India Work Plan UNCT

UNAIDS - IndiaWork Plan 2006/07 Overview: 

UNAIDS - India Work Plan 2006/07 Overview Denis Brown UCC, India - PRESENTATION to the UNCT 15 May 2006 Delhi

Indian HIV context: 

Indian HIV context First case diagnosed in 1986 Slow growth of the epidemic over the past 3 years: current prevalence 5.2 million (0.9% of the adult population) Currently 6 high prevalence states (3 in the South, 3 in the North East) Progress has been registered in the South (Tamil Nadu and Maharashtra) Prevalence increases in several Northern states The epidemic is still mostly driven by high risk groups and targeted interventions remain the most important approach Stigma remains widespread Awareness levels remain insufficient

Slide3: 

The most affected half is otherwise often less vulnerable Pondichery Gujarat Karnataka Goa Lakshwadeep Dadra Nagar Haveli Maharashtra Madhya Pradesh Kerala Tamil Nadu Andhra Pradesh Punjab Rajasthan Daman & Diu Jammu & Kashmir Haryana Uttar Pradesh Himachal Pradesh Delhi Chandigarh Bihar West Bengal Orissa Andaman & Nicobar Mizoram Meghalaya Assam Sikkim Manipur Tripura Arunachal Pradesh Nagaland HIV + U5MR

Slide4: 

Support needs are different in the 2 types of states Pondichery Gujarat Karnataka Goa Lakshwadeep Dadra Nagar Haveli Maharashtra Madhya Pradesh Kerala Tamil Nadu Andhra Pradesh Punjab Rajasthan Daman & Diu Jammu & Kashmir Haryana Uttar Pradesh Himachal Pradesh Delhi Chandigarh Bihar West Bengal Orissa Andaman & Nicobar Mizoram Meghalaya Assam Sikkim Manipur Tripura Arunachal Pradesh Nagaland HIV +

Focus of UNAIDS India Work Plan 2006 Support to NACP III: 

Focus of UNAIDS India Work Plan 2006 Support to NACP III Gap based response: high risk groups, selective support to NACO and SACS, “challenge States”, NGO strengthening, changes in the epidemic, better data; 73.5% of the budget for country support Corporate priorities receive more than half of the budget

Financial Allocations 2006 (5 quarters): 

Financial Allocations 2006 (5 quarters) Total Financial Plan 2006 + 1st quarter 2007 Operations Budget : $ 403,000 PSF: $ 40,000 DFID : $ 7,126,192 (Total Grant: 8,605,735 – Total Obligated: 1,479,543) AusAID : $ 1.4 million Gates: $ 487,000 RST: $ 409,000 UNAIDS HQ: $ 104,825 (M & E Obligation from Headquarters) SIDA : $ 190,000 EC : $ 514,000 Total: $ 10,271,017

UNAIDS India Work plan2006-2007: 

UNAIDS India Work plan 2006-2007

UNAIDS India Work plan2006-2007: 

UNAIDS India Work plan 2006-2007

What are the most salient features of the India work plan?: 

What are the most salient features of the India work plan?

Mobilizing a coherent UN response in support of the Three Ones: 

Mobilizing a coherent UN response in support of the Three Ones India is the first country with a Joint UN Team on AIDS; Integrated UN work plan under UNDAF framework in support of NACP III by July 2006; Mobilization of UN agencies for support at sub-national level; Assistance to UN agencies to deliver efficient support for national priorities according to “division on labour”.

Priority on prevention: 

Priority on prevention Only 10% of the country support budget in support of specific treatment related activities: Support to NGOs helping patients receiving ARV for assistance to better compliance Support for the specific monitoring of ART prescription and delivery in the public and private sectors Support to WHO to provide technical assistance to ART, second line treatment standards, and district-based training of health personnel. More than 60% of the budget is allocated to prevention related activities

Keeping the emphasis on vulnerable groups and T.I. priority: 

Keeping the emphasis on vulnerable groups and T.I. priority Review of the sentinel surveillance system to include more “high risk sites” Large emphasis on work with NGOs and police Support for CBOs (training, AIDS competence, networking) Selective support to UN agencies to keep emphasis on drivers of the epidemic.

