UNDP and HIV

…in Europe and the CIS

DRR MeetingDecember 2008

“ The AIDS epidemic is not only a major humanitarian concern but also an unparalleled development crisis.”

UNDP Administrator, Kemal DervisDecember 2006 World AIDS Day

“Many countries will fail to achieve the MDGs – or come even close – unless they respond to this (AIDS) crisis forcefully and with far more support from the international community.

I would like to emphasize that HIV-AIDS remains one of our top priorities…

2007 AIDS Epidemic Update

HIV/AIDS in RBEC region Relatively low, asymmetric prevalence . . .

BUT… very high growth (incidence): 1.5 million people now living with HIV in EE/CIS 110,000 new infections in 2007 twenty-fold increase in less than a decade!

Highly concentrated among marginalised: Injecting drug users Commercial sex workers Inmates of correctional facilities

Yet signs of generalization in the region Share of heterosexual transmission rising rapidly, now at

37% Share of new infections among women now 40% Number of children born to women living with HIV rapidly

increasing – schools and society are not prepared

Increase in the share of registered HIV infections among women (Russia 1995 – 2006)

HIV infections newly diagnosed: Cases reported in 2007 per million population WHO European Region

HIV infections newly diagnosed per million population, 1995-2006, selected countries, Eastern Europe

Is growing political leadership delivering on AIDS in the region?

From Global Task Team Recommendations…

UNDP: A Clear Mandate on AIDS

…to the UNAIDS Technical Division of Labour

Strategic Planning, Governance and Financial Management

HIV/AIDS, development, governance and mainstreaming, including PRSPs, and enabling legislation, human rights & gender

UNDP

ILO, UNAIDS, UNESCO, UNICEF, WHO, World Bank, UNFPA, UNHCR

Support to strategic, prioritized and costed national plans; financial management; human resources; capacity and infrastructure development; impact and sectoral work

World Bank

ILO, UNAIDS, UNDP, UNESCO, UNICEF, WHO

“Practice” & Team LeaderShombi Sharp

(Moscow based)

BDP AIDS GROUP NY

Bratislava RC

RBEC NY

HIV/AIDS AdvisorDudley Tarlton

( Moscow based)

Knowledge AnalystJohn Macauley(BRC based)

Regional Programme Steering Committee

Russia CO(Higher Prevalence)

All Country Offices

•Co-location with UNAIDS Regional Team

• At the center of the epidemic (burden & hub)

• Enhanced & flexible advisory support to all COs

CSO Partnership Coord.*Nastya Kamlyk

( Moscow based)

‘Out-posted Model’

* Post shared with UNAIDS Regional Team

Growth through partnerships…

Regional Programme delivery (USD) 2006-2008. * indicates parallel funding (TIKA, Czech Trust Fund and other).

0

500 000

1 000 000

1 500 000

2 000 000

2 500 000

3 000 000

3 500 000

2006 Actual 2007 Actual 2008Planned

Donor parallel funding*

Central Asia Project

UBW

Regional TRAC

HIV Practice Capacity

The Community of Practice – currently brings together 50 professionals

Implements over 30 projects region wide

Country level budgets of $8 million in 2008 without GFATM

Country level budgets of $20 million in 2008 with GFATM

Country level total current portfolio $82 million

UNDP’s Response - Corporate Framework(in line with UNAIDS/UN Division of Labor)

Stratplan Outcome Focus Area

1. Development planning and mainstreaming

HIV/AIDS mainstreaming

Socio-economic impact

Enabling trade and fiscal environment

2. Governance of HIV Response

RC system coordination and Joint UN Teams on AIDS

Three Ones and coordination of national responses

Oversight & management structures to "make the money work"

3. Law, human rights and gender

(including sexual diversity)

Human rights, legislation, stigma, discrimination & vuln. groups

Gender and AIDS

Greater involvement/empowerment of people living with HIV

4. Public health and development partnerships

Capacity development for Global Fund PR countries and CCMs

Implementation support for non-PR countries

In RBEC – support to the World Bank funded “Central Asia AIDS Control Project” in KZ, KY, TJ, UZ (KZ is lead CO).

UNDP’s Response - Corporate Framework(in line with UNAIDS/UN Division of Labor)

Focus Areas Example UNDP Activities

1. Development planning and mainstreaming

Support to Armenia PRSP inclusive feedback processSocio-economic impact

Enabling environment, trade and TRIPS, regional consultation

2. Governance of AIDS Response

Governance Capacity Assessments in 5 countries

Local Governance Capacity Assessment planned in 2 countries

Supported Joint Programming and Three Ones, including WHO Knowledge Hub and UNTG/UNAIDS activities in several countries via the COSF, including Croatia legislative review.

