PlusNews HIV/AIDS news and analysis | Country Profile

AIDS Programmes

National Strategic Framework: 2003-2007

Written to operationalise the health ministry’s national plan, the document includes goals such as

Insuring political leaders constantly give high visibility to HIV/AIDS in proceedings and public appearances
Reducing STI prevalence

The framework also highlights the unequal distribution of gender power and suggests bringing discussions around sex and sexuality to the public forefront.

Overview (WHO):
Major vulnerable and affected groups
The major vulnerable and affected groups include: women 15–24 years old; orphans and vulnerable children 0–18 years old; men 25–34 years old; sex workers; people in the transport sector, mines, police force, military, prisons and prisoners; refugees; and elderly people forced into new roles as caregivers without support themselves.

Policy on HIV testing and treatment
A strong national policy framework guides the national response. With the launch of the national HIV/AIDS policy by the President in November 2001, comprehensive health care including the provision of antiretroviral therapy was recognized for the first time as a right for all people living with HIV/AIDS. In 2003, the Tanzania Commission for HIV/AIDS began developing the Tanzania Multi-sectoral AIDS Programme (T-MAP) with the support of the World Bank. The Programme was adopted in 2003. Although the Programme does not explicitly cover provision of antiretroviral therapy, the World Bank agreed that some of the funds can be allocated to care and treatment activities. The National AIDS Control Programme of the Ministry of Health developed a Health Sector Strategy on HIV/AIDS for 2003–2008 in February 2003. Based on a comprehensive situation analysis, field visits, the formation of thematic working groups and broad stakeholder input, this plan proposed a cautious, step-by-step and integrated scale-up of antiretroviral therapy from tertiary centres to include up to 15 000 people on treatment by the end of 2006.

Critical issues and major challenges
Overall health sector capacity in the United Republic of Tanzania is high compared with other countries in the region. However, the scale up of HIV/AIDS care and treatment services has been constrained by insufficient access to entry points (including services for voluntary counselling and testing, preventing mother-to-child transmission, tuberculosis and sexually transmitted infections) due to the high cost of services. Treatment literacy among health workers and the general population is low, and stigma and discrimination remain high. In addition to stigma and discrimination, the implementation of the national response has also been constrained by insufficient trained human resources to deliver HIV/AIDS care and treatment services and poor incentives for health workers. Institutional capacity at both the national and regional levels needs to be reinforced in the different areas of procurement and supply chain management, including forecasting and quantifying the HIV-related drugs and commodities. Laboratory infrastructure needs to be strengthened. Monitoring and evaluation systems continue to need strengthening.

HIV/AIDS Organisations
Ministry of Health
Contact person:		Tel:	+255 22 212 0261/7
Location:	P.O. Box 9083 Dar es Salaam, Tanzania	Fax:	+255 22 213 9951
		Email:
		Web:	www.tanzania.go.tz
What we do:

Tanzania Commission for AIDS (TCAIDS)
Contact person:	Major-General H. Lupogo, executive chairperson	Tel:	+255 22 212 2651
Location:	Dar es Salaam, Tanzania	Fax:	+255 22 212 2427
		Email:
		Web:
What we do:

National AIDS Control Programme (NACP)
Contact person:	Dr. Ronald Swai, manager	Tel:	+255 22 211 8581 +255 22 211 9214
Location:	P.O. Box 11857 Dar es Salaam, Tanzania		+255 22 213 1213
		Fax:	+255 22 212 1624
		Web:
What we do:

Zanzibar AIDS Commission
Contact person:	Bi Asha Abudulla	Tel:	+255 24 222 3152
Location:	P.O. Box 2820 Zanzibar, Tanzania	Fax:	+255 24 222 3152
		Email:
		Web:
What we do:

Adolescent Reproductive Health Network (ARHN)
Contact person:	M.T. Leshabari	Tel:	+255 22 15 3371
Location:	Muhimbili Medical Centre Institute of Public Health P.O. Box 65015 Dar es Salaam, Tanzania	Fax:	+255 22 15 1238
		Email:
		Web:	www.nutrition.uio.no
What we do:	Research network involved in research and/or implementation of programs targeting adolescent sexual and reproductive health and risk behaviours.

African Medical Research Foundation-Tanzania (AMREF)
Contact person:	Paul Waibale	Tel:	+255 22 211 6610 +255 22 213 6731
Location:	P.O. Box 2773 Dar es Salaam, Tanzania	Fax:	+255 22 211 5823
		Email:
		Web:	www.amref.org
What we do:	HIV intervention and research projects in high incidence areas; prevention; promotion of sexual health for women; control of STDs; sexual and reproductive health programmes for adolescents; counselling and testing.

African Regional Youth Initiative
Contact person:	Neema Mgana	Tel:
Location:	P.O. Box 11704 Dar es Salaam, Tanzania	Fax:
		Email:
		Web:	www.aryi.interconnection.org
What we do:	Over 100 youth and community-based organisations combating HIV/AIDS and malaria in Africa. The organisation provides a number of programmes to youth and community organisations, including a volunteer programme for youth all over the world interested in development work to work alongside youth in Africa.

