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

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Executive summary<br />

Introduction<br />

This Health Sector HIV <strong>and</strong> AIDS Strategic Plan (“HSHSP-2008-2012” ) is <strong>the</strong> contribution <strong>of</strong> <strong>the</strong> Health<br />

<strong>sector</strong> to <strong>the</strong> overall National Multi<strong>sector</strong>al Strategic Framework (NMSF-2008-2012). The <strong>the</strong>me <strong>of</strong> <strong>the</strong><br />

HSHSP is “universal access to preventive, care, treatment <strong>and</strong> support services”…<br />

The <strong>plan</strong> has been prepared at <strong>the</strong> time when <strong>the</strong> country <strong>and</strong>, in particular, <strong>the</strong> <strong>health</strong> <strong>sector</strong>, is facing<br />

significant challenges such as serious human resource crisis, inadequate funds to immediately deal with<br />

<strong>the</strong> <strong>health</strong> problems <strong>and</strong> geographical imbalances in <strong>the</strong> distribution <strong>of</strong> <strong>the</strong> available resources within <strong>the</strong><br />

country.<br />

Background<br />

Health Sector Performance <strong>and</strong> Disease Burden<br />

Over <strong>the</strong> past five years, <strong>the</strong> overall performance <strong>of</strong> <strong>the</strong> <strong>health</strong> <strong>sector</strong> has shown some improvements <strong>and</strong><br />

<strong>the</strong>re is government commitment to allocate resources. The country has recorded successes in key HIV<br />

<strong>and</strong> AIDS interventions, such as: increased coverage for PMTCT, introduced <strong>and</strong> exp<strong>and</strong>ed care <strong>and</strong><br />

treatment, increased availability <strong>of</strong> condoms, increased counseling <strong>and</strong> testing services, expansion <strong>of</strong><br />

services to communities <strong>and</strong> household levels. Lastly measures to monitor <strong>the</strong> epidemic are in place.<br />

Despite <strong>the</strong>se improvements, <strong>the</strong> biggest challenge is that <strong>the</strong> epidemic is far from being contained.<br />

Currently, <strong>the</strong> majority <strong>of</strong> people in need <strong>of</strong> services cannot access <strong>the</strong>m especially <strong>the</strong> vulnerable groups<br />

<strong>and</strong> rural areas. The challenges <strong>of</strong> assuring quality <strong>of</strong> services being provided remains an area <strong>of</strong> great<br />

concern. Although resources are being allocated to <strong>the</strong> epidemic by <strong>the</strong> government, sustainability still<br />

remains a formidable task.<br />

In order to successfully implement this <strong>strategic</strong> <strong>plan</strong>, <strong>the</strong> following assumptions are made:<br />

Continued peace <strong>and</strong> political stability in <strong>the</strong> country;<br />

There will be adequate numbers <strong>of</strong> appropriately trained <strong>and</strong> well motivated <strong>health</strong> workers;<br />

Macroeconomic stability <strong>and</strong> sustainable economic growth will continue;<br />

Increased Government prioritisation <strong>and</strong> funding to <strong>the</strong> <strong>health</strong> <strong>sector</strong>;<br />

Increased Partners support to o<strong>the</strong>r programmes within <strong>the</strong> <strong>health</strong> <strong>sector</strong>; <strong>and</strong><br />

Timely <strong>and</strong> appropriate attention to implementation <strong>of</strong> all <strong>health</strong> priority areas.<br />

Vision, Mission, Goals <strong>and</strong> Key Principles<br />

Vision: “A country <strong>united</strong> in its efforts to reduce <strong>the</strong> spread <strong>of</strong> HIV <strong>and</strong> to provide <strong>the</strong> best<br />

available care for those infected <strong>and</strong> affected by <strong>the</strong> virus.”<br />

Mission Working in partnership with o<strong>the</strong>r public <strong>sector</strong>s, private <strong>sector</strong>, civil society <strong>and</strong><br />

communities to play a leading role in <strong>the</strong> prevention <strong>of</strong> fur<strong>the</strong>r spread <strong>of</strong><br />

HIV/AIDS <strong>and</strong> mitigate its impacts by providing essential interventions <strong>and</strong> quality<br />

care.<br />

Goals: To scale up <strong>the</strong> <strong>health</strong> <strong>sector</strong> response to HIV <strong>and</strong> AIDS <strong>and</strong> streng<strong>the</strong>n <strong>the</strong><br />

<strong>health</strong> system capacity to support HI <strong>and</strong> AIDS interventions,<br />

To promote access <strong>and</strong> utilization <strong>of</strong> affordable <strong>and</strong> essential interventions <strong>and</strong><br />

commodities for HIV <strong>and</strong> AIDS, <strong>and</strong><br />

To improve <strong>the</strong> quality <strong>of</strong> HIV <strong>and</strong> AIDS interventions to <strong>the</strong> general public, PLHIV,<br />

<strong>health</strong> care providers <strong>and</strong> o<strong>the</strong>r vulnerable populations.<br />

Key Principles Equity <strong>of</strong> access, Ethical conduct <strong>and</strong> human rights, Quality, Accountability, Partnerships<br />

Decentralisation, Leadership: Gender<br />

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

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