UNAIDS India Work Plan 200607 Overview

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UNAIDS - IndiaWork Plan 2006/07 Overview
-PRESENTATION to the UNCT15 May 2006Delhi
Denis Brown UCC, India
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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

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The most affected half is otherwise often less
vulnerable
Jammu Kashmir
Himachal Pradesh
Punjab
Chandigarh
Haryana
Delhi
Arunachal Pradesh
Sikkim
Uttar Pradesh
Rajasthan
Assam
Nagaland
Meghalaya
Bihar
Manipur
Tripura
Mizoram
West Bengal
Madhya Pradesh
Gujarat
Daman Diu
Orissa
Dadra Nagar Haveli
Maharashtra
HIV
U5MR
Andhra Pradesh
Goa
Karnataka
Pondichery
Andaman Nicobar
Tamil Nadu
Lakshwadeep
Kerala
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Support needs are different in the 2 types of
states
Pondichery
Jammu Kashmir
Himachal Pradesh
Punjab
Chandigarh
Haryana
Delhi
Arunachal Pradesh
Sikkim
Uttar Pradesh
Rajasthan
Assam
Nagaland
Meghalaya
Bihar
Manipur
Tripura
Mizoram
West Bengal
Madhya Pradesh
Gujarat
Daman Diu
Orissa
Dadra Nagar Haveli
Maharashtra

Andhra Pradesh
Goa
HIV
Karnataka
Andaman Nicobar
Tamil Nadu
Lakshwadeep
Kerala
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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

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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

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UNAIDS India Work plan2006-2007
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UNAIDS India Work plan2006-2007
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What are the most salient features of the India
work plan?
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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.

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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

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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.

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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).

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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.

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A strong emphasis on information and ME

• Support the capacity of States to analyze
  available information and decide on it
• Estimation of AIDS mortality in India
• Implementation of the One ME framework and set
  of indicators
• Support the improvement of data quality
• Studies to anticipate on the evolution of the
  epidemic.

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India work plan organized by key results and
corresponding budgets
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India Highlights - Key Result 1Leadership,
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.

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India Highlights - Key Result 1Leadership,
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

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India Highlights - Key Result 1Leadership,
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.

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India Highlights - Key Result 1Leadership,
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 womens groups

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India Highlights - Key Result 2Strategic
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.

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India Highlights - Key Result 3Monitoring and
Evaluation

• Analysis of information
• Strengthening ME 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

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India Highlights - Key Result 3Monitoring and
Evaluation

• Tracking epidemic and activities
• Support interagency ME group
• Support Institutions providing TA to States on
  ME
• Support upgrading of sentinel surveillance and
  mortality estimates
• Monitor ARV use

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India Highlights - Key Result 4Civil 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

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India Highlights - Key Result 5Resource
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

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India Highlights - Key Result 6Strengthened
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.