Technical Guidance for Global Fund HIV Proposals

Size: px
Start display at page:

Download "Technical Guidance for Global Fund HIV Proposals"

Transcription

1 Technical Guidance for Global Fund HIV Proposals FINAL DRAFT DOCUMENT The document will remain in a final draft form for Round 9 and will be finalized for the Round 10 Resource Toolkit. If you would like to add your contribution to the current guidance please forward your suggestions to UNICEF New York HQ before June 30, 2009 (Please contact Dr. Mariam Jashi at mjashi@unicef.org) ANALYSING PROGRAMMATIC AND RESOURCE GAPS Working document - 21 April 2009 Introduction A robust analysis of both programmatic and financial gaps is one of the fundamental prerequisites for the country applications to be recommended by the Technical Review Panel (TRP) for approval by the Global Fund to fight AIDS, Tuberculosis and Malaria (GFATM). A well articulated gap analysis in its turn provides a basic skeleton of the country proposal, as clearly defined disease-specific and systems bottlenecks guide both identification of the programme and financial gaps in the overall national response and prioritization of the additional programme and funding support needs for the GFATM applications. Purpose and the intended audience The current technical note intends to provide consolidated guidance to the country teams and consultants involved in the writing of the GFATM applications regarding how to analyze the existing programmatic and financial gaps of the national HIV & AIDS responses and how to best reflect the results of the gap analysis into the HIV proposals to the GFATM. The guidance was drafted in response to the TRP observation, that insufficient analysis of the situational gaps and selection of inappropriate approaches/activities were the most commonly identified weaknesses across the category 3 and 4 proposals from the Round 8 submissions. Structure of the guidance note In efforts to avoid duplication of already available instructions and guidance from different sources and to facilitate better coherence of the gap analysis to the structure of the GFATM applications, the note: 1. Summarizes the major recommendations and guiding principles relevant for the programmatic and financial gap analysis from the GFATM Round 9 Proposal Guidelines. 2. Spells out a step wise process for a comprehensive gap analysis of the national response frameworks (hereafter referred as the NATIONAL PROGRAMME). 3. Provides practical recommendations and proposes a framework for undertaking a comprehensive gap analysis of the overall NATIONAL PROGRAMME and how to link the results of the analysis to the specific sections/subsections of the GFATM applications, and 4. Summarizes a set of evidence-based interventions in HIV/AIDS prevention, treatment, care and support programmes described in the major reference documents from the GFATM, UNAIDS and cosponsor agencies. Major References used for the guidance 1. Guidelines for Proposals Round 9 (single country applications). The Global Fund to fight AIDS Tuberculosis and Malaria, HIV Proposal Form (sections 3, 4, 5 and Annex A) for Round 9. The Global Fund to fight AIDS Tuberculosis and Malaria, A handbook for Planning and Managing for HIV/AIDS Results. IBRD/The World Bank Practical Guidelines for Intensifying HIV Prevention, Towards Universal Access. UNAIDS, Monitoring and Evaluation Toolkit. HIV/AIDS, Tuberculosis and Malaria. February Third Edition. GFATM, MEASURE Evaluation, PEPFAR, PMI, RBM, Stop TB Partnership, UNAIDS, UNICEF, USAID, WHO, World Bank. 6. Global Health-Sector Strategy for HIV/AIDS WHO

2 Major Recommendations and Guiding Principles from the GFATM Round 9 Proposal Guidelines and relevance to the programmatic and financial gap analysis Guiding Principles and Recommendations from the GFATM R9 Guidelines As far as possible, Round 9 proposals should be developed in the context of national health sector development plans and strategic plans, and/or national disease control programs and strategic plans Proposals submitted to the Global Fund should seek additional support for programs that address gaps and needs identified by the countries The Global Fund aims to ensure that funding is available to support universal access to comprehensive prevention, treatment, and care and support services by all members of affected communities women and men of all ages, key affected populations and sexual minorities Relevance of the Principles and Recommendations to the Gap Analysis The gap analysis should assess the gaps and constraints towards attainment of the overall goals and targets of the NATIONAL PROGRAMMES. The analysis should make reference to any recent SWOT analysis i.e. response analysis of the national AIDS programmes, health system or health sectoral reviews. Where no formal analysis exists, the SWOT analysis should be undertaken in a broad consultative process as part of the GFATM proposal development. The main purpose of the Gap Analysis is to identify these additional programmatic and financial support needs based on the situational and response analysis and analysis of the remaining challenges and barriers towards reaching the overall NATIONAL PROGRAMME targets for Universal Access. A comprehensive analysis should assess the gaps and constraints towards reaching ambitious, but realistic Universal Access targets set by the countries for prevention, treatment, care and support. And the Global Fund encourages that the countries submit proposal that would be able to bridge the gaps between the current level of the response and the ambitious Universal Access targets. However, a sound analysis will also guide the country teams in their decisions whether the GFATM application should address all gaps that have been revealed (taking into consideration the absorptive capacity of the national systems and other factors) or whether the application should include only a select number of disease-specific, community- and/or health system strengthening interventions. Based on the synthesis of the different resources, we could recommend the following 9 steps both for a comprehensive analysis of the programmatic and financial gaps within the overall national responses and identification of the appropriate additional interventions and funding requests for the GFATM applications: Step 1: Step 2: Step 3: Step 4: Step 5: Step 6: Step 7: Step 8: Step 9: Analyzing the overall national contexts Identifying the overall NATIONAL PROGRAMME framework Reviewing the goals and objectives of the NATIONAL PROGRAMME Analyzing the broad programmatic objectives, SDAs, output targets and the core interventions spelled out in the NATIONAL PROGRAMME Assessing the level of engagement and the capacities of the governmental and nongovernmental partners in implementation of the NATIONAL PROGRAMME Assessing the systems capacities in implementation and tracking the progress of the NATIONAL PROGRAMME Compiling information on the existing and pledged resources from the domestic and external sources for the NATIONAL PROGRAMME, including the previous GFATM grants. Summarizing the response gaps and areas for additional programmatic and financial support needs within the overall NATIONAL PROGRAMME, and Agreeing on the list of the additional programmatic and financial needs to be included in the GFATM applications 2

3 STEP 1 Link to the GFATM Application ANALYZING THE OVERALL NATIONAL CONTEXT This step will provide data for sections (b) and The specific target population groups will be selected based on the agreement of the GFATM proposal content (Step 9) The first step in the process is to know your epidemic to define the current epidemiological, behavioural situation and context, the populations, geographic locations, and risk settings of the groups most in need of HIV services. In order to identify the key affected populations and drivers of the epidemic summarize the latest demographic and epidemiological data available in the country through the first and second generation surveillance. Look into the dynamics and the drivers of the epidemic: - Where and among whom are HIV infections happening? 1 What are the populations with high HIV prevalence, where are those populations being exposed to HIV? What is the trend of the HIV prevalence in these groups? Consider how the epidemic differently affects men vs. women, rural vs. urban populations, adult vs. children, high risk or marginalized population groups compare the current statistics to any trend data available from the 1 st or 2 nd generation surveillance for the last 3-5 year periods. - Why are HIV infections happening in these population groups? What are the risk behaviours (i.e. injecting drug use with use of unsterile equipment, unprotected casual sex contacts), what are the high-risk situations and what factors limit the ability of those who are vulnerable to reduce their risk behaviours? Use any available data from biomarker and behavior surveys, sentinel surveillance, etc. - How fast are infections moving? 1 HIV may move through a network of exposures. For example, from client to sex worker, who may then infect other clients, who transmit the virus to their regular partners. - What are the drivers of the epidemic? 1 Apart from the risk behaviours, what are the sociocultural and policy factors which act as drivers of the epidemic? i.e. stigma and discrimination against people living with HIV or to most-at-risk populations, gender inequality (lack of sexual autonomy and power of decision-making among women and girls). The possible resources of the strategic information 2 for the analysis: - Health facility-based statistics - Community-based program reports - Surveillance studies - National representatives, population/based sample surveys such as Demographic and Health Survey (DHS and DHS+, AIS, Multiple Indicator Cluster Surveys (MICS)) - Schools, health facility and workplace surveys - Specially designed surveys and questionnaires i.e. targeted surveys of most-at-risk populations, National Composite Policy Index questionnaire. Many countries will already have the data synthesized into a structured framework (or a table) for the national programme analysis, UNGASS-related report or other formats, and the country teams are encouraged to use any available synthesis reports for the context analysis. Otherwise, the GFATM proposal writing teams could use the following table. 1 Practical Guidelines for Intensifying HIV Prevention, Towards Universal Access. UNAIDS Practical Guidelines for Intensifying HIV Prevention, Towards Universal Access. UNAIDS, 2007 Monitoring and Evaluation Toolkit. HIV/AIDS, Tuberculosis and Malaria. February Third Edition. GFATM, MEASURE Evaluation, PEPFAR, PMI, RBM, Stop TB Partnership, UNAIDS, UNICEF, USAID, WHO, World Bank. 3

