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Pact's many years in Tanzania have played a crucial role in reducing HIV and AIDS across the country. With funding from USAID, Pact implemented the Pamoja Tuwalee project and then the Kizazi Kipya project (2016-2021). Both efforts contributed to markedly improved HIV testing, treatment and prevention among Tanzanian orphans and vulnerable children and their caregivers. In sum, Kizazi Kipya helped improve the lives of more than 1 million Tanzanian children using a case-management approach to connect OVC and their caregivers with vital services to improve their health and socioeconomic wellbeing.

Pact's HIV/AIDS work continues in Tanzania today through the ACHIEVE project, which is working to reach and sustain HIV epidemic control among pregnant and breastfeeding women, adolescents, infants and children.

Pact also works with artisanal and small-scale gemstone miners in Tanzania, helping them to gain critical knowledge about rough gems and access to markets that is empowering them to earn fair prices for their gemstones.

Pact also has carried out substantial work to improve governance in Tanzania, empowering citizens and civil society organizations to work with political representatives toward transparency and accountability at the local and national levels.