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MODALITIES FOR HIV/AIDS PLANNING, IMPLEMENTATION AND MANAGEMENT IN LOCAL GOVERNMENTS

MODALITIES FOR HIV/AIDS PLANNING, IMPLEMENTATION AND MANAGEMENT IN LOCAL GOVERNMENTS . Stephen K. Kiirya Makerere Institute of Social Research August 6, 2007 Arua. 1. BACKGROUND. No structured response to HIV/AIDS before 1985

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MODALITIES FOR HIV/AIDS PLANNING, IMPLEMENTATION AND MANAGEMENT IN LOCAL GOVERNMENTS

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  1. MODALITIES FOR HIV/AIDS PLANNING, IMPLEMENTATION AND MANAGEMENT IN LOCAL GOVERNMENTS Stephen K. Kiirya Makerere Institute of Social Research August 6, 2007 Arua

  2. 1. BACKGROUND • No structured response to HIV/AIDS before 1985 • 1986 AIDS Control Program (ACP) established in MoH to spearhead HIV/AIDS actions in public sector • CSO/FBO initiated organized action in community • 1986 - 92, HIV/AIDS mainly coordinated & managed by ACP through Task Forces linked to a few Sectors • 1988, realized that epidemic is multi-faceted & initiated discussion on a multi-sector strategy • 1992, adopted policy on multi-sector Approach to the Control of AIDS (MACA) and created UAC • 1994+ implementation of multi-sectoral national response with many players at national, district & lower levels

  3. Numerous challenges to institutional and coordination arrangements UAC UN CCM Academic Partnerships WBMAP Private Sector Bilaterals INGOs and Foundations National Level Action National AIDS Control Programmes District and Local Level Action National Budgets CSO Partnerships Parliament

  4. 2. MANAGEMENT ARRANGEMENT • Created formal arrangements, structures and functions to ensure that all stakeholders and aspects of the HIV/AIDS response work together in an organized and efficient way to achieve the national objectives • Political & technical coordination structures are responsible • Political:Parliamentarian HIV/AIDS Standing Committee, DATF, SATF, parish/village councils • Technical:UAC/SCEs, SAC, DAC and SAC • UAC coordinates all HIV/AIDS activities at all levels. • SACs coordinate HIV/AIDS activities in line ministries. • DAC and SAC coordinate AIDS activities at district and lower levels with support from national structures

  5. 2.1 National Mechanism Post 2000 “Three Ones” Principle = One National HIV/AIDS Framework, Coordinating Body and M& E Framework UGANDA AIDS COMMISSION & SECRETARIAT THE HIV/AIDS PARTNERSHIP COMMITTEE (4 Permanent Representatives and Representatives from all Self-Coordinating Entities (SCEs) INGOs Private Sector FBOs PHA Networks LG Response Research Academia Science Youth Media Parliament Gov’t Ministries UN & Bilaterals National NGOs AIDS PARTNERSHIP FORUM (All Partners meet Annually:review progress, set priorities)

  6. 2.1.1 National-Level Roles • Develop national programs, policies, guidelines and materials for facilitating HIV/AIDS planning, implementation and management of interventions • Mainstream AIDS in planning/budget frameworks • Advocate and lobby resources and other inputs • Building capacity of implementers by training, etc • Quality assurance by periodic supervision, M&E • National surveys, assessments, etc

  7. 2.2 Local Govt Mechanisms District AIDS Taskforce Chair: District Chairperson Secretary: CAO; Members: max 23; DEC, RDC, speaker, reps of CSO & PHA; Meet: Twice annually District AIDS Committee Chair: CAO; Secretary: Focal Point Officer; Members: max 23; heads of directorates, reps of CSO & PHA; Meet: At least ounce a Quarter District Subcounty SC AIDS Taskforce Chair: Sub-county chairperson Secretary: Sub-county chief; Members: max 15; SC executive, speaker, reps of CSOs & PHA ; Meets: Twice annually SC AIDS Committee Chair: Sub-county chief; Members: max 15; heads of sub-county directorates, reps of CSOs & PHA; Meets: At least twice annually Parish Parish AIDS Taskforce Combines Political and Administrative Arms; Chair: Parish chairperson; Members: max 15; Parish executive, representatives of PDC, CSOs and PHA. Meets: Twice annually Village Village AIDS Taskforce Combines Political and Administrative Arm; Chair: Village chairperson; Members: max 15; Village executive, representatives of VDC, CSOs and PHA; Meets: At least twice annually

