RCC by ert554898

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									RCC China Proposal
     王晓春   Wang Xiaochun
                (RCWG)
RCC 项目书产生过程
RCC proposal developing process
1. 总的设计方案
    Overall program structure for RCC
2. 总的国家资源需求
   Overall National resource need
3. 总的国家资源缺口分析
   Overall national resources gap analysis
4. 总的可获得资源
    Overall available resource
5. 总的项目计划(申请书)
    Overall program plan (proposal)
                                1997
 1轮        2轮        3轮        4轮    5轮 2003
                                          6轮   2006
                                               7轮           2007
                                                           8轮 RCC




 02   02        03        04      05    06     07     08      08

全球基金申请
History of GF Applications
Coverage of Global Fund Programmes
    GF Rounds 各轮全球基金特点
   Round 3 provide s ARV treatment and care as well as community-
    based BCC in seven provinces where HIV had spread primarily
    through blood donation practices. (抗病毒治疗)
   Round 4 is aimed at HIV prevention among sex workers and IDUs in
    seven western provinces where HIV is spread mainly through high-
    risk behaviors (针对暗娼和静脉吸毒人群)
   Round 5 focuses on HIV-prevention among sex workers and MSM in
    seven low-prevalence provinces (针对暗娼和MSM)
   Round 6 is aimed at NGO mobilization for scaling up effective HIV
    interventions for vulneable groups in 15 provinces (NGO)
   Round 8 is preventing the transmission of HIV and mitigating the
    impact of HIV on Vulnerable migrant workers in seven provinces(针
    对流动人群)
                                                             1 January 2010
                                                              Consolidated
                                                             RCC Start Date


                              R3 bridge funding Sept
                                  2009 –Jan 2010



      R3
(Primary Grant)        Phase 1                    Phase 2

                  R4         Phase 1                     Phase 2
                                 Additional   Grants

                        R5             Phase 1                   Phase 2

                                    R6                 Phase 1
                                                                               Consolidated
                                                                              RCC/Prioritized
       Prioritized National AIDS                                               National AIDS
            program/other                                                     Program for 31
        international supported                                                  Provinces
                programs
                                                                                (2010-2015)
      activities for proposal developing
1.    Workshop on models of HIV/AIDS prevention, care and support
2.    Yunnan: case study, need assessment and analysis
3.    Questionnaire distributing and analysis
4.    Meetings on resource need analysis, identification of intervention
      core actives, and action plan developing at 6 provinces
5.    Provincial need assessment reports
6.    Meetings of AIDS expert group (3 times)
7.    AIDS Working Group(AWG) (2 times)
8.    Meetings with NGO/CBO
9.    CCM group meetings (2 times)
10.   Expert contacting (by email, phone)
11.   RCC core writing team( and night)
                            day
RCC proposal structure
   This proposal is a consolidated RCC proposal based on
    the aggregation of China’s Round 3 HIV and the
    additional HIV grants approved under Rounds 4, 5 and
    6.

   The overall proposal specifies the total ceiling amount
    being requested for 6 years for 31 provinces.

   The RCC program will start on January, 2010, and end on
    December, 2015.
全球基金 3,4 ,5,6 ,8轮进度 (GF 3,4,5,6,8)
  时间
              Sept      Jul                        Jul                    Aug          Jun
                                       Sept
              ‘04       ‘05                        ‘07                    ‘09          ‘10
                                       ‘06
2003   2004      2005         2006         2007          2008      2009         2010         2011         2012     2013   2014




       R3       phase阶段 1                     phase 阶段 2


                 R4      phase 阶段 1                        phase阶段 2


                              R5              阶段 1                         阶段 2


                                                  R6               阶段 1                        阶段 2


                                                                R8              阶段 1                             阶段 1

2003   2004      2005         2006         2007          2008      2009         2010         2011         2012     2013   2014

                                     Jul                 Jan Jul                 Jan                Jun            Jan
                                     ‘06                 ‘08 ‘08                 ‘10                ‘11            ‘13
RCC proposal structure

   Requests for disbursement of funds from the Global
    Fund will be based upon the submission of detailed
    implementation plans from each province.