Concentrating support on district-based planning and “challenge states” towards Universal Access: 

Concentrating support on district-based planning and “challenge states” towards Universal Access Support to district-based tools, training, mapping, advocacy; Large support to the North East for T.A, research, monitoring and new support approach; Bio-behavioural studies in UP and Bihar; UNAIDS “satellite desks” in 4 states in cosponsor offices in North India (Uttar Pradesh, Madhya Pradesh, Rajasthan and Bihar).

A new approach to advocacy and media: 

A new approach to advocacy and media Concentrate political advocacy on decentralized levels Mobilize women groups on fighting stigma and HIV prevention Target media interventions on behaviour change communication and stigma reduction. Support communication towards youth through cooperation with Ministry of youth and sports.

A strong emphasis on information and M&E: 

A strong emphasis on information and M&E Support the capacity of States to analyze available information and decide on it; Estimation of AIDS mortality in India; Implementation of the One M&E framework and set of indicators; Support the improvement of data quality; Studies to anticipate on the evolution of the epidemic.

India work plan organized by “key results” and corresponding budgets: 

India work plan organized by “key results” and corresponding budgets

India Highlights - Key Result 1Leadership, Coordination and Advocacy: 

India Highlights - Key Result 1 Leadership, Coordination and Advocacy Three Ones implemented at country level: One strategic framework - support for the NACP III process One national authority, supported through training at national and state level One M & E – development and dissemination of tools and technical assistance for the states Support a review of the institutional framework for Three Ones implementation.

India Highlights - Key Result 1Leadership, Coordination and Advocacy: 

India Highlights - Key Result 1 Leadership, Coordination and Advocacy Country support: Support for decentralized planning – district level Enhanced support for high risk groups through training, advocacy and work with police, Enhanced support to NGOs for better access to treatment Specific support to North East Support for “challenge States” (4 Bimaru states) Support for international visibility and participation

India Highlights - Key Result 1Leadership, Coordination and Advocacy: 

India Highlights - Key Result 1 Leadership, Coordination and Advocacy GTT recommendations: Support for UN agencies as per the division of labour grid; Strengthened coordination through the Theme Group and Joint UN Team on AIDS; Support the implementation of Global Fund grants; Mainstreaming through non-health ministries.

India Highlights - Key Result 1Leadership, Coordination and Advocacy: 

India Highlights - Key Result 1 Leadership, Coordination and Advocacy Political Advocacy and Communication: Support to Parliamentary Forum (Union), LFA in States and presidents of Zilla Parishad; Using media for BCC and stigma reduction; Support awareness with women’s groups

India Highlights - Key Result 2Strategic Information: 

India Highlights - Key Result 2 Strategic Information Strategic Information to guide partners: Support establishment of the Strategic Information and Management Unit of NACO Support specific studies (sex work, IDU in N/E, migration and ART, household impact, etc.) Best Practice Papers.

India Highlights - Key Result 3Monitoring and Evaluation: 

India Highlights - Key Result 3 Monitoring and Evaluation Analysis of information: Strengthening M&E at National and State level through training and development of tools New MIS software Support to GIS and use of internet for dissemination of information and sharing of analysis

Slide24: 

India Highlights - Key Result 3 Monitoring and Evaluation Tracking epidemic and activities: Support interagency M&E group Support Institutions providing TA to States on M&E Support upgrading of sentinel surveillance and mortality estimates Monitor ARV use

India Highlights - Key Result 4Civil Society Engagement: 

India Highlights - Key Result 4 Civil Society Engagement Civil Society Engagement: Support for strengthening CBOs (high risk groups) Support to establish accreditation of NGOs Support participation of PLHIV Support MSM groups for the preparation of vaccine prevention trials Support NGO networks and partnership forums

Slide26: 

India Highlights - Key Result 5 Resource Mobilization Resource flows and mobilization: NASA conducted Round 6 (and 7) of GFATM proposals supported Study of out-of pocket payments Support involvement of health insurance in HIV financing

Slide27: 

India Highlights - Key Result 6 Strengthened Secretariat Improved management effectiveness: $200,000 Management of multi-donor funds Staff effectiveness increased (training, support) Office retreat on improved management Two large conferences conducted AIDS, malaria and TB convergence in Asia Asian conference on male sexual health.