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the impact of hiv/aids on the education sector in tanzania

the impact of hiv/aids on the education sector in tanzania

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EXECUTIVE SUMMARY<br />

This is an <str<strong>on</strong>g>impact</str<strong>on</strong>g> study, which exam<strong>in</strong>es policy framework, leadership commitment,<br />

political will<strong>in</strong>gness and advocacy issues <strong>on</strong> HIV/AIDS, as well as <str<strong>on</strong>g>the</str<strong>on</strong>g> implementati<strong>on</strong> <str<strong>on</strong>g>of</str<strong>on</strong>g><br />

HIV/AIDS <strong>in</strong>terventi<strong>on</strong>s <strong>in</strong> <str<strong>on</strong>g>the</str<strong>on</strong>g> educati<strong>on</strong> <strong>sector</strong>. It is expected to c<strong>on</strong>tribute to a better<br />

understand<strong>in</strong>g <str<strong>on</strong>g>of</str<strong>on</strong>g> <str<strong>on</strong>g>the</str<strong>on</strong>g> role and importance <str<strong>on</strong>g>of</str<strong>on</strong>g> a comprehensive and effective HIV/AIDS<br />

educati<strong>on</strong> policy, <str<strong>on</strong>g>of</str<strong>on</strong>g> committed leadership and <str<strong>on</strong>g>of</str<strong>on</strong>g> firm and c<strong>on</strong>sistent advocacy aga<strong>in</strong>st <str<strong>on</strong>g>the</str<strong>on</strong>g><br />

HIV/AIDS epidemic.<br />

HIV/AIDS c<strong>on</strong>t<strong>in</strong>ues to spread despite <str<strong>on</strong>g>the</str<strong>on</strong>g> use <str<strong>on</strong>g>of</str<strong>on</strong>g> leadership advocacy am<strong>on</strong>g <str<strong>on</strong>g>the</str<strong>on</strong>g><br />

Tanzanian populati<strong>on</strong> to raise general awareness <str<strong>on</strong>g>of</str<strong>on</strong>g> <str<strong>on</strong>g>the</str<strong>on</strong>g> severity <str<strong>on</strong>g>of</str<strong>on</strong>g> <str<strong>on</strong>g>the</str<strong>on</strong>g> epidemic and<br />

knowledge <str<strong>on</strong>g>of</str<strong>on</strong>g> how HIV transmissi<strong>on</strong> can be prevented, and also <strong>in</strong> spite <str<strong>on</strong>g>of</str<strong>on</strong>g> <str<strong>on</strong>g>the</str<strong>on</strong>g> presence <str<strong>on</strong>g>of</str<strong>on</strong>g> a<br />

nati<strong>on</strong>al policy for <str<strong>on</strong>g>the</str<strong>on</strong>g> c<strong>on</strong>trol and preventi<strong>on</strong> <str<strong>on</strong>g>of</str<strong>on</strong>g> HIV/AIDS.<br />

The study was undertaken because <str<strong>on</strong>g>the</str<strong>on</strong>g> HIV/AIDS epidemic has emerged as a major<br />

threat to achiev<strong>in</strong>g Educati<strong>on</strong> for All (EFA) goals. Moreover no study carried out to date has<br />

c<strong>on</strong>sidered <str<strong>on</strong>g>the</str<strong>on</strong>g> <str<strong>on</strong>g>impact</str<strong>on</strong>g> <str<strong>on</strong>g>of</str<strong>on</strong>g> HIV/AIDS <strong>on</strong> policy, leadership and advocacy.<br />

Research was carried out <strong>in</strong> Ir<strong>in</strong>ga Urban District, M<strong>in</strong>istry <str<strong>on</strong>g>of</str<strong>on</strong>g> Educati<strong>on</strong> and Culture<br />

(MoEC) headquarters and some <str<strong>on</strong>g>of</str<strong>on</strong>g> its affiliated <strong>in</strong>stituti<strong>on</strong>s <strong>in</strong> Dar es Salaam. At MoEC<br />

headquarters data and <strong>in</strong>formati<strong>on</strong> were collected from seven heads <str<strong>on</strong>g>of</str<strong>on</strong>g> departments or<br />

directors, and mid-level MoEC <str<strong>on</strong>g>of</str<strong>on</strong>g>ficials from all directorates, <strong>in</strong>clud<strong>in</strong>g adm<strong>in</strong>istrators,<br />

technical staff and peer educators. Interviews were also c<strong>on</strong>ducted with low-level MoEC staff,<br />

