Differentiated HIV Service Delivery Models in Tanzania

In October 2016, the Government of Tanzania adopted the World Health Organization’s (WHO) Treat All recommendations. The adoption of WHO recommendations, coupled with the Government of Tanzania’s acceptance of the UNAIDS 95-95-95 targets represents a significant commitment to the fight against HIV in Tanzania.

I-TECH Tanzania led a study and generated a mapping report, “HIV Service Delivery Models (SDMs): Mapping HIV Service Delivery Strategies in Tanzania,” which describes the current challenges and successful models of HIV service delivery implemented across the country in 2018. This process helped generate recommendations for the implementation of differentiated HIV care in the country to guide the revision of National Guidelines for the Management of HIV and AIDS.

As part of this effort, I-TECH works closely with the Ministry of Health, Community Development, Gender, Elderly and Children­­ (MOHCDGEC) to develop policy guidelines related to SDMs and support SDMs scale-up nationwide. To support policy interventions and scale-up, I-TECH provides national-level support and training to coordinate SDMs implementation and initiate adoption of differentiated HIV SDMs in different settings. I-TECH provides technical assistance to Regional and Council health management teams and health facilities for scale-up of SDMs tailored to the general population, children, adolescents and other specific population needs. Using a continuous quality improvement approach, I-TECH also actively supports facilities to identify the challenges, needs and   local innovations or solutions so as to improve implementation, with a focus on a categorization of clients to match with appropriate SDMs.