SADC HIV and AIDS Business Plan:

Transcription

1 HIV AIDS Business Plan: Strategic 5-Year Business Plan [ 1 ]

2 HIV AIDS Business Plan HIV AIDS Unit, November 2004 ISBN: The contents of this publication are the sole responsibility of. The designations employed in the presentation of the material in this publication do not imply the expression of any opinion whatsoever on the part of the Secretariat concerning the legal status of any country, territory, city or area or of its authorities, or concerning the delimitations of its frontiers or boundaries. The mention of specific companies, organisations, or certain manufacturers products does not imply that they are endorsed or recommended by the Secretariat in preference to others of a similar nature that are not mentioned. For more HIV AIDS Unit Department of STrategic Planning, Gender Policy Harmonisation Private Bag 0095 Gaborone Botswana Tel: (+267) Fax: (+267) / [email protected] Website: [ 2 ]

3 Table of Contents 1. Introduction HIV AIDS in the Region The HIV AIDS Business Plan 4 2. Strategic Context of the Business Plan The Regional Indicative Strategic Development Plan Strategic Framework Programme of Action Key Principles Areas of Strategic Focus Maseru Declaration 7 3. Priorities of the Business Plan 9 4. Implementation of the Business Plan Mate of the HIV AIDS Unit Internal Organisational Arrangements Relationship between the HIV AIDS Unit the Directorates Relationship between the HIV AIDS Unit other Units Relationship between the Unit the Member States Relationship Between The Unit And Other Regional And International Stakeholders Financing the Business Plan Monitoring the Business Plan 18 Annex 1 20 Five Year Plan for HIV AIDS [ 3 ]

4 HIV AIDS Business Plan 1. Introduction 1.1 HIV AIDS in the Region The Southern Africa Development Community () region is the worst affected by HIV AIDS in the world. The combined population of the states amounts to only 3.5 per cent of the world s population, but accounts for more than 37 per cent of people living with HIV AIDS in the world. HIV transmission in the region is predominantly heterosexual (92%). Consequently, the most affected are the sexually active adults in the 20 to 49-year age group, the so-called producers providers. Vertical transmission from mother to child accounts for 7 per cent of total infections childhood HIV infection is now the underlying factor in the majority of childhood illnesses in the highly affected Member States. The HIV AIDS epidemic in the region is fuelled by a multiplicity of factors such as poverty, cultural practices, migrant labour within between countries, separation of spouses for economic reasons, gender imbalances, intergenerational sex, sexual violence against women, illiteracy, stigma discrimination, population mobility, alcohol abuse, emergency situations such as civil conflict, war displacement. These factors provide an environment in which the immediate determinants that facilitate transmission can occur. The impact of HIV AIDS is being felt across all sectors in most Member States, notably the health, business, agriculture education sectors. At household level, HIV AIDS is increasing levels of poverty causing the dissolution of many families. At national level, the combination of HIV AIDS, famine, have resulted in a humanitarian crisis in some Member States. 1.2 The HIV AIDS Business Plan member states have, therefore, recognised the urgent need to intensify their interventions to address the pemic. In July 2003, an Extraordinary Summit was convened to adopt the Strategic Framework Programme of Action ( ) the Maseru Declaration on the Combating of HIV AIDS in the region. These two documents provided the policy direction political commitment, which the Secretariat has been tasked to put into operation. At the meeting of the Council in Dar es Salaam, August 2003, it was agreed that there was a need to develop a HIV AIDS Business Plan. Through consultation with the Member States, an initial plan was developed. At the regional workshop, held in South Africa on th July 2004, representatives from National AIDS Authorities of all Member States discussed refined the plan, shared on country experiences in responding to the challenges of HIV AIDS. This meeting provided for frank discussions, practical solutions the reaffirmation that all stakeholders must be fully involved. Concrete recommendations were made on treatment, the multi-sectoral response, resource mobilisation, ing evaluation, networking sharing, response under emergency situations. These have been fully integrated into this Strategic 5-year Business Plan. [ 4 ]

5 2. Strategic Context of the Business Plan The HIV AIDS Business Plan has been developed in the context of three key policy documents. These documents have served to set the Business Plan in its strategic context will continue to guide s response over each five-year timeframe. 2.1 The Regional Indicative Strategic Development Plan (RISDP) In March 2001, Member States met in Windhoek to approve the restructuring of Institutions. This restructuring process resulted in the clustering of the original twenty-one sectors of into four Directorates in order to improve the efficiency effectiveness of policies programmes. In addition, the RISDP was developed, which aimed to complement the restructuring by providing clear strategic direction for policies programmes. By providing Member States with a consistent comprehensive programme for long-term economic social policies, the RISDP aims to deepen regional integration. The HIV AIDS Business Plan has been developed in the context of the Regional Main Objectives To reduce the incidence of new infections among the most vulnerable groups within To mitigate the socio-economic impact of HIV AIDS To review, develop harmonise policies legislation relating to HIV prevention, care, treatment within To mobilise co-ordinate resources for a multi-sectoral response to HIV AIDS in the region To the of the Framework regional, continental global commitments, ensuring that gender is fully mainstreamed. Indicative Strategic Development Plan (RISDP) is a detailed, time-bound, road map, identifying intervention areas, key activities performance indicators, as well as the role of different stakeholders. In addition, a set of Project Concept Notes has been developed, based on the Business Plan, for the purpose of financing the activities. Partners who are keen to different intervention areas can select from a menu of activities provide the necessary financial input. 2.2 The Strategic Framework Programme of Action The Vision of the Strategic Framework is to achieve significantly reduced levels of HIV AIDS in the region. The overarching goal is to decrease the numbers of individuals families infected affected by HIV AIDS in the region, so as to ensure that HIV AIDS is no longer a threat to public health to sustained socio-economic of Member States. In order to achieve this goal, the objectives expected outcomes have been identified below: Expected Outcomes Reduced incidence prevalence of HIV AIDS in the region. Strategies for responding to the socio-economic impact of HIV AIDS are developed ed in all programme areas of. Policies programmes of are harmonised effectively co-ordinated. Adequate regional global resources are mobilised effectively utilised in a co-ordinated response in the region. Monitoring mechanisms are in place, including disaggregated data by gender. [ 5 ]

