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

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Intervention area 2: HIV Testing and Counselling Strategic objective 1: Improve access to and use of quality HIV Testing and Counseling (HTC) Strategy 1: Strengthen existing and promote the establishment of HTC including services for children Activities Targets Indicators Means of Strengthen existing VCT services in the country. Promote VCT services in all health facilities. To provide quality VCT services health facilities To accredit/certify all VCT services No and % of facilities offering VCT accredited/ certified Establish mobile VCT services in remote hard to reach areas and groups at high risk. Establish Home-Based Counseling and Testing (CT) to include family CT To provide at least 2 home based and family counsellors linked to health facilities Finalize PITC guidelines and develop curriculum. Develop capacity of the ZTC to train in PITC Train health care staff in PITC. Establish PITC service in all health facilities. Develop, pilot and implement HTC guidelines for children. To establish mobile VCT services targeting hard to reach areas and population at high risk in 30% of the 114 districts. To introduce home based CT in 50% of 114 districts. PITC guidelines and curriculum developed and included in and pre- and in-service training. To train 2 TOTs in each of the 8 ZTC in PITC To train all pre-service health care staff in PITC. To train 50% of in-service health care providers in PITC To establish PITC services in all health care facilities. Introduce HTC for children in 5 referral, 21 regional and 10% of 114 district hospitals 98 |FINAL COMBINED-HSHSP 2008-2012: June 24 th 2007 No. of health facilities providing quality VCT services. No and % of health facilities linked to at least two home based and family CT. No. and %. of districts with mobile VCT services No. and % of districts that have introduced home based CT including family CT services. No and % of health facilities linked to at least two home based and family CT. PITC guideline and curricula in use. in and pre-and inservice training. No. of TOTs trained in PITC No. of pre-service health care staff trained. No. of health care providers trained in PITC. No. of health care facilities with established PITC services. % of referral, regional and district hospitals offering HTC for children verification Reports Key actor Partners or collaborators MOHSW (NACP) (Diagnostics, NTLP) PORALG RHTMs RACCs CHMTs CACCs DACCs Resources Remarks
Strategy 1: Strengthen existing and promote the establishment of HTC including services for children Activities Targets Indicators Means of Train HCW on the provision of quality HTC services for children. Provide supportive supervision to facilities and HCW providing HTC for children Train HCW from 5 referral, 21 regional and 10% of 114 district hospitals on HTC for children Provide bi-annual supportive supervision to facilities offering HTC 99 |FINAL COMBINED-HSHSP 2008-2012: June 24 th 2007 % of referral, regional and district hospitals with trained HCW % of referral, regional and district hospitals biannually supervised services No. of supervisory and feedback reports verification Key actor Partners or collaborators Resources Remarks Strategy 2: Develop and disseminate appropriate standard operating procedures (SOP) for HTC to all health and non health services. Activities Targets Indicators Means of Key actor Partners or Resources Remarks verification collaborators Develop and disseminate SOPs for HTC to To develop and No. of health and non health Reports MOHSW all health and non health facilities. disseminate SOPs for facilities with HTC SOPs (NACP) HTC in all health and non PORALG health facilities. RHTMs Train and retrain HCW in HIV testing Train all HCW in HIV % of HCW trained in HIV RACCs techniques and approaches that meet testing techniques and testing techniques and DACCs national standards. approaches that meet approaches that meet CHMTs national standards. national standards. CACCs % of HCW using HIV testing DACCs techniques and approaches that meet national standards Partners Conduct follow up supportive supervision to ensure that HCW adhere to HIV testing techniques and approaches that meet national standards. Conduct bi-annual supportive supervision in all HTC providing facilities % of facilities receiving HTC biannual supportive supervision from the next higher level. No. of supervisory and feedback reports produced
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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
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Key implementers MoHSW, Private ho
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ased care services Establish mecha
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Challenges Aspects Challenges for L
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Emerging Issues Private for profit
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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 and 94: Strategy 3: Develop effective strat
Page 95 and 96: Strategy 1: To ensure nation-wide a
Page 97: Strategy 3: Implement and strengthe
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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