BACKGROUND: A decade after its large-scale introduction, countries with poor resources in Sub-Saharan
Africa (SSA), including Tanzania has made considerable progress towards achieving the UNAIDS 95–95-95
targets, however, challenges remain on expanding utilization of HIV testing services (HTS), poor adherence
and retention of clients initiated on treatment, unsatisfactory early infant diagnosis, viral load testing services,
overall stigma around HIV services and the emergency of COVID-19 pandemic. Afya Plus with funding
from PEPFAR is supporting implementation of “IMARISHA Project” – an innovative community led
monitoring (CLM) activity in Musoma and Tarime DCs in Mara Region.

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