 Support for to the HIV Impact Survey.

What  Availability of strategic information products on children and AIDS.

we want to  Improved mother and baby cohort monitoring system in place. achieve by 2021 Stronger leadership from the government, private sector and (Contd.) communities to enable a sustainable HIV response, including the reduction of stigma and discrimination:

 Strong national coordination to prevent and treat HIV in children, adolescents, women and their families.

 National plans and new guidelines on HIV prevention and treatment in children, adolescents, pregnant and lactating women used.

 Strengthened health education and protection response to HIV in children, adolescents and pregnant and lactating women, including during emergencies. civil society organizations, supports safe, healthy and productive transitions from adolescence to adulthood. It is spearheading a pilot programme which combines social  Regular review progress on children and AIDS in fi ve high HIV- protection, livelihood, reproductive health, HIV and violence prevention education, prevalence regions in mainland as well as in . empowerment and services for adolescent girls and boys aged 14–19 years.  Private sector and communities in high prevalence regions mobilized. Confidential adolescent responsive services delivered in the right location and at the most appropriate times. UNICEF supports the development of Teen Clubs providing adolescents living with HIV with psychosocial support and sexual and Increased coverage and quality of HIV and AIDS prevention, reproductive health services. treatment, care and support services for children, adolescents, Engaging adolescents through communication and new technologies. UNICEF pregnant and lactating women, including young key supports initiatives like U-Report, which provides SMS messaging on health and populations: HIV issues; Shuga, which is an evidence-based, participatory behaviour change  Sustainable models for psychosocial support SRH and ART retention communication radio serial drama; and T-Watoto mobile phone surveys. among children and adolescents living with HIV.

Galvanizing partnerships for adolescents by bringing attention to the most  Adolescent boys and girls empowerment and participation disadvantaged adolescents girls and boys and ensuring that their voices are heard. strengthened.

 Social protection, livelihood, reproductive health, HIV and GBV Government capacity strengthened for strategic information prevention programme for adolescents in place and evaluated. What generation and use for policy development and evidence-based  Access to quality HIV treatment and retention in care. programming on children and AIDS: we want to  New technology including point of care technology and digital tools  Availability and utilization of disaggregated HIV data. achieve by in place to improve outcomes in children and adolescents.  National policies, strategies and programmes informed by global and 2021  Increased prevention of new HIV infections among those at risk, national evidence on HIV and children. specially adolescent girls and young women. Adult HIV prevalence on no decline in adolescent adolescents, women and Focus on the FIRST DECADE: Infants, young children and pregnant and What the mainland reduced HIV prevalence. Tanzania key populations continuing What lactating women is the signifi cantly although this carries 5 per cent of the to be disproportionately is UNICEF UNICEF supports the national goal of eliminating new paediatric HIV infections and situation? reduction has occurred global burden of HIV affected. Mainland doing? keeping mothers living with HIV well through improved maternal, newborn and child mainly among men. among adolescents. Tanzania has a generalized health programmes. This includes UNICEF’s support to scale-up and improve the quality The epidemic among epidemic, while in of care for children who are already living with HIV. UNICEF supports in particular: The HIV epidemic adolescents (15–19 Zanzibar, HIV prevalence Strategic planning: To guide national efforts in the elimination of paediatric HIV and years) has remained shows strong regional is concentrated among provide improved access to ART for children living with HIV. variation, with children, stable since 2008, with key populations. Coordination and monitoring: UNICEF works with the MOHCDGEC and partners to strengthen coordination of PMTCT activities through regular programmatic monitoring HIV AND AIDS reviews. Improved access to quality, integrated HIV and Reproductive Maternal,  The adult HIV prevalence in mainland Tanzania dropped from 7 per cent in 2004 to Progress Neonatal, Child and Adolescent Health (RMNCAH) services is important. UNICEF 4.7 per cent in 2016. In Zanzibar, the epidemic has stabilized and remains at around supports strengthening the coordination of national and regional government-led 1 per cent of adults living with HIV. paediatric HIV working groups to improve treatment outcomes in young children. Females carry the burden of HIV prevalence varies 2016 HIV and AIDS across regions 5% of all  Good results have been achieved in the elimination of mother-to-child Continuum of PMTCT services: Retention of mothers and infants enrolled in the PMTCT (15–49 years) (15–24 years) adolescents 98,000 transmission of HIV. Prevention of mother-to-child transmission (PMTCT) services programme ensures the delivery of the full continuum of HIV services. Through UNICEF’s 9% living with HIV adolescents are now available in almost all (96 per cent) reproductive health centres. The support and in partnership with the MOHCDGEC and partners, the development and 7% worldwide are in living with number of children born with HIV decreased from 26,900 children in 2009 to implementation of the mother and baby cohort monitoring system is underway.