6 HIV AIDS Business Plan Key Principles A set of nine key principles were used to guide the of the Strategic Framework, will be utilised to direct its through the Business Plan. These are: That all policies programmes to combat the HIV epidemic be based on a multi-sectoral response, consistent with strategies at the national level. The principle of subsidiarity which implies that all policies programmes should be developed ed at the level at which they can be most effective. The prioritisation of activities to reflect the principle of importance additivity. This means concentrating on those issues that are crucial for the overall success of. That gender mainstreaming is carried out in all policies programmes, as it is understood that the relationships between men women are integral to the of an effective response to the epidemic. That activities on HIV AIDS reflect its comparative advantage as a regional organisation the allocation of responsibilities to the Directorates or sectors should be in line with their mates. That policies programmes are complementary to those of Member States, to avoid overlap duplication. That activities are carried out within a framework that recognises the role of national, regional international players. That policies programmes are based upon the respect of human rights, the obligations that Members States have agreed to as signatories to international regional conventions. That effective relevant policies programmes need to be developed in collaboration with partners at national regional level Areas of Strategic Focus The Strategic Framework further elaborates the main areas parameters for a regional response to HIV AIDS. The main areas of strategic focus are: i Policy harmonisation in key areas such as prevention, care, treatment. ii Mainstreaming of HIV AIDS in all core areas, regional integration in view of the multidimensional nature of the pemic. iii Capacity building to undertake the mainstreaming of HIV AIDS at all the levels in through various institutional measures including provision retention of the required skills. iv Facilitating responses through the of exchange of best practices. v Facilitating resource networks by mapping available resources, rationalising activities focusing interventions on regional priorities common needs. vi Facilitating the ing of regional global commitments so that Member States have a common interest in creating conditions that are conducive to the attainment of targets. [ 6 ]

7 2.3 Maseru Declaration The Maseru Declaration of 4 th July 2003, sets out Member States commitment to combating HIV AIDS. It outlines five key priority areas for action, which have been incorporated into the Business Plan. i i ii iii iv v The Maseru Declaration on HIV AIDS 2003 Priority Areas Prevention Social Mobilisation Improving Care, Access to Counselling Testing Services, Treatment Support Accelerating Development Mitigating the Impact of HIV AIDS Intensifying Resource Mobilisation Strengthening Institutional, Monitoring Evaluation Mechanisms Prevention Social Mobilisation Prevention social mobilisation will be achieved by reinforcing multi-sectoral prevention programmes that promote responsible sexual behaviour intensifying the provision of user-friendly reproductive health services. In addition, programmes designed to increase capacities of women girls to protect themselves from the risk of HIV infection, programmes to improve education employment opportunities for youth will be promoted. Prevention of Mother to Child Transmission (PMTCT) programmes will also be scaled up as well as HIV AIDS education for all stakeholders. Finally, strategies to prevent the spread of HIV among the national uniformed services will be ed. ii Improving Care, Access to Counselling Testing Services, Treatment Support In order to improve care, treatment, national health care systems as well as family community based care structures will be strengthened to ensure that the capacity of caregivers is developed. Workplace VCT programmes will be exped ed efforts will be made to remove stigma discrimation of people living with HIV AIDS. Through regional initiatives, essential medicines, including ARVs, will be supplied at affordable prices. Nutrition programmes will be invested in, a regulatory framework for the utilisation of traditional medicines will be developed. iii Accelerating Development Mitigating the Impact of HIV AIDS Accelerating mitigating the impact of HIV AIDS will take place by creating an enabling environment to address underlying factors that lead to HIV infection. Policies strategies as well as regional initiatives will be harmonised enhanced, best practices shared between Member States. HIV AIDS will be mainstreamed into the regional integration process focal intervention areas. In addition, the economic social impact of HIV AIDS will be evaluated mechanisms to mitigate these impacts will be established. iv Intensifying Resource Mobilisation In order to achieve the above goals, Member States pledge to mobilise sufficient resources, involve all stakeholders ensure that funds are rapidly disbursed. A Regional Fund for the of the HIV AIDS Strategic Framework is to be established. The Maseru Declaration also reaffirms the commitment of Member States to allocate at least 15 per cent of their budgets for improving the health sector urges International Cooperating Partners to increase their financial. [ 7 ]

8 HIV AIDS Business Plan v Strengthening Institutional, Monitoring Evaluation Mechanisms Institutional mechanisms for HIV surveillance, sharing of experiences exchange of on key intervention areas will be established, while training will be intensified to strengthen Member States capacities to manage the epidemic. Monitoring evaluation will take place to ensure the efficacy of the of the Maseru Declaration, other continental global commitments, the HIV AIDS Strategic Framework Programme of Action ( ). [ 8 ]

9 3. Priorities of the Business Plan HIV AIDS feature prominently in the RISDP as one of the key priority areas for intervention. The Business Plan for HIV AIDS was developed in this context has, therefore, focused on five key intervention areas, namely: i. Policy Development Harmonisation ii. Capacity Building Mainstreaming HIV AIDS into all policies plans iii. Facilitation of a Technical Response, Resource Networks, Collaboration Coordination iv. Resource Mobilization for the Regional Multi-Sectoral Response v. Monitoring Evaluation of the Regional Multi-Sectoral Response Under each of these intervention areas, key activities performance indicators have been highlighted, as well as the role of various stakeholders the anticipated timeframes. The detailed activities of the Business Plan are tabled in Annex 1. Output 1: Policy Development Harmonisation Policy Development Harmonisation makes up much of the work of the HIV AIDS Unit. Within this intervention area, seven different outputs have been identified. Output 1.1 under this intervention area states that policies for intervention are harmonised. This includes the need to develop, harmonise review policies in six different target areas: Regional for Behaviour Change Communication (BCC) programmes, including the role of cultural sporting industries in HIV prevention; Guidelines for programming HIV AIDS in the uniformed forces; Programmes for special HIV prevention vulnerability reduction targeted at pre-adolescents, young people women; Guidelines for the prevention of mother to child transmission (PMTCT); Regional for STI/HIV behavioural surveillance systems; Regional for reducing HIV AIDS related stigma discrimination. Output 1.2 specifies that policies for care are harmonised. This process will take place by reviewing, developing harmonising policies in the following four target areas: Comprehensive care, including nutrition, for people living with HIV AIDS; Policies programmes for orphans vulnerable children (OVCs); Regional joint procurement of drugs, medical supplies testing reagents; Guidelines for voluntary counselling testing (VCT). Output 1.3 dems that policies for treatment are harmonised. This includes The review harmonization of protocols for STI treatment, HIV AIDS, TB other opportunistic infections; [ 9 ]

