Im able to stand by myself to facilitate any development
activity in the community. And in another way it has helped me to see the relevance of
the theories I learnt in the class hours.
Also this helped me to have interaction with people of different characters and helped me
to learn how to act, behave and react in different situations.
Fifth, I saw the advantage of working as a team, how the shared ideas and experience can
help to give out the encouraging outcomes.
I gained plenty of knowledge and skills on how to prepare and plan different community
projects with acquisition of better skills on how to monitor and evaluate the progress of
different programs for its sustainability.
Also this field strengthens my ability to develop reports of different activities. This is
because my director always wanted me to give produce a report after the accomplishment
of every assigned task with relevant information accompanied by photographs of the
events.

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Further more I experienced much the grassroots level lives which I always heard from
stories and leanings because all my assignments were done in rural areas, so I lived in
different villages and share every situation and everything with people in those areas.
2.2.1. PROBLEMS AND CHALLENGES FACED DURING FIELD WORK.
High expectations of the respondents I was dealing with: This happened in different
places of my work where by the people in villages did not see me only as community
development facilitator but also as the one who can help to solve their financial problems
by giving money or anything to sustain their lives. Sometimes this forced us to cancel the
activities and trainings because the respondents expected much from the trainers.
Poor faith of the respondents on development stakeholders: This is happening as a
result of the lies of other development stakeholders in different villages. For a moment
now there is the continuation of blackmailing activities which have driven the people
especially in rural areas in great loss as the result they trust no body that goes to them
with the issue of development activities.
Poor commitment of the village government leaders: This lead to the delay of some
activities in some places because village leaders themselves were not ready for the
activities leading to poor information transmission. For example: sometimes we were
forced to cancel the activities because the people were not informed.
3.0 PROBLEM IDENTIFICATION
EFFECTION OF HIV/AIDS IN RURAL AREAS.
Living and working around the rural part of Iringa region helps to identify and experience
different problems that the rural communities face. HIV/AIDS is a major development
crisis that affect all sectors.during the last two decades the HIV/AIDS epidemic has
spread relentlessly affecting people in all walks of life and decimating the most
productive segment of the population particulary women and men between the age of
20 and 49 years. Since AIDS was first identified in the early 1980s, an unprecedented
number of people have been affected by the global AIDS epidemic. Today, there are an
estimated 34 million people living with HIV and AIDS worldwide.It has been proved that
the first person who have HIV/AIDS in Iringa was found in Ilula, the rate of HIV/AIDS
infection in Iringa is 15.7 as leading one in national level (TACAIDS2011).

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3.1 DISCUSSION
3.1 DEFINITIONS OF KEY TERMS
HIV is a virus that gradually attacks immune system cells. As HIV progressively
damages these cells, the body becomes more vulnerable to infections, which it will have
difficulty in fighting off
AIDS stands for: Acquired Immune Deficiency Syndrome. A person is diagnosed with
AIDS when their immune system is too weak to fight off infections.
Rural areas are large and isolated areas of an open country (in reference to open fields
and not forests, etc.), often with low population density and poor social services.
3.2 CAUSES OF HIV/AIDS

Sexual transmission
Sexual transmission occurs with the contact between sexual secretions of
one person with the rectal, genital or oral mucous membranes of
another. Unprotected sexual acts are riskier for the receptive
partner than for the insertive partner, and the risk for transmitting
HIV through unprotected anal intercourse is greater than the risk
from vaginal intercourse or oral sex.HIV spreads readily through
heterosexual sexual is high infection due to track drivers, traders
who trading tomato who went there due to

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