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

2.1. Facility based
services
a) ART
b) TB/HIV
collaborative
c) Quality of facility
based services
2.2. Community
based services
a) HBC
b) Quality of
community based
services
c) Linkages and
referral system
3.1. Laboratory
services
3.2. HIV Testing &
Counselling
2. Treatment, care and support
Only 19.4% and 12.8% of adults and children
in need of ART receive this treatment
Limited number of days for offering ART
services
Lack of integration of CTC clinics into routine
care
Poor absorptive capacity of VCT centers to
scale up TB activities
Inadequate linkage of CTC clinics into TB
interventions
Low capacity at National and Regional level
to monitor and supervise ART care and
treatment interventions
Only 50,000 are receiving HBC services out
of 320,000 who are in need
Erratic supply of HBC kits resulting in
inadequate use of effective pain management
medicines including oral morphine.
Low Motivation and incentives of the care
givers.
Low adherence to national home based
palliative care service standard
Poor coordination, referral systems and
networking
Inadequate support to MVC
No Standardized monitoring, evaluation and
reporting systems and tools
3. Cross-cutting issues
No high containment laboratory (P3) for virus
isolation and characterization.
Inadequate supply of laboratory reagents and
other consumables,
No capacity to monitor drug resistance (ARVs
and antimicrobial agents-STI, TB)
Different specifications of laboratory
equipment so difficulties in maintaining them
Irregular
equipment
maintenance of laboratory
10.5% of people aged 15 to 49 in urban
areas had been tested in the past year
against 3.4% in rural areas
VCT being a part time activity and hospitalbased,
lack of recognition as a career path
(counsellor is not a cadre in the health
system)
A weak referral and networking system
Inadequate supervision and support to
counsellors,
Existence of different HTC standards
8 |FINAL COMBINED-HSHSP 2008-2012: June 24 th 2007
To strengthen and scale up
implementation of comprehensive
care and treatment strategies in
public and private facilities
To improve the quality of care for
both PLHIV and TB patients by
strengthening the collaboration
between these programs
To provide quality HIV and AIDS
care and treatment to PLHIV to
reduce morbidity, mortality and
improve the quality of life
To strengthen and scale up the
implementation of comprehensive
care and treatment services
To improve the quality of life and
reduce morbidity and mortality of
PLHIV through the provision of
comprehensive HIV and AIDS care
and treatment services in the
community
To strengthen community based
support to establish effective
linkages and referrals between civil
society organizations and public
institutions to ensure the provision
of comprehensive services across a
continuum of care for PLHIV and
orphans and most vulnerable
children (MVC)
To strengthen diagnostic services to
support prevention, care and other
interventions for HIV and AIDS,
STIs and major OIs
To improve access to and use of
quality HIV testing and counselling
(HTC).
60% of all eligible persons put
on ART
20% of patients on treatment
are children
All CTCs screening PLHIV for
TB
All TB health facilities screening
patients for HIV co-infection
All HIV care and treatment
health facilities provided with
mentoring and supportive
supervision
All districts develop and
implement strategies for
comprehensive community care
and treatment services
All community HBC providers
should deliver quality services
Effective linkages and referrals
established for community
based services
Quality laboratory services
achieved
Increased utilization of HIV
testing and counselling (HTC)
services