ACTafrica-UNAIDS JOINT MAP IMPLEMENTATION TECHNICAL SUPPORT MISSIONS JANUARY 2003

OBJECTIVES BUT … IT DID NOT INTEND TO REPLACE SUPERVISION EXERCISE PROVIDE SUPPORT TO MAP’s COUNTRY TEAMS, TTLS, BORROWERS ADDRESSING PENDING IMPLEMENTATION ISSUES DEVELOP OVERVIEW OF MAP PORTOFOLIO IDENTIFY GENERIC ISSUES AFFECTING MAP IMPLEMENTATION HELP REFINING MAP APPROACH BUT … IT DID NOT INTEND TO REPLACE SUPERVISION EXERCISE

KEY GENERIC ISSUES

MULTISECTORAL APPROACH IS VALID BUT ISSUE OF LEADERSHIP BETWEEN HEALTH SECTOR AND OTHER DEPARTMENTS RECOMMENDATION: ROLES AND RESPONSIBILITIES OF NATIONAL ACTORS SHOULD BE CLEARLY DEFINED AND AGREED UPON AT DESIGN

LEARNING CURVES Program Learning Curves, from Korben, 1980

TIME LAG AND HESITATION TO MOVE QUICKLY TO FIELD OPERATIONS RECOMMENDATIONS: USE OF PPF OR OTHER FINANCE SOURCES TO: ELABORATE REQUIRED MANUALS DURING PREPARATION AND TRANSLATE INTO LOCAL LANGUAGES DESIGN & INSTALL FMS PREPARE FIRST YEAR PROCUREMENT DOCUMENTS PROMOTE PILOT FIELD ACTIVITIES AT EARLY STAGE FMS = Financial management system

RECOMMENDATIONS (continued) HIRE « PROJECT EXPEDITOR » ASSESS INSTITUTIONAL/CAPACITY OF KEY STAKEHOLDERS, INCLUDING CSOs RECRUIT EARLY COMMUNITY FACILITATORS ASSIST GOV’T IN SETTING UP HIV/AIDS COMMUNICATION STARTEGY DURING PREPARATION USE OF BLOCK GRANTS (CASE OF ETHIOPIA) CSOS = CIVIL SOCIETY ORGANIZATIONS (NGOS CBOS, FBOS)

DECENTRALIZED IMPLEMENTATION APPROACH IS ESSENTIAL BUT LITTLE DONE TO INVOLVE STAFF OF KEY SECTORS ALREADY PRESENT AT FIELD LEVEL RECOMMENDATIONS: PROMOTE USE OF THE EXISTING DECENTRALIZED STAFF TO MOVE FASTER AND AVOID DUPLICATION INTEGRATE HIV/AIDS INTO ONGOING/PLANNED CDD-TYPE PROJECTS (CASE OF GUINEA)

CONTRACTING OUT MAP ACTIVITIES RECOMMENDATIONS: EARLY TRAINING IN CONTRACT MANAGEMENT SKILLS SHOULD BE ORGANIZED RETENTION OF ACCOUNTING FIRM TO SUPPORT NAC/NAS W/ FMS EXISTING LOCAL PRIVATE CAPACITY SHOULD BE ASSESSED AT DESIGN RISKS OF MIXING-UP PUBLIC SERVANTS AND PRIVATE STAFF SHOULD BE CAREFULLY ANALYZED

MAP AUDIT RANDOM TECHNICAL AND FINANCIAL AUDITS TO ASSESS ACCOUNTABILITY INTERNAL/EXTERNAL AUDITING IS OF PARAMOUNT IMPORTANCE OVERALL MANAGEMENT SHOULD BE AUDITED THROUGH A MANAGEMENT LETTER TO BE ISSUED BY EXTERNAL AUDITOR

DEFINITION OF LOCAL RESPONSE The local response is the response of a community of people which is a group of individuals sharing common goals and/or interests. During the Lusaka ICASA Conference, the definition of local response was clarified as representing not only local partnerships, but the response of individuals form within a living environment of family and community as well as the workplace.

