UNDP HIV/AIDS PMU Intervention Mapping


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About HIV/AIDS PMU


Introduction

In 2003, Nepal secured the Round 2 HIV Grant ($10 million) of the Global Fund to Fight AIDS, TB and Malaria (GFATM), with the Ministry of Health and Population (MoHP) as principal recipient (PR) of the grant. In August 2003, MoHP signed on as principal recipient of the GFATM Round 2 HIV agreement for the project which primarily focused on preventing the spread of HIV/AIDS among the labour migrant and young people and provide support and care services to those who are infected and affected with HIV/AIDS.

In 2005 the government requested the United Nations System in Nepal (the UN system) to support the implementation of some of the GFATM funded activities. The UN system was contracted as a Management Support Agency (MSA) and its efforts were executed by the United Nations Development Programme (UNDP) on behalf of the UN system.

The UN was given responsibility for:
  • managing prevention activities (through 32 NGOs providing services to most-at-risk population groups (MARPs); and
  • procuring of HIV related equipment, drugs, supplies and commodities for the entire country.
In early 2006 (February), the MSA was transformed into a Programme Management Unit (PMU) under UNDP to serve as one of the principal recipients for the implementation of the Phase 2 activities of GFATM Round 2. DFID used the same structure to support implementation of its new five-year HIV contribution to the HIV response in Nepal.

In 2008, UNDP, Nepal along with Save the Children- US and Family Planning Association in Nepal - FPAN were awarded PR ship under Rd 7 HIV grant to focus on reduction of HIV transmission in Nepal and to enhance the quality of life of people living with HIV.

With a total grant of US $6.7 million for the period of November 15, 2008 - November 15, 2010, UNDP Nepal is mandated to focus its efforts on strengthening the capacity of the government to manage and implement HIV/AIDS activities; expanding access and coverage of HIV testing and counselling, STI diagnosis and treatment; and strengthening health service capacity to provide quality treatment and care to people living with HIV/AIDS. At the same time the grant also focuses on establishing ARV centres and strengthening the District AIDS Coordination Committee (DACC) to promote multi-sectoral response to HIV/AIDS at the district level. Under this grant UNDP Nepal is also tasked to strengthen the capacity of Department of Health services and Ministry of Health and population in implementing HIV and AIDS program in 66 districts of Nepal.

During the first year (16th Nov. 2008 - 15th Nov. 2009) of programme implementation with a budget of US $ 3707841, the program supported the operation of 66 VCT centres and 23 ART sites in Nepal. During the period, 10508 people received VCT services, 3488 patients received ARV, and 21835 OI episodes were treated. The program also strengthened 30 out of 35 District AIDS Coordination Committee (DACC) by providing training and logistical support. DACC coordinators in each of these support districts were hired to support the overall coordination of HIV and AIDS activities at the district level. National HIV laboratory quality assurance as well as diagnostic services in CD4 and Viral Load was also strengthened at the National Public Health Laboratory (NPHL). Technical trainings for health service providers from throughout the country was conducted in year one.

Through the DFID support the unit was managing between 50 and 100 NGOs to implement programme targeted for the most at risk populations and blood safety programme through Nepal Red Cross Society. As pet the UNDP mandate, the unit is also engaged in developing the capacity national institutions, NGOs and community laid network for effective HIV/AIDS response. Procurement of drugs, supplies commodities, equipment with regards to HIV/AIDS and supply chain management also falls under the U responsibility of UNDP PMU. In 2009, the programme was able to provide care and support services to a total 2,203 people living Similarly8,017 injecting drug users received detoxification and rehabilitation and harm reduction services. A total of 26,677 men having sex with men and male sex workers and 1,030,299 migrant workers and family members were also reached with tailored messages on HIV, voluntary testing and counselling services and treatment of Sexually Transmitted Infections.

In an a average, DFID fund contributed in achieving national goal for rehabilitation of injecting drugs users by 205%, 60% for harm reduction and 42% for MSM/MSWs similarly 67% for HIV testing among MSM/MSWs. Additionally, HIV prevention programme for street children, prison inmates was also initiated in 2009. Support was provided to the newly established HIV and STI Control Board in its capacity development initiative. Efforts was also made to build the capacity of NGOs, CBOs and Community led NGO /CBO networks on programme management, financial management, monitoring and evaluation. UNDP PMU is also engaged in capacity development of the National Centre for AIDS and STD Control and enable it to take the Principle Recipient role in Phase II of the Global Fund Rd7 grant.

Source: UNDP Annual Report, 2009 to DFID and GFATM
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