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2017-2018 mid year review UNDAP II Joint Workplan (JWP)

2017-2018 mid year review UNDAP II Joint Workplan (JWP). HIV OUTCOME GROUP. Major changes identified. National priorities

Jimmy
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2017-2018 mid year review UNDAP II Joint Workplan (JWP)

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  1. 2017-2018 mid year review UNDAP II Joint Workplan (JWP) HIV OUTCOME GROUP

  2. Major changes identified • National priorities • Findings from the Tanzania HIV Impact Survey (THIS) released in Dec 2017 will support strategic directions to be developed early 2018 for the next National Multisectoral HIV Strategic Plan (2018/2021) NMSF IV • Scale up of ART treatment and Viral Load monitoring efforts for all PLHIV including for children who have only 18 % viral load suppression. • Urgent need for improved HIV testing efforts with only 52% of all PLHIV knowing their HIV status • Heightened Govt emphasis on adolescents and young people (40% of all new HIV infections in the country occur in the 15-24 age group with women in the younger age groups having prevalence more than double that of males in the same age groups ) is aligned with OG JWP. • Move to Dodoma requires a number of travels (with time and resource implications) to interact with Govt officials. The establishment of the UN office will help facilitate smooth transition. • Development of Operational plan of HSHSP IV, new national eMTCT plan approved and national condom strategy launched

  3. Major changes identified - cont • Partnerships • Successful development of the fundraising request of the Global Fund for 2018-2020 ($400 million for HIV for Mainland and $4 million for HIV for Zanzibar) and grant making process, incl through TA provided to Govt and Principal Recipients. • Renewed engagement of the HIV Parliamentary Committee on HIV • Launch of the Health Data Collaborative (HDC) in Tanzania -  joint effort by multiple global health partners to work alongside countries to improve the quality of their health data and to track progress toward the health-related Sustainable Development Goals. HDC aims to establish One Monitoring and Evaluation Framework for the Health Sector of the Government of Tanzania • NGO-government partnerships to scale up access to HIV services for adolescents living with HIV from 40 to 80 sites in mainland and strengthened community based support for children and adolescents living with HIV in all districts of Zanzibar • Stronger engagement with PEPFAR Country Operational Planning processes • New partnership secured with local NGO to create demand for cervical cancer screening/treatment services among women living with HIV (as WLHIV 4 to 5 more likely to develop cervical cancer) • New partnership signed with Star Times Media to be leverage to keep HIV high on the national agenda. • Successful UNAIDS EXD visit to renew GoT political commitment and engagement with Development Partners – Vice President (Mainland) and Zanzibar First Lady to champion eMTCT

  4. Major changes identified - cont • Funding status

  5. Challenges/bottlenecks/WAY FWD • Funding • Resources constraints, with some of the UN planned activities still not funded, continue to pose a challenge and implementation of HIV policies and plans continues to be limited. OG would welcome funding from One Fund. • Systematic inclusion of refugees into the national HIV program" co funded by GF and PEPFAR : Currently we receive the commodities (excluding OI treatments from government channel). However, there are gaps and breakdowns of this supply channel in terms of quantity, availability and continuity. UN agencies also trying to procure test kits to mitigate the gaps. Regional medical team is working on to see how best they can improve this situation through integrating in to national services. UNAIDS, in collaboration with UNHCR and UNICEF, is seeking to join the Kigoma Joint Programme to ensure HIV technical support is provided for refugees and host communities, in particular to engage young people (10–24 years) in refugee camps given their special HIV related prevention and response needs, and to ensure access and adherence to treatment for all living with HIV. • M&E/reporting • Data quality and timeliness continue to be an issue in all HIV interventions of the JWP. Different reporting systems add to the challenges of harmonizing the various sources of data. Continued efforts to strengthen the M&E systems and capabilities is planned over 2017/2018l, including through the Health Data Collaborative. • Human resources • UNAIDS is exploring hiring a national staff in the Liaison Office to accelerate its leadership/coordination/partnership functions as part of the Fast Track agenda. • Coordination • TACAIDS led national technical working groups require continued strengthening and duplication of coordination fora to be avoided. Regional Coordination in high prevalence areas also to be further strengthened • Other • Key populations and civil society engagement is challenging • Negative gender norms continue to drive new HIV infections in girls and young women and lead to poor health outcomes in men

  6. Proposed changes to JWP • None

  7. Outcome Group (OG) Review • HIV OG is a model OG due to uniqueness of UNAIDS as only joint cosponsored programme in the UN system. • Successes • Development of the first UNAIDS UBRAF country envelopes proposals to ensure country focus (US$1.4 million for 2018/2019) and joint delivery • Challenges and bottlenecks • TACAIDS (AIDS Commission) is included in HIV OG Mainland but NACP (AIDS Control Programme) is not participating. • ZAC, ZIHTLP, and CSO (ZAYEDESA and ZAPHA+) are active in HIV OG Zanzibar, and main HIV Implementing Partner in Zanzibar (THPS) to join the OG. Important that programme reviews for GF, USG and UN funded initiatives are streamlined into one forum and reviewed comprehensively given the epidemiological context.

  8. Outcome Group (OG) Review - CONT • Lessons learned • Joint annual activity workplans/budgets (for Mainland and for Zanzibar) are developed and are essential tools to identify synergies and potential overlap between agencies. • Partnerships • Need active participation from all cosponsors in OG Mainland, and from more cosponsors (specially with local presence) in OG Zanzibar. • Way fwd • More frequent invitation of relevant external partners (incl CSOs) to OG meetings and programmatic thematic discussions and exchanges (incl related to GF and PEPFAR funded interventions) in OG meetings

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