hiv-aids

W
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scope of work template
							                                                                                                Outline

                                                                      1.     Introduction
                                                                      2.     What is the EDPRS?
      Strong Strategic Plan (EDPRS): A Tool for Resource              3.     How is EDPRS different from PRSP1 ?
  Mobilization for Local Governments to Manage HIV and AIDS:          4.     DDPs Elaboration Process
                      Rwanda’s Experience
                                                                      5.     Historical review of HIV Response
                                                                      6.     Review of HIV Response from sectors
                                                                      7.     Review of HIV Response from Districts
                                                                      8.     Integration into EDPRS
                                                                      9.     Achievements: Key HI V actions integrated into EDPRS
                             Fulgence Afrika                                 sectors
             National AIDS Control Commission (NACC/CNLS)
                                                                      10.    From EDPRS to Sector and Districts Development plans
                                                                      11.    Way Forward
                                                                      12.    Conclusion




                        Introduction                                                What is the EDPRS?
                                                                     Economic Development and Poverty
• For the development of the country, Rwanda has vision               Reduction Strategy (EDPRS):
  called « Vision 2020 »;
                                                                           • Is the second generation of Poverty Reduction
• The achieve the overall goal of the vision, the country                    Strategy Paper (PRSP) with balance between
  has developed a national strategy for poverty reduction                    productive and social sectors;
  and Economic Development « EDPRS » that cover all
  sectors;                                                                 • It is a medium term framework for achieving
                                                                             Rwanda’s Vision 2020 ; the 7years GoR
• In the fight against HIV&AIDS, the strategy is “integration                Program and MDGs;
  of HIV &AIDS into EDPRS;
                                                                           • Covers the period 2008 to 2012 (medium-term)
• To implement EDPRS all districts developed their DDP’s




            What is the EDPRS (Cnt’d)?                                      What is the EDPRS? (Cont’d)

 EDPRS is a road map to GoR, DP, the private sector and
  civil society which indicates:                                            Goal            Flagship (FS)              Sectors
                                                                                            programmes
    •   where Rwanda wants to go by 2012
                                                                                                                           Education
    •   what needs to do to get there
    •   How it is going to do it                                                             Growth for jobs             Infrastructure
    •   what the journey is going to cost                                                         & exports
                                                                                                                          Agriculture
    •   How it will be financed
    •   How it will know that it gets there                                                                            Social Protection
                                                                                                                       Decentralization
                                                                Improve quality of life         Vision 2020-
 EDPRS aims at:                                                  for all Rwandans                Umurenge
                                                                                                                     Employment promotion
                                                                                                                     Health and population
    •   Improving the quality of life of all Rwandans ;
                                                                                                                       Water & sanitation
    •   Guiding the actions of the Government in 2008-12;
    •   Mobilizing resources from donors, and                                                                          Security & JRLO
    •   Involving the private sector and civil society                                          Governance              Private sector
                                                                                                                                            6
                                                                                                                             Youth
                                                                                              Historical review of HIV Response integration into
                                                                                                              EDPRS and DDPs
      How is EDPRS different from PRSP 1 ?
                                                                                                  The integration has passed through the whole process of
                                                                                                   development of EDPRS
                                                                                                      – Development of Checklist
          • EDPRS is a different way of doing things;                                                 – Each CCI sub group developed a checklist showing the link with the
                                                                                                        vision 2020 and EDPRS, the goal and the purpose.
          • Evaluation of PRSP1 showed Good progress in social
            sectors (health, education) but quality & better
            targeting are required;                                                               HIV/AIDS Checklist:
                                                                                                       Goal:
          • For PRSP1 the fighting against HIV was understood                                             By 2015 have halted and stabilised the HIV
            as health issue and the response were focussed in                                                          prevalence rate at 3 %
            that sector, but now with the EDPRS HIV is                                                    By 2020 decrease HIV/AIDS to reduce poverty
            considered as a CCI.                                                                       Purpose:
                                                                                                          By the completion of the EDPRS in 2012, action taken in
                                                                                                           HIV/AIDS can be demonstrated in the key areas identified
                                                                                                           below:
                                                                                                    This will be measured and verified using national HIV/AIDS
                                                                                                     monitoring and evaluation indicators to show that the country
                                                                                                     is on track.




           Review of Responses from Sectors                                                          Review of Response from districts
CATEGORY               KEY ISSUES                    RECOMMENDED ACTIONS                   CATEGORY KEY ISSUES                                RECOMMENDED ACTIONS
                                                                                           National       District priorities not      Ensure district HIV plans are bottom - up
National         Missing sectors            Mobilize missing sectors (for scale up of      Coordinati     considered by some
Coordinati       (Agriculture,              response)                                      on and         development                  Plans to be evidence-based (district
on and           Infrastructure, Justice)                                                  NSP            partners (top-down           needs analysis)
NSP                                         Capacity needs assessment for sector                          planning)
                 Lack of capacity for       ministries
                 HIV integration into                                                                     No HIV targets at
                 plans                      Induction of focal points with regard to NSP                  district level
M&E              Focal points               Advocate for deployment of staff to            M&E            Lack of M&E capacity Implement technical support plan for
                 overwhelmed with           support focal points                                                               CDLS
                 other responsibilities
                                                                                           Finances       Lack of participation Ensure Districts involvement from early
Finance          Capturing HIV specific     M&E system to be set up (with expenditure                     in resource allocation stages of the planning process
                 spending under sector      tracking)                                                     decisions
                 budget                                                                                                          Implementing partners to share program
                                                                                                          Transparency of        related documents with districts
Admin.,          No regular meetings of Increase participation of sectors in existing
support,         HIV technical working HIV technical & coordination groups (e.g.                          partners spending
communic         groups with sectors    HIV/Health cluster)                                                                      Allocation of resources to be based on
ation.           involved                                                                                                        mapping of district needs




