PharmAccess will continue the work with the police, immigration department and prison with work place community care services. This program is also linking with others on PMTCT, prevention, care and treatment, pediatric care, TB/HIV and care for OVC. PharmAccess will continue to target employees of these institutions as well as the surrounding civilian population. This activity is implemented in Police barracks, Immigration departments and Prisons facilities and surrounding communities, with a major role for HBC trained women of police officers living in the barracks surrounding the health facilities.

1)Continue training of police peer educators on interactive services 2) Monitor and document the initiated implementations 3)Enhance child-friendly police knowledge through study tours of Zambia or other countries implementing an effective child-friendly police program

Focus on high quality HIV services by reducing retention gap at eight police and prison hospitals in the country that will be accomplished through regular supportive supervision, clinical and nutrition mentoring, patient monitoring, and ensuring uninterrupted supply of drugs and reagents through central procurement mechanism, supplemented by capacity building in financial accountability and M&E. Funds will also be used for facilities and community linkages. Provide AIDS care and treatment in at least one police and one prison health facility in every region of Tanzania. Most health facilities need extensive renovation and training of staff. PharmAccess will offer private health insurance to low income African workers in Dar es Salaam and Arusha.

Continue to provide HCT services to prison officials, immigration officials, police and surrounding communities. Program aims to include at least one police facility and one prison health facility in every region of Tanzania. Decrease due to program efficiencies. Most health facilities need extensive refurbishment and training of staff. 25k taken away as part contribution to PPP.

These funds are proposed for the following activities: Scale up cotrimoxazole (CTX) prophylaxis for HIV-exposed and infected children; provide nutrition assessment, counseling and support; provide prevention, diagnosis and management of tuberculosis and other opportunistic infections (OI's); provide palliative care and psychosocial support. The funds will be used to improve linkages to Community Based Care including: under 5 child survival interventions and community HIV supported services. These activities will be achieved through training and on-site mentorship, establishment of coordinating committees with community-based organizations, advocacy and community mobilization. These activities will take place in police, prison and immigration settings in Tanzania.

These funds are proposed for the following activities: Implement updated WHO treatment guidelines to improve access to pediatric ART, including treatment of all HIV infected children <24 months;enhance the identification and diagnosis of HIV for infants and children through EID, PITC in in-patient and out-patient settings, immunization, OVC, and TB/HIV clinics; improve follow-up services for HIV-exposed infants and children and track and retain children in care and treatment; monitor response and adherence to treatment. These activities will be achieved through training, on-site mentorship, advocacy, community mobilization, and updating of tools for tracking and retention. These activities will take place within police, prison and immigration settings in Tanzania with the aim of enrolling 135 new children on ART.

Maintain combination prevention activities for police, prison and immigration authorities and the surrounding communities. This is accomplished through expansion of comprehensive HIV prevention activities, linkages with health services/CT, and workplace programs. Work will occur nationwide targeting specifically police, prisons and immigration.

Maintain combination prevention activities for police, prison and immigration authorities and the surrounding communities. This is accomplished through expansion of comprehensive HIV prevention activities, linkages with health services/CT, and workplace programs. Work will occur nationwide focusing on 8 highest HIV prevalence regions.

The IP works in Police and Prison facilities (18 sites) across several regions. PharmAccess will support scale-up of PMTCT services to cover 80% of pregnant women with counseling and testing. For those found HIV negative, retesting will be considered in late pregnancy, labour and delivery or during postpartum period (and document sero-conversion). Women found HIV positive will be provided with ARV prophylaxis (75% and 85% of HIV positive pregnant women in 2011 and 2012 respectively) in three regions. The IP will support scale-up of EID to 65% of HIV exposed infants through RCH clinics.

Maintain services related to implementation of the Three I's. It is estimated that around 20% of new patients enrolling into ART would present signs and symptoms of advanced HIV disease and diagnosing TB among this group remains difficult as the routine diagnostic tests (AFB smear microscopy and/or chest X ray) are neither very sensitive nor very specific and undiagnosed TB remains a major cause of mortality in this group. To enhance TB diagnosis in this group, there is a high need of investing in sophisticated TB diagnostic tests e.g. Liquid culture and Line Probe Assays. To increase access to this service, PAI-USAID will coordinate transportation of sputum and/or blood samples to CTRL for Liquid culture and LPAs. PAI-USAID should ensure TB screening and recording in the CTC2 is happening throughout the supported sites. Services will continue being provided in two Police (Dar es Salaam and Moshi) and eight Prison health facilities (Dar es Salaam, Arusha, Dodoma, Mbeya, Morogoro, Kilimanjaro, Tabora and Zanzibar).