The government of the United Republic of Tanzania launched the HIV/AIDS Care and Treatment Plan in October 2003, and since 2004 a rapid roll-out of antiretroviral treatment (ART) has been ongoing. A number of partners have been working with the government of Tanzania in this undertaking, including the governments of Sweden, Canada, Norway, the Netherlands and Japan, along with the US government through the President’s Emergency Plan for AIDS Relief (PEPFAR). Agencies such as the United Nations Development Programme (UNDP), the Joint United Nations Programme on HIV/AIDS (UNAIDS) and the World Health Organization (WHO) have also collaborated with international funding through the Global Fund for AIDS, TB and Malaria (GFATM).
The implementation of care and treatment services at the health facility level has been regionalised, with each partner – AIDS Relief, Elizabeth Glaser Pediatric AIDS Foundation (EGPAF), TUNAJALI (Deloitte/Family Health International), International Centre for AIDS Care and Treatment Program (ICAP), Muhimbili Dar City Harvard (MDH) and Walter Reed – supporting one or multiple regions, and PharmAccess International (PAI) supporting the military and the uniformed forces. To contribute further to Tanzania’s development goals in health, the United States government (USG) has now set transition mechanisms to strengthen health systems and create ownership for sustainability of health programs, particularly HIV care and treatment programs. Most of the implementing partners have collaborated with or established local non-governmental organisations to facilitate the transitions.
Tanzania has benefited from the investment in data collection at care and treatment clinics (CTCs). Through the generous support of various donors (PharmAccess International, PEPFAR, Global Fund for AIDS, TB and Malaria), a rigorous system of routine data collection was initiated to record the patients attending CTCs. Through the years, the systems has been revised to accommodate new or changed recording and reporting obligations from implementing partners, donors and international reporting commitments, such as the Global AIDS Response Progress Reporting (formerly UNGASS) and the Universal Access to HIV services.
The University of Dar es Salaam Computing Centre (UCC) supports database systems, including both the CTC2 database, used at a large number of CTCs, and the CTC3 macrodatabase database at the National AIDS Control Program (NACP). By the end of 2011, Tanzania had more than 1100 health facilities approved to provide care and treatment services, estimated to enable more than 1,000,000 patients to access HIV care services.
Analysis workshops are held biennially to analyse the national CTC data, following which a report is written. In 2010, the second report on CTC services showed the impact of ART on the lives of people living with HIV. The third report is due to be published in 2014; it builds on the second report and provides an update on the impact of ART on people living with HIV, and tackles the further analysis of important data collected by the CTC programme. These reports will become a regular part of the monitoring of the CTC programme, and help policy makers and funders evaluate the program. The workshops are facilitated by LSHTM staff. The reports are available from: