the united republic of tanzania health sector hiv and aids strategic plan

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ACRONYMS AND ABBREVIATIONS AfDB African Development Bank CBAW Women in Child Bearing Age CSO Civil Society Organisation D by D Decentralisation by Devolution DCF Development Co-operation Forum DP Development Partner DPG Development Partners Group EU European Union FY Financial Year GBS General Budget Support HIPC Heavily Indebted Poor Countries HIV/AIDS Human Immunodeficiency Virus/Acquired Immunodeficiency Syndrome IFMS Integrated Financial Management System JAST Joint Assistance Strategy for Tanzania LGA Local Government Authority LGRP Local Government Reform Programme MDAs Ministries, Departments and Agencies MDGs Millennium Development Goals MKUKUTA Mkakati wa Kukuza Uchumi na Kupunguza Umasikini Tanzania MPAMITA Mkakati wa Pamoja wa Misaada Tanzania (JAST) MTEF Medium-Term Expenditure Framework NGO Non-Governmental Organisation NPES National Poverty Eradication Strategy NSGRP National Strategy for Growth and Reduction of Poverty ODA Official Development Assistance O&OD Opportunities and Obstacles for Development PAF Performance Assessment Framework PEFAR Public Expenditure and Financial Accountability Review PER Public Expenditure Review PFMRP Public Financial Management Reform Programme PHDR Poverty and Human Development Report PMS Performance Management System PRS Poverty Reduction Strategy PSRP Public Service Reform Programme RAS Regional Administrative Secretary SWAp Sector-Wide Approach TA Technical Assistance TAS Tanzania Assistance Strategy TOR Terms of Reference UK United Kingdom UN United Nations URT United Republic of Tanzania USAID United States Agency for International Development 2 |FINAL COMBINED-HSHSP 2008-2012: June 24 th 2007
TABLE OF CONTENT Abbreviations and Acronyms 2 Foreword 4 Acknowledgements 5 Executive Summary 6 SECTION ONE: STRATEGY FRAMEWORK 9 1.1. COUNTRY BACKGROUND AND HISTORY 9 1.1.1 Introduction 9 1.1.2 The Strategic Planning Process 9 1.1.3 Geographic and administrative 10 1.1.4 Demographic and socio economic 10 1.1.5 General Health and nutrition situation in the country 10 1.1.6 HIV and AIDS: 10 1.1.6.1 Burden of disease 10 1.1.6.2. Gender and HIV and AIDS 12 1.1.6.3. Impact of HIV and AIDS on health services 12 1.2 THE HEALTH SECTOR RESPONSE TO HIV AND AIDS 13 1.2.1. National Health Systems Response and capacity 13 1.2.2. HIV and AIDS Control Strategies 14 1.2.3. Programmatic and Financial gaps 15 1.3. VISION, MISSION, GOALS AND STRATEGIC OBJECTIVES 17 1.3.1. Vision 2025 17 1.3.2. Mission 17 1.3.3. Goals 17 1.3.4. Key Principles 17 1.3.5. Main Assumptions 18 1.3.6. National HIV and AIDS Priorities 18 2.0. SECTION TWO: NARRATIVE AND JUSTIFICATION OF THE MATRICES 19 2.1. Thematic area 1: Prevention 19 2.2. Thematic Area 2: Treatment, Care and Support 31 2.3. Thematic Area 3: Cross-Cutting issues 37 2.4. Thematic Area 4: Health Systems Strengthening 45 3.0. SECTION THREE: THE IMPLEMENTATION FRAMEWORK 58 3.1. Implementation Arrangements 58 3.2. Priority Activities for Operationalisation of the Strategy 58 3.3. Coordination Framework 59 3.4. Financing the Response 60 3.4.1. The Costs of Health Sector Response to HIV and AIDS 60 3.4.2. Resource management 60 3.5. Monitoring and Evaluation of the Plan 65 3.5.1. Objectives 65 3.5.2. M & E Components 65 3.5.2. M&E roles and responsibilities 65 3.5.3. Documentation of lesson learnt 66 4.0. SECTION FOUR: ANNEXES Annex 1: Selected Unit Costs “From Mkukuta Based MDGs Costings For The Health Sub-Sector” 67 Annex 2: Framework for Target Setting of Selected Impact and Outcome Indicators 70 Annex 3: Organogram for Ministry of Health and Social Welfare (MOHSW) 72 Annex 4: Matrices 73 4.1. Thematic Area 1: Prevention 73 4.2. Thematic Area 2: Treatment, Care and Support 81 4.3. Thematic Area 3: Cross-Cutting Issues 91 4.4. Thematic Area 4: Health Systems Strengthening 100 Annex 5: References and Notes 108 3 |FINAL COMBINED-HSHSP 2008-2012: June 24 th 2007