   Six of the provinces already have these plans in the
    proposal, to demonstrate the level of rigorous
    strategic analysis on which performance-based funding
    will be based, and also as an indication of the work to
    be carried out in the remaining 25 provinces.

                          Henan



                        Hubei
         Chongqingg




Yunnan
              Guangxi
                           Guangdong
Resource needs for a prioritised
response (1)

   Six provinces (Yunnan, Guangdong, Hubei, Henan,
    Guangxi and Chongqing) conducted a rigorous
    strategic analysis of local epidemiological and
    population data and have each formulated a costed,
    prioritised provincial implementation plan setting
    different targets.

   These provinces were identified as representative of the AIDS
    epidemic in China as they account for 67% of China’s HIV and
    AIDS cases, 34% of CSW, 22% of MSM and 43% of IDU. These
    plans have been costed for all the prioritized activities at the
    province level, including those supported by local funding.
6 provinces
Resource needs for a prioritised
response (2)
  The approach for estimating the resource needs for a
   targeted and geographically prioritized program for the
   remaining 25 provinces was to identify different coverage
   targets for most-at-risk populations, based on current
   program coverage and the epidemic priorities within five
   epidemic categories:
1. IDU epidemic expanding into sexual transmission
2. IDU concentrated epidemic
3. Blood transmission expanding to sexual partners
4. MSM concentrated epidemic
5. Low epidemic
Resource needs for a prioritised
response (3)
   Based on the available population estimations and
    reports, each province has been placed into one of the
    five categories and broad targets have been set
    accordingly.

   Over the coming year, each of the 25 provinces will refine
    population estimates, update their epidemiological data
    and other strategic information and conduct a more
    robust strategic analysis of these inputs to arrive at the
    requisite precision for a prioritised, costed work plan with
    defined targets and appropriate packages of
    interventions to be submitted to the Global Fund.
Resource need estimating
   (2010-2015) Total need for MARP (90% coverage of
    MARP)and HIV/AIDS : 2,800,000,000 US $

   The total estimated resource need of the 6 representative
    provinces and the other 25 provinces to mount a scaled-
    up prioritized response by 2015 is US$ 2,289,637,993.
    (70% target MARG, PLWHA)

   The total estimated available central, provincial and
    international resources amount to US$ 1.7 billion by
    2015, leaving a resource gap of US$ 500,000,000. This
    amount is requested from the Global Fund.
     RCC 项目书内容                       RCC proposal
   总项目书 (指标和目标+工作计划+总预算+物品单)
    proposal (indicator/target, work plan, budget )
   6个省背景分析小结+各省需求评估报告+各省实施计划
    +各省预算 (6 core provinces: need assessment +
    workplan + detailed budget)
   25省背景分析小结+各省需求评估报告+25省分类需求
    分析报告和预算( 25 provinces: summary of need
    assessment + estimated resource need)
   其它附件: 中长期规划、5年行动计划、会议纪要 …….
     (attachment: national action plan, …….)
 Scale up HIV/AIDS prevention, treatment and
care in to achieve universal access for high-risk
             populations and PLHIV


  Disease     Years 1 to 3       Years 3 to 6           Total


HIV          $206,439,014            $294,294,076   $497,918,690

            R3: no remaining funds
            Request for GF funding (2010-2015) includes funds
            committed for R4 and R5 ($13,338,752.38)
Remarks:
            R6: Phase 1 to be completed at the end of Dec. 2009;
            Phase 2 funding (2010-2012) included in total funding
            request
                                         List of Application Documents
Package                                               Content                                                               List
                                                                                                       Propsal
Package 1   Proposal                                                                                   Attachment A
                                                                                                       Attachment B
                                                                                                       Attachment C
                                                                                                       Attachment D Detailed workplan

