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Models of Support to FBO providers to scale up HIV services

Models of Support to FBO providers to scale up HIV services. Members Martin Sirengo-Kenya Bruno Miteyo -DRC Samuel Mwenda -Kenya Jean Claude Kazadi -USA Robert J. Vitillo –Caritas Int Carla Smith-USA Abubakar Sebwela -RSA Lebo Mothae -Lesotho. Gift Werekhwe -Malawi

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Models of Support to FBO providers to scale up HIV services

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  1. Models of Support to FBO providers to scale up HIV services Members • Martin Sirengo-Kenya • Bruno Miteyo-DRC • Samuel Mwenda-Kenya • Jean Claude Kazadi-USA • Robert J. Vitillo–Caritas Int • Carla Smith-USA • AbubakarSebwela-RSA • Lebo Mothae-Lesotho • Gift Werekhwe-Malawi • Mona Bormet-USA • NyamburaNjoroge-Switzerland • MafaseSesani-Malawi • BzorgSandkjaer-Norway • Sue Parry-Zimbabwe • Theresa Maseka-Zambia

  2. Introduction • Arrangements date back to colonial period • Many countries have national secretariats coordinating discussions and service delivery • Some have one umbrella secretariat like Malawi (CHAM) and Zambia (CHAZ) whereas others are separate like Uganda and Kenya • Gentleman's agreement used initially until no funding was forthcoming. This has led to govts entering into MOUs with FBOs

  3. Current models (MOUs) General • MOUs-general • PPP agreements Specific • Financial support agreements • Between Govt-FBO secretariat • MOH-FBOs • MOF-FBOs • Service agreements -for compensation for certain services provided • May differ from one area to another

  4. Areas of collaboration • Human resource support • Hire/secondment of HCWs • Training of HCWs • Payment of utility bills e.g. Electricity and water • Supply of commodities and essential drugs • Policy formulation and IEC role • M&E: Reporting and accountability • Service delivery

  5. Challenges • Respect and operationalization of MOUs?-Sometimes Misinterpretation of MOUs • Changes in the Political landscape affects existing MOUs • Govts may have reservations about capacity of FBOs to provide services. NB: FBOs services are complementary • Government support not matching the workload of FBOs • Staff turn-over (back and forth movement depending on funding esp among seconded HCWs) • Nationalization of church services by governments causing suspicion and mistrust • Compensation may not be commensurate to the workload, cost of services and may not be timely

  6. Recommendations • Have and operationalize MOUs and its specifics i.e • Funding • HR support • Supply chain support • Service delivery • M&E Additionally: • Monitoring and accountability mechanism for the MOU implementation • Harmonization of terms of service, salaries and benefits for HCWs

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