IN BRIEF. The RCRC Global Alliance on HIV 1

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1 This report covers the period of 01 April 2008 to 31 December2008 of the Mongolian Red Cross HIV Programme. In a world of global challenges, continued poverty, inequity, and increasing vulnerability to disasters and disease, the International Federation with its global network, works to accomplish its Global Agenda, partnering with local community and civil society to prevent and alleviate human suffering from disasters, diseases and public health emergencies. IN BRIEF According to Mongolia s Ministry of Health March 2009 statistics, Mongolia has 52 registered cases of HIV, within the total population of 2.6 million. However, according to the study carried out by the UN in Mongolia in December 2008, the new estimated number of people living with HIV is around 500 to 1,000. The purpose of the programme is to reduce vulnerability to HIV and its impact in Mongolia, through the four key objectives: preventing further HIV infection; expanding care, treatment, and support; reducing stigma and discrimination; and strengthening the Mongolian Red Cross Society s (MRCS) HIV response through capacity building at all levels. The MRCS joined the Red Cross Red Crescent Global Alliance on HIV in April 2008, which in turn helped to build a momentum for rapid scale up of its HIV prevention, care and support efforts across many locations during 2008 to make it a comprehensive nationwide programme. Now it has nine more branches with active HIV programming and participation and support from three new partner organizations. The total number of people reached through the Red Cross Red Crescent HIV programming in 2008 is 63,918. The programme has expanded its reach to high risk groups and tailored its approaches more effectively to the needs and capacities of those groups. The programme raised a total of CHF 312,308 in 2008, which constitutes 52 per cent of the the planned budget. However, expenditures on the HIV alliance programme totalling CHF 636,060 in 2008 were calculated only for nine months of 2008, since the launch of the programme occurred at the end of March. The MRCS has diversified its HIV programme funding base. Now the majority of programme funding comes from bilateral and external partners such as the United Nations Population Fund (UNFPA) and United Nations Volunteers (UNV) in-country. For the first time, the MRCS has applied for funding from the Global Fund for AIDS, Tuberculosis and Malaria (GFATM) (Round 9). The results will be known mid-2009; if successful, the funding will be worth USD 4 million. Its programme capacity has significantly increased: a total of 102 staff and volunteers have received capacity building training on HIV during the past one year. The RCRC Global Alliance on HIV 1

2 A bold, consolidated approach helps position MRCS as a major player in the national HIV response, evidenced by its election to vice-chair of the GFATM. Also, on the government s invitation, the MRCS has been actively involved in developing Mongolia s national HIV/AIDS Strategy for throughout It participated in national think tank groups to develop national strategies to work with high risk groups such as sex workers, men who have sex with men (MSM) and prison community. It employs innovative approaches that demonstrate effective partnership and empowerement approaches in working with sex workers, people living with HIV and MSM groups. The MRCS also launched on an innovative cross border work with its neighbouring countries in HIV prevention context. The HIV programme s work towards the seven guiding principles of Global Alliance on HIV ( Seven Ones ) has had spill-over benefits across other MRCS programming. The HIV programme is considered by other MRCS staff as a pilot in managing national programming, especially in establishing a nation-wide monitoring framework. The programme has better linkages with other programmes: for example, single mothers in social care programme become beneficiaries of HIV prevention messages by the HIV programme. SECTION 1 1. MRCS joined the Red Cross and Red Crescent Global Alliance on HIV one year ago and launched an ambitious three-year plan to scale up its HIV programme. The purpose of the programme is to reduce vulnerability to HIV and its impact in Mongolia, through four key objectives preventing further HIV infection; expanding care, treatment, and support; reducing stigma and discrimination; and strengthening MRCS HIV response through capacity building at all levels. The total funding of the MRCSC HIV programme for under this new global framework is USD 1,924,064 (CHF 2,020,263). This total budget includes all contributions, domestic and international, funding from partner Red Cross national societies and other organizations. In the period of , the programme aims to benefit a total of 163,797 individuals, which represents roughly 10 per cent of the country s total adult population of years.the MRC S has committed to scaling up not only by increasing the number of target beneficiaries and locations, but also expanding to cover new vulnerable higher risk communities and improving the quality of its programme by adhering to the seven principles of the Global Alliance on HIV. The RCRC Global Alliance on HIV 2