4 Proposed sample of a table to summarize the priority groups of the populations and the size of the target populations for the NATIONAL PROGRAMMES Population groups Population - all ages Total Estimated number /size of the group Female Male Urban Rural Estimated number of people living with HIV in the group Total Female Male Urban Rural Estimated HIV prevalence in the group Total Female Male Urban Rural Year & Source of the data. Or indicate no data Summary of the Priority Populations for the NATIONAL HIV and AIDS RESPONSE Identify the population groups to be prioritized and describe why? i.e. comment on latest HIV trend in the group or the HIV disease burden attributable to the group Indicate risk behaviors and other driving factors that contribute to higher HIV rates in the selected priority groups Indicate specific geographic locations for the priority groups, if applicable Population > 25 years Population years Population years Population 0-14 years Pregnant women (annual #of births) Migrant population Drug Users (including injecting drugs) Sex workers (female) Men who have sex with men Orphans Add additional lines for other population groups as relevant to country context 4

5 STEP 2 IDENTIFYING THE OVERALL NATIONAL PROGRAMME FRAMEWORK Ling to the This step provides narrative inputs for Section 4.1 GFATM Application This step intends to identify the overall NATIONAL PROGRAMME framework the document that best reflects the comprehensive scope, priorities and the strategic interventions set by the national HIV and AIDS programmes and plans. Most of the countries would have in place health sector or disease-specific programmes and strategic plans that will reflect the overall framework of the national HIV and AIDS response, like National Health Sector Development Plan National HIV and AIDS Action Framework Strategic and operational Plans for HIV and AIDS, etc. The NATIONAL PROGRAMMES, even where they exist, should be considered 'as living documents that can and should be adjusted as needed during implementation, based on the real-time data from programme monitoring, studies, evaluations and other emerging response priorities 3. If there is no comprehensive NATIONAL PROGRAMME, the application should be built on the Logframes and national priorities spelled out in any existing draft plan 4. If no official or draft documents exist, the subject of the Global Fund application may be referred as the PROGRAMME 4. Thus the GFATM proposal development will serve as a catalyst for defining the current epidemiological and programmatic contexts, formalizing the national programme targets for meeting the most vulnerable and affected population needs, and establishing a costed strategic framework for action. STEP 3 Link to the GFATM Application Reviewing the goals and objectives of the NATIONAL PROGRAMME The goals and objectives to be reflected in sections 4.1 and attachment A The existing NATIONAL PROGRAMMES (sectoral or HIV and AIDS Action Frameworks) will be defining the overarching goals and objectives of the national response to HIV and AIDS. Goal(s) are the broad statements of a desired, long-term effect of the NATIONAL PROGRAMMES. The goal(s) are usually defined by a set of Impact-level targets aiming at reduction of HIV/STI incidence and prevalence, HIV related mortality, impact mitigation or changes of the social norms leading to reduced vulnerability and risk settings for HIV. Each goal should also have a set of related, more specific programme objectives that will permit the Program to reach the stated goal(s). The programme objectives are usually expressed by Outcomelevel targets, the intermediate effects that the NATIONAL PROGRAMMES target to achieve. The outcome-level targets are related to the desired changes in behaviors, services utilization, clinical outcomes and quality of life of the affected population groups. How to analyze the relevance of the NATIONAL PROGRAMME goals and objectives? - Look at the results of the context analysis that identifies the key target populations and the drivers of the epidemic (Step 1). - Analyze whether the national goals and objectives through the impact and outcome level targets prioritize the desired changes in the health outcomes, behavior changes and other relevant indicators among the priority population groups identified through the context analysis (Step 1) - If any of the priority population groups are missed out identify as a gap and discuss with stakeholder the need for revision of the NATIONAL PROGRAMME goals and objectives. Below we summarize the set of the Impact and Outcome indicators described in the multi-agency M&E toolkit 5, that could be a useful reference for the analysis of the NATIONAL PROGRAMME goals and objectives. 3 A handbook for Planning and Managing for HIV/AIDS Results. IBRD/The World Bank. 2007, and 4 Guidelines for Proposals Round 9 (single country applications). The Global Fund to fight AIDS Tuberculosis and Malaria

6 Impact-level indicators Outcome-level indicators 1. Young women and men aged who are HIV infected (percentage) (UNGASS #22) 2. Most-at-risk populations who are HIV-infected (percentage) (UNGASS #23) 3. Adults and children with HIV known to be on treatment 12 months after initiation of antiretroviral therapy (percentage) (UNGASS #24) 4. Infants born to HIV-infected mothers who are infected (percentage) (UNGASS #25) 5. Children under age 18 who are orphans (Percentage) (Additional Recommended Indicator #10) 6. Newly registered TB patients who are HIV positive (percentage) 1. Young women and men aged years who have had sexual intercourse before the age of 15 years (percentage) (UNGASS#15) 2. Never married young men and women aged years who have never had sex (percentage) (Additional recommended indicator #12) 3. Women and men aged years who have had sexual intercourse with more than one partner in the last 12 months (percentage) (UNGASS #16) 4. Women and men aged years who have had more than one sexual partner in the past 12 months reporting the use of a condom during their last sexual intercourse (percentage) (UNGASS #17) 5. Female and male sex workers reporting the use of a condom with their most recent client (percentage) (UNGASS #18) 6. Men reporting the use of a condom the last time they had anal sex with a male partner (percentage) (UNGASS #19) 7. Injecting drug users reporting the use of a condom the last time they had sexual intercourse (percentage) (UNGASS #20) 8. Injecting drug users reporting the use of sterile injecting equipment the last time they injected (percentage) (UNGASS #21) 9. Current school attendance among orphans and among non-orphans (percentage) (UNGASS #12) 10. Women and men aged years expressing accepting attitudes towards people living with HIV (percentage) (Additional recommended indicator #14) Note: Please consult the multi-agency M&E toolkit for further details on the reporting schedules and the data measurement tools for the indicators. The same indicators are included in the Attachment A of the GFATM Round 9 Applications HIV Performance Framework, and The Global Fund encourage the use of the proposed standard indicators. However, if appropriate for the local situation, one can overwrite the drop-down box in the HIV Performance Framework to include country specific indicators in line with the NATIONAL PROGRAMME and its respective M&E plan. STEP 4 Analyzing the broad programmatic objectives, SDAs, output targets and the core interventions spelled out in the NATIONAL PROGRAMME Where NATIONAL PROGRAMME is already in place, the goals and objectives (with respective impact and outcome targets) will define the Broad Programmatic Objectives, or Programmatic Areas for the overall national response to HIV and AIDS. The programmatic objectives sometimes are also referred as the Strategic Directions of the national response. Each of the broad programmatic objectives of the NATIONAL PROGRAMME will be defining a set of Service Delivery Areas (SDAs) with expected results (Outputs) and the list of major interventions (activities) as the process of attaining the planned results. The interventions and the output targets of the SDAs should be adequate in the content and scale to ensure that collectively they contribute towards attainment of the broader objectives (outcomes) and goals (impact level targets) of the NATIONAL PROGRAMMES. Thereby selection of relevant intervention for the specific country contexts is a key to the overall soundness of the NATIONAL PROGRAMME and to ensuring a strong logical chain from the identified interventions (process) to the output targets and the broader outcome and impact level targets. In Step 3 we already noted that for countries that have no official or draft NATIONAL PROGRAMMES, the subject of the Global Fund application may be referred as the PROGRAMME 4. Thus the GFATM proposal development shall define the results-based framework of the goals, objectives, programmatic areas and and corresponding impact, outcome and output targets How to assess if the selected Service Delivery Areas and interventions within the NATIONAL PROGRAMMES are appropriate? Consider the following 3 questions: Are we targeting the right population groups? Are we doing the right things? Are we doing the things on a large enough scale? 6 Q1. Are we targeting the right populations groups? Once again the country teams should refer to the context analysis for the population groups and the size of the target population identified as the priority focus for the NATIONAL PROGRAMME (Step 1). Are the Service Delivery Areas prioritizing prevention, treatment, care and support interventions among the key priority populations identified through the context analysis (both men & women, girls & boys, rural and urban populations; poor and affluent; adults and children; children in and out of school; migrant vs. native born; most-at risk and marginalized groups, including sexual minorities; and various combinations 6 A handbook for Planning and Managing for HIV/AIDS Results. IBRD/The World Bank. 2007, and 6

