In the efforts of ensuring and maintaining regular sources of safe blood, the MOHSW in collaboration with partners continue to establish blood donor clubs. The USG has supported the development of the NBTS and the establishment of blood donor clubs for youth (Club 25) in 12 regions. Activities proposed for the additional funds include, expanded coordination of the NBTS with the donor clubs, to establish and strengthening 6 youth clubs in each of the 20 regions; conduct advocacy sessions on youth clubs for heads of schools, community and religious leaders; conduct quarterly blood donation through the youth club initiatives in the Zonal centers; conduct appropriate social activities to stimulate the youth clubs such as games, drama, publicity, develop monitoring tools for follow up and updating the records on blood donation. The youth clubs established will facilitate easy follow up of blood donors; assist in the dissemination of information on collection and use of safe blood. Activities will include implementation of best practices for maintaining a pool of voluntary non remunerated repetitive blood donors.

Targets

Target Target Value Not Applicable Number of service outlets carrying out blood safety activities
Number of individuals trained in blood safety 120 

Table 3.3.03:

This activity is linked to other activities Infection prevention & Control Injection safety (IPC -IS) #7730 & #7732. Ministry of Health and Social Welfare (MOHSW) started implementation of IPC - IS activities in FY 2004, with technical assistance from John Snow Incorporate (JSI) after being contracted by CDC. The activities include training of healthcare workers on infection prevention and control (IPC), injection safety (IS), healthcare waste management (HCWM), logistics and behavior change communication (BCC). The activities are coordinated through Health Services Inspectorate Unit (HSIU) under the office of the Chief Medical Officer (CMO).

The goal of this activity is to prevent and control infections, reduce the occurrence of sharps injuries and other exposures, and eliminate unsafe injection practices in Tanzania and therefore reduce the burden of blood borne pathogens and other infections. To date, 12 hospitals, with five referral hospitals (Bugando Medical Centre (BMC), Kilimanjaro Christian Medical Centre (KCMC), Mbeya Referral Hospital, Muhimbili National Hospital (MNH) and Mnazi Mmoja Hospital in Zanzibar), three regional hospitals (Dodoma, Kagera and Tumbi Special Hospital) and four district hospitals (Mpwapwa, Rubya Designated District Hospital (DDH), Utete na Chake-Chake Hospitals in Pemba South Region) hospitals have been involved in the programme. A total of 2,762 HCWs have been trained from these sites. The sites have also received injection devices with reuse prevention features and safety boxes for disposal of sharps supplied by JSI. Supportive supervision has been carried out in the 12 sites (BMC, KCMC, Mbeya Referral Hospital, Mnazi Mmoja Hospital, Dodoma Regional Hospital, Kagera Regional Hospital, Mpwapwa District Hospital and Tumbi Special Hospital,Utete District Hospital, Rubya DDH, Chake-Chake District Hospital and MNH ).

In FY2007, MOHSW will continue to strengthen the capacity of healthcare workers in the area of IPC - IS practices in 76 sites. These sites include the sites for MOHSW, JSI and JHPIEGO through its ACCESS project, that deals mainly with IPC - IS in the areas of Reproductive and Child Health Services (RCHS), particularly in Focused Ante-Natal Care (FANC). In FY 2007 with USG support MOHSW will expand to 64 new sites and maintain the 12 old sites. These sites include public and faith-based health facilities from 10 regions (Dar es Salaam, Kilimanjaro, Mwanza, Dodoma, Iringa, Kagera, Morogoro, Ruvuma, Tanga and Coast ). A total of 4,500 healthcare workers (HCWs) will be trained through MOHSW. The strategy is to build capacity of the regional and district hospitals by using resource persons in zonal training centers and hospital based TOTs from the respective sites who have been trained in collaboration with JSI and JHPIEGO. A facilitator's Guide (FG) and Participants Manual (PM) will be finalized and produced in collaboration with WHO and JSI.

MOHSW will ensure availability of personal protective equipment (PPE), supplies, injection devices and related commodities at service delivery points through commodity procurement, development and implementation of effective strategies in 76 supported sites by September 2008. The injection devices and safety boxes will be supplied by JSI. PPE and other supplies such as antiseptics and disinfectants will be procured by the facilities using funds from their budget (government and other sources). Thus the health facilities will budget according to their priorities.