3 SECTION 1: Annual review of extent to which the Programme Workplan has been implemented Review Date: 03/30/2009 Period to which the data in the table relates: 01/04/ /12/2008 Purpose: To reduce vulnerability to HIV and its impact in Mongolia OUTPUT 1: Preventing further HIV infection Planned Actual 1.1 Peer education and community mobilization/nation wide/nationwide MSM 1.1 % of men reported the use of condom the last time they had anal sex with a male partner 1.2 Youth for Health NGO increased capacity to manage, implement and sustain activities 1.3 Peer educators present improved HIV knowledge and skills MSM reached through peer group discussions Prisoners % of targeted prisoners correctly identify ways of preventing the sexual transmission of HIV and reject major misconceptions about HIV transmission prisoners reached through group discussions Youth % of youth in targeted schools/universities correctly identify ways of preventing the sexual transmission of HIV and reject major misconceptions about HIV transmission youth reached through peer education programme 1.9 Peer educators present improved HIV knowledge, skills, attitudes Mobile Population 1.10 Army officers and RC volunteers in target areas display improved HIV knowledge, skills, attitudes 1.11 Level of awareness and knowledge of HIV among mobile population increased ,200 people reached through activities that targeted mobile population Sex workers 1.13 Sex workers input into MRCS HIV strategy and National strategy through outreach workers 1.14 Sex worker negotiation, protection and communication skills increased 1.15 Sex workers have ownership of the project and ability to plan, implement and sustain own activities 1.16 Communication model is implemented effectively and sustainable relationship is developed sex workers reached through communication model by the end of 2008 Single mothers % of participants display improved knowledge on HIV, sexually transmitted diseases (STDs) ,050 women reached through outreach workers MSM Prisoners 1,200 Youth 9,200 Mobile pop. 3,200 Sex workers 270 Single mothers 1,050 MSM Prisoners 560 Youth Mobile pop. 634 Sex workers Single mothers IEC for targeted vulnerable groups/nationwide 1.3 Voluntary ,730 people reached through IEC materials by the end of 2008 nationwide 40,730 45, ,000 people referred to VCT services by the end of MRCS supported VCT centres handed over to the government by the end of ,000 3,100 The RCRC Global Alliance on HIV 3

4 counselling and testing (VCT)/Khovsgol, Dornod, Uvs, Selenge, Umnugobi, Dornogobi 1.4 Skills for personal protection, including condom use/nationwide Awareness of people referred to VCT center increased Quality of VCT service is maintained ,860 people reached through condom promotion by the end of 2008 Planned 13, Actual Output 1 Total -- 64,850 63,732 OUTPUT 2: Expanding HIV treatment, care, and support Approach 2.1 Developing community support groups and networks/ulaanba atar 2.2 Providing livelihood and food support for the most vulnerable/nation wide Output 2 Total Activities to Implement Approach Positive Life NGO increased its capacity to manage, implement and sustain activities PLHIV provided with livelihood/income generation support by the end of 2008 Number of Targeted Beneficiaries Planned Actual The RCRC Global Alliance on HIV 4

5 OUTPUT 3: Reducing HIV stigma and discrimination Approach 3.1 Developing community support groups and networks of PLHIV, and partnerships with PLHIV organizations/ula anbaatar, Khuvsgul 3.2 Ensuring that HIV in workplace policy and programmes for all staff and volunteers are in place in RCRC National Societies/nationwi de 3.3 Peer education, community mobilisation, and population-based IEC/nationwide Output 3 Total Activities to Implement Approach HIV ethics module formally incorporated into university curriculum Improved attitudes among general population on HIV and related issues Increase in both the number of newspaper articles on HIV and related issues, and the proportion written according to ethical standards journalists reached through training, meetings, competitions by the end of Organize consultation meeting with HQ and branch staff on development of HIV workplace policy Create working group to develop HIV workplace policy Publish final version of HIV workplace policy and distribute to all staff Conduct sensitisation training in conjunction with implementing the new HIV policy among all HQ and branch staff Create monitoring mechanism to ensure the policy is being upheld and to handle any complaints from positive community partners or future positive staff/volunteers Organize national campaigns on anti-stigma towards target groups during yearly holidays and events Review all training curriucula and IEC materials to ensure they remain sensitised and positively promote partner communities Number of Targeted Beneficiaries Planned Actual 82 journalists 64 journalist The RCRC Global Alliance on HIV 5

