Inter –Agency Task Team

on

Children and AIDS

Washington

National Plans of Action

Status Report

April 2007

UNICEF ESARO Children and AIDS SectionMark KluckowApril 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

22%

11%

23%

35%

24%

12%4%

Education

Health Care

Food/Nutrition

Community Support

Family/Home Support

Organization Costs

M&E

Large variation in overall budgets (3-5 years)

Total NPA budgets

0

200,000,000

400,000,000

600,000,000

800,000,000

1,000,000,000

1,200,000,000

CA

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ire

Eth

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ia

Ke

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Le

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Ma

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Na

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ia

Rw

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da

So

uth

Afr

ica

Sw

azila

nd

Ta

nza

nia

Ug

an

da

Za

mb

ia

Zim

ba

bw

e

$

Resource needs for 2006

NPA Budget for 2006

050,000,000

100,000,000150,000,000200,000,000250,000,000300,000,000350,000,000400,000,000

Budget for 2006

Funds allocated for NPAs 2006

Total funds allocated for NPAs 2006

-10,000,00020,000,00030,000,00040,000,00050,000,00060,000,00070,000,000

$

14 Sample countries in total have secured around one third of the funds needed for 2006 (ave. 35%)

Resources allocated for NPAs 2006

-102030405060708090

100

% o

f to

tal b

ud

ge

t

received

pledged

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)

0.0%

5.0%

10.0%

15.0%

20.0%

25.0%

30.0%

35.0%

%

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

$4

$23$39

$46 $47

$92$101 $104

$111

$135 $138

$164

$187

$206

$319

$0

$50

$100

$150

$200

$250

$300

$350

Zim

babwe

South A

frica

Lesotho

Malaw

i

Tanzania

Mozam

bique

Nam

ibia

Botsw

ana

Ethiopia

Sw

aziland

Kenya

Burundi

Zam

bia

Rw

anda

Uganda

US

$ d

on

or

sup

po

rt/P

LW

HA

0

5

10

15

20

25

30

35

40

45

HIV

Pre

vale

nce

rat

e (%

)

US$/PLWHA HIV Prevalence (%)

*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);

Resources Required for OVC Support in AfricaAll Services Provided by Government/NGOs

0.0

1.0

2.0

3.0

4.0

5.0

6.0

7.0

2003 2004 2005 2006 2007 2008 2009 2010

Bill

ions

Organization costs

Community support

Family/homesupportHealth care support

Education

Resources Required for OVC Support in Africa50% Provided by Government/NGOs, 50% through Cash Grants

0.0

0.5

1.0

1.5

2.0

2.5

3.0

3.5

2003 2004 2005 2006 2007 2008 2009 2010

Bill

ions

Organization costs

Community support

Family/homesupportHealth care support

Education

Resources Required for OVC Support in Africa100% Provided through Cash Grants

0.0

0.1

0.2

0.3

0.4

0.5

0.6

0.7

0.8

2003 2004 2005 2006 2007 2008 2009 2010

Bill

ions

Organization costs

CommunitysupportFamily/homesupportHealth caresupportEducation

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 (2007-2011) 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 sub-regional 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 2006-2011 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.