2. Oversight visits
The CCM oversight working group conducted
2 oversight visits for Round 7 and Round 10 V
grants within one meeting with the project
implementation unit
3. GFATM Round 3 HIV grant
grant status is still "in closure" since 2008 -
methadone maintenance centers in Veles and
Shuto Orizari
Substitute MMT center in City hospital “8
September” is not staffed
Recommendations: MMT centers require immediate
nomination of staff (psychiatrist, general medical
practitioner and a nurse); MLSP to take over
center in Shuto Orizari, dedicate a team of social
workers ASAP
4. GFATM Round 7 HIV grant
the grant was merged into a single stream funding mechanism with Round 10 HIV
grant. A total of 200.000 EUR will be returned t the GFATM (3%of the overall
budget):
12.000 EUR-refurbishment of methadone maintenance centre in Jail Shuto Orizari
42.000 EUR - procurements at the Clinic for infectious diseases and febrile conditions
10.000 EUR - activities for M&E and supervision vista to methadone centers by the
Psychatric hospital Skopje
15.000 EUR procurement of medical consumables
15.000 EUR - trainings and attendance to international conferences
20.000 EUR - funds for preventive activities for men having sex with men, due to non-
expansion of MSM services out off Skopje
40.000 EUR - survey that was not implemented by the Institute for public health
4.500 EUR - M&E Officer not hired
12.000 EUR - counseling for prevention of HIV in Tetovo area
20.000 EUR – various activities with smaller budget
9. GFATM Round 10 HIV Grant
Grant signed, initiated in January 2012
GFATM disbursed 1,6 million EUR, expenditure
app.10.000 EUR
To date:
secondary recipients are not selected as planned (out
of 16 pre-selected and 2 new SRs, none is selected,
none has received funds to date)
Procurements have not been advertised and have
been delayed according to the Procurement Plan
M&E officer is still not hired
10. Secondary recipients
Pre-selected SRs: SRs that need to be selected
through a public bid:
1. HOPS (IDUs)
2. TRUST (IDUs)
Community strengthening activities
1.
3. VIA VITA (IDUs)
(Year 1)
4. CHOICE (IDUs) Sex workers (year 1)
2.
YOUTH CLUB (IDUs)
5.
PLWHA (Year 3)
3.
6. ZONA (IDUs)
7. PULS (IDUs)
IDUs (Struga) (Year 3)
4.
8. RED CROSS (IDUs)
9. HELP (IDUs)
10. CRJUZ (IDUs)
11. OPCIJA (IDUs)
12. Psychiatric hospital (IDUs)
13. EGAL (MSM)
14. HERA (VCCT)
15. Clinic for infectious diseases (treatment)
16. MoJ (Prisoners)
11. Recommendations
Hard benchmarks need to be completed as
soon as possible – signing of contracts with
pre-selected SRs, procurements etc.
CCM needs to receive clear, accurate and
time-bound pledges for the implementation
rather than vague promises
It seems that the MoH is detached from the
project implementation unit, since there is low
communication between the entities
CCM oversight committee has to closely
monitor the implementation of the HIV grant