National Plans of Action Status Report April 2007 Inter –Agency Task Team on Children and AIDS Washington UNICEF ESARO Children and AIDS Section Mark Kluckow April 2007

Report
National Plans of Action
Status Report
April 2007
Inter –Agency Task Team
on
Children and AIDS
Washington
UNICEF ESARO
Children and AIDS Section
Mark Kluckow
April 2007
National Plans of Action
16 countries involved in 2004
•Zambia, Zimbabwe, Malawi, Lesotho,
Swaziland, Namibia, Mozambique,
South Africa, Rwanda, Kenya, Uganda,
Tanzania, Ethiopia, Nigeria, Cote
D’Ivoire, Central African Republic.
National Plans of Action
11 countries initiated in 2005:
• Botswana, Burundi, Somalia,
Madagascar, Angola, Eritrea,
Southern Sudan, Djibouti, Burkina
Faso, Ghana, DRC
Breakdown of Resource Needs - 2005
12%
4%
22%
Education
Health Care
11%
24%
Food/Nutrition
Community Support
Family/Home Support
23%
Organization Costs
M&E
35%
Large variation in overall budgets (3-5 years)
Total NPA budgets
1,200,000,000
1,000,000,000
800,000,000
600,000,000
400,000,000
Zimbabwe
Zambia
Uganda
Tanzania
Swaziland
South Africa
Rwanda
Namibia
Malawi
Lesotho
Kenya
Ethiopia
Cote d'Ivoire
0
Mozambique
200,000,000
CAR
$
Resource needs for 2006
NPA Budget for 2006
Co C
te AR
d'I
v
Et oire
h io
pi
Ke a
n
Le ya
so
th
M Ma o
oz
l
am aw i
biq
Na ue
mi
R b ia
So w a
ut nd
h
A a
Sw fric
az a
il
Ta and
nz
an
Za ia
Zi mb
i
m
ba a
bw
e
400,000,000
350,000,000
300,000,000
250,000,000
200,000,000
150,000,000
100,000,000
50,000,000
0
Budget for 2006
Funds allocated for NPAs 2006
Total funds allocated for NPAs 2006
Co C
te AR
d'
Iv
Et oire
hi
op
i
Ke a
n
Le ya
so
th
o
M
M
a
oz la
am w i
bi
q
Na ue
m
i
Rw b ia
So
a
ut nd
h
a
Af
Sw ric
az a
il
Ta and
nz
an
Ug ia
an
Za da
m
bi
a
70,000,000
60,000,000
50,000,000
40,000,000
$
30,000,000
20,000,000
10,000,000
-
14 Sample countries in total have secured around
one third of the funds needed for 2006 (ave. 35%)
100
90
80
70
60
50
40
30
20
10
-
received
oi
Et re
hi
op
ia
Ke
ny
Le a
so
th
o
M
a
M
oz l aw
am
i
bi
qu
e
N
am
ib
ia
R
wa
So
nd
ut
a
h
Af
Sw rica
az
ila
T a nd
nz
an
ia
U
ga
nd
Za a
m
bi
a
d'
Iv
ot
e
C
AR
pledged
C
% of total budget
Resources allocated for NPAs 2006
Source of funding for national OVC plans as
reported by focal ministries in 11 countries (total
$370m Jan 2006)
Source of funds for NPAs (11 countries)
35.0%
30.0%
25.0%
20.0%
%
15.0%
10.0%
5.0%
al
s
bi
la
te
r
AP
M
ov
s
G
EU
EF
IC
N
U
lin
to
n
C
un
d
lo
ba
lF
FI
D
G
D
A
SI
D
U
SG
0.0%
Donor support* per Person Living With HIV/AIDS is on average US$78 in ESAR
Average amount of donor support* in US$ per person living with HIV/AIDS, 15
most affected countries in ESAR, 2004
$350
45
US$/PLWHA
$319
HIV Prevalence (%)
40
$300
$250
30
$206
$200
$187
25
$164
$150
$135
$92
$100
$101
$104
20
$138
$111
15
HIV Prevalence rate (%)
US$ donor support/PLWHA
35
10
$39
$50
$46
$47
5
$23
$4
$0
0
Uganda
Rwanda
Zambia
Burundi
Kenya
Swaziland
Ethiopia
Botswana
Namibia
Mozambique
Tanzania
Malawi
Lesotho
South Africa
Zimbabwe
*The US President’s Emergency Plan for AIDS Relief; The Word Bank Multi-Country HIV/AIDS Program for
Africa; and The Global Fund for AIDS, TB & Malaria (Last excludes support for Malaria)