10 HIV AIDS Business Plan The of regional for the use of indigenous knowledge systems in developing producing alternative drugs medicines for treatment of common diseases, including HIV AIDS; The review harmonisation of for health delivery systems taking into consideration HIV AIDS mainstreaming the roll-out of anti-retroviral (ARV) treatment. Output 1.4 under this intervention area is that policy on HIV AIDS migrant/ mobile displaced populations is developed harmonised. This process will take place by developing harmonising, laws programme interventions in the following four target areas: High transmission areas like high activity areas, cross border sites high traffic sites in the context of the proposed protocol on the free movement of people; Health issues for displaced mobile populations including illegal immigrants focusing on treatment continuity, health services, messages, drug labelling ; Transit at borders ports; ARV treatment related to migrants the equity in treatment access across countries. Output 1.5 outlines that regional policies plans to sustain increasing human resource needs as a consequence of HIV AIDS are developed harmonised in. This is to be achieved by: Developing harmonising a regional multi-sectoral Human Resource HIV AIDS policy for education training, retention safe work environments in the public service; Supporting the inclusion of the policy in the country coordinating mechanisms, in HR bilateral funding in public sector expenditure negotiations with multi-lateral agencies such as the IMF World Bank. Output 1.6 specifies that a corporate policy on HIV AIDS at the Secretariat is developed ed. This policy will be developed the ed by the end of Output 1.7 targets the sectors requires that sectoral policies on HIV AIDS are developed harmonised in all sectors. These policies will be developed for the Food, Agriculture Natural Resources Directorate, the Human Social Development Special Programmes Directorate, the Infrastructure Services Directorate the Trade, Finance Investment Directorate. Output 2: Capacity Building Mainstreaming HIV AIDS into all Policies Plans The Business Plan s second intervention area covers both capacity building HIV AIDS mainstreaming. This intervention area aims to achieve three outputs. Output 2.1 requires integrating HIV AIDS in all policies programmes. The key tasks will involve Strengthened capacity of the Secretariat to integrate facilitate of HIV AIDS in all sectors of the Programme; Support to the mainstreaming of HIV AIDS in all sectors of at Member State level. Output 2.2 seeks the piloting models of integrating HIV AIDS. This will take place through developing: A model to assist children [ 10 ]

11 affected by the epidemic to remain in school through Circles of Support ; A model for reducing the vulnerability of transport workers to HIV infection through a multicountry transport initiative; A model for integrating HIV AIDS into water resource management; A programmes for reducing vulnerability to the risk of occupational exposure to HIV infection at the workplace in different sectors. Output 2.3 requires the improving sustaining of human resources capacity in Member States. The key tasks will involve the Provision of to Member States to review strengthen their capacity for multisectoral coordination of HIV AIDS programmes in the context of mainstreaming; strengthening of Human Resource practices procedures to mitigate the impact of HIV AIDS on the public service. Output 3: Facilitation of a Technical Response, Resource Networks, Collaboration Coordination The third intervention area has a broad mate covering two outputs. Output 3.1 is the enhanced coordination sharing of resource in HIV AIDS among Member States partners, which will be achieved by establishing a regional database, mechanisms for the exchange of scientific behavioural research results facilitating exchange throughout the region across sectors. Output 3.2 aims to achieve enhanced collaboration in the response to HIV AIDS related diseases in, through better regional collaboration. Output 4: Resource Mobilization for the Regional Multi-Sectoral Response The Business Plan s fourth intervention area focuses on the financial side of the multisectoral response by ensuring that the funds to match the needs of the regional HIV AIDS response are secured, through the resource mobilisation plan, the establishment of a trust fund, the of the Project Concept Notes the maintenance of partnerships from the donor community. Output 5: Monitoring Evaluation of the Regional Multi- Sectoral Response Effective ing of the HIV AIDS response in the region will be carried out by focusing on the following four key areas: Implementation of the Maseru Declaration, Abuja Declaration UNGASS; Development of an M&E Plan for a Regional Multi-Sectoral Response; Monitoring the of the existing Code of Conduct on employment HIV AIDS; Establishment of an Information Management System for tracking the HIV AIDS Response at level. [ 11 ]

12 HIV AIDS Business Plan 4. Implementation of the Business Plan 4.1 Mate of the HIV AIDS Unit The broad mate of the HIV AIDS Unit is to lead, coordinate manage s response to the epidemic through the operationalisation of the HIV AIDS Strategic Framework ( ) the Maseru Declaration. After the restructuring of, the HIV AIDS Unit has taken over the role of coordinating s response to HIV AIDS from the previous Health Sector Coordination Unit. In executing the above mate, the Unit will direct its focus on s key strategic intervention areas including: a) Mainstreaming HIV AIDS in the region - at policy level, programme level,project level activity level - through the Directorates the Department of Strategic Planning, Gender Policy Harmonization. b) Developing strengthening the capacity to undertake the mainstreaming of HIV AIDS at all levels in, creating the skills needed for the integration of HIV AIDS in all policies programmes. c) Co-ordinating harmonising the of policies strategies in major intervention areas, including prevention; care treatment including provision of antiretroviral drugs (ARV), nutrition traditional medicines; procurement manufacturing of essential drugs medical supplies for the management of HIV AIDS related conditions. d) Facilitating response networks by providing mechanisms frameworks for the of exchange of best practices in the major intervention areas such as mainstreaming of HIV AIDS, Prevention of Mother to Child Transmission (PMTCT), to orphans, home based care, treatment of HIV-related conditions, including antiretroviral therapy (ART). e) Coordinating facilitating the ing of regional global commitments, in particular the Abuja Declaration, Millennium Development Goals (MDG) UNGASS targets for HIV AIDS, related indicators; the publication of regular reviews for as a whole to supplement the ing being undertaken at the level of individual countries. f) Advocacy Resource Mobilisation, including spearheading advocacy for effective action on the epidemic in the region; advocacy on strategic issues such as governance national leadership in AIDS, gender imbalance, Greater Involvement of Persons living with HIV AIDS (GIPA), culture vulnerable groups. h) Establishing sustaining strategic partnerships with the Civil society sector including Business with bilateral multilateral organisations in the region internationally. 4.2 Internal Organisational Arrangements The Business Plan will be driven by the HIV AIDS Unit, through a team of four core staff members complemented by project staff. Given the multi-dimensional, multilevel multi-sectoral nature of the epidemic, the HIV AIDS Unit needs to work closely with the Secretariat Directorates the other Units. In order to the Business Plan as efficiently effectively as possible, the HIV AIDS Unit has regular informed interaction with the Secretariat Directorates the other Units. In addition, the HIV AIDS Unit works with Member States, [ 12 ]

