1. Tanzanian German Programme to Support Health Access to quality SRH/ HIV services Susanne Pritze-Aliassime/ Frederick Minja/ Bettina Utz/ Sabine Gellert

2. 2 Indicator - (ref.to the current implementation agreement Access to quality SRH/ HIV services is reflected in the Component objective 1, but does not have its own indicator Component objective 1: Women and men in the programme regions increasingly adopt preventive behaviour, use the improved information and services on sexual and reproductive health (incl. HIV/AIDS) and know and claim their rights. 18 November 2015The Sexual and Reproductive Health and Rights and HIV/AIDS Component

3. 3 Approach Access to Quality SRH/HIV Services incorporates various approaches, being implemented at different levels of the health system and focussing on specific geographic programme areas advocate and provide capacity building for skilled facility based deliveries Improve the efficiency and effectiveness of SRH/HIV/Aids prevention and service provision by linking these services Built capacity to take into account specific needs of young people when using health services (youth friendly services) Strengthen male involvement in sexual and reproductive health service delivery Built capacity to improve the scope of SRH service provision (fistula surgery, cervival cancer screening, post abortion care) 18 November 2015The Sexual and Reproductive Health and Rights and HIV/AIDS Component

4. 4 Activities Curricula development for joint training on linking SRH/HIV prevention and services Advising on the adaptation of guidelines, curricula, supervision tools in regards to linking SRH/HIV Supportive supervision to strengthen MNCH services On the job training in Emergency Obstetric care Capacity building in simple fistula surgery Capacity building in cervical cancer screening through low cost screening techniques (visual inspection and freezing pre-cervical carcinoma) Capacity building to improve responsiveness of health facilities to the needs of adolescents in regards to SRH/HIV/Aids 18 November 2015The Sexual and Reproductive Health and Rights and HIV/AIDS Component

5. 5 Challenges At TGPSH level Few financial programme resources for scaling up the implementation of activities, that remain punctual New team which still has to define clear roles and responsabilities to complement each other At national, regional, district level Insufficient human (only 40% available) and material resources and frequent rotation/absence of staff Poor management capacity at all levels leading to losses in efficiency 18 November 2015The Sexual and Reproductive Health and Rights and HIV/AIDS Component

6. 6 Next steps Support planning and implementation processes in regards to linking SRH/HIV prevention and service provision Advocate, provide information and promote the rights of men and women in regards to quality SRH/HIV services Support scaling up of interventions that improve the utilisation of SRH/HIV services by men and women 18 November 2015The Sexual and Reproductive Health and Rights and HIV/AIDS Component