6 OUTPUT 4: Strengthening National RCRC Society capacities to deliver and sustain scaled-up HIV programme Approach 4.1 Improving governance, accountability and leadership of RCRC National Societies for discharging planned commitments 4.2 Improving volunteer and staff support and management 4.3 Strengthening programme cycle management 4.4 Widening partnerships and expanding resource mobilisation Activities to Implement Approach Organize annual information sharing meetings among all branches to discuss new issues and share lessons learned Conduct regular meetings with stakeholders and other core programmes to improve integration of activities Organize annual training on human resource management (staff and volunteers) Strengthen volunteer database system Create standardized reporting format for all branches to follow regardless of involvement in bilateral/multilateral funded projects Organize training on project proposal development for all branch staff Organize training on monitoring and evaluation of projects for all branch staff Strengthen financial reporting format and open exchange of information in order to improve transparency at HQ and branch levels Develop marketing strategy for the MRCS HIV Response Programme Conduct regular stakeholder meetings as needed with partner organizations, including local branches of both MRCS and respective partner organizations Conduct training on income generation/fundraising among all branch staff Provide support for income generation activities to selected branches following local initiatives and considering each branch s capacity to implement such initiatives Number of Targeted Beneficiaries Planned Actual Output 4 Total TOTAL FOR FOUR OUTPUTS , 918 The RCRC Global Alliance on HIV 6

7 SECTION 2 2. Assessment of each output by comparison to the baseline and targets. SECTION 2: Six-monthly review of extent to which the four Outputs have progressed Review Date: 03/30/2009 Period to which the data in the table relates: 01/04/ /12/ % coverage by Is this data Total number RCRC HIV actually of targeted Programme recorded populations in Number of RCRC (total column 1 or communities Tracking beneficiaries column2)x100=% estimated? Indicators Total Male Female R / E Programme Purpose: To scale-up the International Federation s efforts in support of national HIV and AIDS programmes to reduce vulnerability to HIV and its impact People benefiting from RCRC HIV services in targeted communities 63,918 26,959 36,959 1,615,177 4 % R Programme Output 1: Further HIV infections are prevented People reached by peer education programme 15,632 5, ,389 8% R People reached by IEC 45,000 20,500 24,500 1,615,177 1% R programmes People who were referred to VCT services 3, ,170 1,615, % R TOTAL OUTPUT 1 (sum of above) 63,732 27,352 36,444 1,615,177 4% R Programme Output 2: HIV care, treatment, and support is expanded PLHIV reached by RCRC support groups % R The RCRC Global Alliance on HIV 7

8 HBC or treatment clients and OVC receiving NA NA NA livelihood support TOTAL OUTPUT 2 (sum of above) % R Programme Output 3: HIV stigma and discrimination is reduced NS staff and volunteers participating in workplace HIV education 102 TOTAL OUTPUT 3 (sum of above) ,139 9% R 62 Programme Output 4: National RCRC Society capacities to deliver and sustain scaled-up HIV programme are strengthened Volunteer hours DK DK DK DK mobilised TOTAL OUTPUT 4 (same as above) 3. Key achievements The new plan under the framework of the Global Alliance on HIV was launched in April 2008 instead of the originally planned January 2008; despite this fact, the programme was able to achieve most of its planned targets for Output 1 MSM The total number of men reached is 213 (planned 200). A drop-in centre Youth for Health for MSM youth is improving its cooperation with other non-governmental organizations that are specialised in consultations for MSM and referral to voluntary counselling and testing (VCT) centre. The integration greatly contributed to an increase of condom usage, decreasing number of sexually transmitted diseases (STDs) occurrences and caused behaviour change among MSM. The MRCS trained MSM that are operating the centre to become peer educators. The main activities include free-of-charge condom distribution, monthly training on HIV/STI related topics by peer educators, regular consultation and discussion sessions. One of the achievements was establishment of cooperation with UNESCO that resulted in joint development of guideline for MSM. Prisoners The total number of people reached in MSM group is 213, which comprises nearly half of the planned figures. Lower than the planned coverage is explained by the lack of programme funding. The HIV programme established better programme linkages with the MRCS social care programme which is equally concerned about the health and social wellbeing of prisoners. The RCRC Global Alliance on HIV 8

