Global Fund dedicates to fight AIDS, TB in Tanzania

03May 2016
Daniel Semberya
The Guardian
Global Fund dedicates to fight AIDS, TB in Tanzania

THE Global Fund to fight AIDS, Tuberculosis and Malaria was founded in 2002 as a partnership between governments, civil society, the private sector and people affected by the diseases.

Chief Party/Programme Director Global Fund Programme in Tanzania, Dr Godwin Asuquo (3rd r), Save the Children’s Country Director, Steve Thorne (3rd l) in a group photo with the four sub recipients (SRs) of the Global Fund grants.

Globally, the Global Fund raises and invests nearly US$4 billion a year to support programmes designed to accelerate the end of AIDS, tuberculosis and malaria as epidemics in more than 140 countries.

The Global Fund partnership strives for maximum impact by challenging barriers and embracing innovative approaches through collaborative efforts. The approach has saved millions of lives and provided critical prevention services.

Speaking last week in Dar es Salaam during the signing ceremony with the four sub recipients (SRs), Chief Party/Programme Director Global Fund Programme in Tanzania, Dr Godwin Asuquo told the Guardian that to address this twin problem, the Global Fund recently approved a grant of USD13 million to support the government efforts for prevention, treatment and support of people suffering from the illnesses or are affected by them.

“This grant is to help in scaling up HIV and TB programmes in Tanzania Mainland, is to cover 14 regions. We will be working with some implementing partners. The 4 sub recipients (SRs) to directly implement the programme intervention include:

Africare; Benjamin William Mkapa HIV Foundation (BMAF); Amref Health Africa, and Management for Development Health (MDH).

“GF does not directly implement programmes on the ground but rather creates strong partnership between government, civil society, the private sector and people affected by the diseases to implement programmes.”

He further noted that the whole idea of signing ceremony signaled the commencement of field implementation by the sub-recipients.
Save the Children Global Fund Programme overview

Save the Children (SC) whose country office is located in Dar es Salaam, began working in Tanzania in 1968, in Zanzibar-moving to the mainland in 1994.

Dr Asuquo noted that in 2015 Save the Children was selected as the Principal Recipient (PR) of the grant in the private sector and will complement the Ministry of Finance as the Principal Recipient in the public sector-through the ministry of health community development, gender, children and elderly in collaboration with key stakeholders: National AIDS control programme (NACP), National TB and Leprosy programme (NTLP) and a host of other.

He said that the project that was supposed to start operations last year was delayed due to some necessary procedures. He therefore commended all key stakeholders who contributed to the process and for their patience in awaiting the signing of the grant.

According to Dr Asuquo, the programme intends to achieve two goals that are in line with the National Strategic Plan for HIV and TB.

The two goals are: Goal one is to achieve universal access to comprehensive HIV prevention, treatment, care and support services in order to significantly minimize the transmission of new HIV. And goal two is to reduce the incidence by 25 percent and mortality by 50 percent of TB and Leprosy by 2020.

He also commends the SRs and government counterparts for their cooperation so far in preparation for the commencement of programme implementation. He has called on the stakeholders to work together, leverage resources and work in line with government’s strategic direction.

Dr Asuquo further stressed the need for meaningful involvement of the beneficiaries and the communities in the implementation, monitoring and evaluation of the programme, and emphasises the need for integrity, prudence, accountability and the delivery of results in a timely manner.
Programme goals

To achieve universal access to comprehensive HIV prevention, treatment, care and support services in order to significantly minimize the transmission of new HIV.

To reduce the incidence by 25 percent and mortality by 50 percent of TB and Leprosy by 2020
Programme objectives

Increased adoption of safer sexual practices (reduced risk behaviours), increased healthier behaviours and increased uptake of comprehensive HIV and AIDS services (prevention, treatment, care and support).

Increased utilisation of condoms during high-risk sex among women and men aged between 15-49 years. 80 percent of all eligible people living with HIV (PLHIVs) are put on and retained on appropriate ART regimen by 2017; increase TB case detection by 30 percent by 2020 from 2013 levels; increased MDR case detection and enrollment for treatment from 17 percent of estimated total cases among those notified to 84 percent by 2020.

And expand TB/HIV collaborative to ensure 100 percent of all TB patients are tested for HIV and 100 percent of HIV patients are screened for TB by 2017.
Output areas

Prevention among general population…combination prevention campaigns targeting sexually active 15yrs and above, couples, youth and other vulnerable groups; prevention programme specifically for MSM, IDUs and sex workers – male/female condoms, lubricants, strengthening peers capacity and groups working in this area, and diagnosis and treatment of STIs for MSMs, IDUs and sex workers.

Others are PMTCT – Prong 1 (Primary Prevention) – with RH/HIV integration, HTC, regular supply of test-kits, mother to mother programmes.
Output areas

TB/HIV collaboration – strengthening both institutional and human resource capacity and coordination; MDR TB – working with the NTBL and engaging the communities and treatment supporters, among others.

Implementing partners

Save the Children through a competitive and transparent process, selected four sub recipients (SRs) to implement HIV/AIDS and TB activities in 14 regions of Tanzania Mainland. The four SRs are Africare, which is cluster 1 implementing in Mbeya, Iringa, Njombe and Ruvuma regions. Benjamin Mkapa HIV Foundation (BFM) which is cluster two and will be operating in Rukwa, Katavi, Tabora and kigoma regions.

Others are AMREF Health Africa, which is cluster three and working in Shinyanga, Simiyu, Kagera and Singida regions; and Management for Development Health (MDH) in cluster four will be implementing in Dar es Salaam, and Dodoma regions.

Commenting after the signing ceremony Benjamin Mkapa HIV/AIDS Foundation (BFM)’s Chief Executive Officer Dr Ellen Senkoro Mkondya, apart from commending GF and Save the Children for that support, she said that the programme was contributing to the national goals of achieving the zero target of HIV/AIDS; reducing transmission, new infections, reducing deaths due to HIV complications and new infections of TB.

“This programme will strengthen the community systems, environment, interms of people living in communities of the 14 regions so that they become more aware of HIV/AIDS; they can increase adherence to the treatments, get access to prevention services to enable them avoid getting TB of people living with HIV/AIDS,” stressed. BMF got 4.2bn/- to implement the programme in the four regions for 22 months.