US embassy cable - 05DARESSALAAM981

UNCLAS DAR ES SALAAM 000981 
 
SIPDIS 
 
STATE FOR S/GAC 
 
SENSITIVE BUT UNCLASSIFIED 
 
E.O. 12958:  N/A 
TAGS: EAID, KHIV, TBIO, TZ 
SUBJECT:  GLOBAL FUND PHASE TWO RECOMMENDATION FOR TANZANIA 
 
REF:  STATE 88066 
 
1. Summary:  Tanzania has benefited from multiple rounds of 
Global Fund resources.  While early progress was mixed, 
implementation has now improved signficantly and activities 
are proceeding well.  The round 2 activity on Zanizbar is a 
good example of an activity which has supported the islands 
and has improved capacity very substantially.  Continuation 
of this program will be important.  End summary. 
 
2. Background:  Tanzania (mainland) was awarded resources 
from the Global Fund in rounds 1, 2, and 4.  Zanizbar, which 
submitted separate proposals, was also awarded resources in 
rounds 1, 2, and 3. 
 
3. Country/region/round information: 
 
Tanzania/Africa/round 2 
Zan-202-g02-h-00 
Total budget: $2,302,637, 
2 year agreement amount: 1,116,000 
 
Overall comments: activity should be continued. 
 
In country impressions:  The Zanzibar round 2 award covers 
activities in four primary areas: curriculum development, 
youth friendly HIV services, institutional support to the 
Zanzibar AIDS Commission (ZAC), and institutional support to 
the Zanzibar NGO cluster (ZANGOC).  Each of these areas is 
moving along well, though the curriculum has not yet been 
rolled out to schools.  Youth friendly services in 
particular have been well established and are being widely 
utilized and appreciated. 
 
Techincal considerations:  Implementation was slow at the 
start due to limited capacity among the organizations. 
Staff skills have now been built up and activities are 
running more efficiently.  Capacity has been built with 
assistance from other donor funded activities, including 
from the USG (PEPFAR) and coordination has been good.  Given 
the current low prevalence of HIV in Zanzibar (estimated 
around 1 percent) as compared to the mainland (estimated at 
7 percent) or other neighboring countries, strong prevention 
activities are warranted. 
 
Degree of coordination:  Multiple donors work with both ZAC 
and ZANGOC.  Coordination has been very good across the 
spectrum. 
 
Political:  Zanzibar remains an important partner for the 
USG, and it is essential that the USG demonstrate serious 
sustained engagement in Zanzibar along with the mainland. 
The preponderance of Muslims on the island has likely 
resulted in lower overall HIV prevalence. 
 
4.  Conclusions:  Tanzania has seen many benefits from the 
Global Fund. While implementation had been slow at in the 
beginning, the pace has picked up considerably.  The recent 
signing of the round 4 proposal should be seen as a good 
sign of the understanding of the importance for sound 
implementation.  The continuation of activities in Zanzibar, 
through this round 2 and other rounds will be an important 
contributing factor to the overall fight against HIV/AIDS. 
 
OWEN