Joint Thematic Working Group Meeting
Prime Ministers Conference room
09:00Thursday 20th August 2009
Agenda item # 1 opening remarks and introduction
The chair of the meeting Mr. Peniel Lyimo (PS PMO) welcomed participants and thanked everyone
for allowing time to come to the 4th JTWG of 2009. The main objective of the meeting was to get
updates and follow up from the last meeting, updates and presentation from the TWCs on their
progress report and updates on resource mobilization for HIV/AIDS support and intervention.
Agenda item # 2 Agenda adoption
The agenda was adopted with a request from Mrs. Elise Jensen (DPG-AIDS chair) who requested to
include an update on the NMSF costing exercise. This was included in agenda no 5(i) National
response.
Agenda item # 3 Last minutes
The minutes from the last meeting were reviewed. To the list of participants Dr .Kaushik Ramaiya
from Hindu Mandal hospital was added and spelling mistakes in Dr.Luc Barriere Constantin UNAIDS
Country Coordinator was corrected. In the endorsement the chair suggested the list of participant to be
prepared beforehand so participants in the meeting just sign next to their name to show their presence.
Agenda item # 4 matters arising and action taken
The chair informed the meeting that TWC chairs have prepared action plans and it is on the agenda for
the meeting. Regarding NACOPHA, the meeting was informed that UN received the request to fund
the CEO position from NACOPHA. The UN through UNJT allocated the funding to cover the CEO
for one year and now NACOPHA is preparing a job description for one year. The important note for
the DPs is to think of funding modalities for when the UNJT support stops.
Agenda item # 5 Updates
 National response
The updates on national response were shared through circulated folders in the meeting by
TACAIDS. Mrs. Elise Jensen (DPG-AIDS chair) commented that it is challenging to
receive an update without chance to read in advance for preparing comments or questions.
She suggested in future having the document in advance to review and prepare questions.
The chair valued the comments and suggested the JTWG secretariat to take note of this and
ensure that documents are circulated in reasonable time before the meetings. It was agreed
in the meeting that comments for today’s meeting can be submitted to the secretariat at
TACAIDS by email. Dr Luc Barriere-Constantin (UNAIDS) wanted to know about costing
of NMSF and if TACAIDS have an idea of the date where stakeholders and DPs can look
at the final document. Richard Ngirwa (TACAIDS) informed the meeting that consultants
for costing have finalized the exercise and now they are integrating the ASAP Model. They
are supposed to submit the draft report by the end of August. The chair proposed the
exercise to be finalized as planed so that stakeholder’s validation meeting can be in mid
September.
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
Resource and partner mapping update
Dr. Jerome Kamwela (TACAIDS) made a brief presentation on the Country Harmonization
and Alignment Tool (CHAT) and the relevance of the studies together with the areas to be
covered as agreed in the last meeting. He informed the meeting that this process is
challenging because it looks as a stand alone study and not a part of TOMSHA. In the ToR
for comprehensive resource mapping and alignment for HIV &AIDS in Tanzania this issue
is taken into account and discussed with TWC for M&E. The TOR leads into development
of tools to be taken into the TOMSHA system and not as a parallel system. He further
informed that the study will end in January and the ToR was shared in the meeting. The
chair noted the importance of not having overlaps or gaps in the new study hoping that the
mapping exercise will provide a baseline on how to organize on the ground. The meeting
agreed on the timeline with draft in January.

