Detailed Mechanism Funding and Narrative

Details for Mechanism ID: 4533
Country/Region: Tanzania
Year: 2007
Main Partner: Elizabeth Glaser Pediatric AIDS Foundation
Main Partner Program: NA
Organizational Type: NGO
Funding Agency: HHS/CDC
Total Funding: $5,006,215

Funding for Treatment: Adult Treatment (HTXS): $5,006,215

This activity is linked to 7706 in treatment.

The overview of activities described here reflects the entire EGPAF ART Program in Tanzania. The central funds from headquarters will be used to complement in-country funds for the roll-out of this whole program. The targets, legislative issues, sub-partners etc. for the program are therefore reflected in the narrative associated with the in-country funds. Project HEART (Help Expand Anti-retroviral Therapy) of the Elizabeth Glaser Pediatric AIDS Foundation (EGPAF) was initiated in February 2004, and has been providing care and treatment services to HIV-positive individuals in 15 health facilities in the regions of Kilimanjaro, Morogoro, Coast, Dodoma, Arusha and Tabora. EGPAF has, as of 30th June 2006, already helped to enroll 8,961 patients in the care and treatment program, with 4,633 including 676 children receiving ART. Of the 4,633 ever enrolled in ART, 3800 (82%) are known to be still receiving treatment by end of June 2006. In one year alone, from July 2005 to June 2006, the project has enrolled 6,294 new patients in care and treatment, 3,399 receiving ART. 960 children (15% of total) are newly enrolled in care and treatment,551 (16%) of whom are receiving ART. EGPAF aims to focus on scale-up of services, strengthening of existing services, integration of different programs, improved quality of service provision, and sustainability of the program. Through funds budgeted in FY 2007, EGPAF anticipates support for anti-retroviral therapy (ART) for 9,700 new patients, of whom 1,454 will be children aged below 15 years. This will result in a cumulative total of 17,303 patients receiving ART through EGPAF. The objectives for the fourth year of implementation are to improve and expand HIV Care Treatment services in Tanzania to include a wider geographical area, better identification, diagnosis, and follow-up of patients, and greater focus on children, especially those under the age of 2; to improve the quality of clinical care offered at all EGPAF sponsored sites, through training and education, mentorship and supervisory support; to strengthen the links and integration between Care & Treatment and other programs e.g., PMTCT, TB, STI and HBC, as means to providing a comprehensive continuum of care to people living with HIV; to strengthen monitoring/evaluation of the Care & Treatment Program at the facility level; and to document lessons learned and best practices gleaned from program implementation. To achieve this, activity areas will include increased counseling and testing, strengthening of monitoring and evaluation, prevention among positives, laboratory support, PMTCT+ and supportive supervision.