Detailed Mechanism Funding and Narrative

Years of mechanism: 2010 2011

Details for Mechanism ID: 9638
Country/Region: Tanzania
Year: 2011
Main Partner: Columbia University
Main Partner Program: NA
Organizational Type: University
Funding Agency: HHS/CDC
Total Funding: $3,100,000

Funding for Care: Adult Care and Support (HBHC): $395,000

In FY 2011, ICAP will maintain and strengthen provision of integrated high-quality HIV care and support aimed at extending and optimizing quality of life for PLHIV from the time of diagnosis throughout the continuum of illness. This will be achieved through enhanced diagnosis and management of opportunistic infections, pain and symptom management, intergration with other key services (PMTCT, RCH, FP, TB etc). Ensure referral and tracking systems are strengthened to minimize patient attrition in follow-up of pre-ART and ART clients through improving evidenced linkages between health facilities and the community. Support and extend nutritional assessment and counseling in all supported sites.ICAP will intergrate and expand positive prevention services in all supported facilities while building the capacity of local government and civil society for sustainable service provision for PLHIV. Provide continued support (Technical Assistance), strengthen coordination and collaboration mechanisms between partners in operational areas. The services will be provided in 23 districts in Kagera, Coast and Kigoma region and Zanzibar.

Funding for Treatment: Adult Treatment (HTXS): $705,000

Focus on high quality HIV services at existing sites by reducing retention gap through identification of problems and strategies that will lead to increased retention of patients on ART. Continue capacity building and provide service delivery in an effort to take over ART sites from the international partner in the allocated regions. Focus more on clinical mentorship, supportive supervision and adhere to consolidation of in-service ART trainings in the zonal training centers. Partner works in 23 districts of Kigoma, Kagera, Pwani, Lindi and Zanzibar and currently covers 19053 patients.

Funding for Treatment: Pediatric Treatment (PDTX): $500,000

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 in Kagera, Kigoma, Zanzibar and Pwani with the aim of enrolling 1348 new children on ART. $100,000 in additional funds have been added for strengthening referrals and linkages in Pwani region due to a high ANC prevalence.

Funding for Biomedical Prevention: Prevention of Mother to Child Transmission (MTCT): $1,000,000

Implement PMTCT activities to pregnant women in 3 regions (Kigoma, Kagera and Coast). These regions have a total of 19 districts. The ANC HIV prevalence is 1.5% for Kigoma, 4.7% for Kagera, and 7.7% for Coast. The current site coverage based on 2010 SAPR is 69% for Kigoma, 58% for Kagera, and 64% for Coast. Intervention coverage is low, especially in Kagera and Kigoma regions (27% and 39%).

The IP 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.

Funding for Laboratory Infrastructure (HLAB): $300,000

a. Staffing NHLQATC (7 positions)

b. Support Mnazi Mmoja ISO accreditation

c. EID at national level (support 3 program officers) these positions will be transitioned to Ministry after FY 11

Funding for Care: TB/HIV (HVTB): $200,000

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 diseases and diagnosing TB among this group is 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, ICAP will coordinate transportation of sputum and/or blood samples to CTRL for Liquid culture and LPAs. ICAP should ensure TB screening and recording in the CTC2 is happening throughout the supported sites. ICAP will collaborate with the MOHSW and other stake holders to review, update, and develop guidelines/tools for management of TB among adults and the pediatric population. Services will continue being provided in 23 districts in 3 regions (Kagera, Kigoma, Pwani). This mechanism relates to mechanism system ID 83 Columbia.

Subpartners Total: $0
Bagamoyo District Council: NA
Biharamulo Designated District Hospital: NA
Biharamulo District Council: NA
Bugando Medical Centre: NA
Bukoba Municipal Council: NA
Bukoba Municipal Council: NA
Chato District Council: NA
Heri Mission Hospital: NA
Isingiro Hospital: NA
Kabanga Mission Hospital: NA
Kagera Regional Hospital: NA
Kagera Sugar Hospital: NA
Kagondo Hospital: NA
Karagwe District Council: NA
Kasulu District Council: NA
Kibaha District Council: NA
Kibaha Municipal: NA
Kibondo District Council: NA
Kigoma District Council: NA
Kigoma Municipal Council: NA
Kisarawe District Council: NA
Mafia District Council: NA
Matyazo Health centre: NA
Maweni Regional Hospital: NA
Mchukwi Mission Hospital: NA
Misenye District Council: NA
Mkuranga District Council: NA
District Hospital, Mugana: NA
Muleba District Council: NA
District Hospital, Murgwanza: NA
Ndolage Mission Hospital: NA
Ngara District Council: NA
Nyakahanga Designated District Hospital: NA
Nyakaiga Hospital: NA
Ocean Road Cancer Institute: NA
Regional Health Management Team - Tanzania: NA
Regional Health Management Team - Tanzania: NA
Regional Health Management Team - Tanzania: NA
Regional Health Management Team - Tanzania: NA
Rubya Designated District Hospital: NA
Rufiji District Council: NA
Rulenge Hospital: NA
Service, Health and Development for People Living Positively with HIV/AIDS: NA
Muhimbili University of Health and Allied Sciences: NA
Tumbi Regional Referral Hospital: NA
Wanawake na Maendeleo: NA
Zanzibar AIDS Control Program: NA
Zanzibar NGO Cluster for HIV And AIDS Prevention and Control: NA
Zanzibar Association of People Living with HIV And AIDS: NA
Cross Cutting Budget Categories and Known Amounts Total: $2,680,615
Food and Nutrition: Commodities $470,000
Food and Nutrition: Policy, Tools, and Service Delivery $555,125
Human Resources for Health $1,655,490
Key Issues Identified in Mechanism
Addressing male norms and behaviors
End-of-Program Evaluation
Child Survival Activities
Mobile Populations
Safe Motherhood
Family Planning