Regional Videoconference: Addressing Stigma and Discrimination of HIV/AIDS in Africa Dar-es-Salaam Tanzania April 2, 2009 Country NAC Logo Organization.

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Regional Videoconference: Addressing Stigma and Discrimination of HIV/AIDS in Africa Dar-es-Salaam Tanzania April 2, 2009 Country NAC Logo Organization Logo

NoGroup2004 (THIS) %2008 (THMIS) % 1National average75.7 2Men Women Urban Rural Zanzibar-0.6 2/13/20142

Prevalence rates reducing Before 2003, women of young ages and men of older ages more likely to be HIV positive, - this is changing Peak age between 30 – 39 years Prevalence varies considerably according to region and between urban and rural areas (from 1.5% to 15.7%)

The Constitution of Republic of Tanzania of 1977 The National Policy on HIVAIDS (2001) The HIV and AIDS (Prevention and Control) Act 2008 Sector tools: Workplace HIV and AIDS Policies Other national/institutional guidelines National Multisectoral Strategic Framework , Health Sector HIV and AIDS Strategy, HBC & VCT Guidelines, National Guide on Stigma & Discrimination Reduction in HIV Programs Country NAC Logo Organization Logo

Based on; 2001, National Policy on HIV/AIDS. guiding the fight against HIV & AIDS Key elements involvement of different sectors Ethics and Regulations re testing Rights and Care for PLHA Formulation of laws Study, reviewing laws re HIV & AIDS T Country NAC Lo go Organization Logo

To develop a system aiming at reducing, preventing, controlling and protecting the rights of people infected with HIV Covering issues such as; National HIV policy Multisectoral responsibilities Counseling (pre&post), Confidentiality, Basic health & social service, Discrimination & Stigmatization, Rights of PLHIV, Country NAC Logo Organization Logo

Zonal Meetings Consolidation of inputs from the Zonal Meetings Drafting of Bill First reading, Parliament Bill passed by the Parliament, Feb President assented the Bill to become Law in Country NAC Logo Organization Logo

Kimara Peer Educators, key NGO in fight against stigma; Involvement in original ICRW research re stigma and discrimination Involvement in development of Understanding and Challenging Stigma Toolkit and 2 chapters related to youth and children and training edutainment activities outreach to local community leaders technical support to other organisations integrate stigma and discrimination programming into ongoing responsibilities Country NAC Logo Organization Logo

PLHIV in Decision & Policy Making National Treatment Plan Committee, National Home Based Care Committee and, Tanzania Commission for AIDS Council Multi-sectorial AIDS Control Committees PLHIV, in service delivery As counselors Home Based Care Experts. Post Test Clubs Country NAC Logo Organization Logo

Three strategic approaches, Pact Tanzania Training of 4,000 + local, religious leaders, service providers, community volunteers using 2 additional chapters, AIDS Allliance Challenging and addressing stigma toolkit Hip hop artistes, anti-stigma songs on CD and DVD, launched in live concerts, with radio and TV Use of high profile and influential Anti-stigma champions, Mama Kikwete, wife of the President of Tanzania Country NAC Logo Organization Logo

Greater recognition, needs meaningful involvement :- a.Change of attitude of Health Service Providers b.Attracting more Public and Private Institutions to implement the GIPA principle c.Attract greater donor response to Prevention, Care Treatment & Support, Positive influence to decision making Country NAC Logo Organization Logo

Involvement in original research, ICRW, findings available Influential leaders the President and First Lady, tested First Lady and US Ambassadors wife, Anti-stigma Champions Africas First Ladies Initiative against HIV/AIDS Media sensitisation to issues Community leaders trained Edutainment eg hip hop music Country NAC Logo Organization Logo

Comprehensive HIV response needed Stigma and discrimination programs should not be stand alone but should be part of existing program Training works Need to involve community leaders Involvement of PLHIV in HIV and AIDS Programming Partnership essential - local leaders, government, research institutions, beneficiaries, donors etc Country NAC Logo Organization Logo

Strengthen networking of PLHIVs Continue to work with influential national, local and religious leaders Continue to disseminate anti-stigma messages via the media and edutainment Evaluate current interventions, develop indicators and improved M&E system, addressing stigma and discrimination In relation to the law; Regulations & Guidelines, supporting implementation of the Law Popularize and disseminate the Act Continue to address all forms of stigma and discrimination in Tanzania Country NAC Logo Organization Logo