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

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

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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

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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

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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.

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3 Tanzania HIV Impact Survey, 2016/17

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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

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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.

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3 Programmatic data, NACP, 2017

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4 Tanzania HIV Impact Survey, 2017

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

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7 TDHS-2016

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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

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Adapted from the CSS Framework, Global Fund 2010

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