13 Regional International Stakeholders, International Cooperating Partners Civil Society Stakeholders. The organisational structure is shown in the diagram below. Organisational Structure of the HIV AIDS Unit Chief Director s Office HIV & AIDS Unit Manager s Office Department for Strategic Planning, Gender Policy Harmonisation Policy Development Harmonisation Section Capacity Building Mainstreaming Section Technical Collaboration Research Section Directorate for Trade, Industry, Finance Investment Directorate for Food, Agriculture Natural Resources Directorate for Social Human Development Special Programmes Directorate for Infrastructure Services Relationship between the HIV AIDS Unit the Directorates Directorates have the primary responsibility to sectors that are linked to their core business in the region to mount effective multisectoral national regional responses. The Unit interacts with the Directorates in accordance with its mate, to facilitate coordinate of interventions prioritised in the HIV AIDS Business Plan. To facilitate the response of the Directorates, each has appointed a focal point person dedicated to HIV AIDS. The function of the focal point is to advise the Director in coordinating the response of the Directorate. The Focal Point is the link between the Directorate the HIV AIDS Unit. They provide, when necessary through the National AIDS Council, a day-to-day link between the Directorate Member State sectors linked to the Directorate, on HIV AIDS issues. A multisectoral HIV AIDS Technical Working Group (TWG) composed of members of the HIV AIDS Unit Directorate Focal Points, chaired by the HIV AIDS Manager, has been established. The TWG works to a) establish effective operational links between Directorates the Unit b) ensure collaboration between Directorates the Unit in ing the Business Plan the HIV AIDS Programme in general. [ 13 ]

14 HIV AIDS Business Plan Relationship between the HIV AIDS Unit other Units The role of the existing units in the Secretariat is to the Secretariat by providing crosscutting services to Directorates. The HIV AIDS Unit is in a way different from other units in that it has the task of leading the of a specialised regional programme. Consequently, a bi-directional ive relationship has been put into place. The HIV AIDS Unit will require from the other units similar to that rendered to Directorates; on the other h the Unit will have a ive role for other units in their HIV AIDS response roles. Units 1. Legal affairs 2. Internal audit 3. Information, communication, technology library services 4. Statistics 5. Public relations 6. Administration 7. Finance 8. Gender Unit Relationship between the Unit the Member States In the context of HIV AIDS, all Member States have established structures that have national mates to lead, co-ordinate national responses to HIV AIDS; a common structure in all countries is the National AIDS Council/ Commission (NAC). Lines of communication on HIV AIDS matters between the Secretariat the country level have been developed to allow for quick decision-making in a way that is commensurate with the urgency gravity of the AIDS epidemic in the region. (See diagram on page 15.) To facilitate effective regional collaboration a forum that brings together the HIV AIDS Unit staff the Directors of the National AIDS Council Secretariats of the thirteen countries, has also been established. The role of this forum is to share best practices; review progress towards the, harmonisation of regional policies, programmes; other priority regional response issues Relationship Between The Unit And Other Regional And International Stakeholders The HIV AIDS Unit intends to continue working with bilateral multilateral organisations (such as UN agencies), as well as civil society organisations including Non- Governmental Organisations (NGOs), Faith-based Organisations (FBO), academic institutions business. Many of these regional international organisations are already heavily involved in the response to HIV AIDS in the region the Unit is reviewing existing partnerships strengthening those that add value to the region s response, as well as establishing additional partnerships. The choice of NGOs for partnering depends on their regional scope, compatibility of mates with those of complementarity of programme. An International Cooperating Partners Forum is soon to be established to facilitate cooperation coordination to ensure sharing maximisation of response efforts in the region scaling up interventions. [ 14 ]

15 Relationship between the HIV Unit Member States HIV & AIDS Unit SECRETARIAT Chief Director [DSPGPH] COUNTRY LEVEL National AIDS Council/ Commission (Multisectoral) National Committee (SNC)/Contact Person National Sectors [ 15 ]

16 HIV AIDS Business Plan 5. Financing the Business Plan The HIV AIDS Business Plan will be financed from three different sources: Member States budgets, funds from International Cooperating Partners for specific projects an HIV AIDS Trust Fund. Member States will allocate budgets for the of targeted initiatives, particularly at a national level. In addition, a set of Project Concept Notes has been developed, based on the Business Plan International Cooperating Partners who are keen to different intervention areas can select from a menu of activities provide the necessary financial input. Finally, an HIV AIDS Trust Fund is to be set up to assist with the financing of other necessary areas of intervention. The Project Concept Notes provide fact sheets of about six different project areas, each of which covers an intervention area, as specified in the Business Plan. i Harmonisation Development of Regional Policies on HIV AIDS Prevention, Care, Support Treatment. Activities for this project include the review of prevention, care treatment policies adopted by individual Member States; Preparation of draft policies on prevention, care, treatment; Finalisation adoption of a comprehensive regional policy. ii Capacity Building HIV AIDS Mainstreaming into s Directorates Mates, Policies Programmes. The activities under this project will take place in three phases, namely: HIV AIDS Mainstreaming Needs Assessment; Development of HIV AIDS Mainstreaming Guidelines;, Capacity Building of Key Personnel through initial training on-the-job mentoring. The project will also aim at reviewing existing public sector human resources practices in the region internationally in order to develop to assist Member States with the HIV crisis affecting their civil service. iii Secretariat HIV AIDS Workplace Programme The activities under this project will culminate in the of an HIV AIDS Workplace Policy which aims to educate the workforce enough to prevent new infections, destigmatise the workplace environment develop a strong referral system to health social service facilities. iv Scaling-Up Cross Border Initiatives The objective of this project is to reduce the spread of HIV due to the increase in mobility within transport corridors. The activities will include the involvement of transport companies in designing programmes targeted at truck drivers before they arrive at border posts will include the communities around border posts. There will also be a consultative process set up with the government stakeholders that manage the border posts. [ 16 ]

