Strengthening the national response of HIV/AIDS

What is the project about

 Awareness of Angolan pupils to fight for HIV/AIDS - Credit: UNDP

The Angolan national stakeholders in fight against HIV (INLS, WHO, civil society etc), through the national coordinating mechanism CCM applied for funding of an integrated HIV programme to GF in October 2015. The grant has been approved for 2 years, to start in July 2016.The CCM have requested that the key implementing partner - so called Principal recipient be UNDP Angola. UNDP will act both a direct implementer as well as oversight to other implementing partners main of which being the National AIDS Institute (INLS).The project will address the key current challenges in the fight against HIV both from the medical and human rights perspective.

STRATEGY

  • Prioritization of high need - high impact interventions: The reduced financial resources required the country to go through a prioritization process on what modules to invest in. With reference to the results of an investment case scenario for Angola, the country chose the most cost effective interventions for scaled up (ART, PMTCT, KPs, TB/HIV);
  • Improving TB and HIV joint programming:. Specific joint programming activities have been identified for roll out and will include joint supervisory visits; joint planning and training activities, co-location of ART and TB services and a gradual expansion of the basic package of services for KPs to include both HIV and TB screening amongst other services on offer. Frequent coordination meetings are planned including joint program reviews. Efforts at leveraging TB and HIV resources at facility level will be initiated. Prioritization of regions with high burden of TB/HIV co-infection is also a key component of this strategy;
  • Ensuring commodity security to sustain gains in the ART/PMTCT and TB programs: Angola is committed to sustain the gains made in reducing morbidity and mortality related to the HIV ART program; the reduction of new HIV and TB infections from the prevention programs. The strategy is to include continuous dialogue with the MoH on the governmental organization of the purchasing function;
  • Resource leveraging for efficiencies: Effective leveraging of resources from other donors and partners in the country is another key strategy in this application. Specific consideration has been given to the resources expected from the World Bank, USG-PEPFAR and other UN agencies;
  • Prioritization of KPs and other vulnerable groups: Addressing needs for KPs is critical to the national response as they drive the HIV epidemic. FSWs, MSM and Miners and Truck drivers are as population groups with elevated HIV prevalence rates and drivers of the epidemic. The intent is to leverage existing investments by other partners including PEPFAR to increase service coverage to these populations.Gender considerations have also been made to improve service access to young women 15-24 years out of school who have been noted to be more vulnerable to HIV infection. The prevention for adolescents and youth module is specifically targeted at these groups, including adolescents and young people. There is a plan in this grant to train health workers and ACS to meet the specific needs of KPs;
  • Inclusion of Truck drivers: Long distance truck drivers have been known as major drivers of HIV transmission. Angola is part of two major African corridors. There are 51,429 Km of roads in Angola and most of freight in Angola is transported by trucks. Transport sector workers are more likely to acquire the HIV infection. Transport workers could also serve as bridge populations linking with the general population;
  • Inclusion of Miners: As per beginning of 2016, the mining industry in Angola consisted of mining for diamonds. While there is ongoing investment in gold, copper, iron and phosphates mining, none of them has yet entered the production phase. About 7,000 miners work for the official diamond mining companies, but many estimative 50,000 in illegal mining.  They will be in the focus of the HIV project;
  • Prioritisation of girls out of school: To increase safer behaviours among this most vulnerable group it is essential to engage with them and their culture in order to make HIV prevention relevant to them;
  • Improving service access by children: reducing the current high transmission rate is heavily targeted. Viral load follow-up for at-risk infants will be improved.

Who finances it



Project Number: AGO-H-UNDP
Total resources allocated: 30,002,272 
                                                2016
Global Fund $ 14,659,481

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