Global Forum presentation

1
Inter Agency Task Team on Children and
AIDS Washington
National Plans of Action Status Report April 2007
UNICEF ESARO Children and AIDS Section Mark
Kluckow April 2007
2
National Plans of Action

• 16 countries involved in 2004
• Zambia, Zimbabwe, Malawi, Lesotho, Swaziland,
  Namibia, Mozambique, South Africa, Rwanda, Kenya,
  Uganda, Tanzania, Ethiopia, Nigeria, Cote
  DIvoire, Central African Republic.

3
National Plans of Action

• 11 countries initiated in 2005
• Botswana, Burundi, Somalia, Madagascar, Angola,
  Eritrea, Southern Sudan, Djibouti, Burkina Faso,
  Ghana, DRC

4
Breakdown of Resource Needs - 2005
5
Large variation in overall budgets (3-5 years)
6
Resource needs for 2006
7
Funds allocated for NPAs 2006
8
14 Sample countries in total have secured around
one third of the funds needed for 2006 (ave. 35)
9
Source of funding for national OVC plans as
reported by focal ministries in 11 countries
(total 370m Jan 2006)
10
Donor support per Person Living With HIV/AIDS is
on average US78 in ESARAverage amount of donor
support in US per person living with HIV/AIDS,
15 most affected countries in ESAR, 2004
The US Presidents Emergency Plan for AIDS
Relief The Word Bank Multi-Country HIV/AIDS
Program for Africa and The Global Fund for AIDS,
TB Malaria (Last excludes support for Malaria)
Source http//www.worldbank.org/afr/aids/map_docs
.htm http//www.state.gov/s/gac/
http//www.theglobalfund.org/en/. (Accessed 1
nov. 2004)
11
(No Transcript)
12
(No Transcript)
13
(No Transcript)
14
Global Partners for Children Affected by
HIV/AIDS, London February 2006 draft
recommendations

• 1 Improve protection and access to services for
  children affected by HIV and AIDS through
  strengthened civil registration, especially birth
  registration.
• 2 Develop social welfare systems to increase the
  protection of the most vulnerable, including
  children and adults affected by HIV and AIDS.
• 3 Harness the political momentum around children
  and HIV/AIDS to accelerate the drive towards
  education for all.

15
Partners Forum

• 4 Scale up and integrate treatment of children
  infected by HIV/AIDS into routine child survival
  and maternal health services.
• 5 Promote national responses for children
  affected by AIDS that are integrated into
  development instruments, in order to attain broad
  coverage with coherent action.

16
Partners Forum

• 6 Meet the needs of children affected by HIV/AIDS
  by providing long-term financial support to
  community-level responses.
• 7 Improve the accountability and performance of
  national plans through strengthened monitoring
  and evaluation and use of data on children
  affected by HIV and AIDS.

17
Joint Regional Team on HIV/AIDS (March 24th)

• The regional UN team will be lead by a management
  group, comprising the leaders of 6 working groups
  with a division of labour informed by the GTT
  agreements
• Strategic planning and mainstreaming (UNDP)
• Impact mitigation with focus on OVC and families
  affected by AIDS (UNICEF)
• Prevention (?)
• Treatment Access (WHO proposed but need to
  confirm)
• Humanitarian responses (OCHA/UNHCR)
• strategic information (UNAIDS).
• We also agreed on key functions of these working
  groups and the management team and the
  facilitation/leadership, secretariat and common
  goods/service responsibilities of the UNAIDS
  secretariat.
• A joint regional support workplan and terms of
  reference for the joint team will be prepared
  for review by the RDT at its next meeting (19
  April).

18
Key Areas of Learning around NPAs

• 1. Fund mobilization has been slow reaching a
  mere one-third of targets
• 2. Ownership and integration of OVC issues into
  national development planning has been undermined
  by overarching perceptions that this is a crisis
  intervention requiring external funding and
  implementation.

