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National Multi-Sectoral Strategic Framework on HIV/AIDS 2003-2007

Tanzania Commission for HIV/AIDS, T. (2003) National Multi-Sectoral Strategic Framework on HIV/AIDS 2003-2007. UNSPECIFIED. (Unpublished)

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Tanzania is facing a major threat to the survival of its people and the development chances of the nation from a concentrated and generalised HIV /AIDS epidemic. More than two Million people are estimated to be living with HIV /AIDS in 2002. The President of Tanzania has declared the epidemic a “National Disaster”. The National Multi-Sectoral Strategic Framework (NMSF) on HIV / AIDS will translate the National Policy of HIV/AIDS by providing strategic guidance to the planning of programmes, projects and interventions by various stakeholders in the fight against HIV/AIDS. It spells out the basic approaches and principles which guide the National Response and identifies goals, objectives and strategies for the period 2003 – 2007. The NMSF will guide all future programmes and interventions by the different stakeholders. It also contains a Monitoring and Evaluation System to measure progress towards the goals as well as the institutional / coordination and financial frameworks of the National Response. The NMSF builds on two elements: the dynamics and determinants of the HIV / AIDS situation (Chapter 2) and the achievements of the past and experiences gained in fighting the epidemic in the last 16 years (Chapter 3). Despite substantial efforts by the Government of Tanzania and its Development Partners since 1986 when the National AIDS Control Programme ( NACP) and the first Short-term Plan against HIV /AIDS were established, HIV prevalence rates continue to rise in nearly all parts of the country. The epidemic is still mainly driven by (hetero-) sexual transmission of the virus. Young girls and women are especially vulnerable to HIV. The biological and cultural / economic vulnerability of girls and women in general limit their possibilities to defend themselves against male pressure sometimes even forceful or to resort to other than sexual survival strategies for themselves, their children and families. Poverty which is still widespread in the country reduces the possibilities of larger segments of the population to have access to correct and continuous information and education about sexual health matters and medical services for treatment of Sexually Transmitted Infections (STIs). At the same time, poor resources limit the capacity of the public sector to safeguard the health of the population and provide sufficient education and social services to its people. Poverty also limits the economic safety-nets, to provide support to individuals, families and communities hard hit by the impact of the epidemic.
Although it is difficult to establish the impact of HIV / AIDS in different sectors of society, economy or for the overall development, there is sufficient evidence that the impact of AIDS is already felt in many if not most sectors of society. This is especially apparent in the health and education sectors, but also private and business enterprises feel the impact due to higher morbidity and mortality among their workforces. Due to the increase in child and adult mortality caused by AIDS, life expectancy at birth in 2010 is supposed to be nearly ten years lower than it would have been in the absence of AIDS1. The impact of the National Response to the epidemic in the last 16 years is difficult to assess. Although the different Short-term and Medium-term plans between 1986 and 2002 were guided by national experiences and internationally recommended prevention and control strategies, their combined efforts failed to reverse the trend of the epidemic at national level.Past efforts spearheaded by the Ministry of Health and its National AIDS Control Programme (NACP) were constrained by structural factors: low implementation rate; lack of human and financial resources; inadequate capacity of the implementing institutions; excessive bureaucracy and centralisation; insufficient coordination; and limited integration of development partner activities.In spite of this, important and valuable achievements have been made in nearly all areas of HIV /AIDS prevention and control providing as basis for the consolidation and expansion of the National Response.2
Two major achievements of recent years need to be noted; The elaboration and approval of a National Policy on HIV / AIDS (November 2001), and The creation through an act of Parliament (2001) of the Tanzania Commission for AIDS (TACAIDS), a new body to lead the multi-sectoral National Response under the Prime Minister’s Office. Furthermore, past experiences at regional level have demonstrated that capacities exist to curtail the dynamic of the epidemic and, eventually to reverse the trend.

Item Type: Other
Subjects: HIV > Prevention
Divisions: Tanzania Commission for AIDS
Depositing User: Mr Joseph Madata
Date Deposited: 04 Sep 2012 07:58
Last Modified: 04 Sep 2012 07:58

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