This paper is based on a research which was conducted in Mtwara Region, Tanzania, to assess determinants of community participation in planning HIV and AIDS interventions under the National Multisectoral Strategic Framework (NMSF) on HIV and AIDS. The findings indicated that 69.0% of the respondents were not aware of NMSF interventions; 77.0% had unfavourable attitude towards the interventions; and 81.8% did not participate in planning the interventions. Furthermore, using ordinal logistic regression, it was found that community awareness of (p ≤ 0.001) and attitude towards HIV and AIDS interventions (p ≤ 0.005), access to planning information (p ≤ 0.001), education level (p ≤ 0.05), and community satisfaction with involvement in planning (p ≤ 0.001) had significant impacts on the chances of participating highly in planning the interventions. The results substantiate a need for decentralisation in order to address obstacles which constrain participation in planning HIV and AIDS interventions.
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