HIV/AIDS: An Unprecedented Development Crisis

1
HIV/AIDS An Unprecedented Development Crisis

• One of the biggest obstacles to achieving MDGs
  UNGASS 2001
• Strikes at the core of development
• Reverses human development gains
• Kills people in their most productive years
• Erodes government capacity to provide services
• Deepens gender inequalities
• Erodes social cohesion

2
Strengthen the AIDS Response

• Response must address key drivers and structural
  factors of the HIV epidemic
• How?
• By strengthening the core processes which
  determine development

3
Strengthen the Core Development Processes

• Mainstreaming HIV/AIDS into
• PRSPs, national development planning and
  instruments
• Sectoral planning and local government planning
• Macro-economic frameworks
• Ensure enabling macro-economic policies for
  financing HIV/AIDS response
• Ensure full costing and budgeting of HIV/AIDS
  response in MTEFs

4
Joint Programme on building capacity for
mainstreaming HIV/AIDS into PRSPs

• Implements one of the Global Task Team
  recommendations
• Strengthen national ownership and empower
  leadership by making resources and technical
  support available to countries
• Follows agreed division of labor among UN
  agencies
• UNDP is the lead agency and it manages the Joint
  Programme with contributions from UNAIDS and WB
• The WB (World Bank Institute) organizes the
  regional training for the participating
  countries. But content is prepared jointly by the
  three partners
• Implementation of Country Follow-up Activities is
  funded and managed by UNDP, but partners can also
  contribute funding
• Initiative and activities are demand-driven and
  country-owned

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Joint PRSP ProgrammeUNDP/WB/UNAIDS

• Round 1 countries
• Ethiopia, Ghana, Senegal, Mali, Rwanda, Tanzania
  (Zanzibar), Zambia
• Round 2 countries
• Madagascar, Mozambique, Kenya, Burkina Faso,
  Burundi, Malawi, Uganda
• Round 3 countries (invited but not yet
  confirmed)
• Albania, Armenia, Benin, Cameroon, Cote dIvoire,
  Gambia, Grenada, Guinea, Haiti, Kyrgyzstan,
  Liberia, Nepal, Niger, Nigeria and Tajikistan,

6
Impact of Joint Programme

• Overall provides an organising framework for
  national and sub-national authorities to link
  together on-going processes that strengthen the
  national AIDS response
• Strengthened alignment between national strategic
  plan and PRSP, including indicators for HIV/AIDS
• Enhanced capacity and role of NAC in leading and
  supporting HIV/AIDS mainstreaming
• Establishment of COP in 14 countries supported by
  an electronic mailgroup of 169 members from
  government and civil society
• Enhanced participation of stakeholders in
  coordinating and planning for implementation
• Enhanced coordination of donor support and
  reporting

7
Joint UNAIDS support servicesASAP and PRSP

• UNDP chairs ASAP Technical Advisory Committee on
  training and capacity building
• ASAP assisting 13 countries
• Assessment tools, costing model, guidelines and
  training curricula developed, regional trainings
  initiated (1st Mexico June 2007)
• PRSP initiative
• Underway in 14 countries (group 1 and 2).
  Includes implementation of country follow-up
  activities in these countries.
• Other group now being invited for Nov/Dec 2007
  workshop.
• Joint PRSP Programme provided entry point for
  joint ASAP and PRSP missions in Burundi and
  Madagascar (June 2006)
• Madagascar success story showed the synergy
  generated by joint mission (UNAIDS/WB/UNDP from
  headquarters and country offices)

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Areas of Intervention and Results- Key Stages

• 1. Launching the process
• Involvement of stakeholders helps to focus on HIV
  and poverty, in cases where NGOs are leading
  process (Senegal)
• - National planning commission and ministries of
  finance leverage to mobilise sectors and avoid
  split between core response by NAC funded by
  AIDS donors, and a multisectoral response
  funded by government
• 2. Assessment of HIV/AIDS situation and response
• - technical assistance for review of existing
  and data for poverty analysis (Zambia) HIV/AIDS
  impact analysis in education and tourism sectors
  (Zanzibar)
• 3. Strengthening institutional planning capacity
• stakeholder workshop and sector-specific training
  sessions on mainstreaming HIV into sectors,
  organised by Ministry and Finance and Economic
  Development (Rwanda)
• 4. Preparation of draft strategy (priorities,
  programmes, target groups, changes in policy and
  legislation)
• - Thematic HIV and AIDS group formed under
  Ministry of Finance to support mainstreaming in
  PRSP, including NAC secretariat. Mainstreaming
  methodology adopted by other Thematic Groups
  (gender, energy, transport and environment-
  Senegal)

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Areas of Intervention and Results (2)

• 5. Cost of strategy and resource mobilisation
• - support in developing alternative
  costing/budgeting scenarios for integrating HIV
  in PRSP (Zambia)
• 6. National validation of draft strategy
• - HIV/AIDS Thematic Group supported the social
  protection cluster in costing the HIV and AIDS
  component of the PRSP during validation (Senegal
  July 2006)
• 7. Preparation of draft operational plan
  (activities, targets, indicators)
• 8. Institutional framework- implementation and
  policy reform (budgeting)
• - video exchange between Rwanda and Tanzania on
  integrating HIV in sector budgets and tracking of
  HIV expenditures in budget. Tanzania learned from
  Rwanda on increasing participation and
  decentralisation processes from Rwanda
• 9. Integrate with PRSP
• - Joint Programme supported a meeting of the
  National HIV and AIDS Partnership Forum,
  organised by the NAC in January 2007 to review
  progress on mainstreaming HIV/AIDS. NPF consists
  of 15 national umbrella organisations and
  partners, providing coordination and monitoring
  support for HIV and AIDS activities, including
  the National Strategic Plan (Rwanda)
• 10. ME measures outcome/input indicators

10
but..

• Backed by effective Governance of the national
  AIDS response
• Effective governance of strategic responses to
  the HIV/AIDS epidemic ensures that management of
  national and international resources supports a
  cohesive partnership between the state, private
  sector and civil society.
• Development of strategic plans and mainstreaming
  into development frameworks is only the first
  step, real challenge is ensuring effective
  implementation for real impact

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AIDS STRATEGY AND ACTION PLAN (ASAP)

• ASAP governance
• UNAIDS advisory group (main partners in UNAIDS)
  to provide guidance to ASAP operations (including
  TOR for external assistance of ASAP)
• ASAP training advisory committee
• Demand driven process
• Requests from countries or UNAIDS Country
  Coordinators, RSTs, etc.
• Services are provided on behalf of UNAIDS and are
  undertaken in consultation with the UNAIDS
  secretariat, the UNAIDS Regional Support Teams
  (RSTs) and Country Coordinators
• Technical assistance includes
• Organization of peer reviews of draft national
  AIDS strategies
• Provision of technical and financial support to
  assist countries strengthen their strategic
  response to HIV
• Development and sharing of tools to assist
  countries in their strategic planning
• Capacity building for policy makers and
  practitioners in strategic planning (training and
  workshops)
• For more information www.worldbank.org/asap