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

o harmonization of policies, guidelines and development of strategic plans for human
resources development and capacity-building;
o harmonization of management of the major commodities (i.e. ITNs, antimalarial medicines,
diagnostics) at all levels;
o improving drug quality including establishing pharmacovigilance activities
o strengthening strategic information management and health information systems
o A process for harmonisation and clarification of roles and responsibilities between the
MOHSW and Local government health institutions is on going. Within the framework of the
ongoing local government reforms, the district authorities have responsibilities for delivering
health services. The responsibilities under MoHSW are technical guidance and evaluation
of health services within the councils.
At regional, district and facility levels
o Existence RHMTs to provide technical support to DHMTs or CHMTs
o There are autonomous District Health Boards under the PORALG.
o Existence of most accessible primary health care services which include reproductive
health services, STI, TB etc.
o Existence of some services that are linked with each other, households and communities
o For example reproductive and antenatal care services, serve as pivotal entry point
for the delivery of interventions for the prevention and control of HIV in pregnant
women and their children.
Planning, financing and quality improvement at all levels
strategic plans exist
resource mobilization is done including funding of HIV and AIDS interventions at all levels
documents on modalities of channelling funds are available
Program mangement for specific HIV and AIDS interventions
At national level
Direct management and planning for the HIV and AIDS programme is lodged in the National AIDS
Control Programme (NACP). NACP has
o Developed and harmonized HIV related guidelines and capacity-building
o Been facilitating and providing technical assistance to other stakeholders at all levels.
o Established linkages with other departments of the MoHSW, other government agencies,
NGOs, development partners, technical experts, and community resources.
o Been strengthening the capacity of Regional Teams to supervise, monitor, and assist the
districts in planning and implementing interventions (RACCs)
o Partnerships and collaboration among relevant programmes or interventions which are a
prerequisite for joint planning and implementation of effective integrated services have been
enshrined in the NACP
o A plan for gradual initiation of ART beginning with referral hospitals and followed by regional
and district hospitals
o Promoted scaling up of HIV and AIDS interventions include:
• Coordination of all partners involved in Care and Treatment Plan (Regionalization)
• Harmonization of management of the major commodities (i.e.ARVs, diagnostics) at
all levels; and
• Initiating HIV drug quality and adherence to antiretroviral treatment, including
establishing drug resistance surveillance programmes.
• Strengthening management of strategic information
• Initiated integration of HIV and AIDS interventions into existing services
At district level and facility level
Strengthened management capacity in HIV and AIDS programmes
o Infrastructure improvements, including purchase and installation of essential equipments and
supplies.
o Coordinate partnerships between public, NGOs and private (for profit or not-for-profit) actors
50 |FINAL COMBINED-HSHSP 2008-2012: June 24 th 2007