LOCAL RESPONSE NGOs, CBOs, FBOs, CSOs HAVE AN IMPORTANT ROLE TO PLAY IN MAP IMPLEMENTATION BUT… THIS ROLE MAY BE LIMITED DUE TO UNFAMLIARIRTY W/ BANK SIMPLIFIED PROCUREMENT PROCEDURES RECOMMENDATIONS: MAKE LARGER USE OF « FIDUCIARY MANAGEMENT FOR COMMUNITY DRIVEN PROJECTS » GUIDELINES KEY NGOs SHOULD BE ENCOURAGED TO SHIFT FROM DIRECT IMPLEMENTATION TO SERVICE PROVIDERS

FROM STRATEGY TO ACTION LOCAL RESPONSE: FROM STRATEGY TO ACTION CONTRACT FACILITATORS TO WORK WITH COMMUNITIES TO: Raise their awareness of the MAP project Develop action plan based on participatory planning and situation analysis Integrate anti-AIDS medium term plan into overall development plan, whenever possible Support implementation of subprojects Establish community-based M&E RESULT: AIDS-COMPETENT COMMUNITY

LOCAL RESPONSE: IMPROVING EFFICIENCY UTILIZING REPORT-BASED DISBURSEMENT PROCEDURES (FMR), WHENEVER FEASIBLE REVISIT OM AND AMEND BASED ON ACTUAL EXPERIENCE PROVIDE TIMELY RESOURCES TO COMMUNITIES IMPLEMENT CSOs CAPACITY BUILDING PLAN BASED ON ASSESSMENT PROVIDE ASSISTANCE FOR TRAINING COMMUNITIES AND CSOs’ MEMBERS FOR IMPLEMENTING COMMUNICATION STRATEGY USE INFO FROM COMMUNITY-BASED M&E TO FURTHER IMPROVE IMPLEMENTATION PROCESS

MONITORING & EVALUATION SYSTEM IS KEY BUT: SHOULD BE DESIGNED AS MANAGEMENT TOOL AND IN PAR WITH EXISTING CAPACITY RECOMMENDATIONS: FURTHER SIMPLIFY DESIGN INTENSIVE TRAINING PROGRAM FREQUENT EXTERNAL SUPPORT CONSOLIDATE LOCAL M&E INDICATORS TO REGIONAL AND NATIONAL LEVEL CONTRACT OUT TO MORE THAN ONE SINGLE LOCAL FIRM

MAP IS INTEGRATED PART OF NAP M&E SYSTEM SHOULD THEN COVER ALL ACTIVITIES UNDER NAP RECOMMENDATIONS: SETTING-UP INTEGRATED MANAGEMENT INFORMATION SYSTEM (IMIS). USE IT AS A TOOL: - TO BUILD PARTNERSHIP - COORDINATE AMONG ALL ACTORS FIGHTING AGAINST HIV/AIDS

CONCLUSION INTENSIVE SUPPORT NEEDED TO HELP BORROWERS ADDRESSING MAP IMPLEMENTATION ISSUES GIVEN THE NATURE OF ISSUES, SINGLE SUPERVISION MAY NOT BE SUFFICIENT TO ADDRESS THEM

CONCLUSION (continued) MAP SUPPORT MISSIONS COULD HELP: BRINGING BROAD OVERVIEW OF MAP DESIGN/IMPLEMENTATION DRAWING LESSONS AT EARLY STAGE UNDERTAKE TIMELY REMEDIAL SOLUTIONS FOR IMPLEMENTATION IMPROVE DESIGN OF FUTURE MAPs PROMOTE SOUTH-SOUTH KNOWLEDGE SHARING PURSUE AND INTENSIFY MAP IMPLEMENTATION SUPPORT MISSIONS

“What is it that the poor reply when asked what might make the greatest difference to their lives? They say, organizations of their own so they may negotiate with government, with traders, with NGOs. Direct assistance through community driven programs so they may shape their own destinies. Local ownership of funds so they may put stop to corruption. They want governments and NGOs to be accountable to them.” James D. Wolfensohn, Annual meetings, fall 1999