Summary of the U.S. President's Emergency Plan for AIDS Relief (PEPFAR) HIV/AIDS Partnership Framework with the Government of the United Republic of Tanzania (March 2010)


The Tanzania Partnership Framework articulates the expected contributions to a durable and effective response to the HIV/AIDS crisis in Tanzania over a five-year period from both the Government of the United Republic of Tanzania (URT) and the United States Government (USG). The Framework is consistent with Tanzania’s National Multi-sectoral Strategic Framework on HIV/AIDS (NMSF 2008-2012) and the Health Sector Strategic Plan III (HSSP 2009-2015). It is intended to further align the work of the U.S. President’s Emergency Plan for AIDS Relief (PEPFAR) with Tanzania’s national priorities. The Partnership Framework also strives to ensure that USG contributions to the national HIV/AIDS response complement and leverage those of other stakeholders.

Signing of the Tanzania Partnership Framework represents the culmination of a dialogue between the USG and the URT that began in 2008, following the reauthorization of PEPFAR under the Tom Lantos and Henry J. Hyde United States Global Leadership against HIV/AIDS, Tuberculosis and Malaria Reauthorization Act of 2008 (P.L. 110-293). This Framework symbolizes the efforts of both Governments to strengthen their relationship and increase the efficiency, effectiveness, and sustainability of their joint efforts on HIV/AIDS. The two Governments are now working to develop a detailed 5-year Partnership Framework Implementation Plan that will operationalize the high-level goals and objectives expressed in this Framework and quantify expected inputs and outcomes.

Tanzania’s Partnership Framework

The URT faces many economic and social development challenges, including those posed by a generalized AIDS epidemic and other communicable diseases. Adult HIV prevalence in the country is estimated at six percent (seven percent of adult women and five percent of adult men), and an estimated 1,400,000 Tanzanians are living with HIV/AIDS. Critical impediments to strengthening health outcomes in Tanzania include the shortage of trained human resources, inadequate infrastructure, and overburdened logistics systems and supply chains.

Overall, the Tanzania Partnership Framework aims to reduce new HIV infections and morbidity and mortality due to HIV/AIDS, as well as to improve the quality of life for those affected by HIV/AIDS. These outcomes are anticipated through delivery of high-quality services and evidence-based interventions, as well as improvements in structures, systems, and leadership capacity. The Framework emphasizes capacity building at all levels with the expectation that at the end of five years, the URT will be better equipped to manage a sustainable response to the HIV/AIDS epidemic with concomitant benefits to the broader health and social service system. Similarly, the Framework prioritizes capacity-building with local indigenous organizations so that Tanzanian civil society is further engaged in and accountable for the national response to HIV/AIDS. The Framework identifies six goals:

  1. Service Maintenance and Scale-up: Reduce morbidity and mortality due to HIV/AIDS, and improve the quality of life for people living with HIV and those affected by HIV/AIDS.
  2. Prevention: Reduce new HIV infections by increasing the efficacy of prevention programming; bringing to scale prioritized prevention interventions; and enhancing the enabling environment though sustained leadership, policy change, and attention to structural factors affecting HIV transmission.
  3. Leadership, Management, Accountability, and Governance: Provide well-coordinated, effective, transparent, accountable, and sustainable leadership and management for the HIV/AIDS response.
  4. Sustainable and Secure Drug and Commodity Supply: Strengthen procurement and supply management systems of all drugs and commodities related to the HIV/AIDS response.
  5. Human Resources: Ensure the human resources capacity necessary for the achievement of quality health and social welfare service at all levels.
  6. Evidence-based and Strategic Decision-Making: Improve the use of relevant and comprehensive evidence, provided in a timely manner, in HIV-related planning and decision making.

In addition to these goals, gender, human rights, and the greater involvement of people living with HIV are cross-cutting issues with relevance throughout the Framework.

The Partnership Framework was developed by a design committee comprised of delegates from the URT and USG, as well as civil society representatives from faith-based, private sector, and people living with HIV organizations. The Tanzania Framework and its companion document, the Partnership Framework Implementation Plan, will be monitored by the Prime Minister’s Office through the Tanzania National Coordinating Mechanism and the Joint Thematic Working Group.

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