Source: http://www.worldbank.org/afr/aids/map_docs.htm; http://www.state.gov/s/gac/ ; http://www.theglobalfund.org/en/. (Accessed 1 nov. 2004);
Billions
Resources Required for OVC Support in Africa
All Services Provided by Government/NGOs
7.0
6.0
5.0
Organization costs
4.0
Community support
3.0
Family/home
support
Health care support
2.0
Education
1.0
0.0
2003
2004
2005
2006
2007
2008
2009
2010
Billions
Resources Required for OVC Support in Africa
50% Provided by Government/NGOs, 50% through Cash Grants
3.5
3.0
2.5
Organization costs
2.0
Community support
1.5
Family/home
support
Health care support
1.0
Education
0.5
0.0
2003
2004
2005
2006
2007
2008
2009
2010
Billions
Resources Required for OVC Support in Africa
100% Provided through Cash Grants
0.8
0.7
0.6
Organization costs
0.5
Community
support
Family/home
support
Health care
support
Education
0.4
0.3
0.2
0.1
0.0
2003
2004
2005
2006
2007
2008
2009
2010
Global Partners for Children Affected by HIV/AIDS, London February 2006: draft
recommendations
1 Improve protection and access to services for
children affected by HIV and AIDS through
strengthened civil registration, especially
birth registration.
2 Develop social welfare systems to increase the
protection of the most vulnerable, including
children and adults affected by HIV and
AIDS.
3
Harness the political momentum around
children and HIV/AIDS to accelerate the
drive towards education for all.
Partners Forum
4 Scale up and integrate treatment of
children infected by HIV/AIDS into
routine child survival and maternal
health services.
5 Promote national responses for children
affected by AIDS that are integrated into
development instruments, in order to
attain broad coverage with coherent
action.
Partners Forum
6 Meet the needs of children affected by
HIV/AIDS
by
providing
long-term
financial support to community-level
responses.
7 Improve the accountability and
performance of national plans through
strengthened monitoring and evaluation
and use of data on children affected by
HIV and AIDS.
Joint Regional Team on HIV/AIDS (March 24th)
The regional UN team will be lead by a management group,
comprising the leaders of 6 working groups with a division of
labour informed by the GTT agreements:
1. Strategic planning and mainstreaming (UNDP);
2. Impact mitigation with focus on OVC and families affected by
AIDS (UNICEF);
3. Prevention (?);
4. Treatment Access (WHO proposed but need to confirm);
5. Humanitarian responses (OCHA/UNHCR);
6. strategic information (UNAIDS).
We also agreed on key functions of these working groups and the
management team; and the facilitation/leadership, secretariat
and common goods/service responsibilities of the UNAIDS
secretariat.
A joint regional support workplan and terms of reference for the
joint team will be prepared for review by the RDT at its next
meeting (19 April).
Key Areas of Learning around NPA’s
1. Fund mobilization has been slow
reaching a mere one-third of targets
2. Ownership and integration of OVC
issues into national development
planning has been undermined by
overarching perceptions that this is a
“crisis intervention” requiring external
funding and implementation.