Page 1: FINAL DRAFT 24 th JUNE 2007 THE UNI
Page 5 and 6: ACKNOWLEDGEMENTS 5 |FINAL COMBINED-
Page 7 and 8: National HIV and AIDS Priority Inte
Page 9 and 10: 3.3. IEC and BCC and Stigma reducti
Page 11 and 12: Financing the Health sector respons
Page 13 and 14: 1.1.3. Geographic and administrativ
Page 15 and 16: 1.1.6.2. Gender and HIV and AIDS It
Page 17 and 18: Human resource The country is facin
Page 19 and 20: 1.2.3.2. Financial Contributions to
Page 21 and 22: Decentralisation: Devolution of key
Page 23 and 24: Achievements Currently 659 sites (
Page 25 and 26: Indicators Number of health instit
Page 27 and 28: Key implementers Referral, regiona
Page 29 and 30: Indicator % of blood units transfu
Page 31 and 32: etween older males and girls. On th
Page 33 and 34: Challenges Aspects Challenges for p
Page 35 and 36: Aspects Challenges for Facility Bas
Page 37 and 38: Key implementers MoHSW, Private ho
Page 39 and 40: ased care services Establish mecha
Page 41 and 42: Challenges Aspects Challenges for L
Page 43 and 44: Emerging Issues Private for profit
Page 45 and 46: B. Information Education and Commun
Page 47 and 48: Challenges Aspects Challenges in Co
Page 49 and 50: delivery of all health programmes-
Page 51 and 52: o Coordinate partnerships between e
Page 53 and 54:
Pharmacovigilance and quality assur
Page 55 and 56:
o The tendency of recruitment of st
Page 57 and 58:
Availability of annual, midterm and
Page 59 and 60:
Key Implementers MoHSW, Academic I
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3.0. SECTION THREE IMPLEMENTATION F
Page 63 and 64:
plan for districts. Rather the acti
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The Table 14 below shows the trend
Page 67 and 68:
Given the findings discussed above
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Monitoring Depending on the type an
Page 71 and 72:
“Mkukuta Based MDGs Costings for
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ANNEX 2: FRAMEWORK FOR TARGET SETTI
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ANNEX 3: ORGANOGRAM OF MINSTRY OF H
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Strategy 4: Improve programme manag
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Intervention Area 3a: Prevention of
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Intervention Area 4a: Vulnerable Po
Page 83 and 84:
Intervention Area 5: Positive Preve
Page 85 and 86:
Strategy 3: Increase access to and
Page 87 and 88:
Strategy 4: To reduce the burden of
Page 89 and 90:
Intervention area 2: Community base
Page 91 and 92:
Strategy 3: Develop and implement c
Page 93 and 94:
Strategy 3: Develop effective strat
Page 95 and 96:
Strategy 1: To ensure nation-wide a
Page 97 and 98:
Strategy 3: Implement and strengthe
Page 99 and 100:
Strategy 1: Strengthen existing and
Page 101 and 102:
Intervention area 3: Promote BCC pr
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103 |FINAL COMBINED-HSHSP 2008-2012
Page 105 and 106:
Intervention area 3: Human Resource
Page 107 and 108:
Intervention area 4: Strategic info
Page 109 and 110:
Strategic Objectives 3: To strength
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ANNEX 5: REFERENCE AND NOTES i TACA
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