Harmonization and Alignment of aid for HIV/AIDS in Tanzania

1
Harmonization and Alignment of aid for HIV/AIDS
in Tanzania

• Dr J. Temba
• Director of Policy and Planning
• Tanzania Commission for AIDS

2
Introduction

• The Government of Tanzania has made considerable
  efforts to galvanize and lead donors and partners
  around its National strategies. The Government in
  collaboration with donors and partners has
  developed the Joint Assistance Strategy (JAS) and
  the National Strategy for Growth and Reduction of
  Poverty (NSGRP) popularly known as MKUKUTA to
  guide national development process.

3
Partnership in National Response to HIV/AIDS

• Since the scale up of the National response
  Tanzania has enjoyed strong commitment and
  partnership with development partners.
• This has facilitated planning, coordination and
  harmonization of resources and interventions

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Strategic Coordination and Harmonization
Instruments

• 1. Tanzania Commission for AIDS (TACAIDS) was
  established by Act of Parliament in 2001 to
  provide Strategic leadership and coordination,
  resource mobilization, advocacy and ME.
• TACAIDS is the main oversight tool for
  coordinated national response to ensure coverage
  of all thematic areas in a balanced manner.

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Strategic Coordination and Harmonization
Instruments

• 2. National policy on HIV/AIDS (2001) provides
  the general guide for national response.
• 3.Nat. Multisectoral Strategic Framework for
  HIV/AIDS (2003 -2007) outlines priority
  objectives, targets, interventions and indicators
  as a guide to planning of programmes and
  interventions by various stakeholders.

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Strategic Coordination and Harmonization
Instruments .

• 4.The National Monitoring and Evaluation
  Framework (2004) that provides guidelines and
  tools for ME at all levels.
• 5.The MOU between the Govt and Development
  partners (DP) that the DPs will JOINTLY support
  the implementation of the NMSF in Planning,
  Resource mobilization and Monitoring and
  Evaluation.

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Strategic Coordination and Harmonization
Instruments .

• 6. Development Partners Group on HIV/AIDS
  (DPGAIDS). This provides forum for the members to
  consult and agree on the most appropriate ways to
  support the national response process.
• 7. Regular Joint DPGAIDS/TACAIDS consultative
  forum for sharing information on progress in the
  national response and priorities in next steps,
  every other month.

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Strategic Coordination and Harmonization
Instruments .

• 8. Tanzania National Coordinating Mechanism
  (TNCM) which was formed in 2005 by restructuring
  the Global Fund CCM to expand coordination of
  resources to include resources from other sources
  for HIV/AIDS, TB and malaria and any health
  related emergency requiring multisectoral action
  Global Fund, PEPFAR, TMAP

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Strategic Coordination and Harmonization
Instruments .

• Members of the Executive Committee of TNCM
  includes the following
• P S PMO Chair
• PS MOH, MOF, RALG.
• DPs Chair DPGAIDS, USG, UN
• CSOs, FBOs (2), PLHAs (2), Academia, Private
  sector (AIDS Business Coalition), Workers Union
  and Media.

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Strategic Coordination and Harmonization
Instruments .

• The Ministry of Health coordinates the partners
  in the implementation of the Care and Treatment
  Plan Govt. PEPFAR, Axios, JICA, AMREF, CSSC, to
  facilitate harmonization, geographical and
  thematic coverage.- (ART. VCT, PMTCT, HBC, Blood
  safety, training of h/workers, etc)

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Lessons learnt creating conducive environment

• Government commitment
• National lead authority and coordinator
• National Policy and Strategy
• Commitment and agreement within the DPGAIDS in
  joint support.
• Regular consultations, sharing information and
  transparency
• Accommodate and align newcomers
• Joint responsibility for results

12
Challenges

• Some DPs do not channel funds through the agreed
  mechanism
• Different budget cycles
• Uncertainty about future funding
• Different reporting formats

13
Next steps

• Consultations are ongoing between Government and
  development partners to pool funds for HIV/AIDS
  in the MOF