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

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94 |FINAL COMBINED-HSHSP 2008-2012: June 24 th 2007 4.3. THEMATIC AREA 3: CROSS-CUTTING Intervention area 1: Laboratory Services Strategic objective 1: Strengthen diagnostic services to support prevention, care and other interventions for HIV and AIDS/STIs and major OIs Strategy 1: To ensure nation-wide access to quality and timely delivery of laboratory services o Ensure availability of appropriate laboratory infrastructure and equipment in health facilities o Strengthen and establish monitoring of drug resistance for ARV, Anti TB and OI treatments o Ensure availability of reagents in all health facilities for diagnosis and monitoring of HIV/AIDS/STI and major OIs Activities Targets Indicators Means of Key actor Partners or Renovate all referral, regional and districts laboratories Labs in 5 referral, hospitals renovated Labs in 21 regional hospitals renovated Labs in 114 district Hospitals renovated No. referral labs renovated No. regional labs renovated No. district labs renovated Build new laboratories by New laboratories built No. of laboratories built Equip all referral, regional and Provide labs in 5 referral No. referral labs with PCR districts laboratories hospitals with PCR facilities facilities Provide labs in 21 regional labs No. regional labs with ELISA with ELISA facilities facilities Provide labs in 21 regional labs No. regional labs with with haematological and haematological and biochemical analysers biochemical analysers Provide labs with 114 district labs No. district labs with with haematological and haematological and biochemical analysers biochemical analysers Provide labs with 114 district labs No. district labs with CD4 with CD4 machines machines Conduct situational analysis to Report on situational assesses distances between health centres and facilities with CD4, haematological and biochemical analyzers analysis Identify health centres with access % of health centres with to CD4, haematological and access to CD4, biochemical analyzers identified haematological and biochemical analyzers identified Establish/Strengthen 5 referral Capacity to do TB culture and Kibong’oto lab capacity to do established/strengthened in TB culture and sensitivity 5 referral and Kibong’oto labs verification MOHSW NTLP NACP Referral hospitals Kibong’oto hospital PORALG RHMT CHMT CACC Health facilities RLO DLO collaborators Resources Remarks Need to identify partners on the ground as per the regionalization of NCTP
Strategy 1: To ensure nation-wide access to quality and timely delivery of laboratory services o Ensure availability of appropriate laboratory infrastructure and equipment in health facilities o Strengthen and establish monitoring of drug resistance for ARV, Anti TB and OI treatments o Ensure availability of reagents in all health facilities for diagnosis and monitoring of HIV/AIDS/STI and major OIs Activities Targets Indicators Means of Key actor Partners or verification collaborators Establish monitoring of ARV Two referral lab monitoring for 2 referral lab with resistance in two referral labs ARV resistance established monitoring for ARV resistance Strengthen and develop capacity One referral lab and Kibong’oto No. of designated for monitoring of Anti TB hospital perform TB cultures and laboratories performing TB resistance in HIV infected persons monitor anti-Tb resistance cultures and sensitivity in one referral and Kibong’oto lab testing Establish monitoring of antimicrobial resistance of STIs in 5 referral labs Review Public Procurement Act to allow easy processing of laboratory supplies Negotiate procurement of reagents at Zonal MSD NACP negotiates with MSD for councils to be able to purchase HIV and AIDS/STIs related laboratory supplies when MSD stocked out Train laboratory staff on logistic management, forecasting of laboratory supplies to meet care and treatment expansion demands Strengthen logistics to ensure timely delivery of laboratory supplies to all health facilities Five referral labs monitoring antimicrobial resistance of STIs To have complimentary system of procuring laboratory supplies Reagents procured at Zonal MSD facilities Reagents procured from alternative sources during stock outs At least one laboratory staff per facility trained on logistic management and forecasting of laboratory supplies All laboratory facilities use reporting and requisitioning (R&R) form when ordering laboratory supplies 95 |FINAL COMBINED-HSHSP 2008-2012: June 24 th 2007 No of referral labs with established monitoring of antimicrobial resistance of STIs Public Procurement Act reviewed to allow easy access to laboratory supplies No. of councils procuring reagents from Zonal MSD facilities No. of councils procuring reagents from alternative sources during stock outs No. of health facilities with at least one laboratory staff trained No. of laboratory facilities ordering lab supplies using R&R form Resources Remarks
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FINAL DRAFT 24 th JUNE 2007 THE UNI
Page 3 and 4:
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
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Key implementers MoHSW, Private ho
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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 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: Strategy 3: Develop effective strat
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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