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

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76 |FINAL COMBINED-HSHSP 2008-2012: June 24 th 2007 ANNEX 4: MATRICES TO THE HSHSP 2008-2012 4.1. THEMATIC AREA 1: PREVENTION Intervention area 1: Prevention of Mother To Child Transmission of HIV (PMTCT) Strategic objective: Reduce the transmission of HIV from mothers to their children, during pregnancy and/or breast feeding and ensure entry into care and treatment for mother and baby so as to increase the percent of HIV positive pregnant women who receive ARV Strategy 1: Advocate for and increase awareness and commitment to addressing PMTCT and paediatric HIV prevention, care, treatment and support among key stakeholders at all levels Activities Targets Indicators Means of Key actor Partners or Resources Remarks verification collaborators Develop national communication strategy for Increase awareness on No. of different people Reports MOHSW PMTCT and Paediatric care Sensitive policy makers, partners and communities at all levels Sensitize on importance of nutrition PMTCT sensitized NACP Strategy 2: Strengthen the provision of PMTCT in all sectors and to all levels of health facilities Activities Targets Indicators Means of Decentralize responsibility of PMTCT planning and implementation to the Zonal, Regional and District levels Refine targets for PMTCT Develop and review tools and guidelines for PMTCT and referral Define package of services at different levels of health care and different capacities and skills Define criteria for and assess facility readiness for PMTCT Capacity for PMTCT services built and implemented at all levels Number of facilities implementing PMTCT services Strategy 3: Improve delivery of community PMTCT and referral of HIV-infected women, their children and families Activities Targets Indicators Means of Mobilize and build capacity of community structures Refine standard of package of intervention Establish district wide systems linking PMTC services to community based providers Build capacity of PLHIV to support PMTCT Promote male friendly HIV services delivery models within RCH and other SRH services Capacity for PMTCT services in the community built and implemented No. of communities trained Key actor Partners or verification collaborators Reports MOHSW NACP PORALG RHMT CHMT Health facilities Key actor Partners or verification collaborators Report MOHSW NACP PORALG TACAIDS Resources Remarks Resources Remarks
Strategy 4: Improve programme management, coordination and supervision for PMTCT programme activities at all levels Activities Targets Indicators Means of Key actor Partners or verification collaborators Integrate PMTCT programme planning with PMTCT services integrated No of programs MOHSW RCH, TB and other programs into all other programs integrated NACP Coordinate PMTCT programmes with other PORALG health programs using existing and new RHMT opportunities DHMT Redefine role of national, regional and Health district health management teams to supervise PMTCT services Strengthen capacity for forecasting for PMTCT commodities Institutionalize quarterly reporting of PMTCT services facilities Intervention Area 2a: Prevention of Sexual Transmission of HIV Strategic Objective To expand quality STIs services and enhance appropriate utilization of services Strategy 1: To expand quality STIs services to all health facilities in districts in the country and make services youth friendly Activities Targets Indicators Means of verification Establish quality STI services in all of the districts of the county Establish user friendly youth reproductive health services in all regions of the country Make quality STI services available to specific vulnerable groups like Sex Workers, IDUs and MSM Assure constant /uninterrupted supplies of STI drugs and supplies in public and private health facilities % of patients with STIs at selected health care facilities who are appropriately diagnosed and treated according to national guidelines increased from 67% to 70% 40% of FBOs and NGOs including private health facilities also provided with STIs services Public and private health facilities managing STIs able to get uninterrupted supply of STI drugs and supplies 77 |FINAL COMBINED-HSHSP 2008-2012: June 24 th 2007 % clients served by public, FBOs and private health facilities providing STI care Number of youth friendly reproductive health clinics established Number of special STI clinics for vulnerable groups established % clients served by public, FBOs and private health facilities providing STI care that have a current supply of essential STI drugs and report no stock-outs lasting longer than one week in the last 12 months Reports Activity implementation reports Key actor Partners or collaborators NACP RHMT CHMT RCH Unit MSD Private sector Zonal Referral Hospitals Resources Remarks Resources Remarks
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FINAL DRAFT 24 th JUNE 2007 THE UNI
Page 3 and 4:
TABLE OF CONTENT Abbreviations and
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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
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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 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: ANNEX 3: ORGANOGRAM OF MINSTRY OF H
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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