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

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84 |FINAL COMBINED-HSHSP 2008-2012: June 24 th 2007 4.2. THEMATIC AREA 2: CARE, TREATMENT AND SUPPORT Intervention area 1: Facility-based Care, Treatment and Support Strategic Objective 1: To Strengthen And Scale Up Implementation Of Comprehensive Care And Treatment Strategies In Public And Private Facilities. Strategy 1: Strengthen capacity for implementing Comprehensive Care, Treatment and Support Activities Targets Indicators Means of Strengthen capacity of Care, Treatment and Support at NACP by recruiting additional staff. Develop capacity of private and voluntary hospitals to enable them to provide ART. Establish an arrangement with private health institutions spelling out incentives and regulations on ART delivery in these institutions. Provide guidance and technical support to prison authorities to establish HIV Care and Treatment clinics in correctional institutions. Develop policy for provider initiated testing and counseling (PITC) for health care seekers. Establish an arrangement between MoHSW and Private institutions All health facilities providing comprehensive package of care Number of private facilities providing ART services Policy for PITC developed verification Quarterly and annual reports Strategy 2: Increasing access to and delivery of ART for Adults Activities Targets Indicators Means of Sensitize health workers and communities and create ART literacy Improve and maintain infrastructure Strengthen district laboratories and develop specimen referral mechanisms. Conduct accreditation exercises in the selected health facilities that provide ART. Scale up the provision of ART in existing CTC and scale out to all health facilities Increase male enrolment at facilities Develop mechanisms for patient follow-up to ensure adherence and support All health centers providing comprehensive package of care and treatment. 60% of all eligible persons put on ART 20% of patients on treatment are children All health care providers trained in HIV and AIDS care and treatment Percentage of people eligible for ART receiving treatment Number of health centers delivering ART services verification Quarterly and annual reports Key actor Partners or collaborators NACP Private and Public Health Facilities, MoHSW Key actor Partners or collaborators Community councils MoHSW Health officials NACP Resources Remarks Conducive policy needed for the success of this initiative Conducive arrangement needed for the success of this initiative Resources Remarks
Strategy 3: Increase access to and strengthen paediatric care. Activities Targets Indicators Means of Strengthen the paediatrics section of the NACP Care and Treatment unit by recruiting staff. Establish a coordination committee at the MoHSW Adapt and disseminate guidelines for provider initiated testing and counseling Adapt and disseminate guidelines on integration of paediatric HIV care, IMCI, PMTCT and MCH services and linkage to EPI, nutrition, general health care and community HBC programs Train national, regional and district trainers on paediatric counselling, care, treatment and support Adapt and disseminate curriculum for basic paediatric HIV counseling, Care, Treatment and Support Introduce and scale up HIV and AIDS Care and Treatment services including ART at PMTCT sites in referral and regional hospitals with clinical capacity 20% of patients on treatment are children All health care providers trained in Paediatric HIV and AIDS care and treatment 85 |FINAL COMBINED-HSHSP 2008-2012: June 24 th 2007 Number of health centers delivering ART services for both adults and children % of eligible children receiving antiretroviral therapy Number of health care facilities providing PITC Number and percentage of PMTCT sites providing antiretroviral treatment verification Strategy 4: Provide care, including OI management to PLHIV Activities Targets Indicators Means of Ensure integration of cotrimoxazole prophylaxis into MCH and TB/HIV services. Ensure regular supply of drugs for prophylaxis and management of OIs in district and health centers using district funds. Provide nutrition counseling, support and assessment and refer/use wrap around funds to secure nutritional support All health centers providing comprehensive package of care and treatment All health care providers trained in HIV and AIDS care and treatment Number of health facilities offering cotrimoxazole prophylaxis Number of HIV exposed infants given cotrimoxazole up to 18 months verification Quarterly and Annual reports Key actor Partners or collaborators NACP Health facilities Key actor Partners or collaborators NACP MoHSW Health Facilities Resources Remarks Resources Remarks
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FINAL DRAFT 24 th JUNE 2007 THE UNI
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TABLE OF CONTENT Abbreviations and
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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
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Achievements Currently 659 sites (
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Indicators Number of health instit
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Key implementers Referral, regiona
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Indicator % of blood units transfu
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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 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: Intervention Area 5: Positive Preve
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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