7 of these). If any of the population groups are missed out identify as the programmatic gap and discuss with stakeholders the need to add relevant SDA/interventions. Q2. Are we doing the right things? This question looks at the technical soundness and appropriateness of the selected SDAs and the planned interventions whether they correspond to the best international practices, as defined by the WHO Global Health-Sector Strategy for HIV/AIDS and other WHO and UNAIDS strategies and guidance 7. As there is no one list of the proven evidence-based interventions that the countries could review, we recommend that the country teams take a look through the following four references: 1. The Global Health-Sector Strategy for HIV/AIDS (WHO) summarizing the core components of a Health Sector Response to HIV/AIDS. Please see the Appendix A to the current note for the list of these core components. 2. Monitoring and Evaluation Toolkit for HIV, Tuberculosis and Malaria (February 2009, Third Edition, Part 2, Table 11) provides a list of SDAs and the output level indicators. The list can serve as a useful guide to the country teams to assess the technical soundness of the approaches that are currently applied by the NATIONAL PROGRAMMES. The same SDAs are provided in the drop-down boxes of the HIV Performance Framework of the GFATM Application form and for easy reference we are summarizing the SDAs and the Output Indicators in the Appendix B to the current note. 3. Practical Guidelines for Intensifying HIV Prevention (UNAIDS). This document is useful for checking appropriateness of the prevention interventions that are currently implemented within the NATIONAL PROGRAMMES. The Guidelines spell out the building blocks of the prevention approaches and recommended prevention interventions for general population and the key affected populations in different epidemic scenarios (low-level, concentrated, generalized and hyperendemic). For easy reference the tables from the guidance are included in the current note as Appendix C. 4. Finally, the country teams could refer to Annex 3 of the GFATM Round 9 Guidelines for the list of the disease focused and HSS interventions that Global Fund will support. If any of the proven interventions for preventive, treatment, care and support that needs to be provided in the specific epidemiological context to the target population groups are not yet considered identify as the gap and discuss with stakeholders what additional interventions are essential to be included in the overall NATIONAL PROGRAMME frameworks. Q3. Are we doing the things on a large enough scale? This question looks at both geographic and population-based access to and uptake of the needed services by all affected populations and whether the access and the existing service delivery systems are adequate to reach the ambitious coverage targets for Universal Access. Look at the population-based coverage targets of the specific prevention, treatment, care and support interventions. Are they ambitious enough to reach the overall national goals and objectives? If no identify as the gap and revise the targets in agreement with the stakeholders. If the population-based coverage targets of the SDA interventions are ambitious, and no changes are needed, assess the current trend of the SDA coverage. Is the country on track towards meeting the set output targets for prevention, treatment, care and support under the NATIONAL PROGRAMME? If no identify the coverage gap and discuss with the stakeholders the essential measures to accelerate the scale up of the interventions. Are there differences in equity of access to services between men vs. women, rural vs. urban populations, poor vs. affluent, adults vs. children, children in and out of school, migrant vs. native born, etc. If yes identify the coverage gap and discuss how to accelerate equity in access. Identify the geographic areas where progress in implementation of the SDA intervention is stagnating or off the track to meet the output targets. Also based on the latest epidemiological data identify the new geographic locations where the priority services under the SDAs have to be expanded to reach the most in need groups. If any geographic location where the key affected populations need to access the services are not included in the NATIONAL PROGRAMME or if the current coverage of the intervention in any priority geographic locations is not adequate identify as the gap and discuss with stakeholders the strategies how to accelerate or expand the services in those priority geographic locations. 7 Guidelines for Proposals Round 9. The Global Fund to fight AIDS Tuberculosis and Malaria

8 STEP 5 Assessing the level of engagement and the capacities of the governmental and non-governmental partners in implementation of the NATIONAL PROGRAMME Comprehensive NATIONAL PROGRAMMES are designed to be implemented through a multi-sectoral approach to create demand for, access to and uptake of services at national, sub-national and community levels. List all governmental and non-governmental partners engaged in implementation of the SDAs/ interventions under the NATIONAL PROGRAMME at the national, sub-national and community levels. Does the implementation plan consider all relevant stakeholders both governmental and nongovernmental sectors (NGOs, FBOs, CBOs, networks of people living with HIV, organizations representing key affected populations, private sector, and education/academic sector) to implement the interventions at targeted scale? If any of the key sectors or players have been missed out identify as the gap and discuss with stakeholders how to engage the stakeholders Assess the management and operational capacity of the governmental and non-governmental partners in implementing the interventions at the targeted scale. If any of the capacities need to be strengthened identify as the gap and discuss with stakeholders how to strengthen the partners capacities. STEP 6 Assessing the health and community systems capacity in delivering and tracking progress in implementation of the NATIONAL PROGRAMME This step intends to reveal major bottlenecks in the national health systems and the community systems that impedes demand for, access to and delivery of the prevention, treatment, care and support interventions identified within the NATIONAL PROGRAMMES. Countries are encouraged to use any available SWOT analysis of the national health systems from the national health sectoral or system reviews. The detailed guidance on Health System Strengthening component is available from the Physicians for Human Rights ( and we recommend the countries to refer to the document for detailed guidance. Similarly a technical guidance on Community System Strengthening is available from UNAIDS and the International HIV/AIDS Alliance and here too we recommend the countries to consult the document (web-link tbc). Based on review of the above documents and the results of the analytical work summarize the current gaps across the health systems and the community-level services and discuss the potential approaches to overcome the current bottlenecks with the stakeholders Though the M&E review would be an integral part of the health system review, we would like to reiterate the need for paying a special attention to M&E system capacities in monitoring the output, outcome and impact level indicators identified within the NATIONAL PROGRAMMES, to ensure that the relevant capacities are in place to track the progress in the overall national response. Are all indicators included in the established M&E plans and systems in the country? Are measurement tools and systems in place to track the indicators? If not identify as the M&E system gap and discuss with the stakeholders the additional needs for closing the gaps STEP 7 Compiling information on the existing and pledged resources from the domestic and external sources for the NATIONAL PROGRAMME, including the previous GFATM grants List all existing or pledged resources (both financial and technical) available from the domestic and external sources, including the previous GFATM grants for implementation of the current SDAs/interventions under the national programmes. If any of the SDA interventions remain unfunded within the NATIONAL PROGRAMMES identify as the financial gap within the current response. For each of the additional programmatic gaps identified by the country team through Steps 2-6 of the gap analysis, indicate any potential resources (domestic or external) for covering these additional programmatic interventions. If no potential source of funding can be identified identify as the financial gap for the additional programme interventions. It is imperative to demonstrate that any funding requested for the GFATM is additional to the country's own contributions to the disease both from domestic and external support, and is not displacing existing 8

9 or known funding streams. And analysis of the financial gaps within the overall NATIONAL PROGRAMMES is the first step towards defining the funding requests to GFATM. STEP 8 SUMMARIZING THE PROGRAMMATIC GAPS AND AREAS FOR ADDITIONAL PROGRAMMATIC AND FINANCIAL SUPPORT WITHIN THE OVERALL NATIONAL PROGRAMME Link to the Summarize the results in sections 4.3.1, and GFATM Application Summarize all gaps identified through the steps 2 to 7: 1. Any revisions that need to be made to the current goal and objectives of the NATIONAL PROGRAMME and the corresponding impact and outcome targets. 2. The key affected population groups (men vs. women, rural vs. urban, etc) that have been left out of the current national response or the groups that need additional focused attention based on the latest dynamics of the epidemics. 3. The additional evidence-based interventions across the preventive, treatment, care and support areas that need to be included in the NATIONAL PROGRAMMES based on the latest dynamics of the HIV epidemic in the country or in light of the newly emerged scientific evidence. 4. Any revisions of the output targets for prevention, treatment, care and support interventions in order to reach the ambitious Universal Access targets of the NATIONAL PROGRAMME. 5. Geographic areas where the prevention, treatment, care and support services need to be scaled up or expanded to ensure equal access by all affected populations, including the new locations prioritized by the latest context analysis. 6. The governmental and/or non-governmental sector partners that need to be more actively engaged at the national, sub-national and community levels 7. The capacity building needs of the major partners already involved or to be engaged in the implementing of the NATIONAL PROGRAMME. 8. Health system bottlenecks impeding demand for, access to and uptake of the health system based prevention, treatment, care and support interventions both for the interventions already underway and the additional interventions to be included in the NATIONAL PROGRAMME 9. Community system bottlenecks impeding demand for, access to and uptake of the prevention, treatment, care and support interventions both interventions already underway and the additional interventions to be included in the NATIONAL PROGRAMME 10. Gaps in M&E tools and systems to adequately track the progress in impact, outcome and output level indicators both under the current response and the additional interventions to be included in the NATIONAL PROGRAMME 11. Interventions that remain unfunded under the current NATIONAL PROGRAMME, and the 12. The additional programmatic interventions for attainment of the national Universal Access targets that has not potential source of funding. In efforts to facilitate comprehensive analysis of the programmatic and financial gaps, we are proposing a table that could assist the proposal writing teams in visualizing all major components of the analysis and reflection of the requested information in the specific sections/sub-sections of the GFATM proposal forms through the special links. 9