5% Tanzania aged 10–19 years HIV 4% 10,000 children in 2016. Access to paediatric HIV services: Use of Point of Care (POC) technology in HIV diagnosis and viral load monitoring has demonstrated effi ciency in the HIV testing 1,400,000 cascade for children. UNICEF, through the UNITAID partnership, provides strategic Tanzanians living with HIV in Tanzania  In mainland Tanzania, HIV prevalence varies dramatically. region has a support to the Government of Tanzania in the process of adapting new technology to 5.8% of women 3.6% of men Challenges Njombe Dar es high prevalence with 14.8 per cent, while and Mbeya shoulder an improve HIV diagnosis and HIV viral load monitoring. have HIV have HIV Njombe Iringa Salaam 4.7% estimated one third of the total number of adult people living with HIV. adult HIV prevalence Treatment  Women comprise 60 per cent of all 15–49 year olds living with HIV and AIDS. Focus on the SECOND DECADE: Adolescents and their families Percentage of people living with HIV who are getting ART 10,000 new infections in children up to 14 years of age  HIV prevalence among teens aged 15–19 has stabilized but has not decreased Adolescence marks a period of major biological and psychosocial changes. It also marks a period of major opportunities. Adolescent girls are particularly vulnerable. 22,000 since 2008. Girls are disproportionately affected and are almost three times more likely to be living with HIV than boys of the same age. Early marriage and To strengthen adolescent empowerment and safe transition into adulthood, prevent new infections in the 15–24 years age group childbearing are common – 27 per cent of girls aged 15–19 years are either new HIV infections, and locate, treat and retain those already living with HIV, UNICEF 63% 84% of pregnant women 48% of children 33,000 focuses on the following: of adults pregnant or have had a child. AIDS-related deaths Mobilizing political commitment, coordination and resources to deliver high-  HIV prevalence is high in key populations in both the mainland and in Zanzibar. For impact interventions to adolescents who have remained out of reach. 69% 6,500 example, 26 per cent and 19 per cent of female sex workers are living with HIV 2009 8% mother-to- children under 15 years died of AIDS in 2016 and AIDS in mainland Tanzania and Zanzibar, respectively. Supporting the generation and use of good quality data as a cornerstone of an child transmission decrease in 1.1 million effective HIV response for adolescents. rate new HIV infections 2016 children aged 0–17 years orphaned by AIDS Supporting multi-dimensional programmes that move beyond the biomedical HIV among children Sources: Joint United Nations Programme on HIV/AIDS, Together we will end AIDS, 2012; Progress Report on The Global Plan,Towards the elimination of new HIV infections among children and keeping their mothers alive, 2016. prevention and treatment response. UNICEF, in partnership with government and Sources: UNAIDS, HIV and AIDS Estimates, 2016; Tanzania HIV/AIDS and Malaria Indicator Survey 2011–2012; UNAIDS Gap Report, 2016. Cover photo: © UNICEF Tanzania/ 2016 /Giacomo Pirozzi