20th International AIDS Conference - Melbourne, Australia


THAE01 Stepping up National Coordination and Ownership of HIV Programming
  Oral Abstract Session : Track E
Venue: Plenary 3
Time: 24.07.2014, 14:30 - 16:00
Co-Chairs: Benedict David, Australia
Mean Chhi Vun, Cambodia

14:30
THAE0101
Abstract
Costing of Mozambique's HIV acceleration plan: strategically using costing data to step up financial and human resources to scale up services
A. Couto1, V. Macome1, S. Ricardo2, A. Dutta3
1Programa Nacional para o Controlo de ITS/HIV-SIDA, Ministério da Saúde, Maputo, Mozambique, 2Futures Group, Washington, United States, 3Futures Group, washington, United States

14:45
THAE0102
Abstract
Webcast
Evaluation flow of resources and expenditures related to HIV and AIDS in Benin in 2012
S. Hessou1, A. Adoko2, S. Boni3, C. Hodehou2, C. Gbodja4, D. Agbadjagan5, F. Hediblé5, B. Gnahoui-David6, O. Alladji7, Team CNLS Study Group
1Plan International Bénin, Monitoring & Evaluation, Cotonou, Benin, 2National Aids Concil, Monitoring & Evaluation, Cotonou, Benin, 3National Aids Concil, Governance, Cotonou, Benin, 4National Aids Concil, Finance, Cotonou, Benin, 5Plan International Bénin, Finance, Cotonou, Benin, 6Paln International Bénin, Programme, Cotonou, Benin, 7ONUSIDA, Monitoring & Evaluation, Cotonou, Benin

15:00
THAE0103
Abstract
Powerpoint
Webcast
“Partners in change” building CCMs capacity to improve country ownership and effective implementation of Global Fund programmes
S. Rakesh, J. Sen, J. Robertson, D. Wangmo
Alliance Regional Technical Support Hub South Asia, Technical Support, New Delhi, India

15:15
THAE0104
Abstract
Powerpoint
Webcast
National HIV Investment Plan (NHIP) - a new wine in old bottle: case from Nepal
M.R. Sharma
Alliance for Socil Mobilisation, Kathmandu, Nepal

15:30
THAE0105LB
Abstract
Powerpoint
Webcast
Strengthening data management under National AIDS Control Programme (NACP) in India through web-based Strategic Information Management System (SIMS)
S. Tripathi, P. Mishra, D.Y. Raj, S. Venkatesh, U. Mohan Jha
Department of AIDS Control, Ministry of Health & Family Welfare, New Delhi, India

15:45
THAE0106
Webcast
Moderated discussion

Powerpoints presentations
“Partners in change” building CCMs capacity to improve country ownership and effective implementation of Global Fund programmes - James Robertson

National HIV Investment Plan (NHIP) - a new wine in old bottle: case from Nepal - Mahesh Raj Sharma

Strengthening data management under National AIDS Control Programme (NACP) in India through web-based Strategic Information Management System (SIMS) - Srinivas Venkatesh



Rapporteur report

Track E report by Klara Henderson


Stepping up National Coordination and Ownership of HIV Programming

In this session, representatives from Mozambique, Benin and Nepal presented HIV/AIDS expenditure analysis and its relationship to priorities, key populations and strategies; country-coordinating mechanisms were also discussed in relation to their role in building ownership and the Indian Strategic Information Management System was profiled.

Arin Dutta presented on Costing of Mozambique's HIV acceleration plan: strategically using costing data to step up financial and human resources to scale up services. Rapid scale up of HIV/AIDS services in Mozambique for a core set of interventions required acceleration with a geographic prioritization perspective. 2013 results were so high, that targets had to be revised mid way. The biggest challenge was no knowing the real cost was given the targets had increased – this was in a budgetary environment where there was a) only a small amount of new money from the Global Fund b) unknown expenditure plans of other donors c) growing reliance on a single donor and d) a significant gap in funding (post-2016). Mozambique cannot ‘own’ a national response without clear information, they need tools to assess and tell their own story.

Bernard Gnahoui-David presented an Evaluation flow of resources and expenditures related to HIV and AIDS in Benin in 2012.The epidemic in Benin is focused in sex workers (20.9% prevalence), MSM (12.6%) and IDUs (6.7%). Bernard explained the objective was to assess the flow of resources to provide information for policy makers. Key findings over the 2011-2012 period: public funds increased by 10% to 38% (2012) of total, with an almost commensurate drop in international funding. In an analysis of where those funds were spent Bernard and colleagues found expenditure did not reflect the nature of the epidemic, with sex workers, MSM, IDUs receiving just above 11% of expenditure, and 33% of expenditure remaining untargeted. Now, however, policy makers have the information they need to re-prioritise funding and the strategic plan has re-focused on the key populations.

James Roberson presented “Partners in change” building CCMs capacity to improve country ownership and effective implementation of Global Fund programmes and discussed the role of CCMs in the New Funding Model. In the New Funding Model, CCMs play a stronger leadership role and participate in meaningful discussions on the National Strategic Plan. New guidelines incorporate these new funding model requirements. Local ownership is a powerful organizing principle, and this is critically important and this aspiration needs to be understood realistically.

National HIV Investment Plan (NHIP) - a new wine in old bottle: case from Nepal was presented by Mahesh Raj Sharma. Mahesh explored the relationship between the New Investment Framework, ‘Redefining AIDS in Asia – Commission Report 2008’ and the National AIDS Spending Assessment with the purpose of assessing the value add in using the New Investment Framework as a costing tool. The Nepalese HIV Investment Plan (2014-2016) was prepared in line with the New Investment Framework.

The release of the New Investment Framework contributed to a regaining in global resource confidence, the use of the term ‘investment’ becoming part of the lexicon and investment plans becoming key to Global Fund concept notes. Redefining AIDS in Asia 2008 importantly provided region-specific recommendations and provided a useful way to think about the epidemic in Asian countries with the 2 x 2 matrix: high cost/high impact (ART, PMTCT); low cost/high impact (prevention among people most at risk); high cost/ low impact (universal precautions and injection safety); low cost/ low impact (general awareness through mass media). While the NASA tool supports in-country decision making and promotes accountability.

The Nepalese HIV Investment Plan (2014-2016) has good disaggregation of MSM/transgender information for better targeting; includes rapid scale up of HIV testing and treatment and the new components of community test and treat competence, and Hep C. The new plan has been well accepted by senior stakeholders. In a comparison of spending structures across the different tools, a similar pattern emerges, with a primary focus on basic programs. 

Srinivas Venkatesh’s presentation Strengthening data management under National AIDS Control Programme (NACP) in India through web-based Strategic Information Management System (SIMS) began by outlining the scope and purpose of the SIM in India. SIM is a decentralized system across India including units ranging from blood banks to community support centres with over 20,000 reporting units across the country. The system includes quality check steps/validation, is supported by training (and refresher training), data definitions, and help desks; and provides real-time data analysis. The data from SIMS supports program management decisions at all levels, and is the 'baby' of the M&E team. There was much audience interest in the system, for example, understanding the development investment and time taken, and how to ensure the system is used correctly as the sub-district level.

 

 




   

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