Concept Note on HIV Mongolia Process and key components of Funding Request to Global Fund

 KEY STEPS:  Revision of NSP operational plans in 5 priority areas  Training of key team members on Concept Note in Switzerland  CCM technical working group developing Concept Note with external consultants  Endorsement by CCM 10 June 2014  Submission deadline 15 June 2014 Process

 Prevention for key populations (MSM, sex workers, PWID)  Prevention for youth & other vulnerable populations  Treatment, care & support for PLHIV and families  Supportive legal and policy environments  Strengthening strategic information: surveillance, research, M&E Revision of NSP operational plans in 5 priority areas:

 National Strategic Plan  Updated workplans for  Mid-term review of NSP (2013)  Epidemiological data and research  Portfolio Analysis by Global Fund Mongolia Country team (Geneva) Key documents used for prioritising modules & interventions

 CCM eligibility performance assessment  Define key populations  Intensify targeted HIV-case finding (HIV testing)  Scale up coverage HIV prevention for key populations  Strengthening HIV/STI surveillance  Targeted interventions for youth  Strengthen community-based groups  Strengthen M&E systems: Integrate HIV in NHIS, strengthen M&E for key populations, mapping, size estimations, review data-collection tools  Logistics Management Information Systems  Gender, VAWG  Address stigma & discrimination (police, health sector) Portfolio Analysis GFATM: Key issues

 A. Narrative proposal: 4 main sections:  1. Country context  2. Funding landscape  3. Funding request to Global Fund  4. Implementation arrangement and risk assessment  B. Online Grant Management Portal: key data Main components of Concept Note

 KEY SECTIONS OF CONCEPT NOTE ONLINE:  Programme Split  Financial Gap Analysis & Counterpart Financing  Goals, objectives and impact/outcome indicators  Modules & Interventions:  - Programmatic Gap tables for key indicators  - Coverage & Output indicators  - Modules Budget Online Grant Management Portal

 MSM & Sex workers:  Key service packages: BCC, condoms, HIV testing, STI services, Hepatitis  Focus on scaling up coverage and increased quality, referral and collaboration  Strengthen outreach and HIV testing (esp. MSM)  Institutional & Organisational Strengthening for scale-up  Technical support and staff capacity building  Advocacy and Social mobilisation for supportive environments and collaboration (e.g. Police) Modules & Interventions: Prevention for key populations

 People who inject drugs:  Strengthen strategic information (research)  Pilot programme based on findings Modules & Interventions: Prevention for key populations

 Key expected results:  MSM:  Coverage with BCC and condoms: 8%  15% (2017)  HIV testing: 4.4%  8% (2017)  Sex workers:  Coverage with BCC and condoms: 63%  87% (2017)  HIV testing: 23%  32% (2017) Modules & Interventions: Prevention for key populations

 STI clients: Promoting 4Cs (Compliance to treatment; Counselling; Contact tracing and Condom promotion)  Selected workplace interventions: advocacy and sensitisation with private sector, esp. mobile populations (mining, road construction, transportation, tourism, military); revision of existing HIV/STI- prevention modules, which are used for (organised) pre-departure trainings for migrant workers  Uniformed services: updating HIV curriculum for uniformed staff  Prison inmates: Integrating HIV in prison health system – specific HIV services  Adolescents and youth: range of HIV interventions in formal and non-formal settings, incl. curriculum development and training; innovative BCC (social media, cell phone)  Advocacy for government support for condom social marketing in different sectors Modules & Interventions: Prevention for Other vulnerable populations

 Strengthening PLHIV networks  Psychological and other support services for PLHIV and their families  Establishing HIV/AIDS care services and human-resource strengthening at the province and district level  Improving quality and accessibility of HIV treatment and care service  Improving coordination between HIV, TB, hepatitis, blood safety programmes Modules & Interventions: Treatment, Care & Support for PLHIV & families

 Strengthen supportive environments:  Political commitment and advocacy  Laws, legal policies and practices Interventions:  Legal assessments and reviews  Advocacy among policy- & decision-makers in health and non-health sectors & private sector  Development of national and local HIV policies and plans involving all key sectors Modules & Interventions: Supportive Legal and Policy environments

 Strengthen availability, quality & effective use of strategic information for evidence-informed decision-making in policy, programmes & resource allocation:  Strengthening national HIV/STI surveillance system  Upgrading routine HIV/STI reporting system  Strengthening programmatic monitoring and evaluation  Special studies, evaluations, assessments & operational research  Strengthening logistic management and information system Modules & Interventions: Strategic Info: Surveillance, Research, M&E

 Total country allocation GF: USD 4,987,110  40% Country Counterpart financing requirement (3.3 M)  Willingness to Pay: Annual increase Govt. HIV budget  50% for key populations Financial allocations

USD% Prevention MSM ,7 Preventon sex workers ,0 Prevention PWID ,3 Prevention Youth & Other Vulnerable Groups ,1 Treatment, Care & Support for PLHIV ,1 TB/HIV ,7 Removing Legal Barriers ,2 Policy & Governance ,4 Surveillance, Research and M&E ,0 Service Delivery ,3 Programme Management (PCU) ,