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									                Contracting NGOs through
               the United Nations Expanded
                 Theme Group: Case Study

                   Pamela Putney and Courtney Barnett
                     Partnerships for Health Reform

for Health
               Study Purpose

   This case study was conducted by the PHR
    project at the request of the HIV/AIDS Division
    of the United States Agency for International
   Goal was to increase the knowledge and
    understanding of effective mechanisms and
    arrangements between governments and
    NGOS for HIV/AID service provision
Overview: NGO Contracting

   HIV in Guatemala
   What is the role of the
    Expanded Theme Group
    in NGO contracting in
   Who are the main actors?
   Findings from the study
The Aids Epidemic in Guatemala

   3,411 cases of HIV reported in Dec 1999
   94 % cases from sexual transmission
   75% of the cases are men
   High risk populations include:
     MSM
     CSW
     Migrant Populations
     Sexually active youth
    UN Expanded Theme Group:
    Bringing Actors to the Table
   United Nations Expanded Theme Group
    has the following goals:
     develop  and support a National Strategic
      Plan in response to the epidemic
     coordinate joint planning and actions among
     mobilize resources
     share information and resources
Who makes up the Expanded
Theme Group?
 UNAIDS,   UNDP, WHO, World Bank,
 National AIDS Program of Guatemala
  (National Counterpart)
 USAID, Swedish Embassy (bilaterals)
 CSLCS (NGO Coordinating Body)
 2 Organizations representing PLWA
Contracting Structure for
Expanded Theme Group
   National Strategic Plan 1999-2003

  United Nations Expanded Theme Group
            Members Include:
                UNFPA and WFP
           PNS (National Counterpart)
       USAID, Swedish Embassy (bilaterals)
         CLSCS (NGO Coordinating Body)
    Gente Nueva (PLWA), Gente Positiva (PLWA

         NGOs Providing Services
    National Strategic Plan

   Developed by PNS, UNAIDS, PASCA,
    Universities in Guatemala
   Implementation of the Plan is overseen by the
    National AIDS Program of Guatemala
   Contracts between NGO and Donors are
    designed to fulfill objectives established in the
    National Plan
    Developed with optimistic funding scenarios
Key Actors: NGOs

    NGOs provide the majority of HIV services
    including: prevention, testing and counseling,
    palliative treatment
   HIV NGOs formed a coordinating body called
    the CSLCS (Associaciones Coordinadoras de
    Sectores de Lucha Contra el Sida)
   In Guatemala City: 20 + NGOs providing
   Funding directed to: education of vulnerable
    populations, youth, women
Key Actors: National AIDS
    Started in 1991
   With other stakeholders developed the
    National Strategic Plan 1999-2003
   Oversees all of the HIV/AIDS activities
    included in the National Strategic Plan
   Does not contract out NGOs directly but
    facilitates and informs the contracting
           Key Actors: Donors

   Provide financial and technical assistance
    to NGOs
   Contract with NGOs for HIV/AIDS services
   Many are members of the United Nations
    Expanded Theme Group
                 Key Findings
               Selection Process
   Tended to be fair and transparent
     clear,written, and widely distributed criteria
     proposal designs to be based on epidemiological
     Selection committee made up of representatives
      from various organizations and sectors
   Contracts were awarded based on:
     capacityto execute planned activity
     proposed project
     monitoring and evaluation plan
     experience with HIV
            Key Findings:
      Monitoring and Evaluation
   The monitoring and evaluation of contracts in
    general appears to have been systematic,
    consistent and seen as a priority by both the
    contracting agencies and NGOs
   Involvement by representatives from the
    Expanded Theme Group enhanced the process
   Additional resources need to be allocated to
    this process
             Key Findings:
         Areas for Improvement

   Amounts contracted out need to justify the
    administrative costs (processing, monitoring
    and evaluation)
   Systems for contract administration and
    reporting should be standardized as much as
    possible among the contracting agencies
                 Key Findings
Expanded Theme Group Critical to Success of
   In Guatemala the United Nations Expanded
    Theme Group provided critical leadership &
    coordination for NGO contracting
   Effectively involved key stakeholders in
    fighting the HIV/AIDS epidemic
   Facilitated positive working relationships
    between the Government of Guatemala, NGOs
    and Donor community
      Why contracting was successful

   Commitment level high among all actors
   Services the government could not otherwise
    provide were made accessible to more
   Duplication of services avoided through the
    diverse services offered by NGOs
   Consequences for non-performance were
For more information on this study:

                     Courtney Barnett

                      Pamela Putney

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