9 Therefore, the two programmes joined their forces in working with prisoners and visited the strict regime prison in Baganuur district, conducted STI education sessions for prisoners as well as staff and public relations officers and distributed sanitation bags among prisoners. At the request of prisoners, the MRCS established also a library in the prison, which received high appreciation from all inmates. Youth The programme has improved its integration with Youth Red Cross (YRC) programme, leading an increase in outreach to the youth groups. In 2008, a total of 13,600 youth have been reached, which exceeds the plans by 47 per cent. The programme conducts group consultations and discussion sessions by trained peer educators in schools and universities, using the established network of YRC clubs in those establishments. The programme also conducted a national experience sharing meeting of best YRC HIV facilitators and peer educators from all over Mongolia in The meeting highlighted challenges and achievements in context of urban and rural areas and promoted regular sharing of good practices. Mobile population: Due to funding shortage, the activities to reach mobile population groups took place only in Bayan-Olgii province, reaching a total of 634 people in this group (approximately one fifth of the annual planned figures). The 16 peer educators trained during 2008 reached with HIV prevention messages traders and drivers who are engaged in long-distance or cross border trade and transportation. The Bayan-Olgii mid-level Red Cross branch developed IEC materials in local language (Kazakh language). Sex workers The programme reached three quarters of the total planned figures for this work: in 2008, the programme worked with 123 female sex workers in Khovsgol province (the most attractive natural scene for tourism in the country) and 83 female sex workers in Dornogobi province (the biggest border point with China). The programme brought sex workers together to begin to form their own network, and determine their own responses to issues they face such as HIV. Working with trust, confidentiality and effective communication, the programme has reached increasing numbers of sex workers. Through this programme, sex workers were empowered to understand their rights, share information with their peers about health and HIV and gain and develop effective communication and negotiation skills It is also hoped that in the long run the programme will help change Mongolian policy toward sex workers, shifting to a holistic, non-discriminatory attitude toward sexual health and HIV and help educating the broader community about protected sex. Active collaboration and support from the Scarlet Alliance, an Australian organization of sex workers bolstered the effectiveness of the programme. Single mothers In 2008, a total of 419 single mothers have been reached (40 per cent of the planned outputs). The single mothers received trainings on reproductive health, HIV and STI prevention and vocational trainings that promote self-sustainable livelihood options for them. They are empowered through effective dialogue and communication. Some of single mothers became Red Cross volunteers to educate their peers. Output 2 Currently in Mongolia there are two community organizations initiated and operated by HIV positive people themselves. Altogether, some 20 people living with HIV from these two community groups have been supported by the programme during 2008 (figures on the target). The RCRC Global Alliance on HIV 9

10 The MRCS organized different activities to support HIV positive community s livelihood by organizing public donation campaign and promoting income generation options by people living with HIV. A total of MNT 4.6 million (CHF 3,470) were collected during the natonwide donation campaign in support of people living with HIV, benefiting two people living with HIV. To promote more accepting attitude and supportive family and social network environment, the programme also worked with family members and friends of those living with HIV. Six families affected with HIV were offered psychological and material support including clothes, school utensils and food. Output 3 MRCS has been a strong advocate for greater media literacy of HIV issues among journalists and non-stigmatizing portrayal of PLHIV in media. Thanks to this positive influence, a local media non-governmental organization was established called Intellectual HIV Vaccine. In 2008, it provided trainings for 64 journalists (three quarters of the planned figures) and conducted a series of experience sharing meetings among non-governmental organizations and journalists on these critical issues. It organized media competitions and published and disseminated the winning essays which positively and accurately portray in media issues around HIV and PLHIV. It published quarterly newletters on reproductive health and HIV/STI. Output 4 In 2008, one of the major achievements has been improving HIV programme capacity of staff and volunteers involved in HIV programming. A total of 102 Red Cross staff and volunteers have been trained in HIV programming (85 per cent of the target). With the support from the Norwegian Red Cross and Asian Red Cross Red Crescent Network on HIV (ART), the programme has developed an HIV workplace policy which enabled the programme to hire a person living with HIV to work as a member of their team from Integration of a gender and diversity approach, including PLHIV partnership into the progamming The HIV programme makes an effort to keep gender balance of peer educators and outreach workers in activities targeting youth, mobile population, HIV positive community and the MRCS staff. The other groups (sex workers, single mothers, MSM) are usually one gender groups. The programme also includes gender-specific issues in its training curricula. The key approach that the programme takes in each peer education training and community dialogue with partner groups is to sensitize and empower them, so that they become more aware that they are uniquely important members of their family, school, social network and larger communities and their contribution are crucial in preventing HIV spread in Mongolia. The programme works in equal partnership with community organizations of people living with HIV, sex workers and MSM. One of the major successes of the programme in 2008 is its successful involvement of people with HIV in all aspects of the programming, they are involved as volunteers and peer implementers. One of persons living with HIV has been working as a volunteer of the HIV programme for the past months and starting from March 2009, this individual will be working part-time as a member of HIV programme team at the national headquarters. He will support the implementation of projects working with people living with HIV groups and MSM communities. Currently, the MRCS is adjusting its workplace policy to create enabling environment and the staff members have been sensitized to respect the confidentiality of this arrangement. Experience has shown that involvement of people living with HIV is a powerful approach as it allows better understanding of reality of living with HIV in Mongolia and helps to improve and adjust the programme design accordingly. Considering that there The RCRC Global Alliance on HIV 10

