The International Center for Technical Cooperation on HIV/AIDS

1. The International Center for Technical Cooperation on HIV/AIDS Gustav Liliequist - Consultant

2. Description A joint initiative between the Government of Brazil and the Joint United Nations Programme on HIV/AIDS (UNAIDS), aiming to strengthen and scale-up sustainable national responses to HIV/AIDS in developing countries through horizontal technical cooperation

3. Key features • Established in February 2005 • Based on the experience of the Brazilian STD and AIDS Program • Focus on capacity building in a range of thematic areas and events

4. Thematic Areas • Prevention • Voluntary counseling and testing • Treatment and care • Program planning and management • Monitoring and Evaluation • Input procurement and logistics • Research and development • Intellectual property rights • Epidemiology • Strengthening of civil society • Human Rights • Information, education and communication

5. Key features - continued • Use of a network of accredited institutions • - Hospitals • - NGOs • - Universities • - Public institutions • Needs assessment, project elaboration and M&E

6. Key features - continued • Demand driven • Horizontal Cooperation • Guided by an international reference group

7. Partner agencies • Partner agencies • DFID • GTZ • Possible future support from • CIDA • KFW/Germany • The Netherlands • Additional project partners • CDC • UNFPA, UNICEF, WHO, World Bank

8. Projects • International Cooperation Program (ICP) • Laços Sul-Sul (LSS) – ICP Phase II • Newer cooperation projects • Additional projects

9. International Cooperation Program • Limited ARV donation • Capacity building in clinical management and logistics • 7 countries: Burkina Faso, Bolivia, Colombia, Dominican Republic, El Salvador, Mozambique, Paraguay

10. LSS • Comprehensive approach: • - ARV treatment for universal access • - Wider scope of capacity building activities, focusing on prevention of mother to child transmission • 8 countries: Bolivia, Brazil, Cape Verde, Guinea-Bissau, Nicaragua, Paraguay, Sao Tome e Principe, East Timor • Partnership with UNICEF (structural vulnerabilities, 3 ones, in-country focal point) • Some concrete results – increased access to testing and treatment

11. Newer cooperation projects Ecuador, Honduras, Peru (with DFID and PAHO) Uruguay (with GTZ) El Salvador (with ABC, initiating) Projects in clinical management, logistics prevention, M&E, organization of health services, human rights, and the strengthening of civil society CARICOM/PANCAP – OECS Clinical management, strengthening of civil society, and ARV donation (initiating) Angola Namibia EDUCASIDA (under consideration) Under negotiation

12. Additional projects • Committee for Prevention and Control of HIV/AIDS of the Armed Forces and Police of Latin America and the Caribbean (COPRECOS) • Brazil-France Bilateral Cooperation Project in AIDS • Brazilian AIDS Pastoral

13. Examples of events conducted • 2005 • ‘Horizontal Technical Cooperation: Reviewing Strategies and Searching for Alternatives for Projects of the Global Fund’ • ‘Fostering Country Ownership and Leadership: Implementation of the Three Ones’ • 2006 • ‘Regional consultation on Universal Access Towards HIV/AIDS Prevention, Treatment and Care in Latin America’ • ‘Global Consultation on Sex Work’, held by Brazil, UNAIDS and UNFPA

14. Management: improving financial and administrative systems Technical and financial sustainability: Assuring harmonized involvement of partners Political sustainability: Consolidating ICTC’s international basis - IRG Challenges

15. Concluding remarks • Benefits of horizontal cooperation • Jointly elaborated projects help guarantee commitment and actions in line with national policies and the Three Ones • Importance of sharing of lessons specific to developing countries • Sustainable local capacity through long term flow of knowledge and technology