Emerging issues in TWCs and status of milestones
It was noted that, generally, there is poor participation by MDAs in the TWCs.
Prevention: Dr. Chilanga Asmani from UNFPA made a brief presentation on behalf of Dr.
Subilaga Kasesela (Prevention TWC chair) from TACAIDS on their regular meetings. The
Prevention TWC has two milestones with time frameworks indicated. The Prevention
strategy with a two years costed action plan is almost done. The activity is a bit behind as it
started in May, but the first draft has been shared and consultants are compiling comments
from stakeholders. He further noted that end of August second draft will be shared and
costing which is now 80% done will be finalized by the end of next week with the same
tools used in the costing of the NSMF.
Enabling Environment: Mr. Geoffrey Majengo from TACAIDS (E.E TWC chair),
informed the meeting that EE managed to organize a meeting to come up with milestones
of which majority of activities are still pending or will be done in quarter 2 and 3. He
further informed the meeting on the emerging issue of the delay in consolidating the AIDS
Implementing regulations due to lack of participation from MoHSW. Dr. Josiah (NACP)
on behalf of the MoHSW informed the meeting that in July this year MoHSW had a
technical meeting for the AIDS Implementing regulations, the draft 0 was developed and
shared, inputs to be reviewed for the signature of minister of MoHSW. He further noted
that the delay was due to the delay in endorsing the regulation by the minister to allow the
AIDS Implementing regulations- 2008. Mrs. Elise Jensen (DPG-AIDS chair) wanted
clarifications on whether TACAIDS or other line ministries have been involved in drawing
the guidelines/regulations for the act as it should be multi Sectoral process. Dr. Josiah
informed the meeting that many partners have been involved. The process started in July
this year and it takes two weeks to form regulations, and draft 0 was submitted to MoHSW
end of July. Dr. Elly Ndyetabura (UNDP) suggested the need to have meaningful
participation in the EE TWC and better communication with stakeholders in the process of
developing the guidelines. Dr Luc Barriere-Constantin (UNAIDS) also commented on the
communication and coordination problem and suggested that more stakeholders should be
involved before the finalization of the regulation and not only be involved in the final
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approval of the document. Dr Josiah (NACP) informed the meeting that lawyers and
members of MoHSW, members of PMO, TACAIDS and members from health facilities
were all involved. He further informed that the document will be taken to the joint thematic
working group again to incorporate more stakeholders. The meeting asked for a timeline
for completion of this work as well as an outline of the content. Schedule for finalization of
work, would assist the group in monitoring and improve on the dialogue in JTWG
Effective participation is needed to get high quality output.
Impact Mitigation: Mrs. Tembele (TACAIDS) made a brief presentation on the progress
of the implementation of milestones. The chair wanted to confirm the status of the National
Social Protection Framework and whether it is coordinated by the MoFEA or whether it is
still in the parliament. Dr Myo Zin Nyunt (UNICEF) shared with the meeting that MoFEA
are re-considering the Framework through Inter Ministerial Technical Committee before
sending it to the parliament for approval. The chair was very concerned about the slow
process at local level and the action on the ground; he insisted that more effort is needed to
be done for the Framework to work. PMORALG informed the meeting that on the local
level they have re-circulated the framework to the local committee. The chair noted the
challenge faced when trying to involve other agencies in national umbrella framework and
minimizing the problem of different modalities being used in providing assistance in
making interventions.
Dr.Fatma Mrisho (EC, TACAIDS) suggested if possible for Department of Social Welfare
to link up with ongoing emergency access to vulnerable people especially in the areas up
north where people are suffering the most. The meeting agreed that follow up is needed
especially this year where there is drought. Many districts are hard hit and have missed
both short and long rainy seasons as it was reported that LGAs do not universally budget
for the support of MVCCs.
Care, Treatment and support: Dr. Kaushik (Hindu Mandal Hospital) informed the
meeting on the outcome of consultative meeting called to resolve the issue of the two
committees (1-Care, Treatment and Support (Multi-sectoral) Technical Working
Committee under TACAIDS and (ii) Care, Treatment Committee (CTC) (MoHSW). The
meeting was held on Friday 14th of August between TACAIDS and the MoHSW-NACP. In
the meeting it was agreed that the multi-sectoral TWC is a valid committee whose roles and
positions can’t be overridden by sectoral committee (CTC). The health Sector’s CTC is a
sectoral committee which will feed into the general multi-sectoral TWC. Participants
agreed to define criteria for eligible membership for the multi sectoral TWC, rephrase the
objective of the TWC and to review the roles of TWC and the milestones. It was further
suggested that there is need to establish a core group of fewer members out of the overall
TWC which will meet more frequently and make follow-ups of the status of the milestones.
The core committee will feed into the overall TWC which in turn will advise accordingly.
Mrs. Tracy Carson (PEPFAR) requested PEPFAR staff to be included in the TWC,
something which was supported by the chair as many stakeholders are wanted. Dr. Kaushik
informed the meeting that the group reduced the milestones from 6 to 4 to conform to ToR
and to avoid duplication with the technical group (CTC-MoHSW) who covers the same
areas.
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Finance: Mrs. Bengi Issa (TACAIDS) made a brief presentation on the status and updates
of the Finance and Audit TWC milestones. She informed the meeting that the ToR for the
costing of the NMSF was developed and consultant was hired to do the work. The
consultative meetings were also done and now the drafting of the final costed NMSF is in
progress and the final report to be submitted end of September.
On the mechanism to generate resources both nationally and locally, Mrs. Bengi informed
the meeting that ToR for a HIV/AIDS Trust Fund was developed and consultant hired; the
initial consultative meetings were done. The ToR for the taxes estimates and work out of
estimation of the tax increase is in progress with TRA.
She further informed the meeting that the Public Expenditure Review study will be
conducted in the beginning of September and will be funded byUSG.
The joint field visit will be in September and supported by PEPFAR II.
In Financial system she updated the meeting on TACAIDS migration from Navision to
EPICOR with staff training expected to be completed in September. The chair made
remarks on the importance of having only one system for funding modalities and to focus
on harmonization with PER of MoFEA.
Monitoring and Research: Dr. Jerome Kamwela (TACAIDS) made a brief presentation
on the updates of the M&E TWC milestones. He informed the meeting that TOMSHA data
are electronically captured using LGMD in the 133 councils in Tanzania (complete 40% by
2009 and 100% by 2010 whereby the progress to date shows that database development is
at 60% done).
The chair made general comments to all TWC chairs and members that most of the work is
seen to be done by consultants and insisted that everyone get involved in managing the
consultancies to enable the working group to deliver. He also made a remark that MDAs
need to devote more time in this work to maintain high quality dialogue and work
participation.