To promote sustainability of program activities, the Hospital Management Teams (HMTs) and Council Health Management Teams (CHMTs) will be encouraged to plan for PPE, safety boxes, other supplies and injection devices in their Comprehensive Hospital Plans (CHPs) and Comprehensive Council Health Plans (CCHPs) respectively.This will also be stressed during trainings of HCWs and sensitization of HMTs. In collaboration with key actors MOHSW will develop and implement advocacy and behavior change strategies to improve IPC - IS practices to 76 sites by September 2008. This objective will include use of IEC materials developed in collaboration with JSI to sensitize the service providers and community on best practices for IPC - IS including healthcare waste management and reducing unnecessary injections. This will also involve training of TOTs and HCWs on BCC at the new sites. The startegy is to ensure that in every Zonal Training Centre and the respective health facilities there are TOTs in the area of BCC. This will ensure that the BCC area is well covered in subsequent trainings and better impact the change of IPC practices among healthcare workers.

MOHSW will work with USG to establish sustainable healthcare waste management systems by September 2008. This will aim at having safe, appropriate and effective ways of disposing waste in health facilities depending on the availability of recommended technologies. JSI will continue to provide technical assistance to MOHSW. There are specifications on the type of incinerators to be used especially the small-scale incinerators known as De Montifort Incinerators. The Environmental Sanitation and Occupational Health Section is also in the final stages of produce three documents in draft form: HCWM National Policy Guidelines; Standards and Procedures for HCWM in Tanzania; and HCWM Training Modules. Health facilities will be encouraged to budget for HCWM, including construction of small scale Demontefort incinerators.

Through Public Private Partnerships and implementation of a global communication and advocacy strategy to leverage and coordinate support for IPC and IS by September 2008. The objective will include conducting on quarterly stakeholders' coordination forum (SCF) meetings on quality improvement. Through SCF, various programs providing healthcare services will be urged to set aside overhead costs for the management of healthcare waste generated while rendering services. This will ensure concerted efforts towards proper HCWM.

Strengthen the National IPC - IS Program office in MOHSW to manage, coordinate and supervise IPC - IS activities in the country by September 2008. MOHSW will work with partners in tracking progress of the different activities through monthly work plan monitoring and reporting. The supervision activities will be conducted in collaboration with partners.

With additional funds, MOHSW will train Hospital Management Teams (HMTs) while advocating for Hospitals to include the activities in their annual plans and Comprehensive Council Health Plans (CCHPs). During training sessions in respective hospitals, members of HMTs and in-charges of various departments and sections will be given priority to attend the first sessions. This will enable them to provide on the job training and supportive supervision to other HCP in their respective health facilities The Council Health Management Teams (CHMTs) with the guidance of the Ministry of health and Social Welfare (MOHSW) need to plan IPC - IS activities into the Comprehensive Council Health Plans (CCHP). To achieve this, the CHMTs require guidance in terms of policy guidelines for IPC-IS. The planning guidelines will be developed and will focus on supportive supervision of IPC-IS and quality improvement. This is a comprehensive document which CHMTs will adapt to make their own checklists for supervision. The funds will also be used to print the Tanzania Quality Improvement Framework (TQIF) that has been developed following experiences and lessons learned from the field visits, interviews and desk reviews. It contains key activities to be implemented in Tanzania at the National, Regional and District levels. The document also advocates for a coordinated and integrated mechanism to monitor, implement and report QI issues including IPC - IS activities at all levels.

This activity relates to activity numbers 7776 (CT), 8663 (CT), and 8981 (OPSS).

Muhimbili Health Information Centre (MHIC) is a free-standing VCT center and multi-purpose facility on the grounds of Muhimbili National Hospital (MNH) which is a 2,500 bed facility. MHIC offers VCT services, provides counselor trainings, and collaborates with MNH, the Muhimbili University College of Health Sciences (MUCHS), and the National AIDS Control Programme (NACP) in the implementation of programs funded by PEPFAR and the Global Fund. In the past two years, MHIC has used USG/PEPFAR funds to renovate a state of the art training facility and establish themselves in the CT arena through the development of strong CT training materials and interventions. For example, MHIC developed a Comprehensive Care Counseling (CCC) curriculum and used this CCC curriculum to train 50 MNH staff members as well as 25 city healthcare providers last year.

