Author: Alio Hussein Juma

Co – authors: Dafrosa Chale2 , Richard Mutakyawa3

1Program Officer TBHIV, AGPAHI,
2Regional Program Coordinator, AGPAHI
3Program Officer, Clinical Services AGPAHI


For the past five years, AGPAHI has been working to support TBHIV services in Shinyanga and Simiyu regions. With coverage of about 83 Care and Treatment facilities, only 35 facilities (42%) had TB diagnostic services before year 2015. The infrastructure that was available at the existing facilities was not able to support availability of laboratory services. This resulted in poor follow up of presumptive TB clients towards investigations to detect TB patients. 

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Author: Richard Kambarangwe1
Co – authors: Gastor Njau2, Dafrosa Chale3

1Program Officer Community Linkages, AGPAHI
2Regional Program Coordinator, AGPAHI
3Regional Program Coordinator, AGPAHI


Health facility delivery has continually been a challenge as most pregnant women especially in the rural areas in Tanzania deliver at home by support of traditional birth attendants or other close experienced family member. In Shinyanga District Council, facilit delivery is 51% compared to 80% (2013) of the national target. Low health facility delivery in Shinyanga District Council is contributed by prolonged labor (among other things) where most pregnant women want to get to the health facility when its time to deliver which end up being late.



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Author: Emilian Ng’wandu1

Co – authors: Obed Manase2, Kunda Mtui3, Prof. Andy Barraclough4

1 Program Coordinator, Pharmaceutical Management and Supply Chains, AGPAHI
2 Senior IT Officer, AGPAHI
3 Software Developer and Programmer - Masoko Tanzania LTD
4 Director of Training and Capacity Development, Empower School of Health


The Tanzania health system is organized into four main levels, which are: district, regional, zonal and national levels. These levels
have a network of hospitals, health centers and dispensaries. The country has over 8,215 healthcare facilities, 79% of which are
owned by the government, 13% faith-based and voluntary, and 8% privately owned.


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Author: Faustine Kilicha Kichah1

Co – author: Sarah Matemu2

1District AIDS Control Coordinator, Itilima District Council
2Clinical Service Manager, AGPAHI


Inadequate retention of PLHIV into HIV and AIDS care and treatment program has been commonly reported by district councils from Simiyu Region. Retention mechanism is a big challenge to most of councils including Itilima District Council. For the period of January – March 2015 the retention of PLHIV was reported to be 62% with contributing gaps being few Care and Treatment Centre (CTC) sites, distance to CTC, late opening working hours, lack of money to travel for care and treatment services, inadequate ART adherence counseling by service providers, etc. Itilima District Council recognizes the importance of Community ART adherence group at Chinamili Dispensary (Pilot) as retention approach to halt consequences of an increasing number of Lost To Follow Up (LTFU) clients that is threatening the Care and Treatment program and eventually the lives of PLHIV. 

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By Jane Kashumba [AGPAHI Program Officer – Clinical Services]

Meatu District is one of the five districts of Simiyu Region. It is bordered to the north by the Bariadi District, to the west by the Maswa and Kishapu Districts, to the east by the Arusha Region, to the southeast by the Manyara Region and to the south by the Singida Region. By the end of 2014, there were 46 facilities in Meatu that provide RCH services in which 40 facilities provide option B+ services and 9 facilities provide care and treatment services and HIV early infant diagnosis (HEID) services.

Just like in many other districts, reaching infants who are exposed to HIV has remained a challenge. Recognizing this, Meatu CHMT worked closely with AGPAHI team and ascertained that the main barriers for reaching exposed infants were:

1) the capacity of providers in collecting DBS; Reaching Exposed Infants with Care and Treatment Services:

2) availability of DBS kits; 3) distance from services and; 4) stigma. To overcome these challenges, a special campaign for increased DBS uptake among infants was established. To ensure that this is done, task force comprising of 2 district mentors, 1 medical attendant and a DRCHCo was formed.
The team agreed and organized DBS collection campaign at identified collection sites that included facility and community based sites. The task force ensured that community mobilization was conducted through community leaders (ward and village executive officers and hamlet leaders) religious leaders, at schools and community radios. In addition, AGPAHI ensured that DBS kits were available for the campaign. The campaign was successful despite a slow start in the first quarter of the year (28 out of 76 registered infants were reached).

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What We Do

  • 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.

  • 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. .

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