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

delivery of all health programmes- i.e when introducing HIV and AIDS interventions, are we
safeguarding the existing programmes from further deterioration- stewardship, leadership
role?
The major health system constraints in general can be grouped into 2 parts:
Demand side where there is lack of universal access to a service delivery infrastructure. Examples
of demand side barriers are (e.g. affordability, stigma) to accessing services, inadequate service
delivery infrastructure, weak drug regulatory and supply systems and multiple donor interests which
might not be in tandem with national interests
The supply side of the constraint are human resources and the way the service delivery is
traditionally organized.
Strengthening health systems as part of HIV and AIDS scale up plan should ensure that
o wider benefits of the general health system are achieved by making possible the integration
of HIV and AIDS intervention into existing health systems and
o specific scale up or expansion of HIV and AIDS programmes are realized through building
the necessary new infrastructure
The entry points for the integration of HIV and AIDS interventions can be at the point of service delivery, in
the management of programmes at district or local level, in the financing, procurement of resources and in
the monitoring of programmes at national level.
Therefore the two aspects of health system strengthening in terms of ensuring wider benefits while scaling
up HIV and AIDS programmes will be addressed in this thematic section.
Intervention Area 1: National Strategic Planning and Programme Management
Preamble
As indicated in the introduction, that HIV and AIDS control programmes have increased the burden in the
already overstretched health care delivery system. This calls for innovative and renewed thinking on health
systems and service delivery as well as infrastructure, human resources development and planning.
This section explores how strengthening health service delivery at all levels would be done through:
Innovative and renewed thinking on the organization of the health services
Joint program management in:
o Planning, implementation and reporting of activities,
o quality improvement and standard setting
o resource mobilization, utilization and accountabilities
Providing technical support to non health sector units
Options for delivering HIV interventions at community and household levels through partnerships
and involvement of community-based agents and PLHIV.
Situation analysis
Below are the achievements and challenges of the general health sector reform and the introduction of
specific HIV and AIDS scaling up programmes
Achievements
General health sector reform-Programme management at national level
The Ministry of Health and Social Welfare has initiated a process for improving the following:
o decentralization of services and the strengthening of existing institutions and other
management structures
49 |FINAL COMBINED-HSHSP 2008-2012: June 24 th 2007