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TANZANIA HIV/AIDS PROGRESS: SUCCESSES,
CHALLENGES, AND LESSONS LEARNED
Nzovu Ulenga, PhD
Management and Development for Health (MDH)
Management and Development for
Health (MDH)
Management and Development for
Health (MDH) is an independent
Tanzanian public health NGO
currently supporting over 500,000
HIV patients in Tanzania
Established by Harvard School of
Public Health in partnership with
Muhimbili University of Health and
Allied Sciences, and Dar es Salaam
Region, with support from Track 1
PEPFAR Funding
Vision: A healthy and prosperous
society
Mission: To support, promote and
address public health priorities
through evidence based and
innovative interventions in
collaboration with the government,
partners, stakeholders and the
community
HIV PREVALENCE IN TANZANIA
Source: NBS Tanzania HIV Impact Survey 2016 – 2017 & UNAIDS
•HIV prevalence in Tanzania is estimated at 5.1%
•Women aged 15 to 49 HIV prevalence 5.7 %
•Men aged 15 to 49 HIV prevalence 3.5 %
•Young women HIV prevalence 2.2 %
• Young men HIV prevalence 1.2%
Adults and children 72 000
Adults aged 15 and over 64 000
Women aged 15 and over 36 000
Men aged 15 and over 27 000
Children aged 0 to 14 8600
HIV incidence per 1000 population (adults 15-49) 2.5%
HIV incidence per 1000 population (all ages) 1.41 %
New HIV infection
PEOPLE LIVING WITH HIV IN TANZANIA
Source: NBS Tanzania HIV Impact Survey(THIS) 2016 – 2017 and UNAIDS
People living with HIV 1 600 000
People living with HIV who know their status 1 200 000
Percent of people living with HIV who know their
status
78%
People living with HIV who are on ART 1 100 000
Percent of people living with HIV who are on ART 71%
People living with HIV who have suppressed viral loads 960 000
Percent of people living with HIV who have
suppressed viral loads
62%
ART COVERAGE IN TANZANIA
• Adults and children 71%
• Adults aged 15 and over 72%
• Women aged 15 and over 82%
• Men aged 15 and over 57%
• Children aged 0 to 14 65%
2015 2016 2017 2018
HIV Positives identified 260,435 322,689 282,075 286,159
HIV positives staring
ART 169,231 218,303 251,600 269,412
Pregnant women who receive ARV for PMTCT 93%
Pregnant women who received ARV for PMTCT (#) 76 967
Pregnant women needing ARV for PMTCT (#) 83 000
HIV Early Infant Diagnosis (HEID) (%) 47%
Treatment coverage
Elimination of Mother to Child Transmission
Increased HIV identification and linkage to care
(with 89% VL suppression)
Source: UNAIDS, NACP
HIV prevalence among adults
0
1
2
3
4
5
6
7
8
9
Women
Overall
Men2002 2007 2012 2017
DECREASING HEID POSITIVITY RATE AND
HIV PREVALANCE AMONG ADULTS
0.0%
2.0%
4.0%
6.0%
8.0%
10.0%
12.0%
14.0%
Y2011 Y2012 Y2013 Y2014 Y2015 Y2016 Y2017 Y2018
PositivityPercent
HEID Positivity Rate
Percent
Thank you!

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Nzovu Ulenga, Tanzania HIV/AIDS Progress: Successes, Challenges, and Lessons Learned

  • 1. TANZANIA HIV/AIDS PROGRESS: SUCCESSES, CHALLENGES, AND LESSONS LEARNED Nzovu Ulenga, PhD Management and Development for Health (MDH)
  • 2. Management and Development for Health (MDH) Management and Development for Health (MDH) is an independent Tanzanian public health NGO currently supporting over 500,000 HIV patients in Tanzania Established by Harvard School of Public Health in partnership with Muhimbili University of Health and Allied Sciences, and Dar es Salaam Region, with support from Track 1 PEPFAR Funding Vision: A healthy and prosperous society Mission: To support, promote and address public health priorities through evidence based and innovative interventions in collaboration with the government, partners, stakeholders and the community
  • 3. HIV PREVALENCE IN TANZANIA Source: NBS Tanzania HIV Impact Survey 2016 – 2017 & UNAIDS •HIV prevalence in Tanzania is estimated at 5.1% •Women aged 15 to 49 HIV prevalence 5.7 % •Men aged 15 to 49 HIV prevalence 3.5 % •Young women HIV prevalence 2.2 % • Young men HIV prevalence 1.2% Adults and children 72 000 Adults aged 15 and over 64 000 Women aged 15 and over 36 000 Men aged 15 and over 27 000 Children aged 0 to 14 8600 HIV incidence per 1000 population (adults 15-49) 2.5% HIV incidence per 1000 population (all ages) 1.41 % New HIV infection
  • 4. PEOPLE LIVING WITH HIV IN TANZANIA Source: NBS Tanzania HIV Impact Survey(THIS) 2016 – 2017 and UNAIDS People living with HIV 1 600 000 People living with HIV who know their status 1 200 000 Percent of people living with HIV who know their status 78% People living with HIV who are on ART 1 100 000 Percent of people living with HIV who are on ART 71% People living with HIV who have suppressed viral loads 960 000 Percent of people living with HIV who have suppressed viral loads 62%
  • 5. ART COVERAGE IN TANZANIA • Adults and children 71% • Adults aged 15 and over 72% • Women aged 15 and over 82% • Men aged 15 and over 57% • Children aged 0 to 14 65% 2015 2016 2017 2018 HIV Positives identified 260,435 322,689 282,075 286,159 HIV positives staring ART 169,231 218,303 251,600 269,412 Pregnant women who receive ARV for PMTCT 93% Pregnant women who received ARV for PMTCT (#) 76 967 Pregnant women needing ARV for PMTCT (#) 83 000 HIV Early Infant Diagnosis (HEID) (%) 47% Treatment coverage Elimination of Mother to Child Transmission Increased HIV identification and linkage to care (with 89% VL suppression) Source: UNAIDS, NACP
  • 6. HIV prevalence among adults 0 1 2 3 4 5 6 7 8 9 Women Overall Men2002 2007 2012 2017 DECREASING HEID POSITIVITY RATE AND HIV PREVALANCE AMONG ADULTS 0.0% 2.0% 4.0% 6.0% 8.0% 10.0% 12.0% 14.0% Y2011 Y2012 Y2013 Y2014 Y2015 Y2016 Y2017 Y2018 PositivityPercent HEID Positivity Rate Percent