<strong>in</strong>clud<strong>in</strong>g messengers, cleaners and pr<strong>in</strong>t assistants from all directorates. At <str<strong>on</strong>g>the</str<strong>on</strong>g> regi<strong>on</strong>al and<br />

district levels <strong>in</strong>terviews were held with <str<strong>on</strong>g>the</str<strong>on</strong>g> Regi<strong>on</strong>al Educati<strong>on</strong> Officer, District Educati<strong>on</strong><br />

Officer, District School Inspector, Act<strong>in</strong>g Treasurer Ir<strong>in</strong>ga Urban District Council, District<br />

Medical Offer, District Teachers Uni<strong>on</strong> Secretary, Ward Educati<strong>on</strong> Coord<strong>in</strong>ator, Ir<strong>in</strong>ga Urban<br />

District Council, Mayor and District Executive Director.<br />

Data collecti<strong>on</strong> techniques used <strong>in</strong>clude structured and unstructured <strong>in</strong>terviews, focus<br />

group discussi<strong>on</strong>s (FGDs), checklists and a literature review.<br />

Globally <str<strong>on</strong>g>the</str<strong>on</strong>g> HIV/AIDS epidemic has proved to be much more extensive than<br />

predicted and is now reach<strong>in</strong>g alarm<strong>in</strong>g levels. Almost every pass<strong>in</strong>g year sees a revisi<strong>on</strong><br />

upwards <str<strong>on</strong>g>of</str<strong>on</strong>g> estimates and projecti<strong>on</strong>s. At <str<strong>on</strong>g>the</str<strong>on</strong>g> end <str<strong>on</strong>g>of</str<strong>on</strong>g> 2002, 5.0 milli<strong>on</strong> people were newly<br />

<strong>in</strong>fected with HIV, 42 milli<strong>on</strong> people were liv<strong>in</strong>g with HIV/AIDS and 3.1 milli<strong>on</strong> people had<br />

died as a result <str<strong>on</strong>g>of</str<strong>on</strong>g> AIDS. By <str<strong>on</strong>g>the</str<strong>on</strong>g> end <str<strong>on</strong>g>of</str<strong>on</strong>g> 2001 <str<strong>on</strong>g>the</str<strong>on</strong>g>re were 14 milli<strong>on</strong> AIDS orphans (UNAIDS<br />

and WHO, 2002).<br />

The first HIV/AIDS case <strong>in</strong> Tanzania was diagnosed <strong>in</strong> 1983 <strong>in</strong> Bukoba District <str<strong>on</strong>g>of</str<strong>on</strong>g><br />

Kagera Regi<strong>on</strong>. By 1986 <str<strong>on</strong>g>the</str<strong>on</strong>g> number <str<strong>on</strong>g>of</str<strong>on</strong>g> AIDS cases had risen from <str<strong>on</strong>g>the</str<strong>on</strong>g> <strong>in</strong>itial three to tens <str<strong>on</strong>g>of</str<strong>on</strong>g><br />

thousands countrywide. At <str<strong>on</strong>g>the</str<strong>on</strong>g> end <str<strong>on</strong>g>of</str<strong>on</strong>g> 2001 <str<strong>on</strong>g>the</str<strong>on</strong>g>re were 14,449 cumulative AIDS cases. Most<br />

cases fall with<strong>in</strong> <str<strong>on</strong>g>the</str<strong>on</strong>g> 20-49 age group, with <str<strong>on</strong>g>the</str<strong>on</strong>g> highest number <str<strong>on</strong>g>of</str<strong>on</strong>g> reported cases <strong>in</strong> <str<strong>on</strong>g>the</str<strong>on</strong>g> 25-34<br />

and 30-39 age groups for females and males respectively. However, <strong>in</strong>fecti<strong>on</strong> rates are<br />

decl<strong>in</strong><strong>in</strong>g <strong>in</strong> some regi<strong>on</strong>s (e.g. Kagera Regi<strong>on</strong>): a sign <str<strong>on</strong>g>of</str<strong>on</strong>g> hope that <str<strong>on</strong>g>the</str<strong>on</strong>g> devastat<strong>in</strong>g epidemic<br />

can be brought under c<strong>on</strong>trol.

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