Concept Note on HIV Mongolia 2015-2017

Concept Note on HIV
Mongolia 2015-2017
Process and key components of
Funding Request to Global Fund
Process
 KEY STEPS:
 Revision of NSP operational plans in 5 priority areas
 Training of key team members on Concept Note in
Switzerland
 CCM technical working group developing Concept
Note with external consultants
 Endorsement by CCM 10 June 2014
 Submission deadline 15 June 2014
Revision of NSP operational plans in
5 priority areas:
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Prevention for key populations (MSM, sex workers, PWID)
Prevention for youth & other vulnerable populations
Treatment, care & support for PLHIV and families
Supportive legal and policy environments
Strengthening strategic information: surveillance,
research, M&E
Key documents used for prioritising
modules & interventions
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National Strategic Plan 2010-2015
Updated workplans for 2015-2017
Mid-term review of NSP (2013)
Epidemiological data and research
Portfolio Analysis by Global Fund Mongolia Country
team (Geneva)
Portfolio Analysis GFATM: Key issues
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CCM eligibility performance assessment
Define key populations
Intensify targeted HIV-case finding (HIV testing)
Scale up coverage HIV prevention for key populations
Strengthening HIV/STI surveillance
Targeted interventions for youth
Strengthen community-based groups
Strengthen M&E systems: Integrate HIV in NHIS, strengthen
M&E for key populations, mapping, size estimations, review
data-collection tools
 Logistics Management Information Systems
 Gender, VAWG
 Address stigma & discrimination (police, health sector)
Main components of Concept Note
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A. Narrative proposal: 4 main sections:
1. Country context
2. Funding landscape
3. Funding request to Global Fund
4. Implementation arrangement and risk assessment
 B. Online Grant Management Portal: key data
Online Grant Management Portal
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KEY SECTIONS OF CONCEPT NOTE ONLINE:
Programme Split
Financial Gap Analysis & Counterpart Financing
Goals, objectives and impact/outcome indicators
Modules & Interventions:
- Programmatic Gap tables for key indicators
- Coverage & Output indicators
- Modules Budget
Modules & Interventions:
Prevention for key populations
 MSM & Sex workers:
 Key service packages: BCC, condoms, HIV testing, STI
services, Hepatitis
 Focus on scaling up coverage and increased quality,
referral and collaboration
 Strengthen outreach and HIV testing (esp. MSM)
 Institutional & Organisational Strengthening for scale-up
 Technical support and staff capacity building
 Advocacy and Social mobilisation for supportive
environments and collaboration (e.g. Police)
Modules & Interventions:
Prevention for key populations
 People who inject drugs:
 Strengthen strategic information (research)
 Pilot programme based on findings
Modules & Interventions:
Prevention for key populations
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Key expected results:
MSM:
Coverage with BCC and condoms: 8%  15% (2017)
HIV testing: 4.4%  8% (2017)
Sex workers:
Coverage with BCC and condoms: 63%  87% (2017)
HIV testing: 23%  32% (2017)
Modules & Interventions: Prevention
for Other vulnerable populations
 STI clients: Promoting 4Cs (Compliance to treatment; Counselling;
Contact tracing and Condom promotion)
 Selected workplace interventions: advocacy and sensitisation with
private sector, esp. mobile populations (mining, road construction,
transportation, tourism, military); revision of existing HIV/STIprevention modules, which are used for (organised) pre-departure
trainings for migrant workers
 Uniformed services: updating HIV curriculum for uniformed staff
 Prison inmates: Integrating HIV in prison health system – specific
HIV services
 Adolescents and youth: range of HIV interventions in formal and
non-formal settings, incl. curriculum development and training;
innovative BCC (social media, cell phone)
 Advocacy for government support for condom social marketing in
different sectors
Modules & Interventions: Treatment,
Care & Support for PLHIV & families
 Strengthening PLHIV networks
 Psychological and other support services for PLHIV and
their families
 Establishing HIV/AIDS care services and human-resource
strengthening at the province and district level
 Improving quality and accessibility of HIV treatment and
care service
 Improving coordination between HIV, TB, hepatitis, blood
safety programmes
Modules & Interventions: Supportive
Legal and Policy environments
 Strengthen supportive environments:
 Political commitment and advocacy
 Laws, legal policies and practices
Interventions:
 Legal assessments and reviews
 Advocacy among policy- & decision-makers in health and
non-health sectors & private sector
 Development of national and local HIV policies and plans
involving all key sectors
Modules & Interventions: Strategic
Info: Surveillance, Research, M&E
 Strengthen availability, quality & effective use of strategic
information for evidence-informed decision-making in policy,
programmes & resource allocation:
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Strengthening national HIV/STI surveillance system
Upgrading routine HIV/STI reporting system
Strengthening programmatic monitoring and evaluation
Special studies, evaluations, assessments & operational
research
 Strengthening logistic management and information system
Financial allocations
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Total country allocation GF: USD 4,987,110
40% Country Counterpart financing requirement (3.3 M)
Willingness to Pay: Annual increase Govt. HIV budget
50% for key populations
USD
%
Prevention MSM
1.030.387
20,7
Preventon sex workers
1.297.043
26,0
164.355
3,3
602.185
12,1
703.525
14,1
TB/HIV
32.794
0,7
Removing Legal Barriers
157.444
3,2
Policy & Governance
20.228
0,4
Surveillance, Research and M&E
346.767
7,0
Service Delivery
66.262
1,3
Programme Management (PCU)
566.522
11,4
4.987.512
100
Prevention PWID
Prevention Youth & Other
Vulnerable Groups
Treatment, Care & Support for
PLHIV