                      Integration into EDPRS                                                              Integration into EDPRS (cnt’d)
                                                                                                      Sector capacity needs assessment
                                                                                                         Key findings:
        Steps for development of EDPRS:
                                                                                                             • HIV indicators integrated into sector log frames
             •    Evaluation of PRSP 1:March-July 2006
             •    Agree High-level Objective: August, 2006                                                   • HIV activities not included in most 2008 sectors Annual Work
             •    Sector mapping exercise: August-September, 2006                                              Plans
             •    Create a logical flow from high level objectives to                                        • Limited human resources
                  specific interventions in every sector: September, 2006                                    • Source of funds for implementation unclear.
             •    Strengthen tools for monitoring and evaluation
             •    Costing Sector strategies: October – November 2006                                     Key recommendations:
             •    Institutional Capacity assessment: November-December
                  2006
             •    Drafting the EDPRS document: January-July, 2007                                            • Undertake deep sector analysis (in some sectors) as basis for
             •    Approval of the EDPRS document by the cabinet and                                            evidence-based approach;
                  DPs: November 2007                                                                         • Ensure integration of HIV in sector strategic plans, MTEFs, and
                                                                                                               Annual work plans
                                                                                                             • Strengthen sector ownership of HIV response
                                                                                                  Planning cycle at District Level
             Integration into EDPRS (cnt’d)
                                                                                    Elaboration of Plans of               Submit                          CDLS
                                                                                    Action by intervenants
         HIV Planning process                                                                                                                   Validation and consolidation




                                                                                                                                                               Fo
            • HIV Policy;                                                         (district HIV needs and priorities                         l




                                                                                                                                                                  r
                                                                                                                                           va




                                                                                                                                                                 co
                                                                                          taken into account)                            ro




                                                                                                                                                                    n
            • HIV and AIDS National Multisectoral Strategic Plan 2005-2009;
                                                                                                                                      pp




                                                                                                                                                                      so
                                                                                                                                    A




                                                                                                                                                                         l
                                                                                                                                r




                                                                                                                                                                        id
            • Annual priorities setting with each program (Global Fund,
                                                                                                                              Fo




                                                                                                                                                                          at
                                                                                                                                                                            io
              PEPFAR….)




                                                                                                                                                                              n
            • District priorities (involve the District & community in planning                                          District                             Sectors
                                                                                    Consultations
              process);
                                                                                      between
            • Planning process based on the national decentralization system
                                                                                     District and
              (Districts);                                                                                         District consolidated
                                                                                    Stakeholders                      PA (via CDLS)
            • Annual activities are planned with districts (authorities, health   = to identify the district
              facilities, community implementers…)                                      HIV/AIDS
                                                                                    needs and priorities
                                                                                                                                 Sectoral                 Sectors at the
                                                                                                               CNLS           consolidated PA
                                                                                                                                                          National Level




                                                                                          Achievements: Key HI V actions integrated into
                 Integration into EDPRS (cnt’d)
                                                                                                          EDPRS sectors
                                                                                  SECTOR                       MAIN ACTIVITIES/OBJECTIVES
           Methodology used                                                      HEALTH                       •Reduce HIV incidence rate
             • Diagnostic studies and analyses conducted: AIDS                                                 •Care and treatment of HIV infected and affected
                                                                                                               people
               and poverty Impact in sectors,
                                                                                  EDUCATION                    •Curricula promote positive attitudes towards HIV &
             • General EDPRS-HIV mainstreaming Check List                                                      AIDS
               developed,                                                                                      •Strengthen the capacity building of education staff
             • Districts DPs-HIV mainstreaming Check List                                                      and management committees to address issues
                                                                                                               related to HIV
               developed,
                                                                                  AGRICULTURE                  HIV prevention programs through extension workers
             • Participation in SWGs to facilitate integration of HIV.
                                                                                  DECENTRALIZATION             •Ensure that HIV is mainstreamed in District and
                                                                                                               Sector Development Plans
                                                                                                               •Training in leadership development skills for CDLS
                                                                                  SOCIAL PROTECTION            •Set up a range of employment alternatives for food
                                                                                                               insecure households
                                                                                                               •Identification of factors impacting negatively on