17 v Facilitation of Technical Response, Resource Networks, Collaboration Coordination This project will allow for the documentation of best practice in HIV AIDS in Member States their compilation into a data base which can then be disseminated to all Member States. vi Monitoring Evaluation Plan of Regional Global Commitments The objective of this project is to deliverables from the HIV AIDS projects national government s progress in their efforts, in the fight against HIV AIDS abiding to global indicators. This will be achieved through the design of a Monitoring Evaluation Plan. Budget per Intervention Area Project Concept Note Indicative Budget US$ Policy harmonization of 1,977,000 HIV AIDS in the Region Capacity Building HIV AIDS 3,319,000 Mainstreaming Secretariat HIV AIDS Workplace 220,000 Programme Scaling-up Cross-Border Initiatives 11,000,000 Facilitation of Technical Response, Resource 2,816,000 Networks, Collaboration Coordination M&E of Global Regional Commitments 3,438,900 TOTAL 22,770,900 [ 17 ]

18 HIV AIDS Business Plan 6. Monitoring the Business Plan The successful of the Business Plan is dependent on all the key stakeholders playing their roles. The activities timeframes proposed assume the full participation of all players. Annual plans will be developed, based on the Five-year Business Plan, in order to ensure rapid effective of the five key target areas. At the regional level, the Secretariat will facilitate policies coordination, as well as collaborating with regional Civil Society Organisations (CSOs) the private sector. Member States, at the Technical Political Oversight of the HIV AIDS Programme SUMMIT POLITICAL LEVELS TECHNICAL LEVELS Integrated Committee of Ministers (ICM) TECHNICAL ADVISORY COMMITTEE (Multisectoral & MS Representation) Council of Ministers CHIEF DIRECTOR AND DIRECTORATES TWG HIV & AIDS UNIT NAC Forum (NACs & the Unit) ICP Forum (ICPs & the Unit) NGO Forum (NGOs & the Unit) Private Sector Forum (Businesses & the Unit) [ 18 ]

19 national level will provide the necessary input for coordination policy harmonisation, programmes through government national CSOs. International Cooperating Partners (ICPs) will provide financial assistance to ensure the Business Plan is achievable. The Technical Advisory Committee on HIV AIDS will oversee the of the Business Plan. The Committee, which reports through the Secretariat to the Integrated Committee of Ministries (ICM) is chaired by the Chief Director of the Secretariat. Other members of the committee include representation of the Member States (troika), the ICP representatives, the UN representatives representatives of the Civil Society Organisations, incorporating faith-based organisations, the youth, gender people living with HIV AIDS. Political oversight of the Business Plan will take place through the Council of Ministers. [ 19 ]

20 HIV AIDS Business Plan Annex 1 Five Year Plan for HIV AIDS HIV AIDS Detailed Five- Year RISDP Operationalisation Plan KEY TASKS KEY PERFORMANCE RESPONSIBILITIES TIME FRAME : Major actions in : (INTERVENTIONS) INDICATORS Sect MS ICPs Major ActionsMajor Actions Major Actions Major Actions Major Actions Intervention area 1 Policy Development Harmonisation Output 1.1 Policies for prevention harmonised Support BCC programmes in the region Assessment to identify the cultural practices that fuel the spread of HIV infection. Establish database of BCC programmes - financial Contribute to the the adoption Regional BCC that include role of cultural sporting industries developed adopted by end of 2006 Develop harmonised submit for adoption Database of BCC programs established Develop harmonise regional for Behaviour Change Communication (BCC) programmes including role of cultural sporting industries in HIV prevention At least 70% of by MS by end 2008 Support Development adoption of tool kits MS HIV & AIDS programmes for the uniformed forces - financial Contribute, adopt Coordinate the reviewing facilitate adoption National strategies for the uniformed forces reviewed by end of 2006 Regional developed adopted by 2007 At least 50% of MS ing by Develop for programming HIV AIDS in the uniformed forces Implement harmonized regional develop, harmonise adopt regional for scale-up Support of pilot Develop a pilot frame work for response Assess level of vulnerability in MS Contribute, adopt Financial / resource contribution financial Coordinate the assessment facilitate adoption of Level of vulnerability among pre-adolescents, young people women determined by 2004 Pilot programme ed in at least 4 MS by % MS ing life skills programmes for preadolescents young people in out of school by % of MS ing special programmes for women by Develop programmes for special HIV prevention vulnerability reduction targeted at pre-adolescents, young people women [ 20 ]

21 1.1.4 harmonise for PMTCT Develop programmes for reducing vulnerability to the risk of occupational exposure to HIV infection at the workplace in different sectors Reviow harmonise regional for STI/HIV behavioural surveillance systems Develop harmonise regional for eliminating HIV AIDS related stigma discrimination Regional PMTCT harmonised adopted by end of 2005 At least 70% of by MS by end 2008 State of occupational exposure to HIV infection among health workers determined by 2005 Pilot programme ed among health workers by 2006 Regional for all sectors developed adopted by % of MS ing by 2008 National reviewed by 2005 Regional developed adopted by end of 2006 At least 70% of MS ing harmonised surveillance by end 2008 Level of HIV AIDS related stigma discrimination in MS determined by 2005 Framework for responding to developed by 2005 Framework piloted by 2005 Guidelines for scale-up developed adopted by 2006 harmonization & & & & Contribute, adopt Contribute, adopt & Contribute, adopt & Contribute, adopt & -, harmonise adopt for PMTCT Assess level of occupational risk among health workers Develop pilot among health workers - Assess existing in MS Revision stardisation of Assess level of stigma & discrimination in MS Develop pilot frame work for response Pilot framework Support training Implement pilot pilot Support & Develop regional adopt Monitor pilot, develop harmonise regional for all sectors - Support of Support In all sectors [ 21 ]