                                                                                                       Attachment E Detailed budget
                                                                                                       Summary
Package 2   Annex 1 Six provinces doc                                                                  Attachment 1-Hubei
                                                                                                       Attachment 2-Henan
                                                                                                       Attachment 3-Yunnan
                                                                                                       Attachment 4-Guangxi
                                                                                                       Attachment 5-Guangdong
                                                                                                       Attachment 6-Chongqing
                                                                                                       Summary
Package 3   Annex 2 25 provinces doc                                                                   Attachment_1-5_resource needs

                                                                                                       Attachment_6_intervention packages
                                                                                                       Attachment_7_an example of unit cost
                                                                                                       calculation

Package 4   Comprehensive documentation on processes used to select and nominate Principal
            Recipients(s) (such as the minutes of the CCM meeting at which the PR(s) was/were          Annex 3
            nominated).

            Documentation relevant to the minimum requirements for eligibility regarding the proposal's
                                                                                                        Annex 4
            scale and/or scope from the expiring grant.

            China's Action Plan for Reducing and Preventing the Spread of HIV/AIDS (2006-2010)         Annex 5


            A Joint Assessment of HIV/AIDS Prevention, Treatment and Care in China (2007)              Annex 6

            Regulations on AIDS Prevention and Treatment                                               Annex 7
            Four Frees and One Care                                                                    Annex 8
            National Monitoring & Evaluation Framework                                                 Annex 9

            A recent assessment of the Principal Recipient capacities                                  Annex 10

            GF4/GF5 workplan with approved budget since Jan 2010                                       Annex 11

            Health Sector Eleventh Five Year Development Strategic Plan                                Annex 12
项目主要覆盖人群估计(到2015年)
目标人群 Targets           覆盖人数 Coverage
CSW                          1,800,000
IDU                           800,000
MSM                          2,000,000
VCT/PITC                     9,360,000
HIV感染者随访 (follow up)          432,300
艾滋病治疗 (ART)                   150,000
  一线治疗 first-line             102,200
  二线治疗second-line              43,800
  儿童治疗 paediatric               4,000
Proposal Structure

 (1) Goal           (4 impact indicators)
 (4) Objectives    (7 outcome indicators)
 (21) SDAs         (18 output indicators)
 (71) Activities
项目总目标
   Scale up HIV/AIDS prevention, treatment and care in
    China to achieve universal access to high risk
    population and PLWHA
   增强中国艾滋病预防、治疗和关怀的服务利用,从而实现
    对高危人群及艾滋病感染者/病人的全面综合防治


   指标:
    % of AMRP who are HIV infected
      高危人群HIV感染率
    % of adults and children with HIV known to be on treatment
       12 months after initiation of antiretroviral therapy
     自开始接受治疗后12个月仍然继续接受治疗的艾滋病感
     染者/病人成人和儿童的数量
具体目标 Objectives:
1. Strengthen the supporting environment to ensure
  universal access to HIV prevention, treatment, care and
  support services for target populations
  通过加强政策落实、策略规划、领导能力和社区体系建设
  等方面内容;增强支持性环境,确保目标人群得到综合治
  疗、关怀和支持服务

2. Increase coverage and quality of comprehensive HIV
   prevention programs for high risk populations (CSWs,
   MSM and IDUs) and PMTCT
   提高高危人群(暗娼、男男性行为人群和注射吸毒人群)
   艾滋病防治项目的覆盖面和质量
 具体目标 Objectives:
3. Increase access and quality of treatment, care and support
   and secondary prevention services for PLWHA
    改善HIV感染者和艾滋病病人治疗、关怀、支持与二代传播
   的预防干预服务可及性,提高服务质量

4. Strengthen surveillance, laboratory quality control,
   monitoring & evaluation and programme management
   加强监测、实验室质量控制、监督评估和项目管理
目标1 Objective 1:
Strengthen the supporting environment to
ensure universal access