          Achievements: Key HI V actions integrated into
                     EDPRS sectors(ct’d)                                                         From EDPRS to Sector and Districts
                                                                                                     Development plans (DDP’s)
SECTOR                    MAIN ACTIVITIES/OBJECTIVES
YOUTH                     •HIV prevention programs among youth
                                                                                        Effective implementation of EDPRS should be done
EMPLOYMENT                •Increase the number of Enterprises and institutions
PROMOTION
                                                                                         through integration of HIV into DDP.
                          that have implemented HIV workplace program
INFRASTRUCTURE            •Put in place a set of HIV prevention programs for
                                                                                        Clear alignment in planning and reporting system:
                          mobile population in transport and construction sub-              • Review of the HIV Strategic Plan and M&E framework to
                          sectors                                                             integrate both EDPRS-HIV and HIV/AIDS Universal access
                                                                                              objectives;
JUSTICE                   • Ensure that the legal framework and laws are HIV
                          sensitive                                                         • DDP-HIV priorities are taken into account in annual district
                          • Ensure legal aid to vulnerable groups including                   plans
                          PLWHIV                                                            • Resource mobilisation
SECURITY                  •Increase prevention measures, and care and                   Establishing the institutional framework for
                          treatment for members of security forces                       EDPRS/HIV implementation and monitoring: roles
WATER & SANITATION •Reduce the time women and children pass outside                      and responsibilities of the various stakeholders to be
                          their home                                                     clearly defined.
PRIVATE SECTOR            •Increase the number of private Enterprises which
                          have implemented HIV workplace program.
                         Where are we now?                                                      WAY FORWARD: Effective implementation
    HIV integrated in every logical framework for each                                    Undertake deep sector analysis (in some sectors) as basis for
     sector and in all of DDP’s;                                                            evidence-based approach;
                                                                                           Ensure integration of HIV in sector strategic plans, MTEFs, and
    HIV Policy and result matrix elaborated;
                                                                                            Annual work plans
    Sector capacity needs assessments and CHART were                                      Strengthen sector ownership of HIV response
     conducted with both similar key findings:                                             Increase participation of sectors in existing HIV technical &
 HIV indicators integrated into sector log frames well, but:                               coordination groups (e.g. HIV/Health cluster)
              • HIV activities was not included in most 2008 sectors Annual Work Plans;    Advocate for deployment of staff to support sectors to follow up
              • Limited human resources;                                                    on HIV activities
              • Source of funds for implementation unclear.                                Discuss the comprehensive DDP in JAF for determination of
              • Focal points overwhelmed with other responsibilities                        source of funds.
              • Capturing HIV specific spending under sector budget                        Strengthen M&E and Information system that can capture HIV
                                                                                            specific spending under sector budget.




WAY FORWARD: Effective implementation (Cnt’d)                                             WAY FORWARD: Effective implementation (Cnt’d)
                                                                                                 District Level
             Establishing the institutional framework for
                                                                                                 • DDP-HIV priorities to be taken into account in annual
              EDPRS/HIV implementation and monitoring: roles
                                                                                                    district plans and Imihigo
              and responsibilities of the various stakeholders to
              be clearly defined                                                                 In general
             Clear alignment in planning and reporting system:                                  • Alignment on the planning process at both central
                                                                                                    level and district level (JAF)
             Review of the HIV Strategic Plan and M&E
              framework to integrate both EDPRS-HIV and HIV&                                     • Technical and/or financial support to the CNLS,
              AIDS Universal access objectives;                                                     Sectors and Districts
             Integrating HIV into Sector strategic plans (currently                             • Facilitate and respect the bottom-up planning
              under revision); MTEF and AWP;                                                        approach
                                                                                                 • Define M&E and clear Information systems




                        Information system                                                                            Conclusion
                         HF
    TRA
                                                                                            • As a result of this initiative the responsibility and ownership of the
     TRAC                                                                                     HIV response is shifting from the health sector and gradually being
                                                                                              taken up by all sectors and civil society from the central level to the
                                                                                              districts;
                                                                             Districts
                                                   CNLS,                                    • This important shift is due to ongoing advocacy initiatives as well as
    Ad                                           MINALOC,                                     the strong political will demonstrated by the government;
                           CDLS
    Distric                                      MINICOFIN
                                                                                            • After the integration of HIV & AIDS activities into EDPRS and into
                                                                             Secteur          Budgeted District Development Plans(DDP) all districts put together
    D Hospital
                                                                                              all partners around the table during the JAF meeting in other to
                                                                                              identify to sources of funds and to fill the gaps in terms of activities
                                                                                              that do not have funds;
                                                                             Cellule
    Health center                                                                           • This demonstrates that the DDP is a good tool for resources
                          Stakeholders                                                        mobilization as well at national and district level

                                                                            umudugudu
                                                                       Health center
           Conclusion (cont’d)
 The process is built around four principle areas of
  support:
   • Participatory Process ;
   • Poverty and HIV Diagnostics ;
   • Resources and Macroeconomic Policies
           • Taking account of HIV in macroeconomic, structural
             and sectoral policies, and ensuring these are costed
             and budgeted for.
 Monitoring and Evaluation (M&E):
           • Strengthening monitoring and evaluation of progress
             at the district level was the other purpose of the
             integration of HIV & AIDS activities in the DDP.

						
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