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CCM MACEDONIA
Oversight working group findings HIV/AIDS grants
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
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
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
CCM Macedonia
HIV/AIDS data (Indicator 1-IDUs)
CCM Macedonia
HIV/AIDS data (Indicator 2 -MSM)
CCM Macedonia
HIV/AIDS data (Indicator 3 - VCCT)
CCM Macedonia
HIV/AIDS data:
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
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)
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
Thank you!

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Oversight working group

  • 1. CCM MACEDONIA Oversight working group findings HIV/AIDS grants
  • 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
  • 5. CCM Macedonia HIV/AIDS data (Indicator 1-IDUs)
  • 6. CCM Macedonia HIV/AIDS data (Indicator 2 -MSM)
  • 7. CCM Macedonia HIV/AIDS data (Indicator 3 - VCCT)
  • 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