19
Key Areas of Learning around NPAs

• 3. Wide ranging intercountry definitional
  variations of OVC leading to disparity in budget
  and targeting strategies
• 4. Centralised planning has failed to appreciate
  the complexity of context and responses at the
  meso- and micro-levels within countries

20
Key Areas of Learning around NPAs

• 5. Need for a comprehensive decentralization
  process of planning and implementation involving
  multisectoral interagency collaboration with
  civil society needs (overlooked during planning
  phase)

21
Processes for monitoring, learning and sharing
around NPAs

• A Review of ESARO 2006 Annual Reports is underway
  focusing on the current status of National Plans
  of Action for OVC and specific ME mechanisms in
  place.

22
Processes for monitoring, learning and sharing
around NPAs
Angola, Botswana, Burundi, Eritrea Ethiopia Lesotho Madagascar Malawi Mozambique Namibia Rwanda Somalia South Africa Swaziland Tanzania Uganda Zimbabwe
23
ANGOLA

• Good progress made in 2006 around OVC support
  with the Government taking ownership and
  leadership within the RAAP process which was been
  completed in July 2006.
• The NPA has been developed and will be approved
  during a stakeholders meeting to be held in early
  2007.
• The ME plan is still to be draft, and support
  from ESARO has been requested by CO.

24
BOTSWANA

• A national care programme for OVC (STPA)
  substitutes the NPa
• The evaluation of STPA, conducted in 2006 within
  the MTR process, focused on knowledge and best
  practices as well as challenges in implementation
  of the STPA
• This is a good step ahead for understanding the
  situation of OVC in Botswana and for the
  development of a national policy for the care of
  vulnerable children.

25
BOTSWANA cont.

• Coordination improved through an NGO and Donor
  forum for OVC, and through activities to
  strengthen NGO/CBO capacity to deliver basic
  services for OVC.
• A team responsible for the ME of the STPA has
  been identified and the development of an ME
  framework is planned for 2007. CO requested for
  UNICEF ESARO support on this.

26
BURUNDI

• The HIV/AIDS National Strategic Plan (2007-2011)
  has been developed and UNICEF has provided
  technical and financial assistance to the
  Government for the review of this Plan and the
  preparation of a this new five-year national
  action plan (2007-2011)
• The NPA is not a stand alone process but is part
  of the HIV/AIDS National Strategic Plan
• No ME in place. UNICEF to assist.

27
ERITREA

• NPA is not in place but the two national surveys
  on the situation of orphans and child headed
  households and commercially sexually exploited
  children (CSEC) will be the foundation for the
  development of a National Plan of Action for
  children-at-risk, with a focus on OVC.
• Need to look at the indicators of the surveys and
  see if can be used as RAAP and as baseline for
  the OVC regional surveillance. CO will need ESARO
  support in development of NPA and ME plan.

28
Ethiopia

• RAAP conducted in 2004 leading to a NPA but it
  has not been implemented due to lack of funds and
  lack of clarity on the mandate and
  responsibilities for OVC at regional and
  sub-regional level.
• Activities to support OVC at community level
  ongoing such as foster care arrangements,
  psychosocial support, education, cash grant,
  succession plans, with plans to scale up from
  community level.

29
LESOTHO

• Good mechanisms in place for implementation of
  the NPA with a separate ME plan developed with
  support from FHI in 2005.
• National OVC Policy and Strategic Plan 2006-2011
  approved by Cabinet in mid-December 2006.
• .

30
LESOTHO

• .

• The UNICEF Policy Development and Planning
  Programme to support the Government in its
  efforts to adopt new legislative and policy
  instruments to ensure that HIV and AIDS,
  particularly OVC-related issues, are adequately
  addressed across all the four programme areas.
• Lesotho is planning to update the situation
  analysis of OVC this is a good opportunity to
  include all OVC agreed indicators and use it as a
  baseline for the regional OVC surveillance

31
Madagascar

• UNICEF is part of a national inter-sectoral
  committee for OVC.
• ONUSIDA conducted a first situation analysis of
  OVC and identified challenges in data
  availability.
• RAAP is being finalized and will be the basis for
  the development of the NPA.
• Will need ESARO support in development of the NPA
  and his ME plan.

