Special Session on Localising Responses to HIVAIDS: Achievements and Constraints

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Special Session on Localising Responses to
HIV/AIDS Achievements and Constraints
4th Africities SummitNairobi, KenyaSeptember
20, 2006
Up-scaling the response

• A Presentation by Rudolph T. D. Maziya
• National Director AMICAALL Swaziland

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PROGRAM COVERAGE
The AMICAALL Swaziland program operates in all
twelve official towns of the country covering
22-25 of the total population comprising of
approximately 215, 000 people
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AMICAALL Swaziland intervention areas

• Home based care
• Voluntary counseling and testing services,
  sporting and recreation
  
• HIV and related literacy
• Behavior change communication
• Care and support of orphans and vulnerable
  children,
  
• Food security and food distribution..

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According to Peter Piot AIDS is a special problem
to which special attention should be given
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ADULTS AND CHILDREN ESTIMATED TO BE LIVING WITH
HIV/AIDS, END 2003                             
                                                  
                                                  
                                                  
  
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Relationship between AIDS and development
Governance environment
Natural resources
Investment
Development
Human capital
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Millennium Development Goals

• Reducing and halting the AIDS pandemic is
  critical for the achievement of all millennium
  development goals especially in highly affected
  countries
• There is no doubt that many highly affected
  countries will not achieve millennium development
  goals unless access to HIV/AIDS services is
  enhanced and the effectiveness of services
  improved

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Enhancement of the national responses

• The call for enhancing national responses to AIDS
  evolved from a call for an expanded response to
  pandemic in 1990s to up-scaling the response and
  assurance of universal access to prevention,
  treatment, care and support in more recent times
• Rising to the call for expanding the response,
  up-scaling of services or assurance of universal
  access to services has failed
  

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Working definition of up-scaling services

• Assurance that services are available and
  accessible to all those who need them

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Components of up-scaling

• Increased coverage
• Comprehensiveness of the intervention package
• Intensity of interventions
• Increased stakeholdership

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Determinants of up-scaling the response
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Factors that influence availability of
infrastructure for simultaneous implementation of
activities

• Decentralized organizational infrastructure
• Implementation through partnerships arrangements
• Involvement and participation of communities
  members
  
• Utilization of community volunteer services

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Factors that reduce bureaucracy

• Implementation of program activities and
  private/public partnership model
  
• Good corporate governance practices that empowers
  management to implement program activities
  through segregation of roles and responsibility
  of different program structures

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Factors that influence availability of resources

• Responding to a felt need
• Political backing
• Relationship to the national response
• Reputation for good financial management
• Good corporate governance practices
• Organizational visibility through participation
  in national forums
  
• Responsiveness to needs of funding agencies