the united republic of tanzania health sector hiv and aids strategic plan
the united republic of tanzania health sector hiv and aids strategic plan the united republic of tanzania health sector hiv and aids strategic plan
In addition to the second generation surveillance, the unit is currently implementing M&E activities for AIDS chronic care, VCT, HBC and sexually transmitted infections. Data is collected and summarised at service provision points using standardised forms and it flows to the district, regional and national levels where a national summary is generated and disseminated. A) Monitoring & Evaluation system Situation analysis Below are the achievements and challenges with regard to M&E Achievements Scaled up of surveillance of HIV/AIDS/STI from 10 region in 2003 to 21 regions in 2006 Regular availability of HIV/AIDS/STI data for national and international use Implementation of HIV drug resistance surveillance Presence of agreed national monitoring systems for PMTCT, VCT, STIs and C&T. Data use at sub-national levels facilitated High involvement and support from partners. Availability of electronic database system. Integrated surveillance through Health Management Information System (HMIS) is ongoing in all districts Challenges Aspect Challenges of monitoring and evaluation Availability • Inadequate coverage of all programs i.e effectiveness of IEC messages not done. • Inadequate capacity to intensify surveillance activities at district level. Equitable access • No surveillance activities targeting the most-at-risk sub populations (MARPS) • Need to scale up monitoring systems by paper and strengthening electronic database. • Lack of capacity (human resource, infrastructure, communication) for M&E at regional and district level Quality • Unclear flow of data and inefficient reporting – incomplete, under reporting • Doubtful use of data at all levels – • Lack of integrated supervision and adequate feedback at the facilities level to ensure improved quality of services. • Lack of harmonized M & E system (each program with a database and M & E) • Lack of information or documentation on best practices Emerging issues: AIDS cases reporting in the era of HIV care and treatment Equity, Gender and sustainability considerations There is need to strengthen M&E infrastructure in rural areas and small health facilities Strategic objective Strengthen and institutionalize monitoring and evaluation system for it to provide relevant comprehensive information in a timely manner for programme management and planning. Strategies Develop a harmonised M&E framework that links different HIV and AIDS programmes Institute a supportive supervision which will assure the quality of data and services, data flow and use at all levels. Targets Strengthened HIV and AIDS, STI and OIs monitoring and evaluation system 56 |FINAL COMBINED-HSHSP 2008-2012: June 24th Indicators Availability of different types of survey data and reports 2007
Availability of annual, midterm and end-term reports Key implementers MoHSW, Health care facilities –private and public, RACCs, DACCs, Academic and research institutions B). Biological and behavioural surveillance on STI, HIV and AIDS Situation analysis Transmission of HIV is not limited to biological factors only. Human behaviour plays a significant role as far as HIV infection is concerned. Surveillance of the trend in HIV/AIDS needs to include both biological and behavioural aspects. Achievements Sentinel surveillance of HIV and STI has been scaled up to all 21 regions A BSS has been conducted in collaboration with partners - in Kilimanjaro, Dodoma , Mtwara, Mbeya and Lindi. Challenges Challenges Availability • The surveillance activities on the epidemic concerning biological and behavioural surveillance on STI and HIV are inadequate • Inadequate capacity to intensify surveillance activities at district level. Equitable • No surveillance activities targeting the most-at-risk sub populations (MARPS) access • Absence of testing facilities or infrastructure diagnosis of HIV in children ; Quality • Use of RPR test in STI surveillance pauses difficulties in remote areas due to the cold chain requirement Emerging issue There is uncertainty on the relevance AIDS case reporting in the era of HIV care and treatment Equity, Gender and sustainability considerations Need to have information from hard to reach areas and vulnerable populations Strategic objective Strengthen and expand surveillance activities to monitor the dynamics of the epidemic and the impact of interventions. Strategies Strengthen biological surveillance system for HIV and AIDS and STI Contribute to the strengthening of behavioural surveillance system for HIV and AIDS and STI Targets STI, HIV and AIDS trends monitored Indicators Number of biological surveillance surveys carried out Key implementers MoHSW, Academic and research institutions, Reference Laboratories 57 |FINAL COMBINED-HSHSP 2008-2012: June 24 th 2007
