1 / 24

The HIV/AIDS Strategy Process

The HIV/AIDS Strategy Process. Glenn Post, MD, MPH Office of HIV/AIDS. Context. Great increase in resources from minor component to dominating More scrutiny, reporting & interest 12 reports to congress in FY 03 (draft leg) about half on HIV/AIDS audits administrator

xander-hebert
Download Presentation

The HIV/AIDS Strategy Process

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. The HIV/AIDS Strategy Process Glenn Post, MD, MPH Office of HIV/AIDS

  2. Context • Great increase in resources • from minor component to dominating • More scrutiny, reporting & interest • 12 reports to congress in FY 03 (draft leg) • about half on HIV/AIDS • audits • administrator • Operational plan -- missions prepare HIV/AIDS strategy for tech approval (GH with regional bureau and PPC)

  3. Targets, directives & strategic directions • Expanded Response targets • prevalence • PMTCT • community support for OVC • care & support for PLWHA • Scale/national-level impact • Prevention-to-care continuum

  4. Why you need a strategy • Not enough resources • Tough strategic choices • no blueprint • epidemic status • other-partner activities • direct impact/optimal use of funds • Roadmap when resources change • funding increase/decrease • Global Fund or other-donor program

  5. At stake

  6. Who needs an HIV/AIDS strategy? • Missions proposing/receiving $1 million or more per year for HIV/AIDS • Rapid scale-up countries • Intensive-focus countries • Regional offices • Basic countries

  7. What is a USAID HIV/AIDS strategy? • Stand-alone document • what is the situation? • what is the mission’s approach or strategy? • what will be the result? • what are the resources? <Tell your story> Note: Current approach may well be valid.

  8. What is the situation? • Background & problem analysis • status of the epidemic • critical populations & location • supports/constraints • prior USAID assistance/lessons learned • national strategy • other donors/Global Fund ‹What is going on?›

  9. Experience: Situation • Target populations -- specify • prevalence, size & location • Assess epidemic potential • comparative data • Context • USAID activities, results & lessons learned • private sector • national plan • other donors

  10. What is the mission’s strategy? • Objective • Rationale/targeting • Results framework • Interventions • Special concerns to consider -- stigma, youth, PLWHA, gender, etc. • Other programs & partners

  11. Experience: Strategy • Critical populations not targeted or targeted too broadly • Resources spread too thin • Results framework • not causally hierarchical • key program components missing

  12. Experience: Strategy (cont’d) • How USAID complements partners • strategic • geographic • Interventions • details, e.g., how plan to develop & where • defining behavior change

  13. What will be the result? • Nature & magnitude of expected change • critical group can have national impact • Key indicators and targets • Contribution to global E. R. targets • prevalence, PMTCT, OVC, PLWHA • Surveillance, behavior surveys, other M&E • Agency reporting

  14. Experience: Results & Reporting • Nature & magnitude of expected change unclear • need to put results -- prevalence, coverage -- in national context • Weak surveillance systems • Indicators don’t match results • USAID standard indicators not used (when should be) • Behavior change indicators limited to condom use

  15. What are the resources? • Actual or planned program funding <Where are the funds going?> • Staffing • OE -- constraints

  16. Experience: Resources • Present the current or straight-line budget first • Resource discussion too vague -- as appropriate, give a rough breakdown • directed to at-risk groups vs. general population • prevention vs. care/treatment

  17. When to submit ….Submit with new country strategic plan (CSP) -- ifby March 04 Otherwise: due by the end of FY 03: • Rapid scale-up Jan 03 • Intensive-focus June 03 • Regional office Sept 03 • Basic ($1m/yr or more) Sept 03

  18. USAID/W review • OHA sets up review meeting with regional bureau and PPC. • solicit comments • prepare discussion paper • inform mission of progress • share discussion paper • Mission participation welcome • discussion paper comments/corrections • at the meeting

  19. What can be the result of the technical review? • Draft strategy or concept paper (not subject to approval): • issues identified • comments and recommendations sent to mission • Final strategy: • approved/no significant issues • approved pending mission response • unresolved issues/mission to revise and resubmit

  20. How long will it take? • First major submission – preliminary draft or final • allow 4-5 weeks • Subsequent submission • allow about 3 weeks

  21. How USAID/W can help • Provide in-country TA -- OHA or CA -- for strategy development & -- as appropriate -- M&E, PMTCT, OVC, care, treatment, support, behavior change, youth, etc. <Priority countries have . . . priority> • Identify mechanisms for CA support • Provide virtual support/answer technical questions

  22. How USAID/W can help (cont’d) • Provide relevant materials/examples • Practical Field Guide • Carry out technical review of a concept paper or draft strategy --> recommendations for strategy development <The earlier the better>

  23. We’re prepared to go to some lengths . . . .

More Related