22 HIV AIDS Business Plan KEY TASKS KEY PERFORMANCE RESPONSIBILITIES TIME FRAME : Major actions in : (INTERVENTIONS) INDICATORS Sect MS ICPs Major ActionsMajor Actions Major Actions Major Actions Major Actions Intervention area 1 Policy Development Harmonisation Output 1.2 Policies for Care Support harmonised harmonise for comprehensive care including nutrition for HIV AIDS population National reviewed by 2005 Regional for care & developed adopted by end of 2006 At least 70% of harmonized by MS by end 2008 & coordinate the process Contribute, adopt - Assess interventions in MS Develop regional adopt Support of harmonise policies programs for OVC s Develop harmonise for regional bulk procurement of drugs, medical supplies testing reagents National policies reviewed by 2005 Regional policy for OVCs developed adopted by end of 2006 At least 70% of those polices by MS by end 2008 National reviewed by 2005 Regional for accessing affordable priced essential drugs for treatment & prophylaxis of opportunistic infections, ARVs testing reagents developed adopted by end of 2006 At least 50% of MS have access to bulk purchasing by end 2008 & Coordinate pilot initiatives coordinate & Contribute, adopt Contribute to the process, adopt - Assess the OVC situation & interventions in MS Develop a framework for response - Assess drug procurement policies practices in MS Develop regional adopt Pilot initiatives policies, develop adopt regional Support of Support of Finalise harmonization of for VCT Regional VCT developed adopted by end of 2005 At least 70% of by MS by end 2008 & Contribute, adopt Strengthen the health systems network - develop regional Support training [ 22 ]

23 KEY TASKS KEY PERFORMANCE RESPONSIBILITIES TIME FRAME : Major actions in : (INTERVENTIONS) INDICATORS Sect MS ICPs Major ActionsMajor Actions Major Actions Major Actions Major Actions Intervention area 1 Policy Development Harmonisation Output 1.3 Policies for Treatment harmonised harmonize protocols for STI treatment National reviewed by 2005 Regional Protocol developed adopted by end of 2007 At least 70% of by MS by end 2008 & Contribute to the process adopt national protocols Develop Regional Protocol Support of Support of harmonize for treatment of HIV AIDS, TB other opportunistic infections National reviewed by 2006 Regional developed adopted by 2007 & Contribute to the process - national Develop adopt Regional Support At least 60% by Develop, harmonise facilitate of regional for use of indigenous knowledge systems in developing producing alternative drugs medicines for treatment of common diseases including HIV AIDS Existing national for use of indigenous knowledge in care treatment the relevant knowledge practicing centres determined by 2005 Regional for collaborating in the use of indigenous knowledge systems in medical research of drugs medicines adopted by 2007 coordinate process, institution, structural resources - Assess review existing indigenous knowledge systems practices in MS establish database of practising knowledgeable institutions in MS other regions their needs Develop adopt for regional research, drug testing cooperation Establish regional mechanisms for production, regulation networking on local production of drugs & medicines Identify resource identified institutions [ 23 ]

24 HIV AIDS Business Plan harmonise for health delivery systems taking into consideration, HIV AIDS mainstreaming roll-out of ARV treatment Centres of excellence for regional research, trials testing of drugs medicines using indigenous knowledge systems established or identified. At least one centre of excellence for regional research, trials testing of drugs medicines resourced ing by 2008 National reviewed by 2006 Regional developed adopted by 2007 At least 40% by 2008 & Contribute to the process - of MS Develop adopt Support of [ 24 ]

25 KEY TASKS KEY PERFORMANCE RESPONSIBILITIES TIME FRAME : Major actions in : (INTERVENTIONS) INDICATORS Sect MS ICPs Major ActionsMajor Actions Major Actions Major Actions Major Actions Intervention area 1 Policy Development Harmonisation Output 1.4 Policy on HIV AIDS migrant/ mobile displaced population developed harmonised Develop harmonise programme interventions in high transmission areas like high activity areas, cross border sites high traffic sites in the context of protocol on the free movement of people Mapping of migration patterns in terms of source, receiving communities, migrant characteristics, causes through existing data research completed by 2007 Cross Border Pilot Projects Completed by 2006 Guidelines developed by end of % MS by 2008 Coordinate Pilots initiatives. the adoption of the Contribute to Implement the pilots Technical Financial Piloting of Projects Piloting of Projects Development adoption of regional Guidelines Support expansion of Develop harmonise for addressing health issues for displaced mobile populations including illegal immigrants focusing on treatment continuity, health services, messages, drug labelling Assessment report of health needs completed by 2006 Guidelines developed adopted by % of MS ing the Guidelines by 2008 the assessment. the adoption of the. inputs to the studies Implement the Technical professional - Needs assessment Development adoption of Implementation of Guidelines Harmonise procedures, regulations laws for transit at borders ports Report of the current procedures rules in completed by 2006 Harmonized procedures by % of MS ing harmonized procedures by 2008 review of the adoption of procedures Implement the harmonized procedures Technical Financial - of procedures Development of harmonized procedures Support Monitor Monitor ARV treatment related to migrants promote equity in treatment access across countries Monitoring tools established by 2006 Agreements reached between member states on migrants treatment, ing reporting procedures by 2005 the coordination process Realign ing tools with national facilitation country level funding Regional consultations to establish a common understing Development adoption of ing tools Country level data bases established functional Implementation sharing of between countries [ 25 ]

26 HIV AIDS Business Plan KEY TASKS KEY PERFORMANCE RESPONSIBILITIES TIME FRAME : Major actions in : (INTERVENTIONS) INDICATORS Intervention area 1 Policy Development Harmonisation Sect MS ICPs Major Actions Major Actions Major Actions Major ActionsMajor Actions Output 1.5 Regional policies plans to sustain increasing human resource (HR) needs as a consequence of HIV AIDS developed harmonized in Develop harmonise a regional Multi- Sectoral HR HIV AIDS policy for education training, retention, safe work environments in the public service, their inclusion in the country coordinating mechanisms, in HR bilateral funding in public sector expenditure negotiations with multilateral agencies i.e. IMF/ World Bank Regional Multi- Sectoral HR HIV & AIDS policy for the public service developed adopted by end 2006 Regional multi-sectoral HR HIV & AIDS policy ing developed adopted by % of MS ing HR HIV & AIDS Policy in at least three of the worst affected public service sectors by 2008 Coordinate guide Contribute to formulation adopt - Compile sector specific on HIV AIDS induced staff attrition Develop policy present for adoption Develop policy Support [ 26 ]

