TANZANIA NATIONAL COORDINATION MECHANISM

GLOBAL FUND TO FIGHT AIDS, TUBERCULOSIS AND MALARIA

CALL FOR EXPRESSIONS OF INTEREST TO PARTICIPATE IN THE COUNTRY COORDINATED PROPOSAL FOR GLOBAL FUND ROUND 10

Background

Tanzania has had considerable success in accessing financial resources from the Global Fund for HIV/AIDS, TB and Malaria (GFATM). Several GFATM grants finance vast of interventions for the HIV/AIDS, TB and Malaria in the country. They include:

•          Round 1: HIV/AIDS and Malaria/RCC

•          Round 3: HIV/AIDS and TB collaborative activities

•          Round 4: HIV/AIDS and Malaria

•          Round 6: TB

•          Round 7: Malaria

•          Round 8: HIV/AIDS and Malaria

•          Round 9: Malaria and HSS

Tanzania has decided to prepare a Country Coordinated Round 10 proposal for submission to the Global Fund for disease components of HIV/AIDS and TB The Proposed Focused Areas are as follows;

HIV/AIDS

I.                   Comprehensive PMTCT approach;

Towards achieving the Health Millennium Development Goals (MDGs) 4, 5 and 6; and also to respond to UNAIDS call for virtual elimination of MTCT of HIV by 2015; which can be achieved through universal coverage with comprehensive package of services with the following targets:

1.      Mother to child transmission: 90% reduction in estimated number of new infant infections and transmission rate under 5%

2.      HIV- free survival: At least 90% of all infants born to women living with HIV alive and HIV uninfected to the age of 2 years

3.      Treatment: At least 80% of eligible pregnant women living with HIV are receiving antiretroviral treatment for their own health

4.      Family planning (FP): 50% reduction in unmet need for FP across all women or all women living with HIV in high-burden countries for PMTCT and

5.      Primary prevention: 20% reduction in HIV incidence among women 15-24 years

The PMTCT of HIV covers a package of interventions summarized in 4 Prongs which should be implemented simultaneously:

·         Prong 1; Primary prevention of HIV infection among women of childbearing age

ü  Testing and counselling promotion including raising awareness on where to access VCT and STI screening services; Wrap around prevention services in HIV testing services

ü  Improving condom access for couples and cohabiting partners

ü  Behavioural prevention interventions linked to reproductive services

ü  Approaches to prevention interventions (biomedical, behavioural and structural interventions) targeting couples and pregnant women and their partners

ü  Life skills training to raise awareness on PMTCT for young women and adolescent girls

ü  Effective existing PITC for all women of childbearing age

ü  Existence of effective ANC services

 ·         Prong 2; Preventing unintended pregnancies among women living with HIV

ü  Integration of sexual and reproductive health services

ü  Integration of HIV testing in FP services, and vice versa

 ·         Prong 3; Preventing HIV transmission from a woman living with HIV to her infant

ü  HIV testing and counselling for pregnant women and their partners

ü  ART for eligible mothers and antiretroviral prophylaxis for mothers and infants to prevent HIV transmission. The Global Fund supports the new WHO recommendation to switch from single-dose nevirapine to more effective prophylactic treatment, namely dual (nevirapine + AZT) and triple therapy (HAART) regimen

ü  Clinical and immunological (CD4) assessment to determine the eligibility of mother for ART

ü  Safe delivery interventions

ü  Support and counselling for infant and young child feeding, and support for mothers in the context of HIV

ü  Other wrap around interventions to improve outcomes-nutrition intervention including haemoglobin screening, iron and foliate prophylaxis, TB prevention treatment, malaria prophylaxis, syphilis screening and treatment

 ·         Prong 4; Providing appropriate treatment, care and support to mothers living with HIV and their children and families.

ü  Early HIV diagnosis for children and treatment for infected babies

ü  ART for eligible women living with HIV Counselling and interventions to fight stigma and discrimination through community involvement

 The integration of PMTCT, Maternal and Child Health (MCH) and Sexual and Reproductive Health (SRH) and Rights Services will facilitate and enhance the achievement of Universal Coverage.

II.                Most at Risk Population (MARPs);

Global Fund has dedicated reserve for Round 10 proposals focusing only on HIV/AIDS MARPs

Tuberculosis

1.      Achieve universal access to quality TB diagnostics and patient-centred treatment

2.      Pursue high-quality DOTS expansion with special emphasis on paediatric TB and active TB case finding

3.      Promote community and stakeholders participation in TB control and prevention emphasizing on ACSM

4.      Strengthening collaborative TB/HIV activities with special focus to three Is (Intensified case finding, Isoniazid Preventive Therapy and Infection control)

5.      Strengthened TB laboratory network and diagnostic tools

6.      Strengthened the response and management of MDR and X-DR TB in the country

7.      Infrastructure development for effective TB and TB/HIV control and prevention

Expressions of Interest

To allow wide participation of stakeholders, TNCM invites interested organizations to contribute ideas for country proposal development and express their interest to participate in the implementation by submission of well written Concept Note.

The Concept Note, of a maximum of 5 pages, should provide the following information:

1. Name, registration status and contact information of the organization
2. Focus area (s) of interest and description of potential activities for the proposal
3. Organization capacity to supervise and implement the proposed activities (both Technical and Financial Management Capacity)
4. Indicative position the Organization prefers (Principal Recipient, Lead Sub Recipient or Sub Recipient)
5. Experience in implementing Global Fund activities or donor funded projects

Deadline for Submission:

The Concept Notes should reach TNCM Secretariat before 15:30 hours Saturday 18^th July 2010. Submissions should be made to:

Executive Chairman

TACAIDS Office, Old Boma, Morogoro/Sokoine Road

PO Box 76987, Dar es Salaam.

Electronic submissions can be made to

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