SDAs: (领域)
1.1 Leadership and Governance
   (领导力建设及行政管理)
1.2 Strengthen the supporting environment
    (加强支持性环境)
1.3 National and local action plans and program development
     (制定国家和地方行动计划)
1.4 CSS: Strengthening of institutional and civil society capacity
    (加强社会组织的能力建设)
1.5 Stigma reduction in all settings (反歧视)
目标2 Objective 2:
Increase coverage and quality of comprehensive HIV
prevention programs for high risk populations

 SDAs (领域)
 2.1 BCC: Mass media (行为改变:大众媒介)
 2.2 Outreach and peer education (外展和同伴教育)
 2.3 Condom promotion and distribution (安全套推广使用)
 2.4 HIV testing and counseling (HIV检测咨询)
 2.5 STI diagnosis and treatment (性传播感染诊断治疗)
 2.6 MMT and needle exchange programs (美沙酮、针具交换)
 2.7 HIV Prevention in detoxification/rehabilitation centers
                            (戒毒中心内HIV预防工作)
 2.8 PMTCT 母婴阻断
目标 3 Objective 3:
 Increase access and quality of treatment, care and
support and secondary prevention services to PLWHA

 SDA (领域)

 3.1   ARV treatment and monitoring (抗病毒治疗)
 3.2   Care and support (关怀与支持)
 3.3   Prophylaxis and treatment for Ois (OI的治疗)
 3.4   TB/HIV
Objective 4: Strengthen surveillance, laboratory
quality control, monitoring & evaluation and
programme management

 SDA (领域)
 4.1 Monitoring and evaluation (督导与评估)
 4.2 Strengthen HIV laboratory quality control and surveillance
     system (加强实验室质量控制和监测系统)
 4.3 Strategic information (信息管理)
 4.4 Project management (项目管理)
               Objective 1 – SDA 1.1
SDA 1.1            Leadership and governance
Output      Number of policy makers attending sensitization workshops on HIV/AIDS and HIV/TB;
Indicators: Number of ministries/bureaus/NGOs with HIV/AIDS programs that reflect national/provincial priorities and gaps identified in annual reports and policy review




                                                                 Responsibl
    Referenc




                                                                 Implement

                                                                  Source of
                                                                  Funding
                                       Activity
                                                                                                2010                   2011




                                                                    ation
      e N.




                                                                    e for




                                                                                                                                         2012




                                                                                                                                                        2013




                                                                                                                                                                       2014




                                                                                                                                                                                      2015
                                                                                      1     2          3   4   1   2          3    4


                   Strengthen current multi-sectoral working
                  mechanism under SCAWCO to address
                  management and accountability of ministries, PR,SR,
1.1.1             bureaus and NGOs/CBOs at all levels          SSR
                                                                      LF,GF
                  (national, provincial, prefectural,
                  county/district).
                  Strengthen HIV/AIDS leadership and capacity
                  in participating ministries, bureaus and       PR,SR,S
1.1.2             NGOs/CBOs at all levels (national, provincial, SR
                                                                         LF,GF
                  city, county, and district).

                  Advocacy among key policy makers through
                  training in Party Schools and Administrative
                  Management Cadre College, experience         PR,SR,S
1.1.3             exchange, discussion forum and other         SR
                                                                       LF,GF
                  platforms at different levels (national,
                  provincial & prefectural).

                  Develop and issue evidence-based (using
                  data from surveillance and M&E systems and
                  operational research) annual reports and
                  policy review on high risk populations and   PR,SR,S
1.1.4             epidemic (including HIV, STI/RTI, TB) at     SR
                                                                       LF,GF
                  national and provincial levels to inform
                  leadership for strategic planning and policy
                  making.