10 PROPOSED FRAMEWORK FOR THE COMPREHENSIVE GAP ANALYSIS OF THE NATIONAL PROGRAMMES AND PRIORITIZATION OF SDAS/INTERVENTIONS FOR THE GLOBAL FUND APPLICATIONS Summarize the data of the populations groups to be prioritized by the NATIONAL PROGRAMMES, based on the context analysis Ref.: Step 1. Key populations to be prioritized by national programmes/plans General population Size of the target population Total Female Male Whole Country Geographic Location of the population Specific Region(s) Please specify Why this group? Comment on the latest HIV trends in the group or the HIV disease burden attributable to the group Risk behaviors and other Driving factors that contribute to higher HIV rates in this groups Additional comments Population sub-groups. Please specify i.e. youth, pregnant women Most-at-risk population (MARP) please specify i.e. IDUs Orphans and Vulnerable Children (OVCs) Please add additional lines as necessary List the broader overarching goal(s) and objectives of the NATIONAL PROGRAMME National Goals and Objectives Please copy from the NATIONAL PROGRAMME frameworks Impact and Outcome Indicators Please select from the NATIONAL PROGRAMME Targets set by the NATIONAL PROGFRAMME Baseline for the selected indicator (2008) Are these targets adequate for reaching the desired health outcomes and behavior changes in the priority populations? M&E system and tools in place to track the progress in impact and outcome indicators? Goal 1: Target by end of the NATIONAL PROGRAMME Targets by 2014 (if later than the final year of the NATIONAL PROGRAMME) If no suggest revisions of the Impact/Outcome Targets If No, Indicate the existing M&E System Gap Goal 2: Goal 3: Copy additional lines for the Goal(s) as needed The national programme goals and the impact/outcome targets should be copied into the HIV Performance Framework - Attachment A of the GFATM Applications. If any of the goals or impact/outcome targets are changed, the changed statements should be copied into the HIV Framework. 10

11 List the Broad Programmatic Objectives (also referred as the Broad Programmatic Areas or Strategic Directions) of the NATIONAL PROGRAMME Copy the current page for each of the Broad Programmatic Objectives and the SDAs identified in the NATIONAL PROGRAMME framework and number accordingly Broad Programmatic Objective 1: SDA 1.1. Copy from the National Programme Copy from the National Programme Output Indicators Output Indicator 1.1 Output Indicator 1.2 Output Indicator 1.3 Output Indicator 1.4 Output Indicator 1.5 (State 2-5 core output indicators under the SDA as reflected in the national programme) Baselines (State 2008 or the most recent baseline estimates for the 2-5 core output indicators) Targets (State output targets for the 2-5 core indicators by end of the national programme or by 2014, if the national programme ends earlier) 1. Are we targeting the right populations? If NOT, specify the groups missing out. 2. Are we targeting equally the population groups - men vs. women, urban vs. rural, etc.? If NOT, specify which group is missing out. 3. Is the interventions evidence based? If NOT, what additional interventions should be included in the NATIONAL PROGRAMME? Ref.: Appendixes A-C 4. Is the scale of the intervention large enough to meet ambitious UA targets? If NOT suggest needed revisions 5. Is the intervention reaching all affected geographic locations? If NOT, specify regions were the interventions need to be expanded 6. If the country on track of meeting the output targets? If NOT, specify geographic locations where the interventions should be accelerated 7. List key Government, private and NGO sector partners engaged in implementation of the SDA intervention 8. What are the operational and technical capacities that the current partners need to strengthen? 9. Is there a need to engage other sectors or players in implementation of the SDA intervention 10. What are the operational and technical capacities that the new partners will need to strengthen? 11. Summarize HSS challenges impeding implementation of the SDA interventions 12. Summarize CSS challenges impeding implementation of the SDA interventions 13. Are M&E tools and mechanisms in place to track progress in the current SDA interventions or the additional interventions that need to be included (ref.: Question 3). If NOT, specify the M&E gaps 14. Summarize resources available for the SDA from Government and nongovernmental partners, including the previous Global Fund grants. 15. Is the SDA fully funded as planned under the current NATIONAL PROGRAMME? If NOT indicate the interventions that remain unfunded. 16. Can any of the partners fund the additional interventions identified through Questions 3-6 and 8-13? If NOT indicate the additional interventions that has no potential source of funding? 17. Discuss with the CCM partners and country proposal writing teams, which of the identified GAPS should be included in the GFATM Applications. 11

12 STEP 9: Agreeing on additional programmatic and financial needs to be included into the GFATM applications Based on the information compiled through the Steps 2-8 agree which of the additional programmatic interventions (both disease specific, HSS and CSS) and the associated additional financial needs will be prioritized for the GFATM applications. The discussions should involve all concerned partners from governmental and non-governmental sectors through a broad and inclusive consultation. Summary of the programme and financial gaps that will be included into the GFATM application Link to the Global Fund APPLICATION FORM The evidence-based interventions that will be included in the GFATM application. These will include: - Priority intervention under the current NATIONAL PROGRAMME both disease-specific and HSS to be scaled up or that remain unfunded till The additional evidence based interventions both disease specific and HSS - that should be prioritized by the NATIONAL PROGRAMMES and that have no identified source of funding Each of the intervention to be described in section Additionally reflect all interventions targeting M&E system improvements in s Additionally reflect all capacity building activities for government & nongovernmental partners in s and for PRs If partners agree to apply for cross-cutting HSS application relevant inputs to be included in the s 4B For each of the activity identify any available co-funding: - From GOV and other non-global Fund source s From other Global Fund sources s From private sector s Co-funding from all domestic sources in s5.1line B - Co-funding from all external non-gf resources s5.1 line C - Co-funding from all other Global Fund grants s5.1 line D Three to six of the core interventions to be summarized in s 4.4. Indicators for the major SDA interventions to be reflected in Attachment A HIV Performance framework Target populations of the interventions to be supported within the GFATM application Geographic coverage of the interventions to be supported by the GFATM application The key affected population groups (men vs. women, rural vs. urban, etc) that have been missed out from the current national response that will receive additional focused attention in the GFATM application. Reflect in s (b) and s Reflect in s (a) s4.5.4 reflecting how the application will contribute to the social and gender equity 12

13 Annexes to the Technical Guidance for Round 9 Global Fund HIV Proposals DRAFT for Comment ANALYSING PROGRAMMATIC AND RESOURCE GAPS Appendix A Core components of a Health Sector Response to HIV/AIDS Ref.: WHO Global Health-Sector Strategy for HIV/AIDS 13

14 Appendix B Ref.: MONITORING AND EVALUATION TOOLKIT HIV/AIDS, TUBERCULOSIS AND MALARIA. Third Edition February 2009, Part 2 14

15 15

16 16

17 Appendix C Prioritized HIV Prevention Measures for Key Audiences Ref.: Practical Guidelines for Intensifying HIV Prevention. UNAIDS

18 18

19 19

20 20

21 21

22 22

23 23

World Health Organization. A Sustainable Health Sector

World Health Organization. A Sustainable Health Sector World Health Organization A Sustainable Health Sector Response to HIV Global Health Sector Strategy for HIV/AIDS 2011-2015 (DRAFT OUTLINE FOR CONSULTATION) Version 2.1 15 July 2010 15 July 2010 1 GLOBAL

More information

Annex A: Impact, Outcome and Coverage Indicators (including Glossary of Terms)

Annex A: Impact, Outcome and Coverage Indicators (including Glossary of Terms) IMPACT INDICATORS (INDICATORS PER GOAL) HIV/AIDS TUBERCULOSIS MALARIA Reduced HIV prevalence among sexually active population Reduced HIV prevalence in specific groups (sex workers, clients of sex workers,

More information

M&E for Accountability & Global Progress Tracking

M&E for Accountability & Global Progress Tracking M&E for Accountability & Global Progress Tracking Monitoring, Operations Research and Evaluation Team UNAIDS/Geneva April 2007 ORIENTATION 2008 UNGASS Country Progress Report - Benefits of UNGASS for M&E

More information

HIV/AIDS INDICATORS. AIDS Indicator Survey 8 Basic Documentation Introduction to the AIS

HIV/AIDS INDICATORS. AIDS Indicator Survey 8 Basic Documentation Introduction to the AIS HIV/AIDS INDICATORS During the last decade there has been an increased effort to track the progress in the area of HIV/AIDS. A of international agencies and organizations have developed indicators designed

More information

IMPACT AND OUTCOME INDICATORS IN THE NATIONAL HIV MONITORING AND EVALUATION FRAMEWORK

IMPACT AND OUTCOME INDICATORS IN THE NATIONAL HIV MONITORING AND EVALUATION FRAMEWORK IMPACT AND OUTCOME S IN THE NATIONAL HIV MONITORING AND EVALUATION FRAMEWORK 2008-2012 1. HIV Prevention IMPACT S 1. Percentage of young women and men aged 15 24 who are HIV infected (UNGASS (22), MKUKUTA)

More information

UNGASS COUNTRY PROGRESS REPORT Republic of Armenia

UNGASS COUNTRY PROGRESS REPORT Republic of Armenia UNGASS COUNTRY PROGRESS REPORT Republic of Armenia Reporting period: January 2006 December 2007 I. Status at a glance The Armenia UNGASS Country Progress Report was developed under the overall guidance

