tanzania national multisectoral strategic framework for

THE UNITED REPUBLIC OF TANZANIA

Tanzania National Multisectoral Strategic Framework for HIV and AIDS

2018/19 to 2022/23

November 2018

ii THE UNITED REPUBLIC OF TANZANIA | PRIME MINISTER’S OFFICE

iiiTanzania National Multisectoral Strategic Framework for HIV and AIDS 2018/19 to 2022/23

iv THE UNITED REPUBLIC OF TANZANIA | PRIME MINISTER’S OFFICE

vTanzania National Multisectoral Strategic Framework for HIV and AIDS 2018/19 to 2022/23

vi THE UNITED REPUBLIC OF TANZANIA | PRIME MINISTER’S OFFICE

viiTanzania National Multisectoral Strategic Framework for HIV and AIDS 2018/19 to 2022/23

viii THE UNITED REPUBLIC OF TANZANIA | PRIME MINISTER’S OFFICE

1 Note: for impact number 4 – there is no current data. Data will be collected with the current Global Fund support.

ixTanzania National Multisectoral Strategic Framework for HIV and AIDS 2018/19 to 2022/23

SYNERGIES WITH DEVELOPMENT SECTORS Social protection; Education; Legal Reform; Gender equality; Poverty reduction; Gender-based violence; Health systems (incl. treatment of STIs, blood safety); Community systems; Employer practices.

CRITICAL ENABLERS

Social enablers • Political commitment &

advocacy • Laws, policies &

practices • Community mobilization • Stigma reduction • Mass media • Local responses, to

change risk environment

Programme enablers • Community-centered

design & delivery • Programme

communication • Management & incentives • Production & distribution • Research & innovation

Care & treatment

HTS

Core PROGRAMME ACTIVITIES

Key populations eMTCT

Condoms

Results

1. Reduction of New HIV Infections

VMMC 2. Reduction in AIDS related deaths

3. Zero Discrimination and stigma

PrEP

x THE UNITED REPUBLIC OF TANZANIA | PRIME MINISTER’S OFFICE

Test Engage, Counsel, Monitor and Support

Retain Counsel, Monitor and support

Mobilize and Test all people

Adherence and Viral Suppression

Link all identified HIV + people to treatment and care

Ensure adherence and retention ART

Monitor Retention and Viral Suppression

xiTanzania National Multisectoral Strategic Framework for HIV and AIDS 2018/19 to 2022/23

xii THE UNITED REPUBLIC OF TANZANIA | PRIME MINISTER’S OFFICE

xiiiTanzania National Multisectoral Strategic Framework for HIV and AIDS 2018/19 to 2022/23

2 THE UNITED REPUBLIC OF TANZANIA | PRIME MINISTER’S OFFICE

3Tanzania National Multisectoral Strategic Framework for HIV and AIDS 2018/19 to 2022/23

2 Indeed, when using the international poverty line of $1.25 a day, the data shows that 43.5% of the population lived in poverty in 2011.


3 Tanzania HIV Impact Survey, 2016/17


4 Consensus Estimates on Key Population Size and HIV prevalence in Tanzania through Integrated Biological and Behavioral Surveillance (IBBS) Survey conducted between 2010 and 2014


2 Mitchell S, Cockcroft A, Lamothe G, Andersson N. Equity in HIV testing: evidence from a cross-sectional study in ten Southern African coun-tries. BMC international health and human rights. 2010;10:23.


3 Programmatic data, NACP, 2017


4 Tanzania HIV Impact Survey, 2017


5 Tanzania Demographic and Health Survey 2015/166 THIS 2016/17


7 TDHS-2016


SYSTEM BUILDING BLOCKS OVERALL GOALS/OUTCOMES

SERVICE DELIVERY

HEALTH WORKFORCE

MED ICAL PRODUCTS, VACCINES & TECHNOLOGIES

INFORMATION

FINANCING

LEADER SHIP / GOVER NANCE

IMPROVED HEALTH (LEVE L AND EQUITY)

RESPONSIVENESS

SOCIAL AND FINANCIAL RISK PROTECTION

IMPROVED EFFICIENCY

ACCESS

QUALITY

COVERAGE

SAFETY

Source: Strengthening Health Systems to Improve Health outomes – WHO Framework for Action


Adapted from the CSS Framework, Global Fund 2010


11


12 (it

is un

der P

ublic

Soc

ial S

afety

Net w

hich o

ffers

hous

ehold

liveli

hood

enha

ncem

ent a

nd ot

her p

over

ty foc

us in

itiativ

es

tanzania national multisectoral strategic framework for

Documents