Recap of Day 1

1
Recap of Day 1

• June 11, 2007
• Africa Region Consultation on Multisectoral
  Response

2
Introductions

• Diversity of participants both MAP and non-MAP,
  public sectors, private sector, NGO/CBOs, and the
  Bank
• Political will and ownership are necessary to
  ensuring success of national programs
• Participants should focus on results for the
  future and staying ahead of the changing epidemic

3
Changing HIV Epidemics

• Need for countries to stay ahead of the epidemic
  and the myriad ways in which the epidemic tries
  to fool the national response
• Variety of transmission drivers
• Concurrent sexual partners
• Commercial sex workers, and
• Combination of sex workers and multiple partners
• Country litmus test should be where did the last
  1,000 infections come from?

4
Sharing Experiences Key Lessons from Rwanda MOH

• Overall political leadership and will to ensure
  and implement donor harmonization
• Common procurement ensures alignment to set
  standards and gains of economies of scale
• Performance based contracting for improved
  quality of services
• Simplified information flow framework
• Ownership through decentralization
• HIV services incorporated within existing health
  facilities
• Challenges include HRH, limited HBC and OVC
• Generated significant discussion on details

5
Sharing Experiences Key Lessons from Ghana MOE

• HIV integrated within sectoral strategy 2003-2015
• Full-time HIV Secretariat
• HIV integrated within educational curriculum, not
  as separate subject but within existing subject
  areas
• Training for all teachers on integrated HIV
  curriculum
• Work on 3 pillar implementing structure led by
  (i) Teachers (ii) Children, and (iii) School
  community
• Challenges include lack of resources, limited
  teacher interest, uncertainties about whether
  transfer occurs and quality of life skills given
  to students

6
Sharing Experiences Key Lessons from Zambia
Transport Sector

• Private sector perspective and response to HIV
  within transport sector
• Addressing drivers within large transport
  companies via union, driver association, key
  transport routes
• Incorporate activities for drivers and spouses
  through monthly sensitization activities
• Mobile VCT services provided at key transport
  terminals
• Providing care and support for orphans and widows
  through IGAs

7
Sharing Experiences Key Lessons from Eritrea
Ministry of Defense

• Sensitization through provision of core data and
  examples of good practice for sector to follow
• Universal testing mandatory every 2 years for
  all, and for conscripts or pre-marriage
• Testing allows understanding the scope of the
  challenge, therefore better planning
• Availability of prevention interventions made
  routine
• Continuing education and training to sustain
  message
• Also do community outreach, seen as successful
• Challenges include notification of families on
  test results (commanders know already)

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Hallmarks of M-S Response

• Use evidence
• Develop sectoral plan to guide implementation for
  various sectors that focus on biggest drivers of
  epidemic
• M-S response is the responsibility of all and not
  only the Public Sector entities A strong
  partnership is needed.
• All ministries must have budget line for HIV
• Roles defined by competence and comparative
  advantages of each sector and their partners
• 3 essential factors availability of resources
  within country, quantifiable results to reach and
  political will

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Hallmarks of M-S Response

• Each sector must answer the questions
• What is the sectors key contribution?
• What is the impact of HIV on the sector itself ?
• What will help to determine the appropriate
  response?
• Go through mapping exercise to see key players
  and determine comparative advantages of each
  sector and which other partners can be leveraged
  to make a difference
• Processes and policies should be owned by the
  implementers
• Throughout implementation need to monitor and
  evaluate the relevance and effectiveness of our
  activities

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