More information

Monitoring and Evaluation

Monitoring and Evaluation Monitoring and Evaluation Toolkit HIV, Tuberculosis and Malaria and Health Systems Strengthening Part 2: Tools for monitoring programs for HIV, tuberculosis, malaria and health systems strengthening HIV

More information

STI and HIV Prevention and Care among Sex Workers

STI and HIV Prevention and Care among Sex Workers Training Course in Sexual and Reproductive Health Research 2017 Module: Sexually transmitted infections, HIV/AIDS STI and HIV Prevention and Care among Sex Workers Annette Verster and Michelle Rodolph

More information

SCALING UP TOWARDS UNIVERSAL ACCESS

SCALING UP TOWARDS UNIVERSAL ACCESS SCALING UP TOWARDS UNIVERSAL ACCESS Considerations for countries to set their own national targets for HIV prevention, treatment, and care April 2006 Acknowledgements: The UNAIDS Secretariat would like

More information

Children and AIDS Fourth Stocktaking Report 2009

Children and AIDS Fourth Stocktaking Report 2009 Children and AIDS Fourth Stocktaking Report 2009 The The Fourth Fourth Stocktaking Stocktaking Report, Report, produced produced by by UNICEF, UNICEF, in in partnership partnership with with UNAIDS, UNAIDS,

More information

UNGASS Declaration of Commitment on HIV/AIDS: Core Indicators revision

UNGASS Declaration of Commitment on HIV/AIDS: Core Indicators revision UNGASS Declaration of Commitment on HIV/AIDS: Core Indicators revision Updated version following MERG recommendations Context In light of country reports, regional workshops and comments received by a

More information

By 20 February 2018 (midnight South African time). Proposals received after the date and time will not be accepted for consideration.

By 20 February 2018 (midnight South African time). Proposals received after the date and time will not be accepted for consideration. Invitation for Proposals The United Nations Population Fund (UNFPA), an international development agency, is inviting qualified organizations to submit proposals to promote access to information and services

More information

2016 United Nations Political Declaration on Ending AIDS sets world on the Fast-Track to end the epidemic by 2030

2016 United Nations Political Declaration on Ending AIDS sets world on the Fast-Track to end the epidemic by 2030 S T A T E M E N T 2016 United Nations Political Declaration on Ending AIDS sets world on the Fast-Track to end the epidemic by 2030 World leaders commit to reach three goals and 20 new Fast-Track Targets

More information

ANNEX 4: Sample TOR for a

ANNEX 4: Sample TOR for a ANNEX 4: Sample TOR for a comprehensive situation analysis of the education sector response to HIV and AIDS The following is a sample TOR for an HIV and AIDS-related situation analysis in the education

More information

Promoting FP/RH-HIV/AIDS Integration: A Summary of Global Health Initiative Strategies in Ethiopia, Kenya, Tanzania, and Zambia

Promoting FP/RH-HIV/AIDS Integration: A Summary of Global Health Initiative Strategies in Ethiopia, Kenya, Tanzania, and Zambia Promoting FP/RH-HIV/AIDS Integration: A Summary of Global Health Initiative Strategies in Ethiopia, Kenya, Tanzania, and Zambia The Global Health Initiative (GHI) is an integrated approach to global health

More information

Countdown to 2015: tracking progress, fostering accountability

Countdown to 2015: tracking progress, fostering accountability Countdown to 2015: tracking progress, fostering accountability Countdown to 2015 is a global movement to track, stimulate and support country progress towards achieving the health-related Millennium Development

More information

By 20 February 2018 (midnight South African time). Proposals received after the date and time will not be accepted for consideration.

By 20 February 2018 (midnight South African time). Proposals received after the date and time will not be accepted for consideration. Invitation for Proposals The United Nations Population Fund (UNFPA), an international development agency, is inviting qualified organizations to submit proposals to promote access to information and services

More information

The road towards universal access

The road towards universal access The road towards universal access Scaling up access to HIV prevention, treatment, care and support 22 FEB 2006 The United Nations working together on the road towards universal access. In a letter dated

More information

The Strategy Development Process. Global Fund and STOP TB Consultation Istanbul, Turkey 24 July 2015

The Strategy Development Process. Global Fund and STOP TB Consultation Istanbul, Turkey 24 July 2015 The Strategy Development Process Global Fund and STOP TB Consultation Istanbul, Turkey 24 July 2015 Structure of the current 2012-16 Global Fund Strategy The 2012-16 Global Fund Strategy.. States a forward

More information

The outlook for hundreds of thousands adolescents is bleak.

The outlook for hundreds of thousands adolescents is bleak. Adolescents & AIDS Dr. Chewe Luo Chief HIV/AIDS, UNICEF Associate Director, Programmes Division 28/11/17 Professor Father Micheal Kelly Annual Lecture on HIV/AIDS Dublin, Ireland The outlook for hundreds

More information

Guidance on Matching Funds: Tuberculosis Finding the Missing People with TB

Guidance on Matching Funds: Tuberculosis Finding the Missing People with TB February 2017 Guidance on Matching Funds: Tuberculosis Finding the Missing People with TB 1. Background TB is the leading cause of death by infectious disease, killing 1.8 million people in 2015. Each

More information

39th Meeting of the UNAIDS Programme Coordinating Board Geneva, Switzerland. 6-8 December 2016

39th Meeting of the UNAIDS Programme Coordinating Board Geneva, Switzerland. 6-8 December 2016 8 December 2016 39th Meeting of the UNAIDS Programme Coordinating Board Geneva, Switzerland 6-8 December 2016 Decisions The UNAIDS Programme Coordinating Board, Recalling that all aspects of UNAIDS work

More information

Technical Guidance for Global Fund HIV Proposals

Technical Guidance for Global Fund HIV Proposals Technical Guidance for Global Fund HIV Proposals Broad Area Intervention Area CARE ANS SUPPORT Protection, care and support of children orphaned and made vulnerable by HIV and AIDS Working Document Updated

More information

Executive Board of the United Nations Development Programme, the United Nations Population Fund and the United Nations Office for Project Services

Executive Board of the United Nations Development Programme, the United Nations Population Fund and the United Nations Office for Project Services United Nations Executive Board of the United Nations Development Programme, the United Nations Population Fund and the United Nations Office for Project Services Distr.: General 12 July 2011 Original:

More information

HIV Prevention Prioritization & Implementation Brief: Lagos State

HIV Prevention Prioritization & Implementation Brief: Lagos State HIV Prevention Prioritization & Implementation Brief: Lagos State Introduction The HIV epidemic in Nigeria is complex, with substantial heterogeneity in HIV prevalence across different regions and diverse

More information

Rapid Assessment of Sexual and Reproductive Health

Rapid Assessment of Sexual and Reproductive Health NIGER Rapid Assessment of Sexual and Reproductive Health and HIV Linkages This summary highlights the experiences, results and actions from the implementation of the Rapid Assessment Tool for Sexual and

More information

Issue Paper: Monitoring a Rights based Approach: Key Issues and Suggested Approaches

Issue Paper: Monitoring a Rights based Approach: Key Issues and Suggested Approaches Issue Paper: Monitoring a Rights based Approach: Key Issues and Suggested Approaches Defining the Issue This paper explores issues and approaches relevant to the assessment of the application of a rights

More information

SOUTH ASIA HIV PROGRAMME ( ) Red Cross and Red Crescent Global Alliance on HIV

SOUTH ASIA HIV PROGRAMME ( ) Red Cross and Red Crescent Global Alliance on HIV SOUTH ASIA HIV PROGRAMME (2008-2010) Red Cross and Red Crescent Global Alliance on HIV HIV and AIDS in South Asia An estimated 2.67 million people are infected with HIV in South Asia and approximately

More information

Ending the AIDS Epidemic in Adolescents

Ending the AIDS Epidemic in Adolescents Ending the AIDS Epidemic in Adolescents Eastern and Southern Africa Regional Update on the ALL IN Overview 13 October 2015 AIDS-related deaths has declined for all age groups Except adolescents! Eastern

More information

Global health sector strategies on HIV, viral hepatitis and sexually transmitted infections ( )

Global health sector strategies on HIV, viral hepatitis and sexually transmitted infections ( ) Regional Committee for Europe 65th session EUR/RC65/Inf.Doc./3 Vilnius, Lithuania, 14 17 September 2015 2 September 2015 150680 Provisional agenda item 3 ORIGINAL: ENGLISH Global health sector strategies

More information

BUDGET AND RESOURCE ALLOCATION MATRIX

BUDGET AND RESOURCE ALLOCATION MATRIX Strategic Direction/Function ILO Strengthened capacity of young people, youth-led organizations, key service providers and partners to develop, implement, monitor and evaluate HIV prevention programmes

More information

Strategic Planning for HIV/AIDS

Strategic Planning for HIV/AIDS ASAP Regional Training on Epidemiological and Economic Tools for HIV/AIDS Strategic Planning S P Strategic Planning for HIV/AIDS M1S2 Module 1, Session 2 Results-based Strategic Planning S P The Strategy

More information

United Nations Development Programme (UNDP) Sudan. Grant Closure Plan HIV Round 5 Global Fund Grant Grant Number: SUD-506-G08-H. Sudan.