27 KEY TASKS KEY PERFORMANCE RESPONSIBILITIES TIME FRAME : Major actions in : (INTERVENTIONS) INDICATORS Intervention area 1 Policy Development Harmonisation Sect MS ICPs Major Actions Major Actions Major Actions Major ActionsMajor Actions Output 1.6 A corporate policy on HIV AIDS at the Secretariat ed Develop a comprehensive corporate policy on HIV AIDS for the Secretariat HIV AIDS corporate policy developed approved by end 2005 Implementation developed adopted by 2005 Develop Approve Develop policy MS Approve policy Develop Implement Implement & [ 27 ]

28 HIV AIDS Business Plan KEY TASKS KEY PERFORMANCE RESPONSIBILITIES TIME FRAME : Major actions in : (INTERVENTIONS) INDICATORS Intervention area 1 Policy Development Harmonisation Sect MS ICPs Major Actions Major Actions Major Actions Major ActionsMajor Actions Output 1.7 Sectoral policies on HIV AIDS developed harmonized in all sectors (FANR, HSD, I&S, TIFI) Develop harmonise HIV AIDS policy for Food, Agriculture Natural Resources (FANR) sector Impact of AIDS on Agriculture determined by 2005 Regional policy on HIV AIDS for agriculture food security developed adopted by % of MS ing by 2008 & Contribute to ; adopt & Conduct HIV AIDS impact assessment Develop policy submit for adoption Monitor Develop harmonise HIV AIDS policy for Human Social Development Special Programmes (HSD) sector Regional Policy on HIV AIDS in HSD sector developed adopted by % of MS ing by 2008 & Contribute to ; adopt & - Assess HIV AIDS sectoral policy review needs policy review, harmonization adoption Monitor Develop harmonise HIV AIDS policy for Infrastructure Services (IS) sector Regional Policy on HIV AIDS in IS sector developed adopted by % of MS ing by 2008 & Contribute to ; adopt & - Assess HIV AIDS sectoral policy review needs policy review, harmonization adoption Monitor Develop harmonise HIV AIDS policy for Trade, Finance Investment (TIFI) sector Regional Policy on HIV AIDS in TIFI sector developed adopted by % of MS ing by 2008 & Contribute to ; adopt & - Assess HIV AIDS sectoral policy review needs policy review, harmonization adoption Monitor [ 28 ]

29 KEY TASKS KEY PERFORMANCE RESPONSIBILITIES TIME FRAME : Major actions in : (INTERVENTIONS) INDICATORS Sect MS ICPs Major Actions Major Actions Major Actions Major Actions Major Actions Intervention area 2 Capacity Building Mainstreaming HIV AIDS into all policies programmes Output 2.1 Integration of HIV AIDS in all policies programmes of agreed Strengthen capacity of Secretariat to integrate facilitate of HIV AIDS in all sectors of Programme All Directorates Units initiate the integration of HIV AIDS in their programmes by end 2005 HIV AIDS Mainstreamed in every programme in all Directorates by end of coordinate Contribute communicate to sectors Establish HIV & AIDS Unit Define programmes needs Recruit Programme Manager of for mainstreaming training on mainstreaming at Secretariat Recruit required staff Support Support mainstreaming HIV AIDS in all sectors of at MS level Stard for mainstreaming HIV AIDS in all sectors developed adopted by MS by 2007 Number of sectors in MS ed in HIV AIDS Mainstreaming by coordinate Contribute adopt - of Harmonisation of global mainstreaming MS adopt Support [ 29 ]

30 HIV AIDS Business Plan KEY TASKS KEY PERFORMANCE RESPONSIBILITIES TIME FRAME : Major actions in : (INTERVENTIONS) INDICATORS Sect MS ICPs Major Actions Major Actions Major Actions Major Actions Major Actions Intervention area 2 Capacity Building Mainstreaming HIV AIDS into all policies programmes Output 2.2 Models of integrating HIV AIDS piloted Develop a model to assist children affected by the epidemic to remain in school through Circles of Support Country Specific models of Support Developed by 2004 Pilot Programmes ed by 2005 Models ed Regional Model developed ed by 2006 coordinate Develop models Develop Country Specific Models Piloting Programs Develop adopt regional Model Monitor Implementation Develop a model for reducing the vulnerability of transport workers to HIV infection through a multicountry transport initiative. Programs for Transport works developed by 2004 Programs piloted by 2005 Regional Model developed adopted by 2006 coordinate Implement pilot project Adopt regional model Development of programs Piloting Programmes Develop adopt regional Model Support Develop a Model for integrating HIV AIDS into water Resource Management HIV programs in Water Resources Management in elected MS by 2004 Guidelines for Integration of HIV in the Water Sector by Guidelines adopted ed by 2006 coordinate Integration of HIV in the Water Resource Management Develop adopt Guidelines Support Implementation Support [ 30 ]

31 2.2.4 Develop programmes for reducing vulnerability to the risk of occupational exposure to HIV infection at the workplace in different sectors State of occupational exposure to HIV infection among health workers determined by 2005 Pilot programme ed among health workers by 2006 State of occupational exposure to HIV infection among workers in all sectors determined by 2007 Regional for all sectors developed adopted by % of MS ing by 2008 & Contribute to the regional at country level adopt & Assess level of occupational risk among health workers Develop pilot among health workers Implement pilot pilot Assess level of occupational risk among workers in other sectors pilot, Develop harmonise regional for all sectors KEY TASKS KEY PERFORMANCE RESPONSIBILITIES TIME FRAME : Major actions in : (INTERVENTIONS) INDICATORS Sect MS ICPs Major Actions Major Actions Major Actions Major Actions Major Actions Intervention area 2 Capacity Building Mainstreaming HIV AIDS into all policies programmes Output 2.3 Human Resources Technical Capacity of member states to HIV AIDS programme improved sustained to MS to review strengthen their capacity for multi-sectoral coordination of HIV AIDS programmes in the context of mainstreaming National coordination of HIV AIDS reviewed by 2005 All National AIDS Authorities ed in multi-sectoral coordination by end of Level /type of coordinate Contribute, adopt Assessment of national coordination mechanisms Facilitating in specific areas Assessment of national coordination mechanisms Facilitating in specific areas Facilitating in specific areas strengthen HR practices/procedures to mitigate the impact of HIV AIDS on public service HR policies practices reviewed by 2006 Guidelines for strengthening HR policies practices harmonised adopted by 70% of MS 2008 coordinate Adopt current HR practices & procedures in MS Developing, harmonizing adopting for HR practices/ procedures Support [ 31 ]

