REVISED INTEGRATED ANNUAL WORK PLAN

JULY 2009 to JUNE 2010 FISCAL YEAR

MID YEAR REVIEW OF THE 2010/2011 IAWP

Presented to the National AIDS Commission Board

April 2011

1

IntroductionIAWP is:

A planning, budgeting and monitoring toolTranslates the NAF into an annual

implementation planContinuously monitored through quarterly

progress reportsReports provide an opportunity to:

Identify well performing areas that need to be sustained Identify underperforming areas that require more effort to

accelerate progress Identify critical emerging issues that can contribute to the

success of the national response

Why the Mid-Year Review of the IAWP?

• Critically examine programme performance and implications of emerging issues

• Based on reports and other available evidence:

• Scale up activities (revise targets upwards)• Scale down activities (revise targets downwards)• Introduce new activities as relevant• Remove unnecessary activities• Roll over activities to next IAWP

Criteria for Reviewing ActivitiesConsiderations NAC initiated

work planPartner initiated work plan

Recommended action

1. Activities with unsatisfactory progress towards achieving targets but funded through performance based grants, whose funding is likely to be lost due to non-performance e.g. Global Fund

Yes Yes Retain and facilitate progress

2. Activities with unsatisfactory progress towards achieving targets and unlikely to improve significantly within the year due to reasons beyond implementers control

Yes Yes Scale down/reduce target

3. Survey based activities for which there is no capacity to implement within the year

Yes Yes Defer to next Fiscal Year

4. Inadvertently omitted activities essential to move the national response and carryover/outstanding activities from the July 2008 to June 2009 Fiscal Year

Yes Yes Include/add

5. Emerging critical activities that were not envisaged at the planning stage (e.g. HIV Prevention Strategy Operational Plan)

Yes Yes Include/add

Other critical considerations:Capacity of implementing partners (numbers and required expertise) Availability of financial resources (availability and timeliness of disbursements)

Revised Areas: Partner Implemented Work plan

Prevention and Behaviour ChangeMilestone Original

TargetHalf Year Progress

Revised Target

TV programmes/slots/talk shows including sign language produced targeting various social groups by target group and thematic area (on prevention, treatment, care and support)

200 190 250

Interactive outreach audio-visual shows in communities, schools and places of entertainment/hot spots by thematic area targeting the general and most-at-risk populations

900 257 600

Sensitisation campaigns by location (rural/urban) on the abstinence and mutual faithfulness strategy

900 282 600

Primary and secondary school teachers trained/retrained in life skills education and teaching the subject

15,000 2,526 7,500

HIV/AIDS club patrons for primary, secondary and tertiary schools trained in life skills education

800 276 600

Out- of- school youth club leaders, members/club patrons trained in interpersonal/interactive life skills education by gender and location

3,000 3,426 5,000

Revised Areas: Partner Implemented Work planPrevention and Behaviour Change cont’d..

Milestone Original Target

Half Year Progress

Revised Target

Youth peer educators trained 640 650 800Facilities (100 new) established/ supported to provide YFHS

800 1,633 2,400

Service providers trained to provide YFHS and SRH 350 304 450Young people accessing YFHS 250,000 969,530 1,500,000Condom promotion/ advocacy/ education sessions on usage (of both male and female condoms) conducted by target group and location

300 1,118 1,500

District officials trained in comprehensive condom programming

160 228 320

Sensitisation sessions on prevention and positive living

300 256 450

Facilities providing voluntary medical MC services 60 79 85

Milestone on “Sensitisation and awareness sessions on alcohol and drug abuse” proposed to change to “Development of alcohol and drug abuse policy”

Revised Areas: Partner Implemented Work planPrevention and Behaviour Change contd..

Milestone Original Target

Half Year Progress

Revised Target

Clients (couples)tested for HIV and receive their results by age and gender

2,000,000

455,836 1,200,000

District based HTC counselors offered refresher training

280 88 140

Health providers offered in-service training in PIHTC protocols.

25 74 100

Facilities providing Early Infant Diagnosis to exposed infants

120 192 190

PMTCT service providers, trainers and supervisors trained, refreshed and certified in PMTCT

500 614 650

Blood units collected nationally 80,000 20,738 40,000Awareness and advocacy campaigns on availability and access to PEP

300 252 350

Facilities providing PEP 280 406 410Cases reported through victim support units by gender

1,000 1,324 2,000

Revised Areas: Partner Implemented Work plan

Treatment Care and Support

Milestone Original Target

Half Year Progress

Revised Target

ART sites operational by type and location

400 406