United Nations Development Programme (UNDP) Sudan. Grant Closure Plan HIV Round 5 Global Fund Grant Grant Number: SUD-506-G08-H. Sudan. United Nations Development Programme (UNDP) Sudan Grant Closure Plan HIV Round 5 Global Fund Grant Grant Number: SUD-506-G08-H Sudan June 2012 Grant Closure Plan, Global Fund Round 5 HIV/AIDS Grant, UNDP

More information

BROAD FRAME-WORK FOR HIV & AIDS and STI STRATEGIC PLAN FOR SOUTH AFRICA,

BROAD FRAME-WORK FOR HIV & AIDS and STI STRATEGIC PLAN FOR SOUTH AFRICA, BROAD FRAME-WORK FOR HIV & AIDS and STI STRATEGIC PLAN FOR SOUTH AFRICA, 2007-2011 NOVEMBER 2006 health Department: Health REPUBLIC OF SOUTH AFRICA The HIV and AIDS and Sexually Transmitted Infections

More information

UNGASS Indicators and possible adoption of NDPHS indicators. Tallinn /P.Leinikki

UNGASS Indicators and possible adoption of NDPHS indicators. Tallinn /P.Leinikki UNGASS Indicators and possible adoption of NDPHS indicators National Indicators 1. Committment and Action: 1. Domestic and international AIDS spending by categories and financing sources 2. National Composite

More information

The Global Fund to Fight AIDS, Tuberculosis and Malaria Seventh Board Meeting Geneva, March 2004

The Global Fund to Fight AIDS, Tuberculosis and Malaria Seventh Board Meeting Geneva, March 2004 The Global Fund to Fight AIDS, Tuberculosis and Malaria Geneva, 18 19 March 2004 Round 3 Appeal Panel Report Outline: This report provides an overview of the process followed for the Round 3 appeals and

More information

Towards universal access

Towards universal access Key messages Towards universal access Scaling up priority HIV/AIDS interventions in the health sector September 2009 Progress report Towards universal access provides a comprehensive global update on progress

More information

Botswana Advocacy paper on Resource Mobilisation for HIV and AIDS

Botswana Advocacy paper on Resource Mobilisation for HIV and AIDS Republic of Botswana Botswana Advocacy paper on Resource Mobilisation for HIV and AIDS Page 1 June 2012 1.0 Background HIV and AIDS remains one of the critical human development challenges in Botswana.

More information

LOGFRAME FOR LESOTHO

LOGFRAME FOR LESOTHO LOGFRAME FOR LESOTHO Linking HIV Sexual Reproductive Health Rights in Southern Africa (2011-2014) Outcome: Lesotho has addressed barriers to efficient effective linkages between HIV SRHR policies services

More information

General Assembly. United Nations A/63/152/Add.1

General Assembly. United Nations A/63/152/Add.1 United Nations General Assembly Distr.: General 8 May 2009 Original: English Sixty-third session Agenda items 41 and 124 Implementation of the Declaration of Commitment on HIV/AIDS and the Political Declaration

More information

Executive Board of the United Nations Development Programme, the United Nations Population Fund and the United Nations Office for Project Services

Executive Board of the United Nations Development Programme, the United Nations Population Fund and the United Nations Office for Project Services United Nations DP/FPA/CPD/MDA/3 Executive Board of the United Nations Development Programme, the United Nations Population Fund and the United Nations Office for Project Services Distr.: General 3 July

More information

Technical Guidance Note for Global Fund HIV Proposals. Gender-responsive HIV and AIDS programming for women and girls

Technical Guidance Note for Global Fund HIV Proposals. Gender-responsive HIV and AIDS programming for women and girls Technical Guidance Note for Global Fund HIV Proposals Gender-responsive HIV and AIDS programming for women and girls Rationale: May 2010 Women and girls continue to be at risk of, and vulnerable to HIV

More information

Country_name (MONGOLIA)

Country_name (MONGOLIA) UNGASS Indicators Country Report Country_name (MONGOLIA) STATUS AT A GLANCE...2 OVERVIEW OF THE AIDS EPIDEMIC...4 Impact Indicators...4 NATIONAL RESPONSE TO THE AIDS EPIDEMIC...5 Most-at-risk populations:

More information

UNGASS Country Progress Report. Myanmar

UNGASS Country Progress Report. Myanmar UNGASS Country Progress Report Myanmar National AIDS Programme Reporting period: January 2008 December 2009 Submission date: 31 March 2010 I. Table of Contents I. Table of Contents... 1 II. Acronyms and

More information

TERMS OF REFERENCE FOR INDIVIDUAL LOCAL CONSULTANCY. Consultant to Evaluate and Review the National Condom Strategy

TERMS OF REFERENCE FOR INDIVIDUAL LOCAL CONSULTANCY. Consultant to Evaluate and Review the National Condom Strategy TERMS OF REFERENCE FOR INDIVIDUAL LOCAL CONSULTANCY Title: Consultant to Evaluate and Review the National Condom Strategy 2010-2015 Location: Mbabane, Swaziland Duration: 30 days Type of contract: Individual

More information

Strategic Planning for HIV/AIDS

Strategic Planning for HIV/AIDS ASAP Regional Training on Epidemiological and Economic Tools for HIV/AIDS Strategic Planning S P Strategic Planning for HIV/AIDS Results-based Strategic Planning Stefano Bertozzi STRATEGIC PLAN S P A framework

More information

APPROACH TO GEOGRPAPHIC AND/OR POPULATION FOCUS:

APPROACH TO GEOGRPAPHIC AND/OR POPULATION FOCUS: Sowing Sowing seeds MACO seeds of Hope of Hope May 2015 Civil society priority recommendations to the 2015 Zimbabwe SDS We support the priority placed by the PEPFAR COP 2015 global guidance on epidemic

More information

Institute of Medicine. The President s Emergency Plan Strategic Information April 21, 2005

Institute of Medicine. The President s Emergency Plan Strategic Information April 21, 2005 Institute of Medicine The President s Emergency Plan Strategic Information April 21, 2005 Questions of Interest What is the framework to evaluate The Emergency Plan? Measuring impact and outcomes Evidence-based

More information

A Global Strategy Framework. Prepared by the UNAIDS Inter-Agency Working Group on. HIV/AIDS, Schools and Education

A Global Strategy Framework. Prepared by the UNAIDS Inter-Agency Working Group on. HIV/AIDS, Schools and Education HIV/AIDS, Schools and Education A Global Strategy Framework Prepared by the UNAIDS Inter-Agency Working Group on HIV/AIDS, Schools and Education State of the World s Children 2002, UNICEF "The impact of

More information

OPERATIONAL FRAMEWORK. for the Global Strategy for Women s, Children s and Adolescents Health

OPERATIONAL FRAMEWORK. for the Global Strategy for Women s, Children s and Adolescents Health OPERATIONAL FRAMEWORK for the Global Strategy for Women s, Children s and Adolescents Health Every Woman Every Child 2016 OPERATIONAL FRAMEWORK for the Global Strategy for Women s, Children s and Adolescents

More information

Steady Ready Go! teady Ready Go. Every day, young people aged years become infected with. Preventing HIV/AIDS in young people

Steady Ready Go! teady Ready Go. Every day, young people aged years become infected with. Preventing HIV/AIDS in young people teady Ready Go y Ready Preventing HIV/AIDS in young people Go Steady Ready Go! Evidence from developing countries on what works A summary of the WHO Technical Report Series No 938 Every day, 5 000 young

More information

Technical Guidance Note for Global Fund HIV Proposals

Technical Guidance Note for Global Fund HIV Proposals Technical Guidance Note for Global Fund HIV Proposals UNAIDS I World Health Organization I 2011 Rationale for including this activity in the proposal The World Health Organization (WHO), the Joint United

More information

Global AIDS Response Progress Report Myanmar. National AIDS Programme

Global AIDS Response Progress Report Myanmar. National AIDS Programme Global AIDS Response Progress Report Myanmar National AIDS Programme Reporting period: January 2014 December 2014 Submission date: 15 June 2015 Table of Contents 1. Status at a glance... 6 1.1 Reporting

More information

MYANMAR SEX WORK & HIV MYANMAR SEX WORK & HIV

MYANMAR SEX WORK & HIV MYANMAR SEX WORK & HIV e SEX WORK & HIV SEX WORK & HIV Myanmar, formerly known as Burma, has a population of 50 million people [1]. The estimated nation wide population of sex workers in 2007 was between 40,000 and 80,000 and

More information

ADOLESCENTS AND HIV:

