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

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Aspects Challenges of Priority HIV and AIDS and STI research research projects • studies and research conducted on HIV/AIDS related aspects have not been well coordinated and are not based on a nationally-agreed HIV research agenda • The mandate to clear research proposals has been fully transferred to NIMR and research findings may not necessarily trickle down to NACP.. Equity, Gender and sustainability considerations All studies have to respect equity in terms of urban and rural areas. Strategic objective To strengthen the national capacity for HIV and AIDS related research and development Strategies Develop coordination and recording services for research on HIV and STI at one focal point Conduct Operation Research (OR) in HIV and AIDS and use evidence Programming and Policy making Ensure adequate dissemination of the findings Targets The national response against HIV/AIDS/STIs is supported in the Country OR conducted in new HIV and AIDS research priority areas Innovative methods of mobilizing and involving individuals and communities in HIV/AIDS/STDs control are developed; Indicators Studies are adapted to the needs felt at the local, district, regional and national level Research studies give the information needed in the field and allow adjusting programs and actions according to them; Information on STI and HIV are available: Prevention and Treatment are adjusted Identified new OR priority areas in HIV and AIDS research New OR conducted and relevant research outputs Disseminated and evidence of use of OR findings in HIV and AIDS programming and policy making Key implementers MoHSW, COSTECH, NIMR, Academic and Research institutions 60 |FINAL COMBINED-HSHSP 2008-2012: June 24 th 2007
3.0. SECTION THREE IMPLEMENTATION FRAMEWORK AND ITS OPERATIONALISATION 3.1. Implementation Arrangements The Strategy defines the activities to be implemented at central level by the Ministry of Health in all its structures with the oversight of the MHOSW through the NACP. It also provides guidance concerning the activities which need to be implemented at district and community levels through the District and Municipal Councils. The NGOs, private sector and civil society will participate in the implementation of the activities at both national and lower levels according to their capacities and comparative advantages. Each department of the Ministry of Health at central level will develop annual work plans in line with the fiscal year, for implementation, based on this strategy. These annual work plans will be funded through the budget within the MTEF of the ministry of Health. The Health Sector HIV/AIDS Strategy has defined the interventions to be implemented at district level. The implementation of these will be under the District Councils. Therefore, the District and Municipal Councils will have to incorporate the HIV and AIDS interventions into their comprehensive district plans based on the Strategic Plan for the health sector. The Council Health Management Teams (CHMT) will be responsible for implementation, monitoring and evaluation of the district health sector based HIV/AIDS activities. In so doing, they will involve all relevant stakeholders at the district and community levels. The activities in the district plan will be budgeted for funding under the MTEF of the President’s Office, Regional- Administration and Local Government and also supported through the activities of the community based organizations. In supporting districts to operationalize the Health Sector Strategy, the Ministry of Health will sub-contract some NGOs where they exist to help the districts incorporate the interventions suggested in the Health Sector Plan. In addition to supporting the councils in planning, the Ministry of Health will continue to undertake quality assurance for the response at district level as well as advocating for the health sector HIV and AIDS response to the districts. It will play this role through its Zonal Training Centers, RHMTs, and CHMTs. The following prioritization criteria is proposed to be used: 3.2. Priority Activities For Operationalization Of The Health Sector Strategy For HIV and AIDS In order to demonstrate the stewardship role of MOHSW with regard to this health sector response, the following proposed activities will be conducted: Table 9: Priority Activities For Operationalization HSHSP ACTIVITIES TARGETS OUTPUTS OUTCOMES RESPONSIBLE Adopt the HSHSP 2008- Meeting report Stakeholders DP, Private adopt 2012 HSHP Document the new health sector strategy Launch the HSHSP Strategy formally disseminated PS-MOHSW Conduct an orientation Meeting report, The NACP staff understand NACP Manager meeting for NACP staff Package for briefing their roles and be able to brief MOSWH, Directors MOH Directors Conduct a 2 days orientation meeting for MOH Directors Orient MOH institution heads on HSHSP MOHSW, Directors ready to implement their part of the strategy 61 |FINAL COMBINED-HSHSP 2008-2012: June 24 th 2007 Concept of integration of HIV activities, role of NACP and role of MOH clarified Institutional heads clearly understand the role of the health sector and their roles CMO, NACP staff and facilitators CMO, NACP staff and facilitators TIME LINE 2007
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FINAL DRAFT 24 th JUNE 2007 THE UNI
Page 3 and 4:
TABLE OF CONTENT Abbreviations and
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 and 56: o The tendency of recruitment of st
Page 57 and 58: Availability of annual, midterm and
Page 59: Key Implementers MoHSW, Academic I
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
Page 107 and 108: Intervention area 4: Strategic info
Page 109 and 110: Strategic Objectives 3: To strength
Page 111:
ANNEX 5: REFERENCE AND NOTES i TACA
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