Tanzania - FY 2009 Approved Funding by Program Area, Agency and Funding Source

Tanzania - FY 2009 Approved Funding by Program Area, Agency and Funding Source

*Only appropriations from the GHCS (State) fund account are notified by the Global AIDS Coordinator.

In five years, the Tanzania PEPFAR program has exceeded its care goal with nearly 900,000 PLWHA enrolled in care programs. The USG has also supported ART and PMTCT services for over a third of those in need. As the Government of Tanzania and the USG plan a Partnership Framework, both parties have expressed commitment to building a strong and sustainable response to HIV/AIDS, including increased prevention, robust treatment and care programs, strengthened leadership, and improved commodities and procurement systems.

PEPFAR will support the rapid expansion of comprehensive PMTCT services and continue to support the Ministry of Health and Social Welfare in the regionalization of PMTCT services. To help prevent sexual transmission of HIV, Tanzania will increase its focus on the geographic areas, populations, and behaviors that data suggest are driving the epidemic. The USG will continue its focus balanced prevention programming through Be faithful (B) programming for adults, sexually active youth, and couples through targeted programs as well as other messages involving more complex behavior change. In areas with MARPs, including sex workers, the programs will focus on education, correct and consistent condom use, sexual health, empowerment and rights, and raising risk perception for men in the general population. Finally, to prevent medical transmission, the USG will strengthen systems for blood collection, testing, storage, and handling.

Care activities in Tanzania include adult and pediatric care and support, support for TB and HIV program integration, and support for OVC. Adult and pediatric care and support programs will focus on linkages between facility and home-based care services. Service improvement will include the development of infant feeding guidelines, rollout of facility-based nutritional assessments of PLWHA, support for therapeutic supplementary feeding, and implementation of safe water practices. TB/HIV activities will continue strengthening support and scale up TB/HIV collaborative activities. The USG will focus FY 2009 activities on improving the quality and comprehensiveness of OVC services that will cover the full spectrum of child development needs from birth to age 18, including food and nutrition interventions.

Treatment activities in Tanzania include the provision of free ARV drugs, adult and pediatric ART services, and laboratory support. The USG and its partners will support continued improvement in the broad geographic coverage, operating efficiencies developed, and the enhancement of service linkages between facilities and communities already achieved. A leading partner in laboratory capacity development in Tanzania, the USG will continue to collaborate with the Tanzanian Ministry of Health and Social Welfare to strengthen national and point-of-service laboratory capacity.

With human resources a critical area for Tanzania, the USG will work to improve the skills of new and existing service providers, reduce turnover, and advocate for increased task shifting at the facility level. The USG will also work with the Medical Stores Department and the National AIDS Control Program to improve national procurement and logistics systems. All Strategic Information activity areas will focus on improving data quality and enhancing data utilization efforts, including use of data quality (DQ) tools; capacity building in DQ; and DQ assessments with selected partners.

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