  8. 2.2.1 Local Govt Level Roles • Develop, implement and manage local HIV/AIDS strategic and annual plans, bylaws and tools • Integrate AIDS activities in local development plans, initiatives and budget frameworks • Mobilise communities & resources for AIDS responses • Build capacity of implementers by training, etc • Implement and assure quality of activities through periodic supervision/monitoring • Local situation/response analysis, surveys,etc

  9. 3. PLANNING MODALITIES 3.1 Definition • Is a process that involves assessing problems/needs and identifying feasible actions and resources for resolving them in the short and long-run • Long-run: Strategic plan (more than 3 years • Short-run: Work-plan (quarterly, biannual, annual

  10. 3.2 Planning Principles

  11. 3.3 Planning Process

  12. 4. RESOURCE MOBILISATION AND MANAGEMENT • Funds mobilised locally from communities and LGs, or externally from government, donors and civil society • Multiple funding arrangements: • On-budget funding (local revenue/conditional grant) • Separate bank account for channelling project fund • Direct funding to implementers 4.1 On budget • Implementers request and funds are drawn from the respective budget line • Accounting done in line with public procedures

  13. 4.2 Off-Budget • CAO & CFO responsible for all financial management • DFP & Sub-Accountant facilitate periodic financial operations and report preparations • Implementers maintain project specific account • DAC prepare/submit quarterly activity schedule (extract from approved annual work plan/budget) • Funds are disbursed to LG project account with payment details (activities, amount and implementers) or directly to implementer with copies to LG • Cheques written in the names of listed implementers. • Next release made after accounting 75% of advance and reflecting it in the monthly accountability returns. • Suspend payment if implementer fails to account well.

  14. 4.3 Direct CBO Funding • After approval of CBO proposals, CAO/DFP or the equivalent in LLG prepare/submit to financier a request with approved community plan and budget • Request shows communities whose proposals are approved, location & amounts (local and requested) • Guide approved communities to open bank account • Pay directly to respective CBO accounts by qheque. • Train management committees in implementation, fiduciary management and reporting.

  15. 5. IMPLEMENTATION

  16. 5.2 Community Implementation • Based on community action plan and budget. • Community is informed about exact disbursement • Community meets and prepares a simple activity timetable, and request based on funds disbursed. • Community submits request and timetable to LG authority, and cheque is paid and deposited • After cheque has matured, persons assigned activity request funds and implements. • Implementation & accountability reports are prepared and submitted to treasurer who compiles reports. • All reports, accountabilities and requests are endorsed by CPC and forwarded to LG.

  17. 6. MONITORING & EVALUATION 6.1 Definition

  18. 6.2 LG Modalities • Set measurable indicators linked to LG situation and specific NSF objectives • Set/use standard monitoring tool (linked to key AIDS indicators in LG & National M&E modules) • Periodic monitoring of implementers by HIV/AIDS committees, EWs, political and community leaders • Respective agencies must monitor/report on activities • Establish Management Information System (MIS) • Periodic analysis of existing data on HIV/AIDS • Periodic reporting on key AIDS indicators in the LG & national M&E module • Determine activity impact through periodic Local Quality Assurance and Supervision (LQAS) surveys in district

  19. 7. CONCLUSION • LG HIV/AIDS planning, implementation and management modalities have been disseminated widely but are not functioning in all LG • Joint planning is limited to districts which receive external support, and this process often starts and ends with department staff & politicians • Participation & integration of community needs in development plan processes is still limited • Implementation is still disjointed and weakened by incongruent procedures set by various AIDS funding mechanisms • The deliberate bypassing of LG systems by several existing funding mechanisms & implementers has undermined the functioning of the set HIV/AIDS coordination and management arrangements

  20. 8. RECOMMENDATIONS • Deepen joint planning practices into LLG structures (SACs, etc) and ensure that it starts in the community groups • Synthesize community issues and integrate them in parish/sub-county plans while assigning general needs to LG structure and the special needs to respective interest groups • Include budget provision for HIV/AIDS in all LG sectors (not only health) • Articulate all planning, funding, implementation and management procedures in LG HIV/AIDS plan • Repeatedly emphasize procedures to all financiers and implementers during negotiation, implementation and follow-up • Replicate the partnership arrangements in all LGs

  21. THANK YOU

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