3. Law, human rights and gender

(including sexual diversity)

Completed pilot Vulnerability research in 6 countries, RHDR next,

Via COSF, funding “AIDS Watch” in Ukraine, Legal AIDS in KYRCommunity Dialogue Space “Besedka” at EECAAC & Mexico City

Customized and translated into Russian the “Know Your Universal Human Rights” awareness cards for WAD.

4. Public health and development partnerships

Capacity development for Global Fund PR countries and CCMs

Implementation support for non-PR countries

In RBEC – support to the World Bank funded “Central Asia AIDS Control Project” in KZ, KY, TJ, UZ (KZ is lead CO).

Strong growth in strategic position supporting flagship multi-lateral initiatives (especially Central Asia)

GFATM (1st completed grant in EE/CA) + $82 mil. (2008)

UNDP as Principal Recipient: Belarus, BiH, Montenegro, Tajikistan, (17% of UNDP total COs)

“New Model” Capacity development support to national PR’s Armenia, Kyrgyzstan, Uzbekistan (43% of UNDP total COs)

World Bank/EuraSEC + up to $20 mil. mobilised (2006)

First HIV/AIDS Regional Project for RBEC– signed NOV 2006 Capacity development & implementation support up to $20

million World Bank Central Asia Project, KAZ, KYR, TAJ, UZB

4) Making the Money Work – More & More

•Enhance corporate commitment with all Bureaus;•Coordinate, monitor and report on grants' delivery;•Enhance the capacity of non-PR and PR countries;•Ensure policy compliance and knowledge sharing;•Ensure a consistent application of policies by PR;•Strengthen HR planning and placement in PR CO;•Provide direct support to existing and new PR; •Provide Atlas support to PR and non PR countries;•Contribute to joint UNDP-GFATM missions; and •Work jointly with GFATM staff to plan country support.

GFATM Organization of SupportNew York

A team of 6 staff:

1 Programme Manager (D1); 1 Senior Operational Advisor (L5)

1 Programme Specialist (L4);1 Policy/Grants Implementation

Specialist (L4)1 Atlas Finance Officer (L3)

1 support staff (G5)Geneva

1 Senior Programme Specialist (L5)

Copenhagen1 Senior

Procurement Specialist (L5)1 Procurement Specialist (L4)

1 support staff (G5)1 PSM Specialist

(L4/5)

Serve as the liaison to the GFATM

BRC

Regional Team support &

Procurement

•Support PR countries; and•Further develop customized procurement instruments for CO.

The Country Office Support Facility – 2008-2009 Strengthening Regional - Country Partnership & Alignment Enhancing Regional coherence Rigorous application process utilizing BDP NY capacity Stimulating CO buy-in and “ownership” of Regional Programme Over $200,000 in 2008 (Over $500,000 in 2007)

Themes Sub-region (CountriesMobile populations Caucuses – Armenia ($15,000)

Central Asia – Kyrgyzstan ($25,000)Western CIS – Russia ($25,000)

Vulnerability research (follow-up to RHDR follow)

New EU country – Lithuania ($25,000)

HIV and Governance (Religious Leaders, CSO Empowerment and Local Capacity Development)

Central Asia – Kyrgyzstan ($10,000) – Kazakhstan ($ 25,000)Balkans – Serbia ($17,000)

MSM Western CIS – Ukraine ($25,000)

Sub-regional initiatives Balkans - 4 Countries ($40,000)

Total of 12 Countries and 9 projects

Key HIV/AIDS tools

HIV/AIDS Corporate Strategy

HIV/AIDS and Poverty Reduction Strategies – Practice note

Gender Guidance note

Vulnerability study methodology guide

Regional Capacity Assessment methodology guide

Breakdown of Service type in 2007

Breakdown by Service type - 2007

2%

4%

2%

20%

19%

1%15%

10%

1%

26%

Policy advise

Resource mobilization anddonor relations for clients

Community service

Short query

Substantive product review

Expert referal

Support to programme strategy

Support to programmeformulation

Targeted research

Workshop training

Looking Ahead – Drivers for 2009Key challenges:

• Ensuring that UNDP remains a relevant player in the field of HIV/AIDS – clarifying our niche and comparative advantage based on the UNAIDS division of labour• Ensuring continued UNDP senior management commitment to HIV/AIDS• Strengthened partnership/alignment with COs

Key opportunities:

• Sub-regional partnerships and resource mobilisation• Regional parliamentary working groups & faith based organisations• Joint resource mobilisation with UNAIDS (e.g., 3 Ones)• Follow up to RHDR will help identify programming opportunities• Mobile populations, Migration flows and HIV at the regional level• Russian AIDS related ODA programming in the CIS