Global Fund – PEPFAR Coordination The Tanzania Example Dr. Fatma Mrisho Chairperson TACAIDS

About TACAIDS TACAIDS is a Government National HIV and AIDS body, established in 2001 and reporting to the Prime Minister. It has HIV and AIDS Coordinating, Policy/Strategy and Resource Mobilization roles.

TACAIDS Mission Provide strategic leadership and coordinate the implementation of a national, multi- sectoral response to HIV/AIDS leading to the reduction of further infections, associated diseases and adverse socio-economic effects of the epidemic..

PEPFAR and GFATM support to HIV/AIDS Program in Tanzania  PEPFAR supports technical assistance for HIV prevention, treatment and care activities as well as health system strengthening efforts  GFATM grants support HIV commodity procurement (especially ARVs), prevention including eMTCT, treatment and care, health system strengthening and OVC support

PEPFAR and Global Fund Investments to HIV/AIDS Global Fund: >US$ 900 million towards HIV and AIDS and HIV/TB PEPFAR: >US$1.9 billion with annual PEPFAR budget >US$345 million

PEPFAR Support Technical assistance:  M&E  costing study and modeling  structural development & communication of TNCM Secretariat (Tanzania CCM)  commodity forecasting, procurement and supply management (PSM)

GF/URT/PEPFAR Collaboration  Jointly working towards the ART universal access in Tanzania (610,000 people on treatment by 2015)  Strengthening PSM systems with funds and expertise for National AIDS Control Program (forecasting, logistics tracking) and Medical Stores Department (tendering, warehousing, distribution)  PEPFAR emergency procurements to avoid stock outs

 A large GFATM HIV grant is due for Phase 2 review: additional US$ 321 million have been requested by Tanzanian Government for years  > 85% of these funds are for ART  All 3 partners are funding ART component.  In May/June 2012 URT/PEPFAR/GFATIM teams have worked actively together on planning, target setting, drug quantification to finalize future HIV grant budget Collaboration in Action

URT Challenges/Partner Support Needed Low capacity of reporting systems for drugs, commodities & supplies Disbursement delays, uncertainties with protracted negotiations Funding cycles that differ from national planning cycles

Thank You