               1.1Indicative cost                                                           $5,995,000              $5,995,000             $5,995,000     $5,995,000     $5,995,000    $5,995,000




                  Total indicative cost for SDA 1.1                                                                              $35,970,000
                  Funding Request (GF) for SDA 1.1                                                                                $810,000
                Objective 1 – SDA 1.5
SDA 1.5            Stigma reduction in all settings
Output             number of stigma reduction/anti-discrimination activities with participation of PLWHA
Indicators:




                                                            Implementat
                                                             Responsibl



                                                              Source of
    Reference




                                                              Funding
                                                                                2010                  2011
                                       Activity




                                                                                                                                        2013



                                                                                                                                                       2014



                                                                                                                                                                      2015
                                                                                                                         2012
                                                                e for

                                                                 ion
        N.




                                                                          1    2     3      4   1    2     3      4

                   Define stigma indicators and integrate
1.5.1              stigma reduction activities into all     PR,SR LF,GF
                   program activities.
                   Strengthen training and advocacy for
                   discrimination reduction among service
                   providers, and advocate for the
1.5.2                                                        SSR   LF
                   integration of these programs in other
                   settings, including the workplace, and at
                   different levels.
                   Reduce stigma and discrimination
1.5.3              among the general public and young       PR,SR LF,GF
                   people.

                1.5Indicative cost                                            $1,794,000            $1,794,000         $1,794,000   $1,794,000 $1,794,000 $1,794,000

                   Total indicative cost for SDA 1.5                                                       $10,764,000
                   Funding Request (GF) for SDA 1.5                                                          $3,030,000

                 1Total Objective 1, per year                                 $14,190,600           $14,010,600       $14,010,600        $14,190,600    $14,010,600   $14,010,600




                   Total Objective 1, 2010-2015                                                          $84,423,600
                   Total Objective 1, Funding Request (GF) 2010-2015                                     $6,263,600
                Objective 2 – SDA 2.4
SDA 2.4            HIV testing and counseling
Output             % of most-at-risk populations (CSW, MSM, IDU) who received an HIV test in the last 12 months and who know their results
Indicators:
                   % of people who tested HIV positive and have received counseling for positive prevention




                                                            Responsibl

                                                            Implement

                                                             Source of
    Reference




                                                             Funding
                                       Activity
                                                                                    2010                  2011




                                                               ation




                                                                                                                             2012




                                                                                                                                         2013




                                                                                                                                                      2014




                                                                                                                                                                  2015
                                                               e for
        N.




                                                                              1    2     3      4   1    2     3      4
                   Adapt existing national technical
                   guidelines and training manuals on HIV
                   testing and counselling for counsellors
                   to include high risk populations
2.4.1              (improvement of VCT service quality,       PR,SSR LF,GF
                   provider-initiated testing and counselling
                   in health facilities will be recommended
                   in the adapted technical guidelines and
                   training manuals).
                   Scale up training of counsellors and
                                                              PR,SR,
2.4.2              health workers on HIV testing and                 LF,GF
                                                              SSR
                   counselling.
                    Conduct HIV testing and counselling in
                   VCT sites and designated health facilities
                                                              PR,SR,
2.4.3              under the adapted national technical              LF,GF
                                                              SSR
                   guidelines, and refer HIV positive clients
                   to local CDCs for follow-up.
                   Improve referral mechanisms for VCT
2.4.4              clients to hospitals and NGO/CBO follow- SSR      LF
                   up care, treatment and support services.

                2.4Indicative cost                                                $11,080,123           $11,375,782       $11,938,331 $12,566,669 $12,904,250 $13,295,217


                   Total indicative cost for SDA 2.4                                                           $73,160,374
                Objective 2 – SDA 2.8
SDA 2.8            PMTCT
Output             Number of pregnant women who were tested for HIV and know their result
Indicators:
                   Number of HIV-positive pregnant women who received antiretrovirals to reduce the risk of mother-to-child transmission




                                                              Implementa
                                                              Responsibl



                                                               Source of
    Reference




                                                                Funding
                                        Activity
                                                                                       2010                   2011




                                                                                                                                   2012
                                                                 e for

                                                                  tion




                                                                                                                                                                   2014




                                                                                                                                                                                   2015
                                                                                                                                              2013
        N.




