Author: Alio Hussein Juma1

Co-author: Sarah Matemu2

1 Regional Program Coordinator, AGPAHI

2 Clinical Service Manager, AGPAHI

 Introduction

Miners in Tanzania are at high risk of contracting TB due to being subjected to poor working environment and lack of protective equipment. A survey conducted by Kibong’oto Infectious Disease Hospital (KIDH) at Mererani in 2013 revealed high burden of TB among miners. Despite the high risk of TB among miners, access to TB and HIV services in mining areas is linked to challenges such as lack of health promotion and education, barriers to health services, overcrowding, unaffordability of services and inaccessibility to services (NTLP Annual report, 2013).

To address the gap towards TB health service provision among miners, from October 2016, Ariel Glaser Paediatric AIDS Healthcare Initiative (AGPAHI) with funding from Development AID for People to People (ADPP) started implementing TB in Mining Sector project across mines in Kahama and Simanjiro. The project focuses on increasing access to information, on TB prevention, TB case finding, diagnosis and treatment aiming to reach 30,000 miners with screening service annually

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Author/Presenter: Felix Muchira1

Co Author: Dr. RN Mpembeni2

1 Program Coordinator, Monitoring and Evaluation, AGPAHI

2 Lecturer, Muhimbili University of Health and Allied Sciences

Background

A Previous study reported that 37% of HIV+ AGYW are sexually active, 17% have multiple sexual partners (MSP), 62.5% used condoms (Mhalu et al, 2013) thus risking exposure to STIs, unplanned pregnancies, increased HIV infections to uninfected partners and newborns. Shinyanga Region has a HIV prevalence of 7% with insufficient information on factors associated with risky sexual behaviours among HIV+ AGYW.

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Author/Presenter: Jane Kashumba1

Co Author: Dr. Akwila Temu2

1Program Officer , AGPAHI

2Reproductive and Child health Manager 

Background

Kishapu DC is one of 6 scale up districts in Shinyanga region supported by AGPAHI. It has a total of 11 health facilities which provide HIV care and treatment services. Five of the 11(45%) health facilities are supported under CIFF adolescent project. The HIV prevalence of Kishapu is 4.6% (DHIS 2013/2014).

Despite testing and enrolling greater number of adults on care in the council, children and adolescent testing and enrollment into care had been low. Baseline data derived during the months of October - December 2016 showed only 21 children were identified as HIV+ and only 16 children were enrolled on care and initiated on ART.

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Author/Presenter: Cecilia Yona1

Co – Author: Dr. Akwila Temu2

1Program Officer Community Linkages, AGPAHI

2Reproductive and Child health Manager 

Background

Ariel Glaser Pediatric AIDS Healthcare Initiative, (AGPAHI)  is a Tanzanian registered  national NGO, that works to improve the health of children and families affected by HIV/AIDS in six Regions of Tanzania (Shinyanga, Simiyu, Mwanza, Geita, Tanga and Mara). 

The Option B-plus strategy adopted by Tanzania in 2015 for the prevention of mother-to-child transmission (PMTCT) involves starting antiretroviral (ARV) treatment (ART) immediately after diagnosis. 

The goal is to eliminate pediatric HIV infections and improve both maternal and infant health outcomes. PMTCT goals are however hampered by low rates of retention in care. AGPAHI through its CDC-funded project in Shinyanga established mother support groups (MSGs) as a mechanism to improved rates of retention in care to mothers and their exposed children.

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Fidelis Temba (AGPAHI staff) reviews the case of Stephano Daudi with nurses Josephine Masesa and Rebecca Maasai

 

One morning, Fidelis Temba, a clinical program officer from AGPAHI, examined Stephano Daudi, a four-year-old boy who had been on HIV treatment for two years. Josephine Masesa, an HIV nurse at Ushetu Health Centre, observed closely. Temba questioned Stephano’s mother and discovered that the child is three months late for a blood test to monitor the effectiveness of his treatment. Temba noted the boy’s pale complexion and off-and-on fever. His distended belly suggested a case of parasitic worms, since his quarterly deworming treatment was also three months late. Thus far, it was a run-of-the-mill case.

However, Temba then explored the family’s medical history and grew anxious. Stephano’s father, also living with HIV and on treatment, had been diagnosed and given treatment for TB, and it’s not clear if he had fully recovered. Stephano’s mother, also living with HIV, had not yet started treatment, which could have meant trouble for Stephano should she become ill and unable to care for him.

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What We Do

  • Provision of Comprehensive HIV Care +

    The purpose of** Boresha Project** is to support comprehensive facility-based HIV testing, care, treatment and support service provision in 9 scale-up and 25 sustained districts in the five lake zone regions of Geita, Mara, Mwanza, Simiyu and Shinyanga. .

  • CIFF Reprogramming +

    Project Goal is to improve health services to prevent HIV transmission, increase identification of adolescents with HIV infection, and improve HIV care and treatment and retention for ALHIV in Tanzania.

  • TB in the Mining Sector Programme +

    TB in mining sector (TIMS) project is funded by Global fund through Development Aid from People to People (ADPP - Mozambique). AGPAHI is a sub-recipient of ADPP Mozambique.The project target is to screen TB to approximately 30,000 mine workers and their families.

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