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

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Strategic objective 1<br />

To streng<strong>the</strong>n <strong>and</strong> scale up <strong>the</strong> implementation <strong>of</strong> comprehensive care <strong>and</strong> treatment services for HIV <strong>and</strong><br />

AIDS in community settings<br />

Strategies<br />

Scale up <strong>the</strong> accessibility <strong>and</strong> availability <strong>of</strong> comprehensive community home based care <strong>and</strong><br />

support services for PLHIV<br />

Improving care <strong>and</strong> management <strong>of</strong> pain <strong>and</strong> o<strong>the</strong>r common symptoms <strong>of</strong> chronic diseases<br />

including HIV <strong>and</strong> AIDS<br />

Streng<strong>the</strong>ning <strong>the</strong> integration <strong>of</strong> TB, HIV <strong>and</strong> AIDS services at community level<br />

Targets<br />

All districts develop <strong>and</strong> implement strategies for comprehensive community care <strong>and</strong> treatment<br />

services<br />

Indicators<br />

Number <strong>of</strong> civil society organizations providing home based care per district<br />

Number <strong>of</strong> chronically ill people receiving services from trained home based care service<br />

providers<br />

Key implementers<br />

MOHSW, CHMTs, CMACs, VMACs, CSO, FBOs<br />

Strategic objective 2<br />

To improve <strong>the</strong> quality <strong>of</strong> life <strong>and</strong> reduce morbidity <strong>and</strong> mortality <strong>of</strong> PLHIV through <strong>the</strong> provision <strong>of</strong><br />

comprehensive HIV <strong>and</strong> AIDS care <strong>and</strong> treatment services in <strong>the</strong> community<br />

Strategies<br />

Streng<strong>the</strong>n <strong>the</strong> capacity for appropriate management <strong>of</strong> common OIs <strong>and</strong> STIs in PLHIV<br />

Establish <strong>and</strong> disseminate service st<strong>and</strong>ards for all institutions <strong>and</strong> individuals providing home<br />

based care services<br />

Develop <strong>and</strong> implement capacity building strategies to increase technical skills <strong>of</strong> community<br />

home based care service providers<br />

Streng<strong>the</strong>n <strong>the</strong> supervision, monitoring <strong>and</strong> evaluation capacity for civil society organizations<br />

<strong>and</strong> public institutions<br />

Targets<br />

All community HBC providers should deliver quality services<br />

Indicators<br />

Number <strong>of</strong> community home based care service providers trained <strong>and</strong> providing services<br />

Percentage <strong>of</strong> HBC patients effectively linked to CTC services<br />

Proportion <strong>of</strong> patients receiving effective pain medication<br />

Proportion <strong>of</strong> <strong>health</strong> workers at national, regional <strong>and</strong> district level with full responsibilities for<br />

monitoring <strong>and</strong> supervising HBC services<br />

Proportion <strong>of</strong> districts reporting HBC services on a regular basis<br />

Percentage <strong>of</strong> patients adhering to treatment at 95% level<br />

Key implementers<br />

MOHSW, CHMTs, CMACs, VMACs, CSO, FBOs<br />

Strategic objective 3<br />

To streng<strong>the</strong>n community based support to establish effective linkages <strong>and</strong> referrals between civil society<br />

organizations <strong>and</strong> public institutions to ensure <strong>the</strong> provision <strong>of</strong> comprehensive services across a continuum<br />

<strong>of</strong> care for PLHIV <strong>and</strong> orphans <strong>and</strong> most vulnerable children (MVC)<br />

Strategies<br />

Develop mechanisms to enhance community ownership, participation <strong>and</strong> involvement in home<br />

38 |FINAL COMBINED-HSHSP 2008-2012: June 24 th 2007

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