                                                                                1     2     3      4   1     2     3       4
                   Adapt existing national technical
                   guidelines and training manual on
2.8.1              PMTCT ( including counselling); develop PR,SR LF,GF
                   local implementation plan with priority
                   PMTCT needs accordingly .
                   Scale up training of health workers on
2.8.2                                                      PR,SR LF,GF
                   PMTCT.
                   Scale up PMTCT services in MCH and
2.8.3                                                         PR,SSR LF,GF
                   other designated health facilities

                   Provide community based support,
2.8.4                                                      SSR         LF,GF
                   including peer and psychosocial support

                2.8Indicative cost                                                  $16,346,792            $17,373,429          $18,680,888          $20,450,609    $21,562,365    $23,089,506




                   Total indicative cost for SDA 2.8                                                                      $117,503,588

                   Funding Request (GF) for SDA 2.8                                                                        $7,032,038



                 2Total Objective 2, per year                                       $143,232,814           $155,548,189        $169,649,587      $183,011,999      $193,646,170   $204,126,902




                   Total Objective 2, 2010-2015                                                                  $1,049,215,661
                   Total Objective 2, Funding Request (GF) 2010-2015                                             $157,149,455
                       Objective 3 – SDA 3.4
SDA 3.4                   TB/HIV co -infection


Output                    Number of people with HIV who are screened for TB
Indicators:




                                                                      Implementation
        Reference N.




                                                                        Responsible



                                                                                       Source of
                                                                                                         2010                   2011




                                                                                       Funding
                                                 Activity




                                                                                                                                                    2012




                                                                                                                                                                 2013




                                                                                                                                                                              2014




                                                                                                                                                                                               2015
                                                                            for
                                                                                                   1    2     3      4   1     2     3      4


                          Strengthen linkages between TB and HIV PR,SR,
3.4.1                                                                   LF,GF
                          programs at all levels.                SSR


                          Provide training to HIV health
                          professionals on diagnosis and
                                                                   PR,SR,
3.4.2                     treatment of TB/HIV co-infection.Conduct        LF,GF
                                                                   SSR
                          TB symptom screening and referral of
                          PLWHA at local health facilities


                       3.4Indicative cost                                                              $2,543,000             $2,543,000          $2,543,000   $2,543,000   $2,543,000       $2,543,000


                          Total indicative cost for SDA 3.4                                                                            $15,258,000
                          Funding Request (GF) for SDA 3.4                                                                                 $120,000

                        3Total Objective 3, per year                                                   $93,029,500           $111,512,832       $137,828,405 $171,527,960     $212,029,935     $258,829,800




                          Total Objective 3, 2010-2015                                                                             $984,758,432
                          Total Objective 3, Funding Request (GF) 2010-2015                                                        $244,508,036
                       Objective 4 – SDA 4.4
SDA 4.4                   Program management

Output                    Number of staff trained on program management
Indicators:




                                                                    Implementati
        Reference N.




                                                                    Responsible



                                                                      Source of
                                                                                         2010                  2011




                                                                      Funding
                                              Activity




                                                                                                                                  2012




                                                                                                                                              2013




                                                                                                                                                           2014




                                                                                                                                                                       2015
                                                                         for

                                                                         on
                                                                                   1    2     3      4   1    2     3      4

                          Strengthen capacity in management of
                          national and provincial program,
                                                               PR,SR,
4.4.1                     including information management,           LF,GF
                                                               SSR
                          procurement & supply management and
                          financial management.

                          Regularly share experience between
4.4.2                     different partners at national and        PR,SR LF,GF
                          international levels.

