1. NATIONAL HIV&AIDS M&E FRAMEWORK
PP3-10A

2. The National Mandate of TACAIDS
      
The mandate of TACAIDS is to coordinate the national response to the epidemic using the HIV&AIDS national strategic plan ( ) as its operating framework, to foster the involvement of all sectors (i.e. a multisectral response), and to mobilise resources, as per the TACAIDS Act of 2003.

3. Rationale for a National HIV and AIDS M&E System
Tanzania needs to track (to quantify & evaluate) the progress that is being made towards the achievement of the country’s HIV & AIDS response goals & objectives, as defined in the NSP.
The HIV epidemic is relatively new & its future course not yet defined. New interventions are being proposed from time to time, & each must be shown to be effective.
Strong M&E systems are needed to track the changing needs & to monitor the implementation & impact of the new programmes.

4. Development Process of the National HIV and AIDS M&E System
In July 2003, TACAIDS created a national M&E technical working group (M&E TWG) comprising members from all organisations that play a critical role in the monitoring and evaluation of HIV&AIDS activities in Tanzania.
Under guidance of the M&E TWG, the National HIV and AIDS M&E System’s framework & operational plan was developed using a participatory approach.    

5. Goal of Tanzania HIV M&E System
To monitor the spread and impact of the epidemic in mainland Tanzania
To monitor the extent of the HIV response in Tanzania (who is doing what in which area for which target group?)
To evaluate the effectiveness of the national response to HIV (as articulated in NMSF)
USE data for decision making

6. Components of Tanzania’s National HIV M&E System
TACAIDS M&E Unit
Operational Plan
National set of indicators
Data sources
Strategic information flows (up and down)
Information management system
Supervision, auditing, and capacity building

7. TACAIDS M&E Unit
Coordinate M&E activities nationally, including implementation of TOMSHA
Produce quarterly and annual reports

8. Operational Plan
In 2006, TACAIDS released the HIV-MES Operational Plan
Includes a national set of indicators, data sources, information products
Includes a costed Road-Map that serves as an M&E plan for TZ

9. Data Sources Biological HIV surveillance Behavioural HIV Surveillance
Population-based surveillance
Quality of Health-related HIV services
Workplace Survey
Condom quality and condom availability survey
Tanzania Output Monitoring System for HIV and AIDS (TOMSHA)
MoHSW programme monitoring data
MoEVT programme monitoring data
Public Expenditure Review and TACAIDS financial system data
See p.4 of TOMSHA Guidelines

10. National set of indicators
Indicators are aligned with the goals of the NMSF
Indicators cover prevention, HIV treatment, care and support, HIV impact mitigation,and multisectral response

11. Strategic Information Flows
Describes the sources for data needed to report on the national set of indicators
Lays out how information will be collected from other government agencies

12. Information Management System
TACAIDS will create and maintain a national database to house HIV and AIDS data submitted from all government agencies
TACAIDS will produce and disseminate all specified information products

13. Supervision, auditing, and capacity building
TACAIDS M&E Unit and CHACs will provide routine supervision and capacity building to implementers on a quarterly basis
Assess quality of data submitted
Conduct periodic audits of HIV data