32 HIV AIDS Business Plan KEY TASKS KEY PERFORMANCE RESPONSIBILITIES TIME FRAME : Major actions in : (INTERVENTIONS) INDICATORS Sect MS ICPs Major Actions Major Actions Major Actions Major ActionsMajor Actions Intervention area 3 Technical Response, Resource Networks, Collaboration Coordination Output 3.1 Enhanced coordination sharing of resources in HIV AIDS among Member States partners through Establish a regional data base on HIV AIDS policies, programs, best practices resources developed operational Documentation of policies, programs best practices in place by 2005, linked to ing evaluation activities. Regional Database in place by 2006 Best practices identified disseminated to MS the review of inputs to the database. the of the database input to the database - database inputs. Support of data base Evaluating the database Establish mechanism for exchange of both scientific behavioural research results in the region. Establishment of research priorities within the region of Research Networks concluded by 2005 Mechanisms for sharing among researchers in place by 2006 processes formulate the framework for sharing. Implement - Determine research priorities for the review of research networks of planned current research in HIV &AIDS. Support sharing Monitor sharing Evaluation of the Information sharing mechanism Networks of various areas established to exchange, collaboration coordination in the Region, AU global Number of resources institutions providing related to business plan priorities Framework for networking collaboration developed by 2006 Networking mechanisms in place by 2006 the of networks. Participate in networking activities - - Assess institutions providing related to Business Plan Monitor Enhance policy dialogue within across sectors Channels of dissemination including a WEB site identified developed by 2007 dissemination Support dissemination at country level financial - Conduct a rapid assessment of the most appropriate channels to use for policy related dissemination Compile disseminate existing progress made [ 32 ]

33 dissemination KEY TASKS KEY PERFORMANCE RESPONSIBILITIES TIME FRAME : Major actions in : (INTERVENTIONS) INDICATORS Sect MS ICPs Major Actions Major Actions Major Actions Major ActionsMajor Actions Intervention area 3 Technical Response, Resource Networks, Collaboration Coordination Output 3.1 Enhanced collaboration (joint complimentary of programmes) in the response to HIV AIDS related diseases in Develop regional for collaboration in HIV AIDS in Regional for partnership collaboration in all aspects of HIV AIDS interventions developed by % MS ing by 2008 All MS participate in at least one annual regional partner coordination meeting to review progress on coordinate Contribute to process, adopt Participate in meetings Participate - Convene regional coordination & networking meetings current collaboration practices in MS harmonise Establish data base of global regional organisations with skills or working in specific areas of HIV AIDS response Develop harmonise for collaboration in specific areas of the response Establish partnerships mechanisms for collaboration Support [ 33 ]

34 HIV AIDS Business Plan KEY TASKS KEY PERFORMANCE RESPONSIBILITIES TIME FRAME : Major actions in : (INTERVENTIONS) INDICATORS Sect MS ICPs Major Actions Major Actions Major Actions Major ActionsMajor Actions Intervention area 4 Resource Mobilization for the Regional Multi-Sectoral Response Output 4.1 Funds to match the needs of the regional HIV AIDS response secured Develop a Resource Mobilization Plan Resource Mobilization strategy developed by Strategy ed adopted by 2005 the of the strategy its the strategy. input resources Develop the Resource Mobilization strategy Adopt the strategy Monitor the of the strategy Monitor the of the strategy Evaluate the of the strategy Establish HIV Trust Fund Modalities for the mobilisation disbursement of funds for the Trust Fund completed by 2005 Framework for the Trust Fund completed by Trust Fund in Place by 2006 processes for conducting the feasibility study, developing the Framework establishing the Fund funds funds Conduct a Feasibility study on the establishment of a regional Fund on HIV AIDS Develop the framework establish Trust Fund. Develop on how the funds will be mobilised accessed by MS other stakeholders Support of the Trust Fund Implementation Develop Project Proposals for Funding Project Concept Notes completed by Projects Developed adopted by 2005 the of PCN the projects resources Develop PCN Develop adaptation of Projects Support of Projects Support of Projects of Projects Establish maintain a donor coordination (DC) forum Framework for DC established by Coordination Framework adopted ed by 2005 the of a framework for coordination its.. Participate in the donor Forum Development of a Framework for Coordination Adoption of the Coordination Mechanism Monitor coordination Monitor coordination coordination mechanism Establish maintain a partnership forum among key stakeholders for resource mobilisation e.g. ICPs, private public sectors. Partnership Forum established by the end of Coordinate facilitate the forum Participate in the forum Partnership Forum to strategise [ 34 ]

35 KEY TASKS KEY PERFORMANCE RESPONSIBILITIES TIME FRAME : Major actions in : (INTERVENTIONS) INDICATORS Sect MS ICPs Major Actions Major Actions Major Actions Major ActionsMajor Actions Intervention area 5 Monitoring Evaluation of the Regional Multi-Sectoral Response Output 5.1 Effective ing of the HIV AIDS response in the region Develop an M&E Plan for a Regional Multi-Sectoral Response Implementation of Maseru Declaration, Abuja declaration UNGASS Monitor the Implementation of the existing Code of Conduct on employment HIV AIDS M&E Framework developed by Framework adopted ed by System for tracking the declaration adopted ed by MS by 2005 the state of completed by System for tracking the code adopted ed by 2006 Develop manage plan, the assessment of the Code of its tracking respond to feedback. And the tracking system the tracking system Develop the M&E Framework Plan MS systems for ing of targets Assessment completed adopted Adopt the Framework or Plan Develop, harmonise adopt for ing Tracking system developed ed Monitor the of the Framework or Plan Support Evaluate the of the Framework or Plan Monitoring Establish an Information Management System for tracking the HIV AIDS Response at level. Develop a Framework for MIS by Adopt the framework by 2006 MIS harmonised with existing systems including the one being developed by UNAIDS the of a framework its.. Establish MIS in countries non existent Support Initiate Development of the MIS framework. Finalization of the Framework Adoption of the Framework Monitor the of the framework Conduct an impact evaluation of the IMS at country regional level. [ 35 ]