ADOLESCENTS AND HIV: Elizabeth Glaser Pediatric AIDS Foundation Until no child has AIDS. Photo by Eric Bond/EGPAF, 2015 ADOLESCENTS AND HIV: PRIORITIZATION FOR ELIZABETH GLASER PEDIATRIC AIDS FOUNDATION PROGRAMS, ADVOCACY

More information

Progress in scaling up voluntary medical male circumcision for HIV prevention in East and Southern Africa

Progress in scaling up voluntary medical male circumcision for HIV prevention in East and Southern Africa SUMMARY REPORT Progress in scaling up voluntary medical male circumcision for HIV prevention in East and Southern Africa January December 2012 Table of contents List of acronyms 2 Introduction 3 Summary

More information

Rapid Assessment of Sexual and Reproductive Health

Rapid Assessment of Sexual and Reproductive Health BOTSWANA Rapid Assessment of Sexual and Reproductive Health and HIV Linkages This summary highlights the experiences, results and actions from the implementation of the Rapid Assessment Tool for Sexual

More information

Okinawa, Toyako, and Beyond: Progress on Health and Development

Okinawa, Toyako, and Beyond: Progress on Health and Development Okinawa, Toyako, and Beyond: Progress on Health and Development Prof. Michel D. Kazatchkine Executive Director The Global Fund to Fight AIDS, Tuberculosis and Malaria United Nations University, Tokyo,

More information

Public health dimension of the world drug problem

Public health dimension of the world drug problem SEVENTIETH WORLD HEALTH ASSEMBLY A70/29 Provisional agenda item 15.3 27 March 2017 Public health dimension of the world drug problem Report by the Secretariat 1. The Executive Board at its 140th session

More information

DPR Korea. December Country Review DEMOCRATIC PEOPLE S REPUBLIC OF KOREA AT A GLANCE.

DPR Korea. December Country Review DEMOCRATIC PEOPLE S REPUBLIC OF KOREA AT A GLANCE. Country Review December 2010 DEMOCRATIC PEOPLE S REPUBLIC OF KOREA AT A GLANCE Total population (thousands) Annual population growth rate Population aged 15-29 (thousands) Percentage of population in urban

More information

HIV Prevention Prioritization & Implementation Brief: Anambra State

HIV Prevention Prioritization & Implementation Brief: Anambra State HIV Prevention Prioritization & Implementation Brief: Anambra State Introduction The HIV epidemic in Nigeria is complex, with substantial heterogeneity in HIV prevalence across different regions and diverse

More information

ASEAN Declaration of Commitment on HIV and AIDS: Fast-Tracking and Sustaining HIV and AIDS Responses To End the AIDS Epidemic by 2030

ASEAN Declaration of Commitment on HIV and AIDS: Fast-Tracking and Sustaining HIV and AIDS Responses To End the AIDS Epidemic by 2030 ASEAN Declaration of Commitment on HIV and AIDS: Fast-Tracking and Sustaining HIV and AIDS Responses To End the AIDS Epidemic by 2030 1. WE, the Heads of State and Government of the Association of Southeast

More information

HIV/AIDS Prevention, Treatment and Care among Injecting Drug Users and in Prisons

HIV/AIDS Prevention, Treatment and Care among Injecting Drug Users and in Prisons HIV/AIDS Prevention, Treatment and Care among Injecting Drug Users and in Prisons Ministerial Meeting on Urgent response to the HIV/AIDS epidemics in the Commonwealth of Independent States Moscow, 31 March

More information

LOGFRAME TEMPLATE FOR SWAZILAND. SIDA s Contributions

LOGFRAME TEMPLATE FOR SWAZILAND. SIDA s Contributions 1 Outcome 7 countries have addressed barriers to efficient and effective linkages between HIV and SRHR policies and services as part of strengthening health systems to increase access to and use of a broad

More information

Equatorial Guinea. Epidemiological Fact Sheet on HIV and AIDS Update. July 2008 / Version 0.1 beta. Core data on epidemiology and response

Equatorial Guinea. Epidemiological Fact Sheet on HIV and AIDS Update. July 2008 / Version 0.1 beta. Core data on epidemiology and response Epidemiological Fact Sheet on HIV and AIDS Core data on epidemiology and response Equatorial Guinea 2008 Update July 2008 / Version 0.1 beta 29/07/08 1 (WHO/Second Generation Surveillance on HIV/AIDS,

More information

The road towards universal access

The road towards universal access The road towards universal access JAN 2006 Issues Paper Requests... that the UNAIDS Secretariat and its Cosponsors assist in facilitating inclusive, country-driven processes, including consultations with

More information

PROJECT INFORMATION DOCUMENT (PID) CONCEPT STAGE Report No.: AB4078 Project Name

PROJECT INFORMATION DOCUMENT (PID) CONCEPT STAGE Report No.: AB4078 Project Name PROJECT INFORMATION DOCUMENT (PID) CONCEPT STAGE Report No.: AB4078 Project Name HIV/AIDS Project Region AFRICA Sector Health (60%); Other social services (23%); General public administration sector (10%);Central

More information

REPRODUCTIVE, MATERNAL, NEWBORN AND CHILD HEALTH (RMNCH) GLOBAL AND REGIONAL INITIATIVES

REPRODUCTIVE, MATERNAL, NEWBORN AND CHILD HEALTH (RMNCH) GLOBAL AND REGIONAL INITIATIVES Information Brief: REPRODUCTIVE, MATERNAL, NEWBORN AND CHILD HEALTH (RMNCH) GLOBAL AND REGIONAL INITIATIVES Family Care International (FCI) developed this information brief as part of the Mobilising Advocates

More information

UNGASS COUNTRY PROGRESS REPORT

UNGASS COUNTRY PROGRESS REPORT Kingdom of Cambodia Nation Religion King UNGASS COUNTRY PROGRESS REPORT Cambodia Reporting period: January 2006-December 2007 Submitted by: National AIDS Authority Kingdom of Cambodia 31 January 2008 Acronyms

More information

Preventing HIV Transmission in Intimate Partner Relationships

Preventing HIV Transmission in Intimate Partner Relationships Preventing HIV Transmission in Intimate Partner Relationships Evidence, strategies and approaches for addressing concentrated HIV epidemics in Asia Executive Summary Proposed citation: UNDP (2015). Preventing

More information

The Global Fund & UNICEF Partnership

The Global Fund & UNICEF Partnership The Global Fund & UNICEF Partnership Prof Michel D. Kazatchkine Executive Director UNICEF Executive Board February 9 th, 2011 The Global Fund Millennium Development Goals 1. Eradicate extreme poverty and

More information

Technical guidance for Round 9 Global Fund HIV proposals

Technical guidance for Round 9 Global Fund HIV proposals Technical guidance for Round 9 Global Fund HIV proposals Broad Area Service Delivery Area TREATMENT Prevention and assessment of HIV drug resistance (HIVDR) This technical brief provides key information

More information

Executive Board of the United Nations Development Programme, the United Nations Population Fund and the United Nations Office for Project Services

Executive Board of the United Nations Development Programme, the United Nations Population Fund and the United Nations Office for Project Services United Nations DP/FPA/CPD/LSO/6 Executive Board of the United Nations Development Programme, the United Nations Population Fund and the United Nations Office for Project Services Distr.: General 2 August

More information

FINANCING FRAMEWORK: RESOURCE REQUIREMENT for the KENYA NATIONAL AIDS STRATEGIC PLAN (KNASP)

FINANCING FRAMEWORK: RESOURCE REQUIREMENT for the KENYA NATIONAL AIDS STRATEGIC PLAN (KNASP) H A R A M B E E Republic of Kenya FINANCING FRAMEWORK: RESOURCE REQUIREMENT for the KENYA NATIONAL AIDS STRATEGIC PLAN (KNASP) 2005-2010 POLICY Preparation and printing of this document was made possible

More information

Epidemiological Fact Sheet on HIV and AIDS. Core data on epidemiology and response. Costa Rica Update. July 2008 / Version 0.

