Deloitte Consulting Limited (TUNAJALI) will continue to provide integrated HIV care and support services in community settings. In FY 2011 TUNAJALI will continue to focus on integrating Prevention with Positives (PwP), and extending nutritional assessment and counseling (NACS) through community based service platforms. In order to effectively respond to the new changing working environment, TUNAJALI will adopt the updated National HBC standard core package of services targeting the needs of three groups of patients which include (i) Pre-ART patients, (ii) patients on ART and (iii) Terminally ill patients. However, special efforts will be made to enhance positive prevention information, education and services for PLHIV and their household members. Since the number of bedridden patients is decreasing, decreasing the frequency of volunteer visits. We will increase the client load of our volunteers from the original average of 15 patients per volunteer to 30, recommending at least one visit to be done at the home of the PLHIV (for the majority of them) or through agreed arrangements to a PLHIV support group (for those who are members) per month for all physically stable patients. We will also use physically stable PLHIV as community volunteers, and enhance linkages of physically stable PLHIV to effective income generating initiatives and build entrepreneur skills and expertise. The TUNAJALI project is implemented in Zanzibar, Coast, Morogoro, Iringa, Dodoma, Mwanza and Singida.

Deloitte Consulting Limited (TUNAJALI) will continue to provide home-based counseling and testing services as part of it's home-based care program. This mechanism was inadvertently left out of COP 10 and reprogrammed back. In July 2010, during implementation, there was a high response to home-based HIV counseling and testing services within the targeted areas. There was also a positive response from District Medical Officers (DMO) offices, and they are now constantly supplying the reagents for testing. In FY 2011 the program will continue conducting home based HIV counseling and testing in 17 districts to build on FY 2010 successes where over 100% of the target was reached.