Guan, Xuefan

School of Public Health

MSPH

Tanzania

Sharing our Story: Visual Communications for Sauti Project

Tanzania's HIV prevalence in the general population is down from 7% in 2003/4 to 5% in 2016/17. The ongoing scale-up of antiretroviral therapy and prevention of mother-to-child transmission of HIV services, rapid scale-up of the national voluntary medical male circumcision program, and an increasing modern contraceptive prevalence rate (17% in 1999 to 27% in 2010 to 38% in 2015/16) are just a few of the successes.

In hotspots across the country, however, HIV incidence remains unacceptably high (up to 39% for certain Key and Vulnerable Population [KVP] groups) and the achievements made in the general population have not translated into progress for all. Tanzania is facing a heterogeneous HIV epidemic in which KVPs are disproportionally affected and underserved by HIV and Family Planning (FP) programs. This is largely because of these groups' social, economic and legal status, and ongoing stigma and discrimination. The epidemiology shows that Tanzania's fight for an AIDS-free generation cannot be won if these key and vulnerable populations are left behind.

Sauti is a five-year (2015-2020) United States Agency for International Development (USAID) funded health project implemented by Jhpiego - an affiliate of Johns Hopkins University, in partnership with EngenderHealth, Pact, and NIMR/Mwanza. Sauti Project supports the Ministry of Health, Community Development, Gender, Elderly and Children (MoHCDGEC) and the Tanzania Commission for AIDS (TACAIDS) to operationalize the new National Guidelines for Comprehensive Package of HIV Interventions for Key Populations and works from the community to health facility level to improve access to quality HIV prevention, treatment and care, and FP services. KVPs include female sex workers (FSWs), men who have sex with men (MSM), adolescent girls and young women (AGYW), and partners of female sex workers (PFSW), etc.

The goal of Sauti is to contribute to the improved health status for all Tanzanians through a sustained reduction in new HIV infections in Tanzania in support of the Government of the United Republic of Tanzania's commitment to HIV prevention. Sauti's vision is that all KVPs - in program communities participate in a core package of tailored, client-centered combination (biomedical, behavioral and structural) HIV prevention, and FP services, with strong linkages to care, treatment and other services. In addition, the project stimulates community dialogue around stigma, discrimination and gender-inequitable social norms, to round out the package of services.

PI Mentor: Lauren Borsa

People

Noreen Hynes, MD MPH

Director, Geographic Medicine Center of the Division of Infectious Diseases

Yukari C. Manabe, MD

Associate Director of Global Health Research and Innovation

Caitlin Kennedy, PhD MPH,BA

Co-Director, MPH concentration in Social and Behavioral Sciences in Public Health; Associate Director, Center for Qualitative...

Stefan Baral, MD MPH,MBA,MSc

Director, Key Populations Program

Robert Bollinger Jr., MD MPH

Director, Johns Hopkins Center for Clinical Global Health Education (CCGHE); Associate Director, Johns Hopkins Center for Global...

Joanne Katz, ScD MS,BSc

Associate Chair, Director of Academic Programs
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May 2019

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