Catholic Women Of Tanzania Association (WAWATA)
Contact person:		Tel:	+255 513 5216
Location:	P.O. Box 31147 Dar es Salaam, Tanzania	Fax:	+255 513 5216
		Email:
		Web:
What we do:

Comprehensive Community Based Rehabilitation in Tanzania (CCBRT)
Contact person:	Geert Vanneste, executive director	Tel:	+255 22 260 1543
Location:	P.O. Box 23310 Dar es Salaam, Tanzania	Fax:	+255 22 260 1544
		Email:
		Web:	www.ccbrt.or.tz
What we do:

Eastern Africa National Networks Of AIDS Service Organisations (EANNASO)
Contact person:	Lucy Ng'ang'a	Tel:	+255 27 254 8224
Location:	P.O. Box 6187 Arusha, Tanzania	Fax:	+255 27 254 8224
		Email:
		Web:	www.annea.or.tz
What we do:	Network of the 12 HIV/AIDS national networks in eastern African countries. Its mission is to enhance the community response to HIV/AIDS in eastern Africa by promoting the development and existence of sustainable and effective country networks that provide leadership and capacity building in advocacy, programme development, and enhanced greater involvement of people living with HIV and AIDS.

Kwetu Counselling Centre - Association of PLWHA
Contact person:	David Burrows	Tel:	+255 51 85 0543
Location:	P.O. Box 1273 Dar es Salaam, Tanzania	Fax:
		Email:
		Web:	www1.salvationarmy.org
What we do:

Medical Women Association of Tanzania (MEWATA)
Contact person:	Dr. Marina Njelekela, chairperson	Tel:	+255 0746 44 89 11
Location:	P.O. Box 2nd Floor, Tulyer House, Sea View (adjacent to Court Yard Hotel) P.O. Box 65443 Dar Es Salaam, Tanzania	Fax:	+255 22 215 0465
		Email:
		Web:
What we do:

National Institute For Medical Research (NIMR)
Contact person:		Tel:	+255 22 212 1400
Location:	Headquarters, Ocean Road, P.O. Box 9653 Dar es Salaam, Tanzania	Fax:	+255 22 212 1360 / 212 1380
		Email:
		Web:	www.nimr.or.tz
What we do:

Population Services International (PSI)
Contact person:		Tel:	+255 22 215 1581/3
Location:	P.O. Box 33500 Dar es Salaam, Tanzania	Fax:	+255 22 215 1530
		Email:
		Web:	www.psi.org
What we do:	Uses social marketing to deliver health products, services and information that enable low-income and other vulnerable people to lead healthier lives.

Service Health & Development for People Living with HIV/AIDS (SHDEPHA)
Contact person:	Josep Katto	Tel:	+255 22 18 1850
Location:	P.O. Box 13713 Dar es Salaam, Tanzania	Fax:	+255 22 18 1849
		Email:
		Web:
What we do:	Care and support; counselling; awareness raising.

Southern African AIDS Trust (SAT)
Contact person:	Adolf Mrema, country programme manager / Adelardus Kilangi – country programme officer	Tel:	+255 22 277 3684/87
Location:	P.O. Box 34198 Dar es Salaam, Tanzania	Fax:	+255 22 277 3677
		Email:
		Web:	www.satregional.org
What we do:	Supports community responses to HIV and AIDS through in-depth partnership, networking, skills exchange and lesson sharing in HIV prevention, HIV and AIDS care and support throughout the region.

Tanzania Gender Networking Programme (TGNP)
Contact person:		Tel:	+255 22 244 3205
Location:	P.O. Box 8921 Dar es Salaam, Tanzania	Fax:	+255 22 244 3244
		Email:
		Web:	www.tgnp.co.tz
What we do:

Tanzania Netherlands Project to Support HIV/AIDS control in Mwanza (TANESA)
Contact person:		Tel:	+255 684 1440
Location:	P.O. Box 434 Mwanza, Tanzania	Fax:	+255 685 00236
		Email:
		Web:	www.nimr.or.tz
What we do:

Tanzania Network of People with HIV/AIDS (TANOPHA)
Contact person:	Julius Kaaya	Tel:	+255 74 444 7354
Location:	P.O. Box 76724 Dar es Salaam, Tanzania	Fax:	+255 22 213 6639
		Email:
		Web:
What we do:	Regional coordinating network for people with HIV/AIDS: information exchange; capacity building; health promotion.

Upendo AIDS Information + Counseling Center
Contact person:	Wandoa Mwambu, director	Tel:	+255 51 76 1043
Location:	Kinondoni P.O. Box 77014, Dar es Salaam, Tanzania
		Email:
		Web:
What we do:

WAMATA - Dar es Salaam
Contact person:	Georgia Baguma	Tel:	+255 270 0282
Location:	P.O. Box 32960 Dar es Salaam, Tanzania	Fax:
		Email:
		Web:
What we do:	Prevention; advice; support; information.