Epidemiological Fact Sheet on HIV and AIDS. Core data on epidemiology and response. Costa Rica Update. July 2008 / Version 0. Epidemiological Fact Sheet on HIV and AIDS Core data on epidemiology and response Costa Rica 2008 Update July 2008 / Version 0.1 beta 29/07/08 1 (WHO/Second Generation Surveillance on HIV/AIDS, Contract

More information

Executive Board of the United Nations Development Programme, the United Nations Population Fund and the United Nations Office for Project Services

Executive Board of the United Nations Development Programme, the United Nations Population Fund and the United Nations Office for Project Services United Nations DP/FPA/CPD/BRA/5 Executive Board of the United Nations Development Programme, the United Nations Population Fund the United Nations Office for Project Services Distr.: General 26 September

More information

The President s Emergency Plan for AIDS Relief: Indicators, Reporting Requirements, and Guidelines for Focus Countries. Revised for FY2006 Reporting

The President s Emergency Plan for AIDS Relief: Indicators, Reporting Requirements, and Guidelines for Focus Countries. Revised for FY2006 Reporting The President s Emergency Plan for AIDS Relief: Indicators, Reporting Requirements, and Guidelines for Focus Countries Revised for FY2006 Reporting July 29, 2005 Contents INTRODUCTION...3 Emergency Plan

More information

2004 Update. Luxembourg

2004 Update. Luxembourg 2004 Update Luxembourg 2 Luxembourg HIV/AIDS estimates In 2003 and during the first quarter of 2004, UNAIDS and WHO worked closely with national governments and research institutions to recalculate current

More information

1

1 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 1 Surety bonds or other instruments issued by non-bank Financial Institutions are least preferred by UNDP. Unless stated otherwise, they shall be considered unacceptable

More information

Using Routine Health Information to Improve Voluntary Counseling and Testing in Cote d Ivoire

Using Routine Health Information to Improve Voluntary Counseling and Testing in Cote d Ivoire Using Routine Health Information to Improve Voluntary Counseling and Testing in Cote d Ivoire Data Demand and Information Use Case Study Series MEASURE Evaluation www.cpc.unc.edu/measure Data Demand and

More information

The President s Emergency Plan for AIDS Relief Next Generation Indicators

The President s Emergency Plan for AIDS Relief Next Generation Indicators The President s Emergency Plan for AIDS Relief Next Generation Indicators PEPFAR Next Generation Working in partnership with host nations, PEPFAR will support the following legislative goals: Treatment

More information

UNAIDS 2016 THE AIDS EPIDEMIC CAN BE ENDED BY 2030 WITH YOUR HELP

UNAIDS 2016 THE AIDS EPIDEMIC CAN BE ENDED BY 2030 WITH YOUR HELP UNAIDS 2016 THE AIDS EPIDEMIC CAN BE ENDED BY 2030 WITH YOUR HELP WHY UNAIDS NEEDS YOUR SUPPORT Over the past 35 years, HIV has changed the course of history. The massive global impact of AIDS in terms

More information

WHO Consultation on universal access to core malaria interventions in high burden countries: main conclusions and recommendations

WHO Consultation on universal access to core malaria interventions in high burden countries: main conclusions and recommendations WHO Consultation on universal access to core malaria interventions in high burden countries: main conclusions and recommendations 12-15 February 2018 Salle XI, ILO Building, Geneva, Switzerland Country

More information

Executive Board of the United Nations Development Programme, the United Nations Population Fund and the United Nations Office for Project Services

Executive Board of the United Nations Development Programme, the United Nations Population Fund and the United Nations Office for Project Services Executive Board of the Development Programme, the Population Fund and the United Nations Office for Project Services Distr.: General 31 July 2014 Original: English Second regular session 2014 2 to 5 September

More information

HIV Prevention Prioritization & Implementation Brief: Gombe State

HIV Prevention Prioritization & Implementation Brief: Gombe State HIV Prevention Prioritization & Implementation Brief: Gombe State Introduction The HIV epidemic in Nigeria is complex, with substantial heterogeneity in HIV prevalence across different regions and diverse

More information

90% 90% 90% 30% 10% 5% 70% 90% 95% WHY HIV SELF-TESTING? PLHIV diagnosed PLHIV undiagnosed

90% 90% 90% 30% 10% 5% 70% 90% 95% WHY HIV SELF-TESTING? PLHIV diagnosed PLHIV undiagnosed WHY HIV SELF-TESTING? In 2014, the United Nations set bold new targets, calling on the global community to ensure that by 2020, 90% of all people living with HIV will know their HIV status, 90% of all

More information

Brief HIV/AIDS AND SEXUAL REPRODUCTIVE HEALTH AMONG UNIVERSITY STUDENTS IN ETHIOPIA. November 2013 A POLICY INTERVENTION FRAMEWORK

Brief HIV/AIDS AND SEXUAL REPRODUCTIVE HEALTH AMONG UNIVERSITY STUDENTS IN ETHIOPIA. November 2013 A POLICY INTERVENTION FRAMEWORK HEALTH POLICY P R O J E C T November 2013 HIV/AIDS AND SEXUAL REPRODUCTIVE HEALTH AMONG UNIVERSITY STUDENTS IN ETHIOPIA A POLICY INTERVENTION FRAMEWORK Brief Aragaw Lamesgin, Futures Group Why are women

More information

UNAIDS Technical Support Division of Labour. Summary & Rationale

UNAIDS Technical Support Division of Labour. Summary & Rationale UNAIDS Technical Support Division of Labour Summary & Rationale UNAIDS (English original, August 2005) Joint United Nations Programme on HIV/AIDS (UNAIDS) 2005. All rights reserved. Publications produced

More information

Table of Contents. NASTAD s Technical Assistance to the HIV & AIDS District Coordination

Table of Contents. NASTAD s Technical Assistance to the HIV & AIDS District Coordination Table of Contents Acronyms... 2 Acknowledgement... 3 Background... 4 Facilitators of the District HIV and AIDS Response... 6 District Multi-Sectoral AIDS Committee... 6 District AIDS Coordinators and Assistant

More information

Executive Board of the United Nations Development Programme, the United Nations Population Fund and the United Nations Office for Project Services

Executive Board of the United Nations Development Programme, the United Nations Population Fund and the United Nations Office for Project Services United Nations DP/FPA/CPD/NGA/7 Executive Board of the United Nations Development Programme, the United Nations Population Fund and the United Nations Office for Project Services Distr.: General 18 July2013

More information

GOVERNMENT OF SIERRA LEONE NATIONAL HIV/AIDS POLICY

GOVERNMENT OF SIERRA LEONE NATIONAL HIV/AIDS POLICY National HIV/AIDS Policy GOVERNMENT OF SIERRA LEONE NATIONAL HIV/AIDS POLICY NATIONAL HIV/AIDS POLICY FOR SIERRA LEONE 1. ACRONYMS CBOs - Community Based Organisations CAC/DAC/RAC - Chiefdom AIDS Committee/District

More information

1. POSITION TITLE : Technical Advisor, TB and HIV. 2. PERIOD OF PERFORMANCE : Two (2) years, with the possibility of

1. POSITION TITLE : Technical Advisor, TB and HIV. 2. PERIOD OF PERFORMANCE : Two (2) years, with the possibility of VACANCY POSITION GLOBAL FUND COORDINATING UNIT (GFCU) 1. POSITION TITLE : Technical Advisor, TB and HIV 2. PERIOD OF PERFORMANCE : Two (2) years, with the possibility of 3. PLACE OF PERFORMANCE : Maseru,

More information

THE REPUBLIC OF BELARUS

THE REPUBLIC OF BELARUS THE REPUBLIC OF BELARUS National Report on the Follow-up to the UNGASS Declaration of Commitment on HIV/AIDS Reporting period: January 2003 December 2005 Minsk 2005 TABLE OF CONTENTS 1. Situation at a

More information

2006 Update. Brunei Darussalam

2006 Update. Brunei Darussalam 2006 Update Brunei Darussalam December 2006 HIV/AIDS estimates The estimates and data provided in the following tables relate to 2005 unless stated otherwise. These estimates have been produced and compiled

More information

Investing for Impact Prioritizing HIV Programs for GF Concept Notes. Lisa Nelson, WHO Iris Semini, UNAIDS

Investing for Impact Prioritizing HIV Programs for GF Concept Notes. Lisa Nelson, WHO Iris Semini, UNAIDS Investing for Impact Prioritizing HIV Programs for GF Concept Notes Lisa Nelson, WHO Iris Semini, UNAIDS Top 5 Lessons Learned 1 2 3 4 5 Prioritize within the allocation amount Separate above allocation

More information

Peace Corps Global HIV/AIDS Strategy (FY )

Peace Corps Global HIV/AIDS Strategy (FY ) The Peace corps :: global hiv/aids str ategy :: fisc al years 2009 2014 1 of 5 Peace Corps Global HIV/AIDS Strategy (FY 2009 2014) 2007 facts BacKGroUnd 33 million people are living with hiv. More than

More information

Global call for action to ensure universal access to malaria diagnosis and treatment

Global call for action to ensure universal access to malaria diagnosis and treatment Global call for action to ensure universal access to malaria diagnosis and treatment Joint activity of SEE Team and PDT Unit Andrea Bosman and Richard Cibulskis Outline of the presentation Background Objectives

More information

Mainstreaming AIDS in Education Sector

Mainstreaming AIDS in Education Sector Mainstreaming AIDS in Education Sector Definition Mainstreaming AIDS is a process that enables development actors to address the causes and effects of AIDS in an effective and sustained manner, both through

More information

1.2 Building on the global momentum

1.2 Building on the global momentum 1.1 Context HIV/AIDS is an unprecedented global development challenge, and one that has already caused too much hardship, illness and death. To date, the epidemic has claimed the lives of 20 million people,

More information