In FY 2007, MHIC will continue to develop the skills of providers to routinely offer CT services. This will be done by 1) conducting trainings; 2) developing a curriculum for nursing and medical students; and 3) establishing a resource center for healthcare providers. With guidance from NACP, MHIC will support the national roll-out of Provider Initiated Testing and Counseling (PITC) at MNH and select Dar es Salaam city health facilities. MHIC will follow NACP's forthcoming national PITC guidelines, as well as the new HIV testing algorithm once it is approved, in the provision of PITC trainings for 120 MNH staff members and 150 city healthcare providers. PITC trainings with city healthcare providers will be conducted in consultation with Harvard, a USG partner. Trainings will utilize a PITC curriculum designed by USG/CDC and adapted for local use in collaboration with NACP. The PITC curriculum provides training for healthcare workers on the rationale for the shift to PITC, how to talk to patients about getting an HIV test and how to deliver test results, and appropriate monitoring and evaluation techniques for PITC. MHIC will receive technical support for its activities from IntraHealth International, a new partner tasked with facilitating the national PITC roll-out.

MHIC will also collaborate with MUCHS and Allied Health Schools to implement a PITC curriculum as a standard part of training for all nursing and medical students. MHIC will search existing literature and training materials to see if a suitable curriculum for use in a university setting has already been written. If such a curriculum is found, MHIC will adapt this curriculum for local use. If there is not an adequate curriculum available for adaptation, MHIC will take the lead on developing a PITC curriculum to train nursing and medical students. Once a curriculum is identified, MHIC will pilot this curriculum with a cohort of 55 medical students and 100 nursing students.

Finally, MHIC will establish a health resource center under the leadership of MUCHS and MNH. IntraHealth along with ITECH, a partner with expertise in the development of health information systems, will provide MHIC with technical assistance for this project. The Health Information Centre will be housed in MHIC's recently renovated state of the art facility and will have up-to-date, essential health information available for providers.

Through the establishment of a Health Information Center, as well as the provision of PITC training for 120 MNH staff members, 150 city healthcare providers, 55 medical students, and 100 nursing students in FY 2007, MHIC hopes to move closer to their goal of becoming a National Centre of Excellence for teaching and learning on HIV counseling in Tanzania.

The Muhimbili Health Information Centre (MHIC) is a service provision and capacity building entity at Muhimbili National Hospital in Tanzania. MHIC offers VCT services, provides counselor trainings, and collaborates with MNH, the Muhimbili University College of Health Sciences (MUCHS), and the National AIDS Control Programmed (NACP) in implementation of programs funded by PEPFAR. Reprogrammed funds are requested to support both of these important functions. The VCT site at MHIC recently stopped receiving funds through AMREF, and resources are need to market services and increase service demand at the site. Despite being a state of the art CT facility, services have been under-utilized. Reprogrammed funds will also be used to strengthen MHIC's planned technical assistance with provider initiated testing and counseling at the hospitals and in select Dar es Salaam city public health facilities. MHIC will provide TA to implement, manage and evaluate effective, appropriate and locally sustainable ways of scaling up CT

services. Activities proposed include; training of health care workers on the provider initiated counseling and testing, provide CT services to clients attending OPD, IPD, STIs and TB services in the health facilities, develop a curriculum for nursing and medical students; and establishing a resource center for healthcare providers.

Targets

Target Target Value Not Applicable Number of service outlets providing counseling and testing 1  according to national and international standards Number of individuals who received counseling and testing for HIV 10,000  and received their test results (including TB) Number of individuals trained in counseling and testing according to 425  national and international standards

Target Populations: Doctors Nurses Pharmacists Laboratory workers Other Health Care Worker Doctors Nurses Pharmacists

Coverage Areas Dar es Salaam

Table 3.3.09:

This activity links to activities HLAB 7779 NIMR, CDCBase 7834, CLSI 7696, APHL7682, AIHA7676, ASCP 7681, AMREF 7672, RPSO 7792, BMC 7685, ZACP 8224, DoD 7746; Track 1 ART CU7697/7698, EGPAF 7705/7706, HARVARD7719/7722, AIDSRelief 7692/7694, DoD7747, Blood Safety; CT NACP 7776, TB/HIV 7781, PMI, SCMS 8233, FHI 7712; SI NACP 7773,

The activities have a goal to strengthen laboratory capacity for HIV diagnosis, disease staging, treatment monitoring and strategic information, to collaborate with various implimenting partners including CDC, DOD, NIMR, AMREF, JICA, AXIOS, and CLINTON FOUNDATIONT. The Ministry of Health and Social Welfare (MOHSW) will coordinate the planning and execution of laboratory infrastructure activities implemented by all partners.

