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

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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The lack ong>ofong> attention given to ong>theong> vulnerability ong>ofong> teachers to HIV/AIDS and ong>theong> inability ong>ofong> most to access ARV treatment, mean that many die every year. According to Galabawa and Mbelle (2002), ong>theong> teaching force is disappearing at a rate ong>ofong> 0.8 per cent. Data from ong>theong> TSC reveals that most teacher attrition caused by death is due to HIV/AIDS and its related diseases (e.g. TB, typhoid, diarrhoea and long-term fevers). The cumulative number ong>ofong> deaths ong>ofong> teachers between January 1999 and December 2002 was 2,873. Of ong>theong>se, 49 (17.3 per cent) occurred in 1999, 708 (24.6 per cent) occurred in 2000, 730 (25.4 per cent) occurred in 2001 and 938 (32.6 per cent) occurred in 2002, indicating an upward trend. During ong>theong> financial year 2001/2002, 1,046 deaths ong>ofong> teachers were recorded, as Table 2.4 shows. Table 2.4 Percentage distribution ong>ofong> deaths ong>ofong> teachers by age group, financial year 2001/2002 20 Age Category Number Percentage Under 30 years 71 6.8 31-40 years 219 21.0 41-50 years 603 57.6 Over 50 years 153 14.6 Total 1,046 100.0 Source: Tanzania TSC, 2003. Taking into account ong>theong> causes ong>ofong> death recorded and ong>theong> prong>ofong>iles ong>ofong> terminal diseases, it is probable that some ong>ofong> ong>theong> deaths among teachers aged 30-40 were HIV related. The majority ong>ofong> deaths however, occurred in ong>theong> 41-50 age group. This has two major implications: � It is likely that many ong>ofong> ong>theong>se older teachers had a high degree ong>ofong> experience in ong>theong> classroom, so ong>theong>ir deaths represent a high level ong>ofong> wastage in terms ong>ofong> human resources. � It is likely that by that stage ong>ofong> ong>theong>ir lives, many would have established families ong>ofong> ong>theong>ir own, thus adding to ong>theong> burden ong>ofong> AIDS orphans. Therefore, in Tanzania, just as in many oong>theong>r countries, AIDS has already had an unprecedented institutional and sectoral ong>impactong>. Moreover, ong>theong> organizations and individuals that it affects are not only those that are most needed for development; ong>theong>y are also vital for ong>theong> prevention ong>ofong> ong>theong> spread ong>ofong> ong>theong> epidemic itself. Education has ong>theong> potential to be ong>theong> single most powerful weapon at ong>theong> disposal ong>ofong> those fighting HIV/AIDS (Kelly, 2000).

