The HIV epidemic in Tanzania has existed for three decades and has claimed many lives. Over the year’s collective efforts to control the epidemic has seen HIV prevalence decline progressively among adults aged 15-49 from 7% in 2003 to 5.1% in 2011. However several vulnerable groups such as street children, long distance truck drivers, miners and fishermen remain at high risk of HIV infection.
Generally Key Populations are disproportionately affected by HIV. Key populations who are at higher risk of HIV include people who use and inject drugs (PWUD/PWID), men who have sex with men (MSM), transgender people, sex workers and prisoners.
In Dar es Salaam based on available evidence HIV prevalence among PWID, MSM and sex workers is 51%, 42% and 31% respectively. To ensure an effective and sustainable response to HIV there is a need to reach out to KPs with a comprehensive package of prevention, treatment, care, support interventions and other public health services.
The interventions in the national guideline emerge and expand upon both from earlier and current key government policy documents to address HIV and AIDS, and also include evidence-based practices from World Health Organization and other United Nation agencies. The goal of this guideline is to increase access to a comprehensive package of quality health and social services to KP in order to significantly minimize the transmission of HIV and to reduce HIV-related mortality, morbidity, stigma and discrimination.
Implementation of the comprehensive package of interventions shall thereby contribute to the attainment of the three Zeroes: Zero new HIV infections, Zero discrimination, and Zero AIDS-related deaths.