- 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: o The tendency of recruitment of st
- Page 59 and 60: Key Implementers MoHSW, Academic I
- Page 61 and 62: 3.0. SECTION THREE IMPLEMENTATION F
- Page 63 and 64: plan for districts. Rather the acti
- Page 65 and 66: The Table 14 below shows the trend
- Page 67 and 68: Given the findings discussed above
- Page 69 and 70: Monitoring Depending on the type an
- Page 71 and 72: “Mkukuta Based MDGs Costings for
- Page 73 and 74: ANNEX 2: FRAMEWORK FOR TARGET SETTI
- Page 75 and 76: ANNEX 3: ORGANOGRAM OF MINSTRY OF H
- Page 77 and 78: Strategy 4: Improve programme manag
- Page 79 and 80: Intervention Area 3a: Prevention of
- Page 81 and 82: 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
- Page 103 and 104: 103 |FINAL COMBINED-HSHSP 2008-2012
- Page 105 and 106: Intervention area 3: Human Resource
Availability <strong>of</strong> annual, midterm <strong>and</strong> end-term reports<br />
Key implementers<br />
MoHSW, Health care facilities –private <strong>and</strong> public, RACCs, DACCs, Academic <strong>and</strong> research<br />
institutions<br />
B). Biological <strong>and</strong> behavioural surveillance on STI, HIV <strong>and</strong> AIDS<br />
Situation analysis<br />
Transmission <strong>of</strong> HIV is not limited to biological factors only. Human behaviour plays a significant role as far<br />
as HIV infection is concerned. Surveillance <strong>of</strong> <strong>the</strong> trend in HIV/AIDS needs to include both biological <strong>and</strong><br />
behavioural aspects.<br />
Achievements<br />
Sentinel surveillance <strong>of</strong> HIV <strong>and</strong> STI has been scaled up to all 21 regions<br />
A BSS has been conducted in collaboration with partners - in Kilimanjaro, Dodoma , Mtwara,<br />
Mbeya <strong>and</strong> Lindi.<br />
Challenges<br />
Challenges<br />
Availability • The surveillance activities on <strong>the</strong> epidemic concerning biological <strong>and</strong> behavioural<br />
surveillance on STI <strong>and</strong> HIV are inadequate<br />
• Inadequate capacity to intensify surveillance activities at district level.<br />
Equitable • No surveillance activities targeting <strong>the</strong> most-at-risk sub populations (MARPS)<br />
access<br />
• Absence <strong>of</strong> testing facilities or infrastructure diagnosis <strong>of</strong> HIV in children ;<br />
Quality • Use <strong>of</strong> RPR test in STI surveillance pauses difficulties in remote areas due to <strong>the</strong><br />
cold chain requirement<br />
Emerging issue<br />
There is uncertainty on <strong>the</strong> relevance AIDS case reporting in <strong>the</strong> era <strong>of</strong> HIV care <strong>and</strong> treatment<br />
Equity, Gender <strong>and</strong> sustainability considerations<br />
Need to have information from hard to reach areas <strong>and</strong> vulnerable populations<br />
Strategic objective<br />
Streng<strong>the</strong>n <strong>and</strong> exp<strong>and</strong> surveillance activities to monitor <strong>the</strong> dynamics <strong>of</strong> <strong>the</strong> epidemic <strong>and</strong> <strong>the</strong> impact <strong>of</strong><br />
interventions.<br />
Strategies<br />
Streng<strong>the</strong>n biological surveillance system for HIV <strong>and</strong> AIDS <strong>and</strong> STI<br />
Contribute to <strong>the</strong> streng<strong>the</strong>ning <strong>of</strong> behavioural surveillance system for HIV <strong>and</strong> AIDS <strong>and</strong> STI<br />
Targets<br />
STI, HIV <strong>and</strong> AIDS trends monitored<br />
Indicators<br />
Number <strong>of</strong> biological surveillance surveys carried out<br />
Key implementers<br />
MoHSW, Academic <strong>and</strong> research institutions, Reference Laboratories<br />
57 |FINAL COMBINED-HSHSP 2008-2012: June 24 th 2007
Change language