This past week I decided to accompany Erica on an expansion trip into the Kilimanjaro region. After five years of serving the Arumeru district in the Arusha region, Support for International Change (SIC), has decided to look for other districts as prospective areas to offer their services. SIC has been providing HIV education campaigns, mobile voluntary counseling and testing (VCT), peer education programs and community health workers in rural villages surrounding Arusha. Field Officers continue to follow up on different communities, in order to manage sustainable on-going HIV education, patient support, and testing. In these next few months, SIC plans on finding on a new district, in which to expand and develop their programs. Through the volunteer program, SIC is able to continually train and provide schools with HIV education. Volunteers live with their respective communities' homestay families and do a six week awareness campaigns with local Tanzanian teaching partners. The volunteers become involved in their communities and organize big testing days. Just recently SIC broke their own record and tested 200 people at the Ngorobob Market in Mateves. With such programs on-going year round in different communities, Field Officers and staff counselors are able to continually provide services, when the volunteer programs are over. I hope that when most of these volunteers go back to their homes, albeit the United Kingdom or the U.S., they know that they made a real and sustainable difference in their communities. One more person listening to teachings or getting tested, is one more person educated about HIV and their status.
The expansion project involves going to new areas and meeting with government officials about their service needs and gaps. Erica last week had gone to Babati, and gathered that the district's existing HIV services, appeared to be far from complete. The government officials welcomed SIC and their programs with open arms.
Erica and I set out to Moshi to meet with relevant government officials, including the TACAIDS Kilimanjaro Regional Facilitating Agency (RFA) and the District Medical Officer (DMO). On our drive towards Moshi we saw a piece of the top of Mt. Kilimanjaro peeking through the clouds. Moshi is about 1.5 hours away and has an amazing view of Kilimanjaro. In addition, Moshi has good coffee shops and I enjoyed a delicious crepe for the first time in a while. I would like to mention that 'Indotaliano Restaurant' is exceptionally good in Indian and Italian cuisine. Our meetings unraveled that Moshi Rural has many services, and the DMO confirmed that there were a number of organizations attempting to link HIV services to the rural community. Nonetheless, the trip proved to be extremely informative. Many areas besides government facilities are also shadowed by private religious hospitals offering similar health services.

Early the next morning we were off towards the Rombo district. Our drive would lead us towards the Kenyan border and present us with a view of Kilimanjaro without cloud coverage. As we drove, an amazing panoramic vista of the summit of Kilimanjaro and Mt. Mwenzi appeared. We cherished this view that seldom gets seen, unless you happen to be driving to the border or to Rombo. After missing a turn and actually hitting a customs check, we redirected ourselves towards the mountain. Rombo lies at the base of the north-eastern slopes of Kilimanjaro. Our Land Rover took a beating, but the area was lush with exotic fauna, colorful red dirt, and Chagga people. We had seen only a handful of Maasai people. We eventually made it to the District Hospital and spoke with the DMO. He explained that the region was being serviced by a Belgian NGO and Mildmay International (an International Healthcare NGO). Both organizations seemed to be building a plan to cover the area and according to the DMO, he was hoping there would be no service gaps. For a variety of reasons, including ease of working conditions and existing infrastructure, this region seems to attract a lot of international attention. Hence, SIC's presence was much less needed around these parts than what had been experienced in Babati. After a long day, we dropped back down several degrees into Moshi. Moshi tends to be five degrees hotter than Arusha, and I could tell. Even though SIC most likely would not be coming to Moshi Rural or Rombo, it is reassuring to know that people seem to have the opportunities to get the services they need. The clouds would stay heavy over Kilimanjaro, and we would enjoy some excellent coffee...




