Through FY 2006, MOHSW has partially implimented acivities to strengthen the laboratory capacity for HIV diagnosis, disease staging, treatment monitoring and strategic information. In collaboration with parners MOHSW has coordinated the renovation of 35 laboratories and placed 48 CD4 machines in district, and regional hospitals. There are 129 pairs of haematology and chemisty equipment distributed throughout the country for the laboratory monitoring of ART. With the assistance of partners, 30 National Trainers (six per zone) have been trained for training of technical staff in CD4,Chemistry and Haematology to meet the requirements for HIV /AIDS care and treament monitoring.

MOHSW will continue to train staff in the provision of quality laboratory services in all aspects relating to HIV/AIDS diagnosis, care and treatment. There will be an increased emphasis on the identifcation of opportunistic infections and collaboration with the Presidential Malaria Initiative.

In FY 2006, MOHSW recruited a National Health Care Technical Services Coordinator, whose main responsibility is to ensure that the equipment purchased are well maintained and functional. In FY 2007 the MOHSW will develop material for the training of equipment users and facilitate the TOT training on first line equipment maintenace and trouble shooting.

MOHSW is in the process of implimenting a laboratory quality management system. In this area, there is a functioning CD4 External Quality Assessment program started in FY 2006. In FY 2007 MOHSW intends to expand the EQA coverage to include Rapid HIV Testing, Haematology, Clinical Chemistry and HIV serology. This will include Private Health Laboratories through the Private Health Laboratories Board. MOHSW will establish an efficient sample transportation system, conduct awareness on the need for laboratory auditing and laboratory accreditation. MOHSW will operationalise the National QA framework and coordinate the development of the Tanzania Laboratory Standards and Laboratory Standard Operational Procedures.

In FY 2006 MOHSW embarked on a laboratory information system implimentation strategy with assessment for both software and hardware systematic requirements and staff capacity assessment.

In FY 2007 MOHSW will coordinate the actual installation of the system and training of staff for its utilisation both in the paper based form and the electronic version. MOHSW will coordinate the development of data capturing tools. The implimentation will be phased and be completed covering five referral hospitals and 10 regional hospitals. MOHSW will formulate a technical committee to oversee the implementation of the Laboratory Information System.

In FY07, the National AIDS Control Program (NACP) of the Ministry of Health of Tanzania in collaboration with National Institute of Medical Research, CDC GAP Tanzania and CDC GAP Atlanta will use the BED-CEIA to monitor HIV-1 incidence in pregnant women attending ANC using retrospective ANC surveillance specimens. In preparation for conducting the testing, MOHSW will assist in assessing the laboratory capacity with NIMR and CDC GAP Tanzania. It will coordinate the implementation of the BED-CEIA and develop and review laboratory quality control and quality assurance plans.

MOHSW will continue to convene the HIV Laboratory subcommittee to review progress in implementing the national laboratory plan, advise the national laboratory operational plan

and the National HIV/AIDS task Force on HIV / AIDS laboratory issues. MOHSW will convene meetings with all collaborating partners and stakeholders who contribute to laboratory infrastructure and capacity building for HIV/AIDS programs in Tanzania.

Due to the limited capacity of MOHSW core staff, MOHSW will recruit 3 additional program officers for Laboratory Information, Training and Quality Systems. MOHSW through partners will procure equipment for Infant HIV diagnosis,and coordinate program formulation and implementation. MOHSW will undertake capacity building assessment at the end of FY2007.

Additional funds are requested for the implementation of the organogram at a national level and thereby operationalizing this Framework. The Framework describes the national, zonal and regional tiered QA organizational structures as well as their composition, roles and responsibilities in line with the national laboratory services network. The NLQA Framework is essential to the implementation of the broader NLQA program which will translate into quality diagnostic and monitoring laboratory services for the prevention, care and treatment programs. MOHSW will coordinate the program, develop NLQA policy guidelines, provide supportive supervision, develop training materials, train 632 technicians and technologists monitor, and evaluate the QA programs.

The Government of Tanzania (GoT) is committed to strengthening its response to the HIV epidemic by improving information systems that inform management staff about HIV services, including prevention of mother-to-child transmission (PMTCT), antiretroviral treatment (ART), counseling and testing (CT), palliative care, and care for orphans and vulnerable children (OVC).

