WEPE713 Poster Exhibition
Coordination of National AIDS Response: emerging trends and lessons from six countries
Presented by Mandeep Dhaliwal (United States).
K. Santi, A. Pastorelli, J. O'Malley, M. Dhaliwal
UNDP, HIV/AIDS Practice, New York, United States
Background: As efforts to
address the HIV epidemic have expanded, countries continue to grapple with the
complexities of coordinating comprehensive nationally-owned responses which
involve the participation of diverse stakeholders, including civil society,
people living with HIV and key affected populations. Given the evolution of national AIDS bodies
since the articulation of the “Three Ones” there is a need to better document
the range of successful national coordination models currently in place. The financial crisis and subsequent reduction in
resources for AIDS has given this agenda a renewed sense of urgency.
Methods: UNDP launched a six-country
study to document successes in national coordination of AIDS in Belize, El Salvador, India, Indonesia,
Malawi and Tanzania. An in-depth
desk review was the basis for key informant interviews conducted with a range
of county stakeholders in each country. Country
case studies were written with preliminary findings which were discussed and
validated during country consultations.
The contributions from the country consultations were then integrated
into the country case studies and the overall paper.
study contributes to current policy debates on governance, aid effectiveness,
country ownership and sustainability of AIDS responses by presenting good
practices and showcasing how countries have adapted their coordination
environments to better suit country contexts. While staying away from specific
organizational design recommendations, the study portrays the diverse approaches
to coordination found in the six countries, considering their different
epidemics and political systems.
Conclusions: Across all study countries the evidence
suggests that there is no single recipe for successful coordination of AIDS
responses but a combination of different factors that influence success.
Elements of a strong coordination environment include: coordination
structures that suit local needs; dedicated political leadership; strategic
decentralisation; enhanced aid alignment
and harmonization; targeted mainstreaming
and meaningful participation of civil society, including people living
with HIV and key populations.
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