Implementation of regional and international HIV prevention - SAfAIDS

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12.2 Recommendations12.2.1 Specific to Swazilanda) Provide a platform to link poverty, HIV and AIDS, climatic and economic crises andensure that stakeholders from these areas fully understand the extent of hardshipsthat the country is faced with. Specifically, the triple threat of food security, HIV andAIDS and declining Government capacity to react needs debate at all levels. Resourceswithin different sectors - including CSOs, private companies and international technicalassistance organisations need to be managed cleverly.b) SWANNEPA should develop a profile of CSOs and their work in different areas. Such aprofile could help quantify their input, relevance and resource base.12.2.2 Specific to Zambiaa) The MoH and NAC should consider updating the HIV and AIDS policy framework toaccommodate new challenges.b) The MoH and NAC should consider translating both the HIV and AIDS Policy and StrategicFramework into vernacular languages to make it accessible to non-English speakers.c) The Government through the Ministry of Health and NAC, should enhance the publicityof new HIV and AIDS policies and legal instruments. This is important for making peopleaware of their rights and obligations in the HIV and AIDS national response.d) The government should elevate the status of NAC so that it becomes an autonomousbody with chief executive powers.e) Now that an adjunct to the NASF 2006-2010, which has taken into considerationemerging issues of MSM, male circumcision and mainstreaming issues has beendeveloped, approved and launched, there is need to revisit the M&E plan with a view toincluding indicators for new inclusions in the supplement.f) With more people appointed to deal with information and data management at NACand MoH and the decentralisation of their structures, there is need to have a continuingeducation programme at the two institutions.12.2.3 General recommendationsGovernments and national AIDS co-ordinating bodies54a) Create an environment for rights-based approaches to service provision. Governmentshould consider drafting and passing HIV and AIDS-specific legislation to guarantee therights of people in the national response.b) Consider a formal feedback mechanism from users of health services. Activation of theoffice of the ombudsperson or at least place suggestion boxes at health delivery centres.c) Encourage integration of responses, especially those that are clinical and those based inthe community.d) Provide the required leadership in meeting and reporting against commitments,including the Abuja and Maseru Declarations, CEDAW and the CRC, at least at the samelevel of commitment expressed regarding the UNGASS process.
e) Strengthen M&E systems of key departments such as those on vulnerable children andabuse of women, including linking with stakeholders that are willing to share skills inthese areas. There is need to consider placing M&E officers at district level.f) Pro-actively share information on successes and challenges with implementers at alllevels. Establish a mailing list or e-forum where information can be shared regularly.g) Provide additional funding to National HIV and AIDS Co-ordinating Institutions and otherplayers to ensure that M&E capacity is strengthened and rolled out at all levels.h) Provide frameworks for pro-active national level discussions on AAA and the ParisDeclaration.i) Increase monetary allocation in the HIV and AIDS intervention processes. Meet the AbujaDeclaration 15% agreed allocation for Health, and increase actual spending on HIV andAIDS.j) The Government should create a framework to safeguard the rights of vulnerablegroups. All relevant international instruments like CEDAW and the CRC should betranslated into national laws and policies.k) Governments should encourage positive utilisation of the media so that it can beused as a channel for education and dissemination of information on HIV and AIDS.Programmes on HIV and AIDS should be aired during prime time.l) Government remuneration packages should be competitive enough so as to retain staff.In the long term it will be prudent for Government to develop a career progression planwith each new essential health worker recruited to the public serviceCivil Society Organisationsa) NGO co-ordinating bodies should work closely with co-ordinating partners to ensurethat CSOs are using the agreed M&E framework for reporting.b) CSOs should develop the capacity of users of health services and their organisations sothat they are better able to defend and demand their rights.c) As part of the AAA process, CSOs should seek to improve the co-ordination of CSOefforts with government programmes, enhance CSO accountability for results, andimprove information on their activities; and work with Government to provide anenabling environment that maximises their collaboration with Government.d) There is an urgent need to enlighten society about the need to change cultural beliefsand attitudes about sex. People need to change their sexual behaviour and avoidmultiple casual sexual partners and use condoms consistently.e) There is need for media monitoring and training on reporting issues of gender and HIVand AIDS.Funding and technical partnersa) Continue to provide technical capacity and other resources to ensure that the nationalresponse to HIV is informed by evidence, and observes people’s rights. New research onmale circumcision, transmission rates during window periods, etc should be adapted tolocal settings, and resources made available to test their applicability.b) It is clear that additional resources have to be solicited from external developmentpartners. Notwithstanding the Paris Agenda, there is need to sum-up the number ofemergencies the countries are dealing with, and ensure that development assistancetakes cognisance of these.55
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ACKNOWLEDGEMENTSThis research was c
Page 5 and 6: 6.0 HIV/AIDS STRATEGIC PLANNING, MO
Page 7 and 8: SAfAIDS Southern Africa HIV & AIDS
Page 9 and 10: Generally, survey findings show tha
Page 11 and 12: The national HIV prevention, treatm
Page 13 and 14: RecommendationsSwaziland-specific r
Page 15 and 16: Civil Society Organisationsa) Co-or
Page 17 and 18: 1.0 INTRODUCTION1.1 BackgroundHIV i
Page 19 and 20: 2.0 METHODOLOGYThis assessment prim
Page 21 and 22: Table 2 below shows HIV and AIDS es
Page 23 and 24: Having developed its first PMTCT gu
Page 25 and 26: Zambia is one of the Sub-Sahara Afr
Page 27 and 28: During the reporting period it was
Page 29 and 30: In Zambia the HIV and AIDS response
Page 31 and 32: Convention or Declaration Date Swaz
Page 33 and 34: However, serious gaps exist. The tw
Page 35 and 36: Generally, HIV and AIDS data in bot
Page 37 and 38: through focus group discussions inv
Page 39 and 40: co-ordinate the national response a
Page 41 and 42: All these positions are filled. UNA
Page 43 and 44: 7.0 FUNDING MECHANISMS FOR HIV AND
Page 45 and 46: 8.0 HUMAN RESOURCE MANAGEMENTHuman
Page 47 and 48: 9.0 EXTERNAL OVERSIGHT MECHANISMSTh
Page 49 and 50: Nevertheless, the media in Zambia s
Page 51 and 52: 10.1.2 Specific lessons from Zambia
Page 53 and 54: 11.0 MECHANISMS FOR CO-ORDINATION O
Page 55: 12.1.1 SwazilandA number of key sta
Page 59 and 60: REFERENCES1. A Report on the Assess
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