3. EVOLUTION OF THE HIV/AID INTERVENTIONS IN THE EDUCATION SECTOR 3.1 National policy on HIV/AIDS Tanzania’s national policy on HIV/AIDS has been in place since November 2001. It is intended to provide a framework for ong>theong> leadership and coordination ong>ofong> ong>theong> multi-sectoral response to ong>theong> epidemic. The policy calls on all sectors to formulate appropriate interventions to prevent, control and mitigate ong>theong> ong>impactong> ong>ofong> HIV/AIDS. The specific objectives are: � to prevent ong>theong> transmission ong>ofong> HIV/AIDS; � to promote HIV testing; � to provide a framework ong>ofong> care for people living with HIV/AIDS; � to stipulate sectoral roles and financing mechanisms; � to promote HIV/AIDS research; � to advocate for HIV/AIDS legislation, and � to stipulate cross-cutting issues ong>ofong> national interest. Before 2001 and ong>theong> advent ong>ofong> ong>theong> national policy, ong>theong> fight against HIV/AIDS was guided by ong>theong> NACP. This programme was formed in 1985. Its initial activities were set out in a two-year short term plan (1985-1986), which was ong>theong>n followed by three successive Medium-Term Plans (MTPs), each lasting five years (MTP–I 1987-1991, MTP–II 1992-1996 and MTP–III 1998-2002). The first two MTPs identified national responses to be guided and coordinated by ong>theong> health sector. MTP–III however, was formulated with an expanded multi-sectoral vision and called for ong>theong> wider participation ong>ofong> both ong>theong> public and private sectors, including NGOs, Community-Based Organizations (CBOs) and Faith-Based Organizations (FBOs). However despite this expanded framework, ong>theong> NACP was still viewed principally as a health sector initiative, incapable ong>ofong> coordinating a multi-sectoral response to HIV/AIDS. Therefore, in 2001 TACAIDS was established under ong>theong> Prime Minister’s Office to provide ong>theong> leadership and coordination ong>ofong> such a response. The national policy was formulated to facilitate ong>theong> ability ong>ofong> TACAIDS to assume this rule. The policy directs central and local government, NGOs, CBOs, FBOs and ong>theong> general public to develop IEC interventions to promote safe sex practices, including ong>theong> correct and consistent use ong>ofong> condoms. As part ong>ofong> this, ong>theong> national policy mandates ong>theong> MoEC to work closely with TACAIDS and NGOs to accelerate ong>theong> provision ong>ofong> HIV/AIDS information in schools and to promote safe sex amongst staff. Furong>theong>r mandates to ong>theong> education sector are provided in ong>theong> 2003-2007 national multi-sectoral strategic framework on HIV/AIDS, which calls on all sectors to develop seperate strategic frameworks. In response to this, ong>theong> MoEC began working on ong>theong> Education Sector Strategic Plan (ESSP) on HIV/AIDS, 2003-2007. 21

The lack <str<strong>on</strong>g>of</str<strong>on</strong>g> attenti<strong>on</strong> given to <str<strong>on</strong>g>the</str<strong>on</strong>g> vulnerability <str<strong>on</strong>g>of</str<strong>on</strong>g> teachers to HIV/AIDS and <str<strong>on</strong>g>the</str<strong>on</strong>g><br />

<strong>in</strong>ability <str<strong>on</strong>g>of</str<strong>on</strong>g> most to access ARV treatment, mean that many die every year. Accord<strong>in</strong>g to<br />

Galabawa and Mbelle (2002), <str<strong>on</strong>g>the</str<strong>on</strong>g> teach<strong>in</strong>g force is disappear<strong>in</strong>g at a rate <str<strong>on</strong>g>of</str<strong>on</strong>g> 0.8 per cent. Data<br />

from <str<strong>on</strong>g>the</str<strong>on</strong>g> TSC reveals that most teacher attriti<strong>on</strong> caused by death is due to HIV/AIDS and its<br />

related diseases (e.g. TB, typhoid, diarrhoea and l<strong>on</strong>g-term fevers). The cumulative number <str<strong>on</strong>g>of</str<strong>on</strong>g><br />

deaths <str<strong>on</strong>g>of</str<strong>on</strong>g> teachers between January 1999 and December 2002 was 2,873. Of <str<strong>on</strong>g>the</str<strong>on</strong>g>se,<br />

49 (17.3 per cent) occurred <strong>in</strong> 1999, 708 (24.6 per cent) occurred <strong>in</strong> 2000, 730 (25.4 per cent)<br />

occurred <strong>in</strong> 2001 and 938 (32.6 per cent) occurred <strong>in</strong> 2002, <strong>in</strong>dicat<strong>in</strong>g an upward trend.<br />

Dur<strong>in</strong>g <str<strong>on</strong>g>the</str<strong>on</strong>g> f<strong>in</strong>ancial year 2001/2002, 1,046 deaths <str<strong>on</strong>g>of</str<strong>on</strong>g> teachers were recorded, as Table 2.4<br />

shows.<br />

Table 2.4 Percentage distributi<strong>on</strong> <str<strong>on</strong>g>of</str<strong>on</strong>g> deaths <str<strong>on</strong>g>of</str<strong>on</strong>g> teachers by age group,<br />

