Continue static and mobile CT support with increased focus on idividual risk counseling, alcohol and GBV abuse screening and increased support for individual and couples positive support group work. Coverage is National.

The HIV Early Infant Diagnosis (EID) program was piloted in October 2006 in the Lake Zone, with Bugando Medical Centre serving as the primary laboratory. The capacity of the zonal laboratories was built and strengthened through renovations, the installation of polymerase chain reaction (PCR) equipment and the training of laboratory technicians. National EID program has been rolled out that enable all health facilities in the country to send their specimens to the closest zonal laboratory and receive results in a timely manner. Currently, over 528 facilities are providing HIV Early Infant Diagnosis (HEID) services throughout Tanzania. Between January and September 2009, some 9386 children were tested, and 1470 (15.6%) of these children tested positive (MOHSW EID Report September 2009). However, testing of children is not being conducted in a standardized way, prohibiting the use of resulting data for monitoring HIV transmission. Another challenge is the transportation of specimens and results, especially between lower level facilities and the district level. In FY10 PEPFAR TZ will focus on improving logistics for DBS transportation through various innovative approaches. AMREF will lead part of this innovation by deploying SWAT teams to will help diagnose implementation challenges and work with partners and district to identify and fix these problems so that a robust EID can finally be in place.Work in Ruvuma, with HIV ANC preve 7.4, High prev area), one of regions with good EID program response.AMREF will work with DOD to strenthen linkages between PMTCT and EID, initiate SWAT team to diagnose implementation gaps and identify local solutions, and provide feddback to USG. Will gradualy shift support from the four district back to DOD and assume this new role (150,000 PMTCT, engage EID/linkage in Ruvuma ). The HIV Early Infant Diagnosis (EID) program was piloted in October 2006 in the Lake Zone, with Bugando Medical Centre serving as the primary laboratory. The capacity of the zonal laboratories was built and strengthened through renovations, the installation of polymerase chain reaction (PCR) equipment and the training of laboratory technicians. National EID program has been rolled out that enable all health facilities in the country to send their specimens to the closest zonal laboratory and receive results in a timely manner. Currently, over 528 facilities are providing HIV Early Infant Diagnosis (HEID) services throughout Tanzania. Between January and September 2009, some 9386 children were tested, and 1470 (15.6%) of these children tested positive (MOHSW EID Report September 2009). However, testing of children is not being conducted in a standardized way, prohibiting the use of resulting data for monitoring HIV transmission. Another challenge is the transportation of specimens and results, especially between lower level facilities and the district level. In FY10 PEPFAR TZ will focus on improving logistics for DBS transportation through various innovative approaches. AMREF will lead part of this innovation by deploying SWAT teams to will help diagnose implementation challenges and work with partners and district to identify and fix these problems so that a robust EID can finally be in place. Scale up use of SWAT teams to diagnose EID bottlenecks: Work with partners to Strenthen linkage between PMTCT and EID in areas with low or problematic EID/PMTC coverage. (Liason with Implementation partner. Target 4-5 regions: Rukwa, Mbeya, Ruvuma, Iringa).