One of the biggest challenges is having reliable, timely information about the numbers and locations of people served, including those tested, treated, and lost to follow-up. Each HIV service area has its own vertical systems to move the data from facilities to the national level. These systems, that assist the GoT in making vital decisions that affect programs, require strengthening. The Ministry of Health and Social Welfare (MOHSW) fully supports a decentralized approach to monitor HIV/AIDS interventions, with facility management using their own data for oversight, district oversight of facilities, regional oversight of districts and national oversight of regions - an approach that ensures that at each level, data quality and timeliness is a responsibility, and data should be used for technical and managerial decisions and action-oriented feedback on service delivery. USG will work with GOT and a developer (TBD) to assess, design, build and implement a web-based platform

The platform will include the use of electronic data systems -- systems already in existence or being designed and developed using national guidelines and data collection tools, that rely on the Health Management Information System (HMIS) method of data flow and the Wide Area Network (WAN) that exists in seven regions and centrally in Dar es Salaam at MOHSW. The new information system will link the systems with a single interface, and allow for entry of data across all interventions at district and some points of service, including: PMTCT, voluntary and provider-initiated CT, care and treatment centers - including home-based care providers, as well as links to monitoring test kit inventories and the dispensing of antiretroviral drugs and regimens, and laboratory systems throughout the country. The continued support and management for the system will be done by national level system administrator, who will be trained by the implementer of the new platform. They will work closely with the staff who support the WAN technologies and others in the country who are providing services in support for the overall system.

Targets

Target Target Value Not Applicable Number of local organizations provided with technical assistance for 3  strategic information activities Number of individuals trained in strategic information (includes 10  M&E, surveillance, and/or HMIS)

Table 3.3.14: Program Planning Overview Program Area: Other/Policy Analysis and System Strengthening Budget Code: OHPS Program Area Code: 14 Total Planned Funding for Program Area: $ 8,700,000.00

Program Area Context:

In a recent meeting with the U. S. Global AIDS Coordinator, President Kikwete highlighted that the two major barriers to scale-up of treatment are human resources and stigma, and one could argue that the right policy and legal environment constitutes the third leg of the stool. The OPSS portfolio reflects these critical priorities.

In FY 2006 the USG worked with the Government of Tanzania (GOT), civil society organizations, Faith Based Organizations (FBOs), People Living with HIV/AIDS (PLHA) groups, parliamentarians, private sector, media houses, and other institutions to strengthen advocacy for policy change for improved implementation and scale-up of services. Technical assistance was provided to the Ministry of Justice and Constitutional Affairs to support legal and regulatory reforms, including the development of the draft AIDS Bill, and to the Christian Council of Tanzania to complete a Gender and HIV/AIDS Policy.

In FY 2007, the Health Policy Initiative (HPI) will continue to strengthen the policy environment for HIV/AIDS and to empower communities to engage in policy dialogue. HPI will build the capacity of district and national leaders to advocate for improved HIV services and the passage of the AIDS bill. In addition, training and sensitization in HIV-related policies, including those addressing stigma and gender, will continue through NGOs, FBOs, and organizations of PLHAs. Gender is further addressed in PMTCT, OVC, Care, and Treatment program areas.

Continued strides in stigma and discrimination reduction will help to create a favorable environment for greater uptake of HIV services. At the recently-concluded International AIDS Conference in Toronto, Tanzania received accolades for its practical, evidence-based work in stigma. This year, in addition to focusing on national-level advocacy, the USG will conduct an assessment to identify partners' best practices in stigma reduction and develop a coordinated plan for integrating stigma into prevention, care, and treatment programs at the national and sub-national levels, across all settings. In addition, since it is well-recognized that health workers play a major role in perpetuating stigma, the USG will target health workers of all levels for stigma sensitization. A package will be developed with FY 2006 plus up funds that will not only sensitize health works to stigma but also encourage greater utilization of prevention, care, and treatment services by health workers. After a pilot in FY 2006, the package will be rolled out by the MOHSW in FY 2007. Key partners in this area include HPI, the International Education and Training Center for HIV/AIDS (I-TECH), and FHI.

With regards to Human Resources for Health (HRH), the USG's goal is to support the GOT to effectively plan for, train, recruit, and retain sufficient numbers of health care workers who: 1) know their status and feel comfortable accessing HIV services; 2) have confidence in their ability to deliver prevention, care, and treatment services safely, effectively, and compassionately; and, 3) are adequately satisfied by and remunerated for their work. This approach closely mirrors WHO's "treat, train, retain" approach.

