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

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Strategy 2: Guideline, curriculum development and training for STI prevention and management at facility and community levels Activities Targets Indicators Means of verification Training and re-training of all HCWs on public and private sectors Revise national STI guidelines and training curricula according to WHO guidelines. Develop, print and distribute the new STI guideline and curriculum Conduct training of regional STI TOTs on planning guidelines Conduct training of all CHMTs on comprehensive STI planning Improve coordination of STI at all levels STI case management by syndromic approach integrated into the curricula of pre-service training medical institutions including universities, in-service as well at community levels 78 |FINAL COMBINED-HSHSP 2008-2012: June 24 th 2007 Number of STI TOTs trained Number of districts with STI guidelines Number of Councillors & CHMT sensitized Number of districts implementing the communication package Key actor Partners or collaborators Resources Remarks Intervention Area 2b: Prevention of Sexual Transmission of HIV Strategic Objective: To promote safe, socio-culturally accepted male circumcision as a preventive measure against HIV transmission Strategy 1: Conduct operational research by rapid assessments to determine key providers, assess acceptability, estimate costs and evaluate the quality of safe male circumcision services provided by health care workers. Activities Targets Indicators Means of verification Develop operational research protocol Implement the protocol in sampled regions Disseminate findings Develop national policy guidelines Design and implement communication strategies Develop and implement a national plan including monitoring and evaluation Develop tools for training and supervision of safe male circumcision in the country Promote awareness of male circumcision where traditionally this is not done Communication strategies in place Monitoring and evaluation in place Tools for training and supervision in place Phased implementation of male circumcision Phased implementation initiated Proportion of male children and youth circumcised Key actor Reports NACP NIMR Partners or collaborators JIPEGO Resources Remarks
Intervention Area 3a: Prevention of transmission in health-care settings Strategic objective: Reduce the risk of HIV transmission through blood and blood products Strategy 1: Strengthen the distribution capacity of NBTS and regional distribution units Activities Targets Indicators Means of Scale up the use of NBTS services to district level Create awareness on NBTS among key players of blood transfusion: Disseminate and ensure compliance of public and private hospitals with National Blood Safety guidelines Develop curricula, materials and train of health care staff on NBTS Ensure availability of quality and adequate supply of reagents Increased low risk blood donations in public and private hospitals All donor blood in public and private hospitals to be screened for HIV, syphilis and hepatitis before transfusion. 79 |FINAL COMBINED-HSHSP 2008-2012: June 24 th 2007 Number of NBTS distribution units established % of blood units transfused that have been screened for HIV, syphilis and hepatitis according to National guidelines verification Strategy 2: Promote community awareness for blood donation Activities Targets Indicators Means of Develop and disseminate IEC and BCC materials for community mobilization Recruit low-risk-non-remunerated donors Educate donors and promote voluntary blood donation with involvement of cultural groups in community campaigns Increased low risk blood donations in public and private hospitals % donations from voluntary donor verification Strategy 3: Establish an efficient and appropriate M&E system and a Quality Assurance scheme for NBTS Activities Targets Indicators Means of Review current NBTS M&E system Develop M&E tool Establish Quality Assurance scheme for NBTS Strengthen Monitoring and Evaluation All NBTS branches enrolled in External Quality Assurance Schemes % of NBTS centres & health facilities transfusing blood monitored Annual frequency of participation in EQAS verification Key actor Partners or collaborators MoHSW CDC Tanzania WHO Red Cross AABB Bergen University Key actor Partners or collaborators Key actor Partners or collaborators Resources Remarks 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
Page 5 and 6:
ACKNOWLEDGEMENTS 5 |FINAL COMBINED-
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National HIV and AIDS Priority Inte
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3.3. IEC and BCC and Stigma reducti
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Financing the Health sector respons
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1.1.3. Geographic and administrativ
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1.1.6.2. Gender and HIV and AIDS It
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Human resource The country is facin
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1.2.3.2. Financial Contributions to
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Decentralisation: Devolution of key
Page 23 and 24:
Achievements Currently 659 sites (
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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 and 76: ANNEX 3: ORGANOGRAM OF MINSTRY OF H
Page 77: Strategy 4: Improve programme manag
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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