Key Areas of Learning around NPA’s
3. Wide ranging inter–country
definitional variations of OVC leading
to disparity in budget and targeting
strategies
4. Centralised planning has failed to
appreciate the complexity of context
and responses at the meso- and
micro-levels within countries
Key Areas of Learning around NPA’s
5. Need for a comprehensive
decentralization process of planning
and implementation involving
multisectoral interagency
collaboration with civil society needs
(overlooked during planning phase)
Processes for monitoring, learning and
sharing around NPA’s
• A Review of ESARO 2006 Annual Reports is
underway focusing on the current status of
National Plans of Action for OVC and specific
M&E mechanisms in place.
Processes for monitoring, learning and
sharing around NPA’s
Angola,
Botswana,
Burundi,
Eritrea
Ethiopia
Lesotho
Madagascar
Malawi
Mozambique
Namibia
Rwanda
Somalia
South Africa
Swaziland
Tanzania
Uganda
Zimbabwe
ANGOLA
• Good progress made in 2006 around OVC
support with the Government taking ownership
and leadership within the RAAP process which
was been completed in July 2006.
• The NPA has been developed and will be
approved during a stakeholders meeting to be
held in early 2007.
• The M&E plan is still to be draft, and support
from ESARO has been requested by CO.
BOTSWANA
• A national care programme for OVC (STPA)
substitutes the NPa
• The evaluation of STPA, conducted in 2006
within the MTR process, focused on
knowledge and best practices as well as
challenges in implementation of the STPA
• This is a good step ahead for
understanding the situation of OVC in
Botswana and for the development of a
national policy for the care of vulnerable
children.
BOTSWANA cont.
• Coordination improved through an NGO
and Donor forum for OVC, and through
activities to strengthen NGO/CBO capacity
to deliver basic services for OVC.
• A team responsible for the M&E of the
STPA has been identified and the
development of an M&E framework is
planned for 2007. CO requested for
UNICEF ESARO support on this.
BURUNDI
• The HIV/AIDS National Strategic Plan (20072011) has been developed and UNICEF has
provided technical and financial assistance to
the Government for the review of this Plan and
the preparation of a this new five-year national
action plan (2007-2011)
• The NPA is not a stand alone process but is
part of the HIV/AIDS National Strategic Plan
• No M&E in place. UNICEF to assist.
ERITREA
• NPA is not in place but the two national surveys
on the situation of orphans and child headed
households and commercially sexually
exploited children (CSEC) will be the
foundation for the development of a National
Plan of Action for children-at-risk, with a focus
on OVC.
• Need to look at the indicators of the surveys
and see if can be used as RAAP and as
baseline for the OVC regional surveillance. CO
will need ESARO support in development of
NPA and M&E plan.
Ethiopia
• RAAP conducted in 2004 leading to a NPA but
it has not been implemented due to lack of
funds and lack of clarity on the mandate and
responsibilities for OVC at regional and subregional level.
• Activities to support OVC at community level
ongoing such as foster care arrangements,
psychosocial support, education, cash grant,
succession plans, with plans to scale up from
community level.
LESOTHO
• Good mechanisms in place for implementation
of the NPA with a separate M&E plan
developed with support from FHI in 2005.
• National OVC Policy and Strategic Plan 20062011 approved by Cabinet in mid-December
2006.
.
LESOTHO
.
•The UNICEF Policy Development and Planning
Programme to support the Government in its
efforts to adopt new legislative and policy
instruments to ensure that HIV and AIDS,
particularly OVC-related issues, are adequately
addressed across all the four programme areas.
•Lesotho is planning to update the situation
analysis of OVC: this is a good opportunity to
include all OVC agreed indicators and use it as a
baseline for the regional OVC surveillance
Madagascar
• UNICEF is part of a national inter-sectoral
committee for OVC.
• ONUSIDA conducted a first situation
analysis of OVC and identified challenges
in data availability.
• RAAP is being finalized and will be the
basis for the development of the NPA.
• Will need ESARO support in development
of the NPA and his M&E plan.
