SRH and HIV/AIDS Linkages at Policies, Programmes and Service ...

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BANGLADESHCAMBODIANEPALPHILIPPINESprogrammes. For example the HIV/AIDS programme in Bangladesh ispart of the HNPSP, PRSP and alsoappears in the ARHR policy paper.However the HIV/AIDS policy doesnot include issues of SRH. At theimplementation level, there are no bidirectionallinkages among the twoprogrammes. The FP programme that isrunning in the country does not includeVCT, PMTCT, and HIV programmes.However the VCT programmes carriedout by NGOs include FP issues.Respondents from the NGO sector saythat HIV/AIDS is usually mentionedwhen providing reproductive healthcareservices. However there is no linkagebetween the two programmes. Theministry of health reports that HIVprogrammes have been given priority inthe National Health Policy. However,national programmes on SRH do notinclude HIV prevention treatment,care and support issues such as VCTand HIV treatment, although SRHservices include BCC on HIV.All respondents agreed that the linkageis very weak and is vaguely designedbecause the strategies and policies weredeveloped at different points of time.As a result, linkage between policiesand programmes was not possible.Respondents from the NGO sectorsaid that both the programmes arerunning vertically because of the specificmandates of the organisations anddonors. The MoHFW is responsiblefor the overall policy, the DGFP isresponsible for the planning andimplementing of SRH programmes,and the DGHS is responsible for healthservices. The NASP was developedunder the DGHA to act as the focalpoint for developing all HIV/AIDSpolicy strategies and implementationof the programmes. Some respondentswere of the opinion that there aregaps between the two organisationsproviding support in SRH and HIV/AIDS in the country. Findings alsorevealed that none of the departmentswere concerned with linking SRH andHIV.1.5 Budget Funding andBudgetary SupportThe government has mobilised loansand grants from development partners,including the World Bank, GFATM,UN agencies, and other multilateraland bilateral donors, to supportinterventions to prevent and treatHIV among particularly vulnerablepopulations.ANational AIDS Spending Assessment(NASA) has yet to be carried out in thecountry. Much of the funding for HIVin Bangladesh comes from internationaldonors. Programmes under HNPSP /HIV are mainly funded by the WorldBank, the ADB and the GoB poolfunding. Table 3 below shows majorfunding sources and projects during theyears of the current national strategy.Tables 5A and 5B show the totalamount spent for the six major strategiccomponents of the programme.Spending for advocacy and technicalsupport was much higher than othercategories. Government financing forthe programme was less in comparisonto international not-for-profit sources,mainly international non-governmentalorganisations. Different financingsources have specific functional focus,16
ut all sources have consistently spenthighest on prevention, care and support.Spending on programme managementand administration needs careful andcautious interpretation; a detailedbreakdown of expenditure is necessaryto be able to draw conclusions. As thefinancing of national response is heavilyreliant on international funding, so is themanagement of funds. In other words,a large proportion of available fundsis managed (or spent) by or throughmultilateral agencies and INGOs.2. Systems2.1 PartnershipsIn Bangladesh partner organisationson SRHR related issues are mainlyfrom Sweden, working closely withthose from the Netherlands (EKN),DFID, WHO, and UNFPA. Swedensupports the sector programme inhealth where donors give their supportto the government via the World Bank.An example is the Urban PrimaryHealthcare Programme (UPHCPH)which is supported by Sweden via ADB,together with DFID and UNFPA.Development partners have beenplaying a significant role in theprevention and control of HIV inBangladesh, building the capacity ofgovernment to plan, design, implementand monitor the national HIVprogramme. Development partners arefrom multilateral bodies such as UNagencies, bilateral donors, internationalNGOs, and national and internationalresearch organisations such as IEDCRand ICDDR,B respectively. Theexisting HIV interventions are mainlysupported by USAID (through FHI),GFATM (through Save the Children-317
Page 2 and 3: Published by:International Council
Page 5 and 6: Table ofContentChapter Titles Pages
Page 7 and 8: INTRODUCTIONThe 2009 AIDS Epidemic
Page 9 and 10: REVIEW OF LINKAGES BETWEEN SEXUAL A
Page 11 and 12: ROUNDTABLE MEETING ON LINKAGES BETW
Page 13 and 14: Mr Roberto M Ador, Executive Direct
Page 15 and 16: Session 3: Health Systems Strengthe
Page 17 and 18: Model for Public-Private Partnershi
Page 19 and 20: CONCLUSIONSuccessful linkages betwe
Page 21 and 22: INSTITUTIONALCAPACITY FORHIV/AIDS A
Page 23 and 24: AbstractBackground: There are a num
Page 25 and 26: the highest export earnings. The pr
Page 27 and 28: grass-roots based service deliveryi
Page 29 and 30: However, condom use was low amongho
Page 31 and 32: 2and Save the Children, USA, and is
Page 33 and 34: Many important national guidelines,
Page 35: voluntarily, among project particip
Page 39 and 40: USA) and the World Bank ledconsorti
Page 41 and 42: the Prevention of Parent to ChildTr
Page 43 and 44: access to services for their consti
Page 45 and 46: for planned prevention, treatment a
Page 47 and 48: e accomplished if there is supporta
Page 49 and 50: In addition, not all services canbe
Page 51 and 52: daily lives and take priority overH
Page 53 and 54: Promote the social acceptability of
Page 55 and 56: References20 years of HIV in Bangla
Page 57 and 58: 337
Page 59 and 60: Annex 6: Figure 2: National AIDS Mo
Page 63 and 64: AbstractBackgroundThe HIV epidemic
Page 65 and 66: NMCHCNRHPNSRSHNational Maternal Chi
Page 67 and 68: management system, and health servi
Page 69 and 70: universal access to HIV prevention,
Page 71 and 72: In order to support the linked resp
Page 73 and 74: ased violence, unplanned pregnancy/
Page 75 and 76: The essential services package forr
Page 77 and 78: care, and VCCT and ANC;Family plann
Page 79 and 80: Strategy for RSH in Cambodia 2006 -
Page 81 and 82: Logistics management proceduresfor
Page 83 and 84: ReferencesStrategic Plan for HIV/AI
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ABSTRACTBackgroundThere are a numbe
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planning products from DHOs/DPHOs.A
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priority. A large part of the preve
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the major breakthrough in linking t
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guidelines especially those related
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Court responded to the petition byi
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34building on the technical strengt
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million from donors. As a percentag
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in hill and mountain districts. Fre
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uilding for home-based care through
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is from GFATM. It sets targetsand d
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SRH and HIV programmes are runverti
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IX. REFERENCES1. Adolescent Health
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BANGLADESHCAMBODIANEPALPHILIPPINES9
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BANGLADESHCAMBODIANEPALBackgroundTh
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BANGLADESHCAMBODIANEPALPHILIPPINESC
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BANGLADESHCAMBODIANEPALPHILIPPINESt
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BANGLADESHCAMBODIANEPALPHILIPPINEST
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BANGLADESHCAMBODIANEPALPHILIPPINESi
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BANGLADESHCAMBODIANEPALThe protocol
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BANGLADESHCAMBODIANEPALPHILIPPINESP
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