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

3.3. IEC and BCC
and Stigma
reduction
3.4. Condom
programming
4.1. National
Planning and
Programme
management
4.2. Procurement,
supply
management
BCC
Non inclusion of BCC programming in HIV
and AIDS interventions
Current messages are not contextualised to
local settings
No monitoring tools are available to establish
effectiveness of the BCC programs
IEC
Centralized and inadequate production of IEC
materials.
Regional media and other communication
channels are rarely used
No evaluation done on impact of different
types media used for channelling messages
to the public
Regional media and other communication
channels are rarely used
Stigma
No clear law to minimize stigma and promote
respect for Human Rights of persons living
with HIV and AIDS
Condom outlets are limited in number and
variety (health facilities, shops, youth clubs).
1/6 of male condoms are free, 5/6 are sold
through social marketing (2005) @ TZS. 100
for a pack of 3.
Female condoms are relatively expensive @
TZS. 350 each
Condoms stock outs in rural areas and for
vulnerable groups
4. Health System Strengthening
NACP directly implementing some HIV and
AIDS interventions at lower levels.
The creation of vertical structures that drain
the limited resources within the health care
delivery system
Poor linkage of vertical programs leading to
inefficiency and at times artificial shortages of
drugs and other commodities
Poor coordination between HIV and AIDS
programmes and actors
Inadequate documentation and dissemination
of best practices at all levels
Two competing systems (Push and Pull) for
acquisition of supplies
Erratic supplies
Improper utilization of maximum-minimum so
adhoc order placement.
Inefficient fall back opportunities at facility
level to use alternative methods of acquiring
supplies when MSD has stock outs.
No central tool for commodity forecasting for
HIV and AIDS commodities
No regular consumption feedback of HIV and
AIDS commodities from end users
There is gross under reporting of ADR.
9 |FINAL COMBINED-HSHSP 2008-2012: June 24 th 2007
To contribute to the production of
culturally sensitive IEC strategies that
promote behaviour change and support
stigma reduction
To contribute towards the promotion,
distribution and use of condoms
To strengthen managerial capacity and
adoption of integrated approaches to
planning, resource allocation and
utilization for HIV and AIDS
programming at all levels.
To have secure and functional
procurement and supply management
systems for HIV and AIDS medicines,
diagnostics and other commodities
Culturally sensitive IEC
strategies in place at all
levels
Additional potential partners
identified
New outlets for condom
distribution identified
Innovative management
arrangements established
Strengthened mechanisms
for collaboration and
integrated planning
Quality improvement in
service delivery assured and
institutionalised
Uninterrupted supply of STI,
OIs, HIV and AIDS
medicines, diagnostics and
other commodities