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

ACTIVITIES TARGETS OUTPUTS
Build capacity of zonal
training centers and other
partners yet to be
identified to backstop
RHMTs and DHMTS
Conduct simultaneous
zonal dissemination and
orientation meetings for
RHMTs and DHMTs
Disseminate to and orient
non-health sectors
OUTCOMES
62 |FINAL COMBINED-HSHSP 2008-2012: June 24 th 2007
ZTCs and other partners
capable of building RHMT and
CHMTs capacities
RMOs, DMOs and DACCs are
able to integrate HIV activities
in their DHPs
Non-health sectors understand
their roles and agree on
modality of collaborating with
MOHSW
RESPONSIBLE
Zonal Training
Centres, Partners,
NACP staff,
PORALG and
resource people
TACAIDS and
NACP
TIME LINE
3.3. Coordination Framework
This strategic plan will be operationalised at three levels – the national, regional and district – in
overlapping phases. This section describes the institutional arrangements, which are in place or those
which need to be created at different levels in order to ensure efficient and effective implementation of the
strategic plan.
3.3.1. National level
At the national level it will be necessary to create the conditions for implementing the plan. Measures
towards this end include:
Strengthening of the institution responsible for HIV and AIDS response within the organizational
structure of the Ministry of Health and Social Welfare.
• This will involve a Ministry of Presidents Office Public Service Management (POPSM) approval
and posting of additional staff with the requisite skills.
• This would bring the institution to an optimum level in terms of the quality of its professional staff
to enable it perform its role effectively.
• In order for the national institution responsible for the HIV and AIDS response in the health
sector to implement its diverse mandate effectively, it is proposed that a study be done to
explore the appropriate functions and skills required for all levels of service delivery before a
decision is made for it being either an agency of the MOHSW or a directorate ;
Orienting MOHSW leadership and officials as well as the heads of health institutions in the country
towards integrating HIV and AIDS fully in their core business. This will involve issuing official circulars,
retreats and meetings;
Strengthening further the harmonization of the roles of NACP and TACAIDS on one hand, and of
MOHSW and PORLAG on the other hand.
3.3.2. Regional level
Regional Authorities still retain a supervisory function over the performance of District Authorities on behalf
of the Central Government. Measures should be taken to strengthen the capacity of RHMTs to enable them
to provide effective supportive supervision in the districts. The ZTCs will assume responsibility for providing
technical capacity strengthening to the RHMTs and CHMTs. The MOHSW should strengthen the capacity
of the ZTCs and the identified NGOs in order for them to adequately play their assigned roles.
3.3.3. District level
At the district level the thrust will be towards strengthening the capacity of DMOs/CHMTs/District Heath
Boards (DHBs), working within the statutory committees of the Councils, Wards and Villages to plan, and
integrate HIV/AIDS interventions as part of their general health plans, and ultimately in their district
Development Plans. This activity should be spearheaded jointly by the CHMTs and the Council AIDS
Multisectoral Committees (CMACs), in collaboration with all the district heads of departments. RHMTs,
CHMTs and Health Boards will be oriented in their roles in moving forward the HIV and AIDS agenda within
the health sector.
The health sector DACC should be the right hand person of the DMO and function more or less in the same
specialised function as the NACP at the MOHSW. This is not intended to be an HIV and AIDS operational