f<strong>in</strong>ancial year 2001/2002<br />

20<br />

Age Category Number Percentage<br />

Under 30 years 71 6.8<br />

31-40 years 219 21.0<br />

41-50 years 603 57.6<br />

Over 50 years 153 14.6<br />

Total 1,046 100.0<br />

Source: Tanzania TSC, 2003.<br />

Tak<strong>in</strong>g <strong>in</strong>to account <str<strong>on</strong>g>the</str<strong>on</strong>g> causes <str<strong>on</strong>g>of</str<strong>on</strong>g> death recorded and <str<strong>on</strong>g>the</str<strong>on</strong>g> pr<str<strong>on</strong>g>of</str<strong>on</strong>g>iles <str<strong>on</strong>g>of</str<strong>on</strong>g> term<strong>in</strong>al diseases,<br />

it is probable that some <str<strong>on</strong>g>of</str<strong>on</strong>g> <str<strong>on</strong>g>the</str<strong>on</strong>g> deaths am<strong>on</strong>g teachers aged 30-40 were HIV related. The<br />

majority <str<strong>on</strong>g>of</str<strong>on</strong>g> deaths however, occurred <strong>in</strong> <str<strong>on</strong>g>the</str<strong>on</strong>g> 41-50 age group. This has two major<br />

implicati<strong>on</strong>s:<br />

� It is likely that many <str<strong>on</strong>g>of</str<strong>on</strong>g> <str<strong>on</strong>g>the</str<strong>on</strong>g>se older teachers had a high degree <str<strong>on</strong>g>of</str<strong>on</strong>g> experience <strong>in</strong> <str<strong>on</strong>g>the</str<strong>on</strong>g><br />

classroom, so <str<strong>on</strong>g>the</str<strong>on</strong>g>ir deaths represent a high level <str<strong>on</strong>g>of</str<strong>on</strong>g> wastage <strong>in</strong> terms <str<strong>on</strong>g>of</str<strong>on</strong>g> human resources.<br />

� It is likely that by that stage <str<strong>on</strong>g>of</str<strong>on</strong>g> <str<strong>on</strong>g>the</str<strong>on</strong>g>ir lives, many would have established families <str<strong>on</strong>g>of</str<strong>on</strong>g> <str<strong>on</strong>g>the</str<strong>on</strong>g>ir<br />

own, thus add<strong>in</strong>g to <str<strong>on</strong>g>the</str<strong>on</strong>g> burden <str<strong>on</strong>g>of</str<strong>on</strong>g> AIDS orphans.<br />

Therefore, <strong>in</strong> Tanzania, just as <strong>in</strong> many o<str<strong>on</strong>g>the</str<strong>on</strong>g>r countries, AIDS has already had an<br />

unprecedented <strong>in</strong>stituti<strong>on</strong>al and <strong>sector</strong>al <str<strong>on</strong>g>impact</str<strong>on</strong>g>. Moreover, <str<strong>on</strong>g>the</str<strong>on</strong>g> organizati<strong>on</strong>s and <strong>in</strong>dividuals<br />

that it affects are not <strong>on</strong>ly those that are most needed for development; <str<strong>on</strong>g>the</str<strong>on</strong>g>y are also vital for<br />

<str<strong>on</strong>g>the</str<strong>on</strong>g> preventi<strong>on</strong> <str<strong>on</strong>g>of</str<strong>on</strong>g> <str<strong>on</strong>g>the</str<strong>on</strong>g> spread <str<strong>on</strong>g>of</str<strong>on</strong>g> <str<strong>on</strong>g>the</str<strong>on</strong>g> epidemic itself. Educati<strong>on</strong> has <str<strong>on</strong>g>the</str<strong>on</strong>g> potential to be <str<strong>on</strong>g>the</str<strong>on</strong>g> s<strong>in</strong>gle<br />

most powerful weap<strong>on</strong> at <str<strong>on</strong>g>the</str<strong>on</strong>g> disposal <str<strong>on</strong>g>of</str<strong>on</strong>g> those fight<strong>in</strong>g HIV/AIDS (Kelly, 2000).

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