1. ACTafrica-UNAIDS JOINT MAP IMPLEMENTATION TECHNICAL SUPPORT MISSIONS JANUARY 2003

2. 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

3. KEY GENERIC ISSUES

4. 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

5. LEARNING CURVES
Program Learning Curves, from Korben, 1980

6. 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

7. 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)

8. 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)

9. 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

10. 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

11. 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.

12. 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

13. 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

14. 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

15. 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

16. 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

17. 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

18. 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

19. “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