Health sector response
Dr. R. Josiah (NACP) made a very informative presentation on the progress of the Care,
Treatment and Support working Group (CTC-MoFSW). The report covers achievements of
care and treatment, other interventions and challenges faced during implementation. He
informed the meeting that NACP implemented the care and treatment plan for HIV&AIDS
2003-2008, strengthening and scaling up care and treatment services in Tanzania. He
further informed that from 2004-2009 numbers of patients enrolled in care and treatment
increased from 2000 to 242,290 patients with increases in the number of service providers
trained and in facilities. He also inform on the achievements on pediatric, STIs, PMTCT,
laboratory services, community, home-based care services, VCT and male circumcision.
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Dr. Luc Barriere-Constantin (UNAIDS) commented on male circumcision technical
working group to see if there is a link between this group and the Prevention TWC. He
suggested that the circumcision group have a way to channel updates to the existing
Prevention TWC in order to avoid many committees under different sectors to report to the
JTWG meetings. Dr. Fimbo (NACP) informed the meeting on the current advocacy
development on circumcision for HIV prevention which focuses on the most active groups
such as youths and adults below 60 years of age.
Dr.Fatma Mrisho (EC, TACAIDS) commented on the presentation and suggested next time
a group to be selected to work on public information on HIV&AIDS treatment as it shows
that only people under treatment know about treatment and PLHIV do not know about
prevention.

Dissemination of AIDS ACT
See earlier discussion. The chair requested a roadmap and advised to have as many
stakeholders involved as possible.

