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COORDINATION AND MANAGEMENT OF THE HIV/AIDS RESPONSE

COORDINATION AND MANAGEMENT OF THE HIV/AIDS RESPONSE. John Rwomushana Uganda AIDS Commission Secretariat 4 TH NATIONAL AIDS PARTNERSHIP FORUM Speke Resort Munyonyo 30 Jan -1 st Feb 2006. PREAMBLE. Goal of Coordination Timely ,equitable, quality services One coordinating Authority 1992

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COORDINATION AND MANAGEMENT OF THE HIV/AIDS RESPONSE

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  1. COORDINATION AND MANAGEMENT OF THE HIV/AIDS RESPONSE John Rwomushana Uganda AIDS Commission Secretariat 4TH NATIONAL AIDS PARTNERSHIP FORUM Speke Resort Munyonyo 30 Jan -1st Feb 2006

  2. PREAMBLE • Goal of Coordination • Timely ,equitable, quality services • One coordinating Authority 1992 • Source of current info • Joint Sector reviews Sept, Oct, 2005 • JAR and SCE Assessment Dec 2005 issues

  3. COORDINATION ADMINISTRATIVE LEVELS • National (central) • District • Sub district (Sub-County, Village)

  4. CENTRAL LEVEL COORDINATION • AIDS Partnership (stakeholder alignment) established 2002 • Composition • PForum • Self Coordinating Entities (SCEs) • Partnership Committee • Fund

  5. The Uganda AIDS Partnership Uganda AIDS Commission & Secretariat Media AIDS PARTNERSHIP FORUM

  6. COORDINATION AT CENTRAL LEVEL … • SCE Assessment (2005) Objectives: • Ascertain achievements gaps/challenges and emerging issues in SCE functional roles • Identify “good practice” within SCEs • Recommended steps for improvement

  7. SCE ASSESSMENT (2005) FINDINGS • Strengths/Achievements • Formal and representative platform • Regular opportunity to share strategic information for policy and program design • Identification of needs, priorities , action • Some uniformity and alignment to national processes

  8. ISSUES NOT ANTICIPATED • Performance levels and added value of SCEs to improved coordination remained limited • Low capacity to fulfill coordination tasks • Structures not fully functional

  9. SCE ASSESSMENT FINDINGS • Challenges: • Slow understanding of Partnership dynamics • SCE delegates not truly representatives • Information sharing was limited • Slow to implement work plans • PFund was sole source of funding for most SCEs • Poor follow-up on decisions • Inadequate advocacy • Reporting/ feedback format is not standard

  10. SCE ASSESSMENT FINDINGS • Recommended possible solutions • Re-orient SCE members on purpose of Partnership • Membership be of institution not by individual • Rationalize frequency of PC meetings – proposed quarterly • Intensify homogenous member group mobilization • PFund to strengthen SCEs coordination capacity • Better exchange information (inter-and intra-SCE) • Diversify resource sources • UAC to regularize, standardize and firmly establish the Partnership

  11. COORDINATION IN THE DISTRICT • Coordination Policy Guideline developed in 2002 • TWG (MoLG, MoH,ULAA,AIM,UAC and UNAIDS…) • District leaders Consensus Sept 2002 • Structures conform to decentralization framework • Taskforces (political) and Committees (Technical) system – district and Sub-county • Taskforces at Parish and Village.

  12. DISTRICT COORDINATION • Reporting channels • existing linkages with MoLG and MoPS • Direct to UAC (by Chair, CAO, AIDS FP) • Ratification and adoption • Orientation from UAC and MoLG • Establishment of structures at the various levels

  13. DISTRICT HIV/AIDS COORDINATION STRUCTURE

  14. ATTAINMENTS • Ratification of Policy Guideline (Some) • Sub district Coordination structures (few) • Functional tasks (few) • Partnership alignment (minimal)

  15. CHALLENGES • Adoption and ratification of Guidelines • Establishment of structures at the various levels • Representation and membership to the Taskforces and Committees • Joint planning, M&E • Strategic information sharing • Coordination at district & lower levels still weak • Limited resources • Linkages to central level

  16. RECOMMENDED ACTIONS • District Councils to ratify Guideline • All districts to designate AIDS Focal Persons • Appropriate participation at DAT and DAC • Intensify resource mobilization for district responses and coordination • Greater enagagement of PHAs

  17. CHALLENGES AND OPPORTUNITY • 4th One – Aligned funding channels • Modus operandi • Joint NSF,M&E • Tasks for coordination function • Transfer the national progress to the district • Create appropriate district partnerships ( stakeholder alignment) • Unique opportunity - Gathered district leaders

  18. CONCLUSION • Effective coordination determines successful national AIDS responses • Devolution of coordination functions to SCEs (alignment) is innovative • This forum will critique the present strategic information; identify emerging issues; and design future actions

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