                          Support daily operation and coordination PR,SR,
4.4.3                                                                     LF,GF
                          with multi sectors                       SSR

                                                                    PR,SR,
4.4.4                     Strengthen human resource management             GF
                                                                    SSR
                       4.4Indicative cost                                              $15,131,050           $12,577,450       $12,577,450 $12,577,450 $12,577,450 $12,577,450

                          Total indicative cost for SDA 4.4                                                           $78,018,300
                          Funding Request (GF) for SDA 4.4                                                            $70,011,600

                        4Total Objective 4, per year                                   $30,668,050           $28,114,450       $28,114,450 $28,114,450 $28,114,450 $28,114,450

                          Total Objective 4, 2010-2015                                                             $171,240,300
                          Total Objective 4, Funding Request (GF) 2010-2015                                         $89,997,600
Total Objectives per year   $281,120,964 $309,186,071   $349,603,042 $396,845,009 $447,801,155   $495,809,461




Total indicative cost of
Objectives 2010-2015                $2,289,637,993
Total Objectives,
Funding Request (GF)
2010-2015,
including commited                         $497,918,690
funds from Round4
and Round 5* ($
13,482,254)
   Budget by objectives 按具体目标的预算
Objectives Total              %        GF Request      %
Objective 1   $ 84,423,600    3.7%     $ 14,607,600    2.96%

Objective 2   $ 1,039,943,369 45.6%    $ 144,342,428   29.28%

Objective 3   $ 984,758,432   43.18%   $ 243,956,036   49.46%

Objective 4   $ 171,240,300   7.51%    $ 90,285,600    18.31%

Total         $ 2,280,365,701 100%     $ 493,191,674   100%
                                                       21.63%
按具体目标的预算比例 (总预算)
Budget by Objectives (Total Budget)

              目标4,          目标1,
              7.51%         3.70%



                                目标2,
     目标3,                       45.60%
     43.18%
按具体目标的预算比例 (全球基金)
Budget by Objectives (GF Request)
                      Objective1,
                        2.96%
        Objective4,
         18.31%
                                    Objective2,
                                     29.28%




      Objective3,
       49.46%
二线抗病毒药国家和GF投入比例


80%

60%

40%

20%

0%
      Y1
           Y2
                                         GF
                Y3
                     Y4             国家
                          Y5
                               Y6
  6 representative provinces
             预算              全球基金          Six provinces
                             (GF)          account for 68%
湖北 Hubei     84,081,996      15,367,341    of China’s AIDS
                                           cases, 34% of
河南 Henan     215,047,605     54,715,839    CSWs, 24% of
                                           MSM and 43%
云南 Yunnan    255,920,087     53,139,865
                                           of IDU.
广西 Guangxi   297,233,552     55,358,622    (2007)
广东           198,621,411     34,278,818
                                           6个核心省
Guangdomg                                  AIDS占全国的
重庆           87,686,708      17,610,865    68%,暗娼的
Chongqing                                  34%, MSM的
合计 Total     1,138,591,359   230,471,349   24%,IDU的43%
                                           (2007)
总预算          2,208,958,513   493,191,674
   6 Core provinces                                          6 个核心省预算

                   17,610,865
重庆 Chongqing                                  87,686,708                               GF            Total

                         34,278,818
广东Guangdong                                                                     198,621,411



                                55,358,622
 广西 Guangxi                                                                                                        297,233,552



                                53,139,865
  云南 Yunnan                                                                                          255,920,087



                                54,715,839
   河南 Henan                                                                            215,047,605



                   15,367,341
   湖北 Hubei                                  84,081,996


               0       50,000,000      100,000,000         150,000,000   200,000,000      250,000,000      300,000,000
Epidemics among IDUs in Guangxi Autonomous Region




                                                                                           g u ilin



                                                 hechi                   liu z h o u
                         b a is e                                                                         hezhou