Tanzania is still facing challenges in realizing this goal, as there are complex inter-ministerial issues that require significant engagement to address. However, in the past year the USG has assisted the GOT to lay important groundwork for several short- and long-term strategies to identify and remedy deeply-rooted systems barriers. Accomplishments include start-up of the country's first pre-service HIV training program through a nurse Twinning partnership; a major operational research study on workforce productivity and workload; an assessment of Human Resource Information Systems (HRIS) on both the mainland and Zanzibar; an analysis of the HRH recruitment process and its bottlenecks; and, finally, development of a national Five-Year Strategic Plan for HRH. The plan includes benchmarks and approaches for qualitative and quantitative improvements in the national health workforce vis-à-vis the burden of disease. The comprehensive plan is the overarching framework into which all USG HRH interventions fit. A synthesized version of the plan (attached as an addendum) will be the basis for USG support to the MOHSW's priorities by ensuring that all activities are part of the GOT plan.

FY 2007 activities in human and institutional capacity development are divided into the following areas:

1) Training. In the coming year, the USG will support the human and infrastructural development of pre-service and in-service training systems and will ensure that HIV/AIDS and stigma reduction are fully integrated into curricula, particularly for the cadres involved in the delivery of HIV services. Monitoring and evaluation of training to determine its impact at the service delivery level will also be a priority. Primary partners include the American International Health Alliance (AIHA) and I-TECH. To leverage private sector funds for training and systems strengthening, a Global Development Alliance will be developed.

2) Recruitment. The Capacity Project is working with the MOHSW and other relevant ministries to fix bottlenecks that were identified in the analysis of the hiring process. As this is a long-term process, Capacity, in the interim, will assist MOHSW to hire and deploy 300+ health workers to Care and Treatment Centres (CTCs) for a period of two years as part of a GOT Emergency HRH Plan funded through the Global Fund. At the end of the two years, the GOT will be expected to absorb the workers in the GOT system.

3) Performance and Productivity. A major component of the Emergency HRH Plan is enhancement of HRH productivity and performance. In FY 2007, the National Institute for Medical Research (NIMR) and Capacity will develop and assist in the implementation of a productivity intervention that will be designed using results from an operational study completed by NIMR in FY2006. It is anticipated that an intervention could raise CTC productivity levels by as much as 20-30%, which will considerably increase CTC capacity to deliver ART services.

4) Retention. The final component of the Emergency HRH Plan is to develop, pilot, and roll out an evidence-based, cost-effective retention scheme in CTCs. This intervention will be designed based on work carried out by NIMR and Capacity in late 2006, and may become a model for a national retention scheme.

5) Leadership, Accountability, and Performance. In FY2006, Management Sciences for Health (MSH) provided technical assistance to national coordinating bodies, including the Tanzania Commission for AIDS (TACAIDS), the Zanzibar AIDS Commission (ZAC), and the Tanzania National Coordinating Mechanism (TNCM) for the GFATM. In FY 2007, MSH will assist TACAIDS to create a rolling work plan for TA as well as a consultant database to foster greater autonomy in accessing TA. MSH will also continue work done by short-term TA for Global Fund programs to help strengthen the TNCM and its accountability for results, and will work with ZAC to create an organizational development plan. FHI will continue to provide TA to the NACP and MOHSW to further strengthen all HIV-related services, and to implement the recommendations of a management consultant who recently spent two months with NACP. In addition, FHI will help to support and coordinate the decentralization of supportive supervision, and to strengthen the formal coordination mechanisms among the 17 organizations providing care and treatment in Tanzania. Finally, Pathfinder will receive FY 2007 funds to develop the financial management and administrative capacity of GOT partners who receive direct USG funds.

The above activities will help to ensure that the USG prevention, care, and treatment program in Tanzania is successful and sustainable.

Program Area Target: Number of local organizations provided with technical assistance for 312 HIV-related policy development Number of local organizations provided with technical assistance for 325 HIV-related institutional capacity building Number of individuals trained in HIV-related policy development 632 Number of individuals trained in HIV-related institutional capacity building 2,366 Number of individuals trained in HIV-related stigma and discrimination 3,107 reduction Number of individuals trained in HIV-related community mobilization for 1,210 prevention, care and/or treatment

Table 3.3.14: