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Swaziland experience
1. THE KINGDOM OF SWAZILAND
COORDINATION OF MULTISECTORAL
RESPONSE TO HIV AND AIDS
“Amidst the winds of change”
NERCHA DIRECTOR
NOVEMBER 2013
ETHIOPIA COORDINATION MEETING
Take The Lead. Stop AIDS. Keep the Promise
3. Uncoordinated Implementation of the
Response
Private Sector
UNAIDS
Chiness
USAID
CCM
INT NGO
3/5
UNICEF
WB
EU
UNFPA
WFP
MOF
Partnership forum
THO
Disaster Unit
GFATM
WHO
World bank
World bank
Army
Army
MOH
Church
Church
Forum
Forum
SNYC
MOE
NDS
NDS
CCA/ UNDAF
SNAP
Police
AMICAALL
LOCALGVT
CIVIL SOCIETY/NGOS
A NATION AT WAR WITH HIV&AIDS
PRIVATE SECTOR
4. GOVERNMENT ESTABLISHES
NERCHA IN DECEMBER 2003 TO
COORDINATE AND FACILITATE
THE MULTISECTORAL
RESPONSE…..
Take The Lead. Stop AIDS. Keep the
Promise
5. NERCHA ESTABLISHED…….
• As a parastatal (independent Organization) by
Act no 8 of 2003.
• Reports to the Prime Minister’s Office
• Has a multisectoral Council involving all
stakeholders in HIV response
• Coordination Forums supported for
information sharing, joint planning and
monitoring response
Take The Lead. Stop AIDS. Keep the
Promise
6. Strengths and Challenges of AIDS
response governance arrangements
Strengths
Challenges
The authority and power to coordinate
partners
High cost to coordinate the response
(efficiency)
Resource to support other coordinating
Entities, implementing partners and Sub
recipient
Political leadership
Knowledge and information
management of the epidemic
Compliance to three one
Separation of responsibilities with other
implementation partners
duplication
(Implementation and coordination)
Role of CCM and NERCHA
Meaningful coordination at community
level
7. Proposed changes to AIDS response governance (recently
undertaken or planned)
• Joint review on the HIV/AIDS management in
•
•
•
•
•
Swaziland (NASA, Mapping tool)
Board (Council) inducted to use a business based
management model (King three)
Developing an investment case for the AIDS
components including response management.
HIV/AIDS Response management key priority in the
new National Strategy
Review all the coordination structures
NERCHA functions reviewed to be inline with New
Strategy
8. Approach and rationale for changes
• Drafting a board paper to motivate the review of
NAC .
• Clear TOR and buy in by Minister, Council, Staff and
Partners
• independent reviewers supported by UNDP
outcome (deliverables):
-role of NERCHA in management of the Strategic plan
(post 2015). KPA, KPI,
-Efficiencies and fiscal space ( structure and resources
needed
Take The Lead. Stop AIDS. Keep the
Promise
10. THE CHANGING FACE OF
RESPONSE MANAGEMENT
• From sector mobilization to an efficient and
effective HIV management model
• Mainstreaming of HIV and gender response in
core mandates of sectors – using
comparative advantage
• From resource mobilization to Sustainable
financing of HIV response
Take The Lead. Stop AIDS. Keep the
Promise
11. HIGH IMPACT HIV
PROGRAMMES…
• Improve efficiency
and effectiveness
of the national
response
planning,
coordination and
service delivery.
• Redefine Coordination
roles and responsibilities
• Alignment and
repositioning for post
2015 agenda
• Rationalize use of
resources
• Ensure equitable service
delivery
Take The Lead. Stop AIDS. Keep the
Promise
12. …… .together we will end AIDS …
Take The Lead. Stop AIDS. Keep the
Promise