JSI RESOURCES: Publications

Designing an HIV Case Management System for Vulnerable Children Technical Brief


Although recent data from the Tanzania HIV Impact Survey 2016–2017 suggest a decrease in national HIV prevalence (4.7 percent overall from 5.1 percent in the 2011–2012 survey), only 60.9 percent of people living with HIV (PLHIV) in Tanzania know their status. Despite the fact that Tanzania has added 145,000 PLHIV to antiretroviral treatment (ART) in each of the last three years, substantial acceleration of case finding is critical for closing the gap between testing and linkage to care.

Leveraging best practices in most vulnerable children (MVC) case management systems, building on existing structures and cadres in Tanzania, and integrating learning from a case management pilot in Arusha, CHSSP engaged the Ministry of Health, Community Development, Gender, Elderly, and Children (MOHCDGEC) and the President’s Office Regional Administration and Local Government (PO-RALG) in the NICMS design process from the planning stage. The Government of Tanzania created a NICMS National Task Force comprising technical experts from MOHCDGEC and PO-RALG who worked with CHSSP and other stakeholders (including UNICEF and other PEPFAR implementing partners) at every stage of the development and rollout of the NICMS. The engagement of the Government of Tanzania in the creation of the NICMS from inception increased local ownership and political will to invest in the system.

Through a series of workshops, CHSSP leveraged World Education, Inc./Bantwana’s global expertise in integrated MVC case management to develop the NICMS Framework and a CCW training package. JSI. 2020. 

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