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Proposed Priority Actions By NSF Goals (before group work )

Proposed Priority Actions By NSF Goals (before group work ). By Rose Nalwadda 1 st February 2006. GOAL 1: REDUCE HIV PREVALENCE BY 25%. Output 1.1: The effectiveness of the BCC strategy for safe sexual behavior promotion analyzed and better targeted BCC activities implemented

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Proposed Priority Actions By NSF Goals (before group work )

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  1. Proposed Priority Actions By NSF Goals (before group work) By Rose Nalwadda 1st February 2006

  2. GOAL 1: REDUCE HIV PREVALENCE BY 25% • Output 1.1: The effectiveness of the BCC strategy for safe sexual behavior promotion analyzed and better targeted BCC activities implemented • 1.1.1 Undertake an analysis of the effectiveness of the various BCC strategies • Deeper understanding of the socio-economic environment to explain the low behavior change is critical as we move into the next planning phase • 1.1.2 Revise and operationalise a comprehensive BCC strategy. The epidemic has changed as revealed by the sero-survey and requires different prevention strategies and requires 1.1.3 Design and implement BCC activities targeting specific vulnerable groups While there is a general shift in the prevalence pattern, there are groups that are adversely affected and require urgent attention as revealed by the sero survey

  3. Goal 1Cont’d • Output 1.2 Access to and information on effective use of condoms enhanced • 1.2.1 Conduct a study on strengthening national condom and other key AIDS commodities distribution systems • Procurement and distribution limitations constrain access • 1.2.2 conduct sensitization and awareness activities on condom use • The recent Ngabo condom quality issues have to be addressed to sustain utilization • 1.2.3 Develop and manage a multi-stakeholder Procurement Plan of HIV/AIDS Commodities (condoms, VCT test kits, etc)

  4. Goal1cont’d • Output 1.3 VCT activities deepened in existing centres and VCTservices extended to pioneer HC IIIs • 1.3.1 Recruit and train health workers in VCT centers (Transfer to the human resource database cost 3.4.1) • 1.3.2 Integrate ART/PMTCT/TB in the VCT services • The likely synergy and efficiency in service delivery have not been fully explored and the greater need to integrate prevention and care • 1.3.3 Train peer educators in secondary schools in Counseling and Life skills • The PIACY has focused at the primary level, urgent need to roll it to secondary level given the pattern of prevalence among the youth

  5. Goal 2a: Mitigate the Health effects of HIV/AIDS and improve the quality ofPHAs •  Output 2.1 Access to palliative care information and services to PHAs scaled up • 2.1.1Undertake effective planning and treatment of OIs • A comprehensive treatment package for quality care and support • 2.1.2 expand access to ARTs/PMTCT services • To contribute to the agenda towards universal access to prevention, treatment, and care and support

  6. Goal 2a Cont’d • 2.1.3. Integrate nutrition support and counseling for PHAs and their families in all ART accredited centers • Good nutrition is key in ART treatment and little has been done to systematically incorporate it in the treatment package • 2.1.4 Mobilize and support community based palliative care support for PHA

  7. GOAL 2(b): Mitigate the psychosocial and economic effects of HIV/AIDS • OUTPUT 2(b).1: Capacity of psychosocial services providers assessed • 2.2.1 conduct a study to assess capacity gaps and needs of actors involved in the provision of counseling, psychosocial and spiritual support to PHA and affected families • Output 2 (b). 2 The rights of PHAs are known and protected • 2.2.2 Train key change agents and institutions on the rights and fundamental freedom of PHA

  8. Goal 2b cont’d • OUTPUT 2.3 :The Strategy for supporting OVCs harmonized and disseminated • 2.3.1 disseminate and popularize OVC policy and strategy to all districts • The policy and strategy have to be widely disseminated to solicit buy-in by more stakeholders in view of the uncertainty of sustainability of existing funding

  9. Goal 2b Cont’d • 2.3.3 Scale-up Cope services including IGAs to OVCs

  10. Goal 2c:Mitigate the impact of HIV/AIDS on the development of Uganda • OUTPUT 2.3: HIV/AIDS mainstreamed in the PEAP, sectoral and local Government plans • 2.3.1        Finalize the mainstreaming guidelines for HIV/AIDS in the PEAP, sectoral plans and local Government plans • Guidelines are needed to facilitate the budget support agenda • 3.3.2        Conduct a study on impact of HIV/AIDS in every sector and on relationship between HIV/AIDS and Poverty • 3.3.3 Carry out a sector spending assessment. • To support harmonization, alignment and management for results agenda

  11. GOAL 3: Strengthen National Capacity to Coordinate and Manage the Multisectoral Approach To HIV/AIDS • OUTPUT 3.1 The existing funding mechanism assessed and channeling, allocation and accountability of financial resources enhanced • 3.1.1 Finalise review of existing funding mechanism strategies on harmonizing the channeling, allocation and accountability of financial resources and follow up recommendations • 3.1.2. Update the Mapping database to utilized as a basis for costing universal access • last mapping was done in 2004, needs to be updated

  12. Goal 3 cont’d • OUTPUT 3.2. The National capacity to generate and dissemination timely HIV/AIDS surveillance data and related information enhanced • 3.2.1 Carry out an in depth analysis of the sero survey data to support the NSF 2006 /11 preparation • More analysis is required to collaborate the data with other data sources • OUTPUT 3.3.: Technical, management, human resource and infrastructure capacity of UAC enhanced • 3.3.1 Fill pending staff positions in coordination and management • operationalize the OD recommendations and identify TA needs

  13. Goal 3 Cont’d • OUTPUT 3.4 The national human resources capacities and competences in HIV/AIDS mapped and updated • 3.4.1 Create and maintain a national database of human resources • OUTPUT 3.5 National Strategic and M&E Framework developed • 3.5.1 Evaluate the current NSF and prepare NSF 2006 –20011 • The NSF is ending in June 2006 and need to have a costed NSF and the required operational guidelines

  14. Goal 3 cont’d • OUT PUT 3.6 The operations of the HIV/AIDS partnership committee, partnership forum and partnership pool fund strengthened •  3.6.1 Organize the Annual Joint AIDS Review and Partnership Forum to ensure mutual accountability. • The partnership arrangement is a useful strategy in rallying support to the NSF and monitoring implementation of the NSF

  15. Thank you for listening

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