Access to Health Services for Key population in Tanzania

Info

Start date: 1 May, 2016 End date: 30 April, 2022 Project type: South-driven projects (prior to 2017) Project code: 16-P03-TAN Countries: Tanzania Thematic areas: Health, Lead institution: Muhimbili University of Health and Allied Sciences (MUHAS), Tanzania Partner institutions: Tanzania Commission for AIDS (TACAIDS), Tanzania University of Oslo (UiO), Norway  University of Copenhagen (UCPH), Denmark Project website: go to website (the site might be inactive) Project coordinator: Elia John Mmbaga Total grant: 6,995,910 DKK

Project summary

HIV/AIDS has rolling back decades of socio-economic development in Sub Saharan Africa. While there are indications of declining HIV infection rates in the general population, men who have sex with men (MSM), female sex workers (FSW) and people who inject drugs (PWIDS), now called Key Populations (KP) for HIV epidemic have 2-20 times higher infections rates and contributes up to 30% of new HIV infection. Despite of such high infection rates, only a third has access to health services due to stigma and discriminations. Because access to health services is a human right, many countries including Tanzania have adopted the UNAIDS comprehensive HIV intervention package (CHIP) to address the epidemic among KPs. However, these populations are hard to reach and National AIDS programs lack the know-how on the modalities to improve access to CHIP. This project therefore aim to work with KP communities to increase access to health services through studying factors which influence the use of health services (pull and push factors) and test the effectiveness of CHIP delivery modalities with and for them in Tanzania. The project will build research and training capacities related to KPs and strengthen the health system and the KPs communities. A step-wise approach involving both quantitative and qualitative methods will be employed. As part of situational analysis, a survey of 300 participants from each of the three KPs (MSM, FSWs, PWIDS) will be done followed by a qualitative community organizing/dialogue to identify the preferred CHIP delivery modalities. The identified modalities will be tested for effectiveness using a quasi-experimental design. The study will be conducted in Dar es Salaam and Tanga,  regions with evidence of large numbers of KP communities in Tanzania. The results are expected to improve access to services among KPs as a human right, reverse HIV infection rates among KPs and the general population, and improve social and economic wellbeing
of Tanzanian.

Outputs

Extra Midterm Report:

Objective: The overall project aimed to develop and implement an intervention to improve access to health services among key populations in Tanzania using quasi-experimental design.
Project data collection: The project competed baseline data collection in both intervention and control sites, used the baseline information and key population community organising approach to develop training for healthcare workers. A total of 20 healthcare workers from key population friendly clinics in the intervention site (Dar es Salaam) were trained and provided services to key populations. Follow up data collection from both the control and intervention sites have been completed. Follow up qualitative data are ongoing.
Analysis and dissemination: Baseline data emanating from the project were analysed to informed intervention development. 16 publications have been published majority in peer review international journals and presentation made in local and international conferences. Local dissemination seminars conducted and more planned as data is being analysed.
Capacity Building: Three (3) PhD candidates were recruited, all have conducted half-time seminars and are finalising publication and thesis write up. Two (2) masters students have been supported and graduated. One curriculum short course research curriculum ( Introduction to epidemiology and biostatistics) have been developed. One grant awarded. Covid-19 epidemic and politics have caused substantial delay to the project activities.

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