Detailed Mechanism Funding and Narrative

Years of mechanism: 2010 2011 2012 2013

Details for Mechanism ID: 9685
Country/Region: Tanzania
Year: 2012
Main Partner: Program for Appropriate Technology in Health
Main Partner Program: NA
Organizational Type: NGO
Funding Agency: USAID
Total Funding: $1,727,372

The goal of Program for Appropriate Technology in Health (PATH) is to improve access to quality TB/HIV services, including TB diagnosis and treatment in Tanzania. The program works in close collaboration with MOHSW through the NTLP, NACP, and Association of Private Health Facilities in Tanzania, including LGAs.

The program is aligned with the Partnership Framework strategy under Goal One (Services). The main program activity is HIV screening of TB patients, which aims to have the HIV status of 95% of all TB patients recorded in TB registers; 95% of TB/HIV co-infected patients started on cotrimoxazole preventive therapy; and 60% of infected patients initiated on ART during TB treatment.

Cost efficiency strategies will include decentralization of trainings at district headquarters. Supportive supervision and mentorship will also be used.

Transitional strategies include negotiation with LGAs for possibility of gradual inclusion to the LGA payroll of PATH staff currently seconded to districts.

Programs will continue work in the six regions of Arusha, Dar es Salaam, Kilimanjaro, Mwanza, Pwani, Zanzibar, and scale up in two new regions of Geita and Simiyu. Continued TA to the NTLP will help maintain quality TB/HIV collaborative services. Program will continue to promote sustainability by working with Council Health Medical Teams to ensure that TB/HIV activities are included in Comprehensive Council Health Plan.

M&E is incorporated into the the NTLP M&E plan 2011 2016.

Funding for Care: TB/HIV (HVTB): $1,727,372

With the support of COP 2011 funding, PATH collaborated with the MOHSW through the National TB/Leprosy program (NTLP) and National AIDS control program (NACP) to implement TB/HIV interventions in 955 health facilities in six regions of Tanzania Mainland and Zanzibar. Main activities included HIV screening of TB patients and implementation of Intensified TB screening, Infection Control and Isoniazid Preventive Therapy (the three I's). With COP 2012 funding, PATH will continue to work in collaboration with ART implementing partners to ensure effective implementation of the "three I's". Through use of the national TB screening tool, the program will orient staff in different sections to perform intensified TB case finding among clients attending Reproductive and Maternal Child Health clinics, general and specialized clinics (i.e. CTC, Diabetic Clinic) in Out Patient Departments, and In-Patient Departments for admitted patients. This program targets screening for HIV of all TB patients and will strive to ensure that 95% of TB-registered patients have their HIV status recorded in the TB register.

In collaboration with NTLP, PATH will also develop, print and distribute specific IEC material TB infection in children to enhance diagnosis of pediatric tuberculosis. The development of curriculum for TB management among children, currently in its final stage, began with funding from COP 2011.

To increase the proportion of TB/HIV co-infected patients starting on ART from 32% to 60%, the program will support the training of TB clinic staff on HIV/AIDS clinical management. Health care workers who have no knowledge of TB/HIV will be trained on TB/HIV interventions using the National TB/HIV curriculum endorsed by MOHSW. This will result into easier access to HIV care at "Under One Roof" TB clinics. Through support for the formation and maintenance TB/HIV regional and district committees, the program will continue to advocate to RHMTs and CHMTs to incorporate and fund TB/HIV activities through their Comprehensive Council Health Plans (CCHP).

In order to ensure quality interventions, the program staff comprises of TB/HIV officers and District TB/Leprosy Coordinators who will conduct supportive supervision visits and provide mentorship to peripheral facility staff on service delivery and program monitoring.

Subpartners Total: $0
Management Sciences for Health: NA
Key Issues Identified in Mechanism
enumerations.Impact/End-of-Program Evaluation
Child Survival Activities
Workplace Programs