Resources for Mainstreaming HIV activities in CIM, Tanzania Dr. A. Schrettenbrunner, TGPSH Workshop on Mainstreaming HIV in CIM Tanzania 31 October 2008

Human resources Financial resources Material resources Sustainability ! Resources needed for Mainstreaming HIV

Yourself, trained company HIV coordinators and peer educators in your workplace Local HIV experts from health facilities, LGAs (e.g. RACC), I/NGOs (e.g. PSI, FEMINA) and CSOs (e.g. churches, PLHIV) Specialists from TACAIDS Specialists from MoHSW-NACP HIV trainers from Tanzania Public Service College (TPSC) can be hired by MDAs HIV focal persons from MDAs HIV focal persons in GDC (GTZ, KfW, DED, CIM, InWEnt) HIV trainers from ABCT (Dar, Mbeya, Tanga, Mtwara) HIV experts from UN, bilateral organizations, consultants, academic institutions Human resources for Mainstreaming HIV

Human resources Financial resources Material resources Sustainability ! Resources needed for Mainstreaming HIV

Total Govt plus donor spending on AIDS compares with entire health sector budget Total Govt plus donor spending on AIDS equals over 3% of GDP, and one third of all aid to Tanzania 95% of all AIDS funding is ODA US and Global Fund account for 86% of donor support for AIDS expected in 2007/08 Increase in PEPFAR funding from 200 million USD in 2007 to 300 million USD in 2008 Prevention was just 15% of total combined US and GF expenditures for AIDS in 2006/07 Tanzania successful in GFATM R8, with 500 Mio USD/ 5 yrs HIV/AIDS Funding in Tanzania (2007 HIV/AIDS Public Expenditure Review)

Development Partners – Trend (from TACAIDS - Technical Review, 10/2008)

Some donors not reflected in the chart above are contributing to General Budget Support (GBS) Part of the government contribution to HIV/AIDS reflects GBS Donors supporting GBS are indirectly supporting health sector and other non health MDAs Some of the donors provide technical assistance

HIV/AIDS Fund, pooled arrangement to support NMSF; Govt. Ministries prepare annual MTEF, Budget line objective A refers to HIV TMAP (WB: Tanzania Multisectoral AIDS Programme), ends in 2009; Ministries prepare Procurement Plan, funds released on request through TACAIDS. Achievements: 2057 implementers, including 43 MDAs, 2000 CSOs TASAF (Tanzania Social Action Fund) at council level; succeeding RFAs; funding scheme targeted to district level (councils, CSOs, communities); must go through the district councils Financial resources for Mainstreaming HIV

WB Public Sector Reform Programme (small budget): each Ministry can plan for their own priorities Rapid Funding Envelope (RFE) since 2002; 90 CSOs, very competitive UN and bilateral development partners: Project support (e.g. PEPFAR) and I/NGOs. PEPFAR reaches about 350 prime partners, prime partners have not less than 10 implementing partners each. Private sector (e.g. tea estates, port authority) Financial resources for Mainstreaming HIV

Human resources Financial resources Material resources Sustainability ! Resources needed for Mainstreaming HIV

Print materials (e.g. FEMINA leaflets, fliers, posters) Libraries, on-line journals, e-learning courses Theatre (traditional, theatre-for-development) TV, Films (e.g. DVDs on HIVwww.steps.co.za Websites (e.g. chezasalama.com), Mainstreaming HIV Internet platform Condom supply –Free condoms from Government; recipient MDAs have to request from MoHSW - REPRO unit, →MSD –Condom Social Marketing (PSI, TMARC) Material resources for Mainstreaming HIV

Goal & Objectives of Connect and Learn AIDS Section Website for young people on: where to go if victim of abuse, violence or rape, pregnancy, STI, HIV, need advice on drugs or alcohol First RH and lifestyle website in Swahili and English in the East African Region. Second most visited website (Tanzania All Media Product and Brand Survey 2007) Online discussion forum > 2000 registered users

PSI activities in 2007 (30% funded by German Government) 65 million condoms sold (14% growth over 2006) Condoms in 75% of all villages available Condoms available in ‘hot spots’ (bars, night clubs, pensions) 970 events (video and night shows, theatre) 570 trainings on issues of sexuality and prevention 55 billboards, 145 wall paintings 700 television and 800 radio spots, TV talk & quiz shows Stalls in fairs, exhibitions, concerts, festivals, sport events, beauty contests Brochures in all secondary schools, vocational training centers, colleges, universities, libraries, youth centers