HIV/AIDS Assets and Strategic Focus
Since 2001, CDC has worked with the Ministry of Health and Social Welfare (MoHSW) of both the TZ mainland and Zanzibar to support activities for HIV prevention, care and treatment, and to strengthen health systems.
Building Integrated HIV Prevention, Care, and Treatment and TB Services
CDC is supporting government institutions as well as international and local non-governmental organizations (NGOs) to provide antiretroviral therapy (ART) care and support services nationally. CDC works closely with the National Tuberculosis (TB) and Leprosy Program to integrate TB and HIV programs by expanding HIV diagnostic counseling and testing in TB clinics and by having routine screening and treatment of TB among people living with HIV.
CDC supports outreach services for most-at-risk populations, HIV testing and counseling, prevention of mother-to-child HIV transmission, voluntary medical male circumcision, and blood transfusion services.
Strengthening Public Health Systems Capacity
CDC supports lab capacity building in HIV and TB diagnosis, disease staging, therapeutic monitoring, quality assurance, and early infant HIV diagnosis. CDC also supports training epidemiologists, nurses, physicians, laboratorians ,and other clinical and public health staff. And CDC works to improve health data collection and analysis to support planning for the national response to HIV.
In 2004 and 2010 with support from CDC and USAID, TZ conducted demographic and health surveys that documented the impact of expanded HIV services. In 2004, 7%of men and 6%of women reported that they had been counseled and tested for HIV and had received test results. By 2010, this increased to 40% of men and 55%of women. The surveys also indicated a dramatic increase in pregnant women tested for HIV from 9% in 2004 to 75% (projected) in 2011.
ART Treatment Scale UP
CDC has significantly expanded ART services in TZ. In 2004, it was estimated that fewer than 5,000 persons were receiving antiretroviral (ARV) medications. By mid-2011, there were 275,000 persons on ARVs and an additional 250,000 enrolled in pre-ART care.