Women Against AIDS Kilimanjaro (Kikundi Cha Wanawake Kupambana Na Ukimwi Kilimanjaro)
Contact person:		Tel:	+255 05 55 2876
Location:	P.O. Box 567, Moshi Moshi, Kilimanjaro, Tanzania	Fax:
		Email:
		Web:
What we do:	Self-help programme; prevention; advice; support; information.

Women's Research and Documentation Project Association (WRDP)
Contact person:		Tel:	+255 514 3500 (ext. 2460) +255 514 35009
Location:	P.O. Box 35108 Dar es Salaam, Tanzania	Fax:	+255 514 3395 / +255 514 3016
		Email:

What we do:	Prevention; advice; support; information.

Zanzibar Association of People with HIV/AIDS (ZAPHA+)
Contact person:		Tel:	+255 242 232 0191 / 74 162 3820
Location:	P.O. Box 1300 Zanzibar, Tanzania	Fax:
		Email:
		Web:
What we do:	Self-help, prevention; advice; support; information.

UN Development Programme, UNDP
Contact person:	Dr Elly Ndyetabura	Tel:	+255 22 211 2799 (ext. 3280)
Location:	P.O. Box 9182 Dar es Salaam, Tanzania	Fax:	+255 22 211 3272
		Email:
		Web:	www.tz.undp.org
What we do:

UNAIDS Country Co-ordinator
Contact person:	Bernadette Olowo-Freers	Tel:	+255 22 213 0350
Location:	P.O. Box 9182 Dar es Salaam, Tanzania	Mobile:	+255 744 30 8797
		Fax:	+255 22 213 9654
		Email:
What we do:	UNAIDS leads, strengthens and supports an expanded response aimed at preventing transmission of HIV, providing care and support, reducing the vulnerability of individuals and communities to HIV/AIDS.

UN Theme Group on HIV/AIDS, Chair
Contact person:	Mrs Louise Setshwaelo, FAO Rep.	Tel:	+255 22 211 3070
Location:	P.O. Box 9292 Dar es Salaam, Tanzania		+255 22 211 3073
		Fax:	+255 22 211 2501
		Email:
What we do:	Supports an expanded response and policy advice on preventing transmission of HIV, providing care and support, reducing the vulnerability of individuals and communities to HIV/AIDS.

Sources:

- The Presidents Emergency Plan for AIDS Relief (PEPFAR)
- The World Bank
- World Health Organization
- United Nations Educational, Scientific and Cultural Organization (UNESCO) Country Profiles
- United Nations Population Division, Department of Economic and Social Affairs. 2005. “World Population Prospects: The 2004 Revision.” New York.
- The Joint United Nations Programme on HIV/AIDS (UNAIDS)

Treatment Map
Adult HIV Prevalence Rate (%):	6.5%
No. Of People living with HIV/AIDS (Dec. 2006)	2 million
No. Of HIV Testing & Counseling Sites:	527
No. Of People in need of ART (Dec. 2006):	420,000
No. Of People On ART (Dec. 2006, NACP):	approx. 54,000 however some areas had yet to report their figures to the NACP at time of update
No. Of Sites Reportedly Distributing ART (Dec. 2006):	200
No. Of People on ART Public Sector:	n/a. While no breakdown exists giving statistics for the public, private and NGO sector exists, the public sector is responsible for 65 percent of healthcare services in Tanzania.
No. Of People on ART Private Sector:	n/a
No. Of People on ART in Non-Governmental Programmes:	n/a
No. Of People Expected to be on ART (2005 End):	n/a
Front Line Drug Regimen (Dec. 2006):	lamivudine + nevirapine + stavudine, also known as Triomune
*PMTCT Regimen (Dec. 2006):	nevirapine, however Tanzania will soon be moving to combination therapy

HIV/AIDS Fund Disbursements:
Total Funds Disbursed By The Global Fund as of Sept. 2006:	US$113,455,337
Total Funds Disbursed By The World Bank Multi-Country HIV/AIDS Programme (MAP) as of Sept. 2006:	US$70 million
Total Funds Disbursed By PEPFAR During 2005 Fiscal Year:	US$108,778,095

Sources:

National AIDS Control Programme (NACP)

Indicators
Demographics (United Nations Population Fund):
Population:	38,329,000
Population aged 15-59:	20,052,000
Urban population:	14,373,000

Under 5 mortality per 1000 births:	164
Male life expectancy:	47 years
Female life expectancy:	49 years
Combined average life expectancy:	48 years
Combined average life expectancy 1975-1980:	52.1 years

Education (UNESCO, 2004):
Males with secondary education as percentage of secondary school-age youths:	n/a
Females with secondary education as percentage of secondary school-age youths:	n/a

Literacy rates (UNESCO, 2004):
Percentage of literate males aged 15 or older:	85.2 percent
Percentage of literate females aged 15 or older:	69.2 percent
Combined literacy rate for aged 15 or older:	77.1 percent

AIDS Programmes

HIV/AIDS Organisations

Treatment Map

Indicators