The USAID Social Enterprise Support Activity (USESA) aims to improve the health status and sustain economic growth in Tanzania by preventing the spread of disease (particularly HIV/AIDS) and unwanted pregnancies. USESA adopts social enterprise approaches and tools to transition DUME male condom brand and FLEXI P oral contraceptive brand to full cost recovery and ensure their sustainability without donor support. The project targets middle-income audiences with ability to pay for the full commercial value of the products. T-MARC works collaboratively with other market players to segment the condom and OCP markets in a manner that increases the user base for these products to achieve market growth. USESA works with private sector distributors on a win-win basis to expand accessibility of DUME and FLEXI P across the country.