Detailed Mechanism Funding and Narrative

Years of mechanism: 2010 2011 2012 2013

Details for Mechanism ID: 9627
Country/Region: Tanzania
Year: 2013
Main Partner: World Health Organization
Main Partner Program: NA
Organizational Type: Multi-lateral Agency
Funding Agency: HHS/CDC
Total Funding: $200,000

WHO-Tanzania receives PEPFAR support through WHO Headquarters under the CDC-PEPFAR-Multi-Center Program called Support Services for the HIV Pandemic. It is a five year program which extends from October 2008 to September 2013. WHO has used this support to provide technical assistance to MOHSW and partners in the area of scaling up HIV/AIDS care and treatment services to primary health care facilities using the Integrated Management of Adolescent and Adulthood Illness (IMAI) approach. WHO has also provided technical support for improving ART patient monitoring systems.

During the initial first three years of the project, the foundation for introducing IMAI in Tanzania has been laid. Development of IMAI guidelines and training materials has been created. The operations manual to support implementation of IMAI at primary health care (PHC) facilities has been developed and printed. In addition, through partnership with other agencies, quality improvement and clinical mentoring guidelines and training materials for HIV prevention, care, and treatment have also been finalized. Tools for ART monitoring have been revised to enable cohort monitoring, analysis, and reporting. The main objective for the fourth year will be to ensure quality of services in care and treatment centers and to build sustainability mechanisms for inclusion of IMAI into the countrys health care systems and pre-service training.

Funding for Treatment: Adult Treatment (HTXS): $200,000

Out of the 1,100 health facilities offering HIV/AIDS care and treatment services in Tanzania, over 800 are primary health facilities where health workers were trained using the IMAI approach.

In FY 2012, the main objective for WHO in Tanzania will be to ensure the quality of HIV/AIDS care and treatment services and build sustainability mechanisms for the integration of IMAI into the countrys health care delivery systems and pre-service training. To strengthen quality improvement of HIV/AIDS prevention, care and treatment services, technical assistance to the National AIDS Control Program (NACP) to conduct rapid assessment of quality of HIV/AIDS services, including client satisfaction levels, will be provided. The assessment will be conducted in HIV/AIDS care and treatment centers (CTCs) that are based at both hospitals and primary health care facilities. Support will be given to MOHSW to develop the format and tools for regional and district health management teams to include QI activities into the regular annual plans and budgets.

To build sustainability mechanisms for IMAI in existing pre-service training and service delivery systems of the country, inclusion of IMAI in pre-service training programs for clinicians and nurses will be consolidated while orientation for tutors on how to use the IMAI training materials will be conducted.

Cross Cutting Budget Categories and Known Amounts Total: $127,750
Human Resources for Health $77,750
Key Populations: MSM and TG $50,000
Key Issues Identified in Mechanism
Increase gender equity in HIV prevention, care, treatment and support
Increasing women's legal rights and protection
Child Survival Activities
Mobile Populations
Tuberculosis