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

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Strategy 2: To strengthen and scale up HIV Care and Treatment related training to enhance skills of health care providers Activities Targets Indicators Means of Adapt and implement focused training curricula for paediatric care, palliative care including pain management and TB/HIV integration and management of TB/HIV co-morbidity. To conduct training for paediatric care, palliative care including pain management, TB/HIV comorbidity for zonal master trainers, regional trainers and district health care workers. To conduct IMAI training for HCWs in health facilities in the district and at primary health centre level. To conduct regular supportive supervision and mentoring. To conduct regular review of guidelines and disseminate them through training. To conduct training in management skills for HCW. All HIV care and treatment health facilities provided with mentoring and supportive supervision and mentoring Health providers trained 88 |FINAL COMBINED-HSHSP 2008-2012: June 24 th 2007 Number of health care providers trained Mentoring programs developed and implemented verification Strategy 4: To develop a system of Quality Assurance of HIV Care and Treatment Services Activities Targets Indicators Means of Strengthen the NACP Quality Assurance unit Develop national quality of HIV care standards and indicators Develop a tool for and implement quality of HIV care auditing on a regular basis Strengthen accreditation and re-assessment of health facilities Quality of service provision improved Care standards documents developed and disseminated Accreditation of health facilities offering HIV and AIDS care and treatment services verification Key actor MoHSW (NACP) RHMT DHMT Key actor NACP Partners or collaborators Partners Partners or collaborators Resources Remarks Resources Remarks
Intervention area 2: Community based Care Services Strategic Objective 1: To strengthen and scale up the implementation of comprehensive care, treatment and support services in community settings Strategy 1: Scale up the accessibility and availability of comprehensive community home based care and support services for PLHIV Activities Targets Indicators Means of Key verification actor Assist districts to prioritize HBC 121 districts with plans, # of districts reporting Quarterly NACP Conduct an inventory of HBC services inventory HBC services List of inventories and annual reports DMOs, CHMT Mobilize resources for HBC services. One CSO providing HBC # of CSO reporting HBC services per district services Develop regionalizing services. # of CSO reporting HBC 121 districts conduct services Develop clear roles and responsibilities for civil assessment # of CSO reporting HBC society in community HBC services Conduct an assessment on the current status of the Village Health Workers 121 CSO initiate home based HIV Counseling and Testing services Number of VHW identified Initiate home based care counseling and testing # of trained lay services at community level. 121 districts implement counsellors Develop and implement community awareness activities about ART literacy community awareness activities # of people counselled Involve local leadership in securing funds and # of districts reporting harnessing community resources with the aim of ensuring sustainability. funding for HBC Strategy 2: Improving care and management of pain and other common symptoms of chronic diseases including HIV and AIDS Activities Targets Indicators Means of Key verification actor Collaborate with the TPCA in developing a All districts currently Training module Training TPCA module for training in Palliative care, including implementing HBC services and ORCI pain management Assessme NACP, Conduct an assessment to identify gaps in the Number of districts nt reports DMOs, current supply systems for HBC supplies and assessed CSO drugs. MSD, Develop an appropriate supply chain management MEMS Assess the effectiveness of current programs that FBO provide oral morphine in the country hospitals Institute a process towards advocacy for policy that will allow for gradual scaling up the provision of oral morphine in the community 89 |FINAL COMBINED-HSHSP 2008-2012: June 24 th 2007 Partners or collaborators Partners or collaborators 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
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Challenges Aspects Challenges for p
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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 and 84: Intervention Area 5: Positive Preve
Page 85 and 86: Strategy 3: Increase access to and
Page 87: Strategy 4: To reduce the burden of
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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