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UNGASS Country reports Lessons learned MERG Meeting Geneva July 28 2003

UNGASS Country reports Lessons learned MERG Meeting Geneva July 28 2003. 2003 UNGASS Survey. 104 countries have responded 31/104 country reports completed all forms Progress in policy environment

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UNGASS Country reports Lessons learned MERG Meeting Geneva July 28 2003

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  1. UNGASS Country reportsLessons learnedMERG MeetingGenevaJuly 28 2003

  2. 2003 UNGASS Survey • 104 countries have responded • 31/104 country reports completed all forms • Progress in policy environment • Insufficient progress in human capacity, financial resources, care and treatment, capacity to implement programs

  3. Quality issues in UNGASS country reports • Scoring: best reports: Botswana,South Africa, Cambodia, • + Correlation between national consultation and quality of the report • + Correlation between CRIS/EVA workshop and quality • Poor use of

  4. Process followed in developing reports Response rate: 70% • NAC/NAP was alone responsible in 50%; 15% other; 35% more than one entity • In more than half country processes, inputs from forum with civil society and others • 60% reported that data are stored centrally and 77% that the data is publicly available

  5. Reported national M&E capacity Response rate: 57% • 84% report having a M&E unit for HIV/AIDS • 34% report having a M&E plan; 42% in process • 26% report having a budget for M&E: 30% in process • 90% report having information systems (IS) in place; of these, 66% report both health and education IS

  6. UNGASS Core Indicators 18 indicators in four domains: • Global Level Commitment & Action (5) • National Level Commitment & Action (2) (National funds, policy analysis) • National Behaviour & Care Indicators (9) • National Level Impact (2)

  7. National Composite Policy index Response rate: 87% • Issue of “saturation” after 2005 • Suggestion: Inclusion of implementation and coverage modules to policy index, such as AIDS Program Effort Index

  8. National programme & behaviour indicators 1. Schools: life-skills-based HIV/AIDS education (A) 2. Workplace HIV/AIDS prevention 3. Sexually transmitted infections: case management (A) 4. Prevention of MTCT: ARV prophylaxis (A) 5. HIV treatment: ARV combination therapy (A) 6. IDUs: safe injecting and sexual practices (A) 7. Young people’s knowledge about HIV/AIDS (Target) 8. Young people’s condom use with non-regular partners (A4) 9. Orphans’ school attendance (A)

  9. Non Response / Validity of data

  10. The way forward

  11. Identified Challenges to Achieve UNGASS 2005 Goals • 25% --political commitment, stigma • 50% --resources • 75% --Need increased M&E capacity

  12. Global: MeasureDHS WHO/Bureau of Census WHO WR (Ad hoc) NIDI Ad hoc (IDU) Country Level: unclear CRIS Child Info Dev Info SHARED Health Mapper Databases used for UNGASS

  13. Strengthen country M&E and UNGASS DoC follow up • Advocate for increased resources (Global Fund and World Bank) • CRIS • Training / Development of protocols for each core indicator • Provision of technical assistance: TRN and GAMET

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