Malawi
• RAAP has been conducted and the NPA developed in
2004 containing a Monitoring and Evaluation Plan.
• The OVC Technical and Advisory Support Unit (TASU)
is responsible of coordination of NPA and of the M&E
activities.
• Plans to establish a Technical Working Group which will
include technical programme staff from government,
UN agencies, donor agencies and civil society
organizations.
• The operational research on social cash transfers will
contribute to the formulation of a Social Protection
Policy for Malawi.
Mozambique
• The RAAP has been conducted, the
NPA developed and a situation
analysis of OVC finalized.
• An M&E framework is in place with
support of FHI
• Standard M&E tools to be developed
and tested in Sofala and Gaza
Provinces
Namibia
• RAAP conducted with NPA in place
and M&E plan developed with support
from FHI
• Major gap the lack of a
comprehensive data base on OVC by
region and gender.
Rwanda
• Rwanda made notable progress at partnership, planning
and policy around OVC and NPA in 2006. A comprehensive
M&E framework has been developed
• Progress made on capacity assessment through the
“community capacity analysis of traditional local structures”
providing information on the challenges that communities
face in child protection, and through the “Mapping of Child
Protection Organizations” which provides information on
local and international NGOs, FBOs and CBOs working
with OVC.
• A concern is the decrease of funding for OVC in Rwanda
over the years as this is not felt as a priority for donors.
• Further research is needed to understand the nature and
scale of vulnerability in Rwanda.
Somalia
• NPA developed containing an M&E plan
but the implementation not started as is
not costed.
South Africa
• NPA drafted in May 2006 and will be
finalized in February before launching in
March 2007.
• The M&E plan for the NPA has not been
finalized yet.
Swaziland
• Good mechanisms in place for support
to OVC. The RAAP has been conducted,
the NPA is in place and a good M&E
Plan has been developed with support
from FHI
Tanzania
• The RAAP process has been
completed and the NPA will be
launched in February 2007 with an
M&E plan; however this is not
operational yet.
Uganda
• National OVC Policy is in place and the RAAP and the
NPA have been developed within the National Strategic
Programme
• NPA M&E plans have been developed and an M&E
system in place a national level.
• An OVC database has been developed and the
indicators were tested in 3 districts
• A tool for community led OVC mapping exercise has
been developed and the processes of the development
of national standards and guidelines for OVC service
delivery and for the development of national OVC
communication strategy are ongoing.
Zimbabwe
• National Action Plan for OVC operationalized
through a Programme of Support endorsed by
the Government in 2006 and other sectoral
policies were developed in 2006
• The Programme of Support The PoS is based
on a pooled fund mechanism, and
harmonization of the OVC response among
donors has been improved through the
establishment of an OECD-OVC Donor
Working Group.
UK OVC Working Group Meeting Jan. 2007
• IATT on Children Affected by AIDS
Working Group on Social Protection,
Help Age International, Institute for
Development Studies, World Vision
and the UK NGO OVC Working
Group.
Social Protection
• Different perspectives about what conceptual
definition of SP we should use, and to what extent
we should get involved in country level processes.
• On the first discussion point, the group agreed to
use the SP definition used by the Child Protection
Companion Document to the OVC Framework,
which combines social transfers with services
within a systems approach.
• It was also agreed that our initial focus will be on
cash transfers, since that is the most widely used
mechanism in high prevalence countries at the
moment.
Social Protection
• Global Partners Forum (GPF)
recommendations on social protection
relate to action at global and national levels.
• Group agreed that there is a limit to how a
global group can make a difference at
country level, we also agreed that linking
global, regional, and national activities is
critical if we hope to have any impact.
Social Protection
• Information on upcoming SP and HIV and
AIDS meetings to be included in WG toolkit,
including information on the upcoming
PEPFAR Implementer’s Meeting and
request for abstracts to promote inclusion of
social protection and cash transfers as key
interventions for AIDS impact mitigation.

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