XIX International AIDS Conference

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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.
Results: The 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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