Country Spotlight: Tanzania

Country Overview

HIV is the sixth leading cause of death in Tanzania, affecting approximately 1,500,000 people. HIV prevalence disproportionately affects women in this country and has left hundreds of thousands’ of children ages 0-17 orphaned. Tanzania has the third highest number of HIV-positive children in sub-Saharan Africa.

Our Work in Tanzania

The Elizabeth Glaser Pediatric AIDS Foundation (EGPAF) began supporting HIV and AIDS programming in Tanzania in 2003 and established a country office in 2004. EGPAF is now supporting HIV prevention and care services at over 1,500 health facilities and care and treatment services at 151 health facilities in the country. We provide integrated maternal, newborn and child health (MNCH) and prevention of mother-to-child transmission of HIV (PMTCT) services in eight regions on mainland Tanzania; HIV care and treatment services in four regions on mainland; and home-based care in six regions on mainland and Zanzibar.

EGPAF supports Tanzania’s Ministry of Health and Social Welfare at all levels of the health system to increase the effectiveness of the national HIV and AIDS program. We advocate for the development of policies that facilitate greater access to prevention, care and treatment services and support those affected by HIV and AIDS. EGPAF works closely with communities to increase awareness of pediatric AIDS, reduce stigma and ensure community involvement in scaling up HIV services. We also carry out operations research to evaluate and inform high quality HIV and AIDS programs. Through program implementation, research and advocacy activities, EGPAF-Tanzania is working to eliminate HIV infection in children and to increase access to comprehensive, high-quality, and well-integrated PMTCT and care and treatment services among HIV-positive pregnant women, children, and their families.


Key Projects in Tanzania

Implementation of Programs for the Prevention, Care, and Treatment of HIV/AIDS (CDC/PEPFAR)

(2011 - 2016) The goal of this project is to reduce the morbidity and mortality of adults and children living with HIV, and to improve the lives of children and their families affected by HIV. This project works to expand access to HIV/AIDS care and treatment and quality laboratory services; strengthen the quality and accessibility of pediatric HIV/AIDS care service; and strengthen the capacity of local organizations and district authorities in the provision and coordination of HIV care. In addition to support for facility-based services, the project aims to increase: access of HIV-infected individuals to a comprehensive package of community-based basic care and support services; the number of HIV-infected or affected children receiving palliative care and basic supportive services; and the capacity of districts and care and treatment clinics to utilize data for program management, quality assurance and improvement, strategic decision making.

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(2012 - 2016) The overall vision of the LIFE Program (Linking Initiatives for the Elimination of Pediatric HIV) is the virtual elimination of pediatric HIV infection in the program's focus regions of Arusha, Geita( 2 districts), Kilimanjaro, Lindi, Mtwara, Shinyanga, Simiyu  and Tabora, , while the Home Based Care program is implemented in collaboration with Pathfinder International and Tanzania  Red Cross Society in Mwanza, Pwani, and on Zanzibar. The Home Based Care program implemented in Mtwara and Lindi is directly coordinated by EGPAF. The program's goal is to increase the quality, efficiency, and cost-effectiveness of comprehensive HIV and AIDS services, and to ensure a sustainable and locally-owned response. This goal will be achieved through three strategic objectives: (1) increase access to integrated, quality, and comprehensive PMTCT, MNCH, and community-based HIV and AIDS services; (2) strengthen linkages and referral networks across service delivery points, and facility and community-based services to improve services and ensure a continuum of care; and (3) ensure sustainability through a strengthened health system and through the transfer of capacity, management, and oversight of activities to the local government and other local institutions.

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SAFI Study: Supporting Attendance for Facility Delivery and Infant Health (HIVCore/USAID)

(2011 - 2016) With funding from HIVCore, the United States Agency for International Development (USAID) and leadership provided by the Population Council, EGPAF is conducting a mHealth operational research study to assess the effectiveness of a mobile phone application providing SMS appointment reminders and health messaging alone, or in a combined intervention providing transport reimbursement.  Outcomes include adherence to antenatal and postnatal visits and facility delivery among HIV positive and HIV negative women, and uptake of early testing of exposed infants among HIV positive women.

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Country Fact Sheet: Tanzania

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Technical Report: Tanzania Program 2014 Annual Report

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Program Brief: The Elizabeth Glaser Pediatric AIDS Foundation Affiliate Model (2014)

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Strengthening Health Systems for a Sustainable HIV Response in Tanzania

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The Linking Initiatives for Elimination of Pediatric HIV (LIFE) Program

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