32
Malawi

• RAAP has been conducted and the NPA developed in
  2004 containing a Monitoring and Evaluation Plan.
  
• The OVC Technical and Advisory Support Unit
  (TASU) is responsible of coordination of NPA and
  of the ME activities.
• Plans to establish a Technical Working Group
  which will include technical programme staff from
  government, UN agencies, donor agencies and civil
  society organizations.
• The operational research on social cash transfers
  will contribute to the formulation of a Social
  Protection Policy for Malawi.

33
Mozambique

• The RAAP has been conducted, the NPA developed
  and a situation analysis of OVC finalized.
• An ME framework is in place with support of FHI
• Standard ME tools to be developed and tested in
  Sofala and Gaza Provinces

34
Namibia

• RAAP conducted with NPA in place and ME plan
  developed with support from FHI
• Major gap the lack of a comprehensive data base
  on OVC by region and gender.

35
Rwanda

• Rwanda made notable progress at partnership,
  planning and policy around OVC and NPA in 2006. A
  comprehensive ME framework has been developed
• Progress made on capacity assessment through the
  community capacity analysis of traditional local
  structures providing information on the
  challenges that communities face in child
  protection, and through the Mapping of Child
  Protection Organizations which provides
  information on local and international NGOs, FBOs
  and CBOs working with OVC.
• A concern is the decrease of funding for OVC in
  Rwanda over the years as this is not felt as a
  priority for donors.
• Further research is needed to understand the
  nature and scale of vulnerability in Rwanda.

36
Somalia

• NPA developed containing an ME plan but the
  implementation not started as is not costed.

37
South Africa

• NPA drafted in May 2006 and will be finalized in
  February before launching in March 2007.
• The ME plan for the NPA has not been finalized
  yet.

38
Swaziland

• Good mechanisms in place for support to OVC. The
  RAAP has been conducted, the NPA is in place and
  a good ME Plan has been developed with support
  from FHI

39
Tanzania

• The RAAP process has been completed and the NPA
  will be launched in February 2007 with an ME
  plan however this is not operational yet.

40
Uganda

• National OVC Policy is in place and the RAAP and
  the NPA have been developed within the National
  Strategic Programme
• NPA ME plans have been developed and an ME
  system in place a national level.
• An OVC database has been developed and the
  indicators were tested in 3 districts
• A tool for community led OVC mapping exercise has
  been developed and the processes of the
  development of national standards and guidelines
  for OVC service delivery and for the development
  of national OVC communication strategy are
  ongoing.

41
Zimbabwe

• National Action Plan for OVC operationalized
  through a Programme of Support endorsed by the
  Government in 2006 and other sectoral policies
  were developed in 2006
• The Programme of Support The PoS is based on a
  pooled fund mechanism, and harmonization of the
  OVC response among donors has been improved
  through the establishment of an OECD-OVC Donor
  Working Group.

42
UK OVC Working Group Meeting Jan. 2007

• IATT on Children Affected by AIDS Working Group
  on Social Protection, Help Age International,
  Institute for Development Studies, World Vision
  and the UK NGO OVC Working Group.

43
Social Protection

• Different perspectives about what conceptual
  definition of SP we should use, and to what
  extent we should get involved in country level
  processes.
• On the first discussion point, the group agreed
  to use the SP definition used by the Child
  Protection Companion Document to the OVC
  Framework, which combines social transfers with
  services within a systems approach.
• It was also agreed that our initial focus will be
  on cash transfers, since that is the most widely
  used mechanism in high prevalence countries at
  the moment.

44
Social Protection

• Global Partners Forum (GPF) recommendations on
  social protection relate to action at global and
  national levels.
• Group agreed that there is a limit to how a
  global group can make a difference at country
  level, we also agreed that linking global,
  regional, and national activities is critical if
  we hope to have any impact.

45
Social Protection

• Information on upcoming SP and HIV and AIDS
  meetings to be included in WG toolkit, including
  information on the upcoming PEPFAR Implementers
  Meeting and request for abstracts to promote
  inclusion of social protection and cash transfers
  as key interventions for AIDS impact mitigation.

46
(No Transcript)