Online Program

CDC approach to strengthening HIV/AIDS service delivery in Tanzania

Monday, November 2, 2015 : 10:50 a.m. - 11:10 a.m.

Michelle Roland, MD, MPH, Centers for Disease Control and Prevention, Dar es Salaam, Tanzania
Michael Washington, PhD, Centers for Disease Control and Prevention, Atlanta, GA
Centers for Disease Control and PRevention (CDC) works at national, regional, district and service delivery levels and collaborates with multilateral agencies including the Global Fund, WHO, UNAIDS and UNICEF. We manage cooperative agreements (CoAgs) with the National AIDS Commission, Ministry of Health, National AIDS Program, National TB Program, and National Institute for Medical Research. To support and sustain quality care, mentorship and supervision at the district and service delivery levels, CDC has transitioned from international to local IPs in our clinical and prevention programs. Working with Government of Tanzania (GOT) and IPs, CDC pioneered medication assisted therapy (MAT) services in Tanzania. We helped develop and now implement comprehensive guidelines for the management of Key Populations

Strengthening the production, deployment and retention of skilled health workers is critical. CDC has taken a lead role in advocating for task sharing policy to enable lower level cadres to safely prescribe antiretroviral therapy and provide male circumcision. We circumcised 382,447 men in 2013, and 553,588 in 2014, a 45% increase.  This would not have been achieved without the training of lower level cadres, and our adverse event rates decreased from 0.24% in 2013 to 0.19% in 2014.  CDC worked with the GOT to construct the first National Health Laboratory and has been integral to it and 4 additional laboratories achieving full accreditation to international standards. We are leveraging resources from the Global Health Security Agenda and other sources to build a system for early infant diagnosis, HIV viral load and outbreak specimen transport.

CDC supports quality data collection and management, monitoring and evaluation, data analysis and use for decision-making.  One IP has trained 255 regional staff in 16 of 33 regions on how to clean and analyze their data, create reports, and give presentations. Additional program areas will be described during the presentation.

Learning Areas:

Administration, management, leadership
Protection of the public in relation to communicable diseases including prevention or control
Provision of health care to the public
Public health administration or related administration
Public health or related public policy

Learning Objectives:
Explain the current state of HIV/AIDS in Tanzania. Describe the PEPFAR approach to strengthening health services delivery in Tanzania. Describe some of the CDC programs aimed to strengthen HIV/AIDS service delivery in Tanzania.

Keyword(s): HIV/AIDS, Health Care Delivery

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I serve as the Country Director for CDC Tanzania and I oversee the overall PEPFAR program for CDC Tanzania. I lead and provide strategic guidance for every day activities for CDC Tanzania.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.