UNAIDS Satellite Session: Leading the AIDS Response

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Coordination of the National Response Lessons
from Asia

• UNAIDS Satellite Session Leading the AIDS
  Response
• XVII IAS, Mexico City, 5 August 2008
• Nafsiah Mboi, Secretary,
• Indonesian National AIDS Commission

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Outline Key Points

• I Highlights The report of the AIDS Commission
  in Asia -- Experience across Asia
• II Experience National AIDS Commission in
  Indonesia
• III Recommendations

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The Commission on AIDS in AsiaExperience Across
Asia

• Two common mechanisms performing coordinating
  functions
• ? National AIDS Commissions
• ? CCM of Global Fund
• Among AIDS Commissions variation in
• Status, Resources, Leadership
• ???
• Variation in effectivness
• CCM not option for overall coordination of
  response

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The Commission on AIDS in ASIA Factors used for
analysis

• Leadership Political Commitment
• Allocation of resources
• Coordination
• Flow of resources
• Priority given to most at risk populations

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Findings report - EffectivenessLeadership
matters !

• Health
  Other Head
• 
  Min of Govt
  
• Polit Comment L L H
• Coordination L M H
• Flow of resources L M H
• Alloc. Resources L H H
• Priority most-at-risk H L H

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The Indonesian Experience

• 1994 2006
• ? National AIDS Commission (NAC) established as
  coordinating body
• ? part of Govt. ? all members Govt sector
• ? Secr in Coord Minister for Peoples Welfare,
  no full time staff, all civil servants
• ? severely under-resourced, funds incl GFATM
  through MOH, National AIDS Program led by MOH.

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July 2006 Nat AIDS Commission Reconfigured
(Presidential Regulation)

• NAC Under responsible to President
• Membership Govt, Narc Board, Civil soc incl
  network PLHIV, private sector
• Officers Coord Min of Peoples Welfare, Min Of
  Health, Min of Home Affairs,
• Professionalization accountability of work
  full time prof secretary/ member NAC all staff
  professional
• Funding supported by gov funds discretionary
  funding from Ind Partnership Fund (established
  with DFiD grant 2005)

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The New Indonesian AIDS Commissions (Reg of Min
of Home Affairs)

• Sub-national level Prov, District, City
• Local AIDS Commission chaired by Governor,
  District Head/ Mayor
• Monthly reporting to Chair, National AIDS
  Commission through Secr NAC
• Members Govt, Narc Board, Civil Soc, network
  PLHIV, Drug users, Priv sector
• Resources Govt Ind Partnership Fund,
• Full time secretariat

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Effectiveness of NAC Secretariat?
Mandate Prof - Human Resources Discr. financial
resources
Generate new data
Nat. Strategy
Nat. Costed Action Plan
Management tool Coordination, Resource
Mobilization, M E
SUB NATIONAL planning, coord, res mobil,
advocacy, cap building
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Recommendation Report

• AIDS Commission w effective secretariat best for
  national (and sub-national) coordination
• Functions well defined Policy ? Coordination
  ? M E
• Leadership influence committed
• Membership govt with money, positive people,
  community w tech qualification
• Finance assured allocated on basis of
  evidence-based needs/ strategy
• Data/ evidence crucial for planning, advocacy,
  resource mobilization monitoring

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Harmonious coordinationNAC MOH CCM ?

• Indonesian experience
• Minister of Health a vice chair of NAC
• NAC Secretary
• Member of NAC
• Member of CCM
• Chair of TWG AIDS comp of CCM

Continuous effort to Support CCM MOH
Maintain good communication Human relations
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Muchas Gracias Terima Kasih Thank You