Project Abstract Summary
Despite the overall reduction in the prevalence of HIV infection from 5.1% in 2011/12 to 4.7% in 2016/17 in the 15-49 age group, the Tanzania HIV/AIDS Impact Survey (THIS) conducted in 2016/17 showed that only 52% of Tanzanians who are HIV positive know their status and that the prevalence of HIV among adults aged 15-64 years in Tanzania is 5.0% (6.5% among females and 3.5% among males). This corresponds to approximately 1.4 million versus 1.5 million (UNAIDS Data 2018) people aged 15-64 years living with HIV out of a total population of 54,199,163 (TZ Populations projections 2017. The prevalence of viral load suppression among HIV-positive adults aged 15-64 years in Tanzania is 52.0%. The prevalence of HIV among children aged 0-14 years is low (0.3%) but the proportion of children with HIV who are virally suppressed is also low (18.4%). In order to rapidly close the gap in the HIV case finding and viral suppression to reach 95/95/95 targets before 2020 and achieve zero stigma and discrimination, monitoring of health services, enhancing provision of robust supportive supervision to improve good governance and conducting monitoring & evaluation (M&E) of health services delivery in regions and local government authorities (LGAs) is required.
The purpose of this funding is to facilitate translation and implementation of HIV/AIDS policies, guidelines and promote local leadership and ownership in overseeing evidence-based interventions and focused expansion of quality HIV/AIDS services in Tanzania to attain HIV epidemic control and PEPFAR 95/95/95 targets through the President’s Office Regional Administration and Local Government (PORALG).
Approach and outcomes
The implementation of this project aims at achieving three long term outcomes that eventually will lead to sustained quality implementation of services, increased collaboration between the President’s Office Regional Administration and Local Government (PORALG), Ministry of Health, Community Development, Gender, Elderly and Children (MOHCDGEC), Tanzania Commission for AIDS (TACAIDS) and other government entities on the use of HIV-related information to inform evidence based policy formulation and sustained availability of reliable and accurate HIV data using Continuous Quality Improvement (CQI) approaches for programmatic, policy, and other decisions. These long-term outcomes will be achieved by implementing three strategies and series of activities though realization of three short term outcomes and two intermediate- term outcomes.