MKUKUTA Development update
Richard Ngirwa (TACAIDS) made a brief presentation on the Cluster II meeting which
aimed at sharing information on the MKUKUTA Review and its requirements. In that
meeting they were informed on the structure of the review which will include assessment
of the development impact, assessment of what has been achieved in terms of key policy
and Institutional reforms, analysis of the facilitating and inhibiting factor and identification
of the key constraints and analysis of Aid effectiveness. The approved study under HIV
&AIDS thematic area is the impact of HIV &AIDS on growth and implementation
effectiveness. The study on the soci-economic impact of HIV&AIDS will be conducted
with other sources of financing. The meeting was informed that the ToR for the study was
prepared and submitted to MKUKUTA Secretariat and it was approved. The CVs for three
consultants of which one will be selected to undertake the study have been submitted.
Three persons (from TACAIDS, UNICEF and UNAIDS) have been tasked to push
HIV&AIDS agenda in all clusters.
He further informed the meeting on the pending issues which includes (i) the nomination of
the consultant to conduct PER study to feed into MKUKUTA review, (ii) the development
of ToR for broader study for socio-economic impact of HIV&AIDS. The studies have
been postponed to the end of September, the first study will be financed by MoFEA and the
PER will be funded by TACAIDS.
Agenda item # 6 Resources mobilization for national response update
 AIDS trust fund, HIV and AIDS funds modalities and TMAP
Mrs. Bengi Issa (TACAIDS) informed the meeting on the consultation meeting TACAIDS
had with TRA on seeing how taxes can be used to support the AIDS Trust Fund in
Tanzania. The outcome of the meeting shows that most taxes cannot be used by the fund
under the laws establishing those taxes. The only form of tax remaining for consideration is
VAT and HIV levy to all employees. Participants suggested TACAIDS to learn from other
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countries such as Zimbabwe, Seychelles and Congo where this programme seem to work
well. The chair suggested TACAIDS draft a letter to be sent to the treasury to see the
possibility of them coming up with suggestions or advise on the matter.

Global fund:
The meeting was informed that GF R8 documents have been submitted. The country awaits
GFATM arrangements in Geneva to schedule a signing. The signings is likely to be done in
the mid-end September. On the GFATM R9, clarifications for eligibility were required and
responded to. The proposal is waiting to be forwarded to TRP for review. On the updates
GFATM R3 and GFATM R4 the meeting was informed that the delay in disbursement so
far is due to issues of the audit, some reports not ready and clarifications needed. For
AMREF and PACT all issues were cleared and documentation has been submitted to
Geneva and recognized by LFA.

PEPFAR.
The meeting was informed that the draft Framework for PEPFAR II is out. The Partnership
Framework is between USG and GoT for 5 years and will include an annual implementation
plan. The design team included people from ministries, CSOs etc. The document is available
for stakeholders. Mrs. Tracy Carson (PEPFAR) updated the meeting on the adjusted planning
level for Tanzania base funding remaining $300 million per year over next 5 years. When the
Partnership Framework is finalized, there is a possibility of $50 million extra hopefully $350
million/yr for the next phase of PEPFAR. Tanzania is also one of 6 countries to get
additional $20 million for PMTCT.

DANIDA
The meeting was informed that the support of DANIDA to NSMF 2008-2010 is still on and
the signature between the government and the Danish government for 42 million 20042014 will be done soon. Mrs. Bengi also informed the meeting that other donors supporting
the NMSF are CIDA (Canada) and UNJT on HIV & AIDS. Mr. Joseph (CIDA) also
informed the meeting that CIDA support to TACAIDS is in process to approve the
Canadian government support for the next 5 years.

TMAP.
The meeting was informed that TMAP will be closed on 30th September 2009. Tanzanian
government has requested for extension of six months from World Bank. Dr. Malangalila
from World Bank informed the meeting that the WB has received the request for 6 month
extension and discussion with TACAIDS is ongoing. The WB Country Director is positive
on extension but action plan from TACAIDS is needed on what will take place during the 6
months. He further noted that before an extension is granted an evaluation of project will be
needed. ToRs for evaluation is in place and the consultants will also contact stakeholders to
evaluate the project. He also informed the meeting on the requirement of the
implementation report – one by the bank and one by the government, sometime one report
is written for both WB and government. The ToR has been developed and the mission is
expected from September 14th -25th. TACAIDS should inform DPs so that they can be part
of the process.
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Agenda item # 7Update on the new dialogue structure and division of labor
In the meeting the documents on the new DOL were shared for information and noting.
Agenda item # 8 AOB
The Chair informed the meeting that this years WAD will be held in Tanga region, more information
will be shared at a later stage.
Closing
The chair thanked participants for their time and inputs and thanked the TWC groups. He emphasizes
the need to improve the work of the groups in terms of attendance and quality of the work.
Consultancies need to be managed properly. Tentative programme for meetings attached so please
take note, next meeting will be October 9. Share documents 5 days in advance so that participants can
prepare and contribute.
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