                                                                              la ib in

                                                                                       g u ig a n g w u z h o u
                                                                 n a n n in g
                                      chongzuo                                             y u lin
                                                                       q in z h o u
                                      o
                                               f a n g c h e n g g a n g b e ih a i




       H ig h      >40%             B a is e            L iu z h o u            Q in z h o u   W uzhou      H ezhou
       M id d le   1 5 -4 0 %       C hongzuo           L a ib in g             N a n n in g   G u ilin
       L ow        <15              B e ih a i          F an gch en ggang       G u ig a n g   H ech i      Y u lin
Geographic Distribution of Reported
HIV/AIDS Cases (1989-2007) in Yunnan
        Yunnan
                            Henan
            Obj.1
        Obj.4
          3% 2%
                    Obj.2
                     31%



Obj.3
 64%

                               Obj.4 Obj.1
                                 4%    2%

                                             Obj.2
                                              18%


                             Obj.3
                              76%




                                                             Guangxi

                                                                 Obj.1
                                                             Obj.4
                                                               3% 1%     Obj.2
                                                                          26%




                                                     Obj.3
                                                      70%
                Hubei


        Obj.4           Obj.1
         10%              6%




Obj.3
 30%
                                   Obj.2
                                    54%
                                              Chongqing


                                      Obj.4          Obj.1
                                       10%             6%




                           Obj.3
                            29%
                                                              Obj.2
                                                               55%




                                                                        Guangdong


                                                                      Obj.4   Obj.1
                                                                        5%      3%


                                                      Obj.3
                                                       31%




                                                                                      Obj.2
                                                                                       61%
    RCC Core Working Group
   RCC Core Working Group (RCWG) -
     RCC核心工作组, 负责人:韩梦杰 (Han Mengjie)

组长:王晓春 (Wang Xiaochun)
组员:张广 (Zhang Guang)、 朱晓泉(Zhu Xiaoquan)、
   叶少东 (Ye Shaodong)、苏涛(Su Tao)、
   王豆 (Wang Dou)
       Sally, Odilon, Adrienne ,
       Nana, 陈仲丹(Chen Zhongdan)
    RCC扩大的工作组 RCC expand group
   卫生部(MOH),NCAIDS
   专家 experts
   国际组织 international agencies
   31省卫生厅,CDC以及市县级人员(?600-700),完
    成调查表、需求评估报告 (local people )
   6省卫生厅、CDC人员(30),完成6年实施计划和预算
    (people from 6 core provinces )
   目标人群参与 Target population
   ……
   800 people !!!
         Activities        Targets    13-19   20-26   27- 2   3–9   10-16   17-23   24-30
          活动                目标          1       2       3      4      5       6       7


RCC 申请委员会、AWG及CCM     确定项目内容
会议
省级会议:                 确定1个省级计划,
在广东、云南省召开             完善调查表
省级会议:                 完成核心省计划
6个核心省会议
发放调查表到所有项目省           完成省级数据的收集

RCC扩大工作组会议            完成6省的需求评估报告和实
                        施计划
RCC扩大工作组会议            完成其它省的需求评估报告

征求RCC顾问组意见            完成全部 省报告和计划

RCC扩大工作组会议            完成项目书初稿

RCC扩大工作组会议            完成项目申请书 1

CCM 会议                完成项目申请书 2

RCC扩大工作组会议            完成项目申请书 3
Lessons learned from RCC application

 1.    Design proposal from program approach, not
      project approach.
 2.   Estimate resource need of whole country and
      provinces for High risk population and PLWHA
 3.   Estimate Unit- cost of interventions to target
      population
 4.   Involve All of provinces in developing this program
 5.   Complete Need assessment of 31 provinces, and
      detailed in 6 provinces
 6.   Consolidation: GF is as an co-funding of national
      and provincial resource in the program
 7.   Design a Framework for consolidating resources
    Thanks for Your
        Assistance
      感谢您的协助
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