Regional Videoconference: Addressing Stigma and Discrimination of HIV/AIDS in Africa Dar-es-Salaam...

Regional Videoconference: Addressing Stigma and Discrimination of HIV/AIDS in

AfricaDar-es-Salaam

TanzaniaApril 2, 2009

Country NAC Logo Organization Logo

No Group 2004 (THIS) % 2008 (THMIS) %

1 National average 7 5.7

2 Men 6.3 4.7

3 Women 7.7 6.8

4 Urban 10.9 8.7

5 Rural 5.3 4.7

6 Zanzibar - 0.604/10/23 2

Prevalence rates reducing Before 2003, women of young ages and men

of older ages more likely to be HIV positive, - this is changing

Peak age between 30 – 39 years Prevalence varies considerably according to

region and between urban and rural areas (from 1.5% to 15.7%)

The Constitution of Republic of Tanzania of 1977 The National Policy on HIVAIDS (2001) The HIV and AIDS (Prevention and Control) Act

2008 Sector tools: Workplace HIV and AIDS Policies Other national/institutional guidelines

◦ National Multisectoral Strategic Framework 2008-2012, ◦ Health Sector HIV and AIDS Strategy, ◦ HBC & VCT Guidelines, ◦ National Guide on Stigma & Discrimination Reduction in

HIV Programs


Based on; 2001, National Policy on HIV/AIDS.

◦guiding the fight against HIV & AIDS

Key elements ◦involvement of different sectors ◦Ethics and Regulations re testing ◦Rights and Care for PLHA ◦Formulation of laws• Study, reviewing laws re HIV & AIDS

T

Country NAC Lo go Organization Logo

To develop a system aiming at ◦ reducing, preventing, controlling and protecting the

rights of people infected with HIV

Covering issues such as; ◦ National HIV policy ◦ Multisectoral responsibilities ◦ Counseling (pre&post), ◦ Confidentiality, ◦ Basic health & social service, ◦ Discrimination & Stigmatization, ◦ Rights of PLHIV,


Zonal Meetings Consolidation of inputs from the Zonal Meetings

Drafting of Bill First reading, Parliament Bill passed by the Parliament, Feb. 2008

President assented the Bill to become Law in 2008.


Kimara Peer Educators, key NGO in fight against stigma;

Involvement in original ICRW research re stigma and discrimination

Involvement in development of “Understanding and Challenging Stigma Toolkit” and 2 chapters related to youth and children and training

“edutainment” activities

outreach to local community leaders

technical support to other organisations integrate stigma and discrimination programming into ongoing responsibilities


PLHIV in Decision & Policy Making◦ National Treatment Plan Committee, ◦ National Home Based Care Committee and, ◦ Tanzania Commission for AIDS◦ Council Multi-sectorial AIDS Control Committees

PLHIV, in service delivery◦ As counselors◦ Home Based Care Experts. ◦ Post Test Clubs


Three strategic approaches, Pact Tanzania Training of 4,000 + local, religious leaders,

service providers, community volunteers using ◦ 2 additional chapters, AIDS Allliance “Challenging and

addressing stigma” toolkit Hip hop artistes, anti-stigma songs on CD and

DVD, launched in live concerts, with radio and TV Use of high profile and influential Anti-stigma

champions, Mama Kikwete, wife of the President of Tanzania


Greater recognition, needs meaningful involvement :-

a.Change of attitude of Health Service Providersb.Attracting more Public and Private Institutions

to implement the GIPA principlec.Attract greater donor response to Prevention,

Care Treatment & Support, Positive influence to decision making


Involvement in original research, ICRW, findings available

Influential leaders ◦ the President and First Lady, tested ◦ First Lady and US Ambassador’s wife, Anti-

stigma Champions◦ Africa’s First Ladies Initiative against HIV/AIDS

Media sensitisation to issues Community leaders trained Edutainment eg hip hop music


Comprehensive HIV response needed Stigma and discrimination programs should

not be stand alone but should be part of existing program

Training works Need to involve community leaders Involvement of PLHIV in HIV and AIDS

Programming Partnership essential - local leaders,

government, research institutions, beneficiaries, donors etc


Strengthen networking of PLHIVs Continue to work with influential national, local and religious

leaders Continue to disseminate anti-stigma messages via the media

and edutainment Evaluate current interventions, develop indicators and

improved M&E system, addressing stigma and discrimination

In relation to the law; Regulations & Guidelines, supporting implementation of the

Law Popularize and disseminate the Act

Continue to address all forms of stigma and discrimination in Tanzania


Regional Videoconference: Addressing Stigma and Discrimination of HIV/AIDS in Africa Dar-es-Salaam...

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