11 are no openly HIV positive person in the country, this is has been truly groundbreaking in Mongolia and for the Red Cross. 5. Global and operational alliance and external partner collaboration: Red Cross partnership: From Red Cross partners, the MRCS s HIV programme is supported by the Australian Red Cross, Finnish Red Cross, Japanese Red Cross and Norwegian Red Cross. The programme receives regular technical support from the Australian Red Cross, ART and the Secretariat of the International Federation at country, regional and zonal levels. In partnership with other external organizations: The MRCS s HIV programme receives funding and technical support from several UN offices in-country (UNFPA Mongolia, UNDP and UNV). In 2008, it has strengthened its collaboration with other civil society organizations working in HIV response, such as National AIDS Foundation, community organizations of people living with HIV, MSM and an Australian sex workers association called Scarlet Alliance. 6. Meeting internationally agreed and nationally recognized quality standards The programme works towards meeting the quality standards set in the non-governmental organizations Code of Good Practice and Mongolia s nationally recognized quality standards. The RCRC Global Alliance on HIV 11

12 SECTION 3: National Society Funding to Date Period to which the data in the table relates: 01/04/ /12/2008 Budget (CHF) Received (CHF) Spent (CHF) National Society Funding 01/01-31/12/ /04-31/12/ /04-31/12/2008 Funding raised by local RC 33,000 33,000 33,000 branches from different sources Public 4,600 4,600 National government National private sector 18,627 Other international NGOs & UN incountry 21,630 International government donors incountry* Global Fund Gates & other foundations Networks PNS Australian Red Cross 118, , ,130 PNS Japanese Red Cross 71,400 89,760 89,760 Secretariat 105,000 66,818 66,818 ICRC Other (specify) 229,272 Subtotal 597, , ,308 SECTION 4: 7. Progress towards the Seven Ones of the Global Alliance, constraints and challenges One set of needs analysis: the MRCS s HIV programme plan for has been developed through a serious of common needs analysis exercises, done jointly with the midlevel Red Cross branches, partner organizations and groups of people living with HIV and other groups. The programme continues to adjust its activities based on feedback from these groups and in line with national strategic directions and assessments. One set of objectives and strategies and One HIV country action plan: All the HIV work by the MRCS at different levels collectively contribute to the common goal of the programme which is to reduce vulnerability to HIV and its impact in Mongolia. Individual branches are responsible for achieving their respective local objectives reflected in the country plan. During the past one year, one of the programme challenges was to stay focused on the Global Alliance plan s objectives. Currently, to a large extent, the programme is dependent on external funding and there is an inherent risk for donors to dictate the programme directions, based on their funding priorities. One shared understanding of the division of labour among entities of the Red Cross Red Crescent Movement: During 2008, the Intenational Federation s technical staff and programme partners have been actively involved in the programme planning and monitoring. For instance, during 2008, the Australian Red Cross technical advisors have provided The RCRC Global Alliance on HIV 12

13 extensive support to the programme in adapting the Global Alliance on HIV s monitoring framework to the programme needs and capacities. MRCS needs to clarify further the role of respective external partners beyond specific project support framework and get their buy-in into the concepts of the Red Cross Global Alliance on HIV in Mongolia. One results-based funding framework: the programme has established a simple tracking system which registers funding coming from all sources. Previously, HIV activities carried out with locally raised funding at branch level were not captured at central level and the current system recognises more the importance of locally led initiatives. As the programme monitoring will improve, it allows for more objective, performance-based recognition system of the branches work in HIV. Also, in the spirit of gentle competition, the mid-level branches are more actively motivated to resource their HIV work from local sources (government, companies, public). One performance tracking system and One accountability, reporting and advocacy framework: Now, the MRCS HIV work at different levels (community, branch and national) follows the same reporting format and commonly agreed monitoring indicators. The reporting and monitoring activities became more systematic and it helps to increase accountability and transparency of the programme activities. However, to compensate for the Global Alliance s heavy focus on output, rather than on a balance of quantative or qualitative indicators, the MRCS has developed a set of additional indicators that measure behaviour and attitude change, satisfaction by partner groups, involvement of key groups in the programming, etc. More work needs to be done in the coming year to consolidate accurate measuring of those quality indicators at the local level. Currently, one reporting framework does not meet the requirements of different Red Cross and external partners and the MRCS still produce a set of different reports, in addition to the Global Alliance overall report. Challenges and constraints: Sparsely populated vast territory, the time required to reach remote project locations and rapid scale up has stretched the programme s human resources, especially at national headquarters level. There is a danger for important national level work such as policy development, guidance to the branches, advocacy to become neglected. Lack of interest for donors to support national level capacity building activities, in preference for activities at community level. Hence, important components of improving programme management and building national society s capacity are chronically neglected. Outreach and condom distribution to sex workers and MSM groups require extensive preparatory work and commitment by outreach workers Weak organizational capacity and internal conflict between the two only existing community groups of people living HIV: in 2008, the programme adjusted its capacity building support strategies to these groups accordingly. Condom distribution to sex workers and MSM guys is one of the challenge due to the uniqueness of the groups and mainly dealt by outreach workers. No dedicated HIV staff in most of mid-level branches and a large variance among branches in HIV technical competence. In 2008, the programme emphasized shifting from previous programme management mode (centrally managed as individual projects) to consolidated national programming, with decentralized implementation authority to local Red Cross branches. Maintaining quality in the scale up process. Getting more buy-in from branches to report regularly to the headquarters, for their locally initiated and funded activities. The RCRC Global Alliance on HIV 13

14 8. Future programme focus for 2009 and 2010 Focus on quality improvement, work further on integrating the additional quality measuring indicators. Extend partnership with other major HIV response organizations in country, especially at local levels. A mid-term review of the Global Alliance progress in late Mainstreaming HIV prevention in other MRCS programmes, active participation in MRCS s planned integrated programme pilot approach in selected provinces/districsts from Improving monitoring and evaluation and reporting system and further efforts towards integrating the Global Alliance seven ones in step-wise approach. Capacity building at national and mid-level branch levels. Further diversification of funding sources, increase of share of programme s own funding. How we work The International Federation s activities are aligned with its Global Agenda, which sets out four broad goals to meet the Federation's mission to "improve the lives of vulnerable people by mobilizing the power of humanity". Contact information For further information specifically related to this report, please contact: Global Agenda Goals: Reduce the numbers of deaths, injuries and impact from disasters. Reduce the number of deaths, illnesses and impact from diseases and public health emergencies. Increase local community, civil society and Red Cross Red Crescent capacity to address the most urgent situations of vulnerability. Reduce intolerance, discrimination and social exclusion and promote respect for diversity and human dignity. In Mongolia: Mongolian Red Cross Society, Mr. Ravdan Samdandovji, Secretary-General, redcross@magicnet.mn; phone: ; fax: International Federation Office in Mongolia: Mrs. Maija-Liisa Fors, Head of Office; maijaliisa.fors@ifrc.org; phone: ; fax: International Federation Regional Office in Beijing: Mr. Carl Naucler, Head of East Asia Regional Office; carl.naucler@ifrc.org; phone: , fax: International Federation Zone Office in Kuala Lumpur: Jagan Chapagain, Deputy Head of Zone, jagan.chapagain@ifrc.org; phone: ; fax: International Federation Secretariat in Geneva: Mr Bernard Gardiner, HIV Unit Manager, bernard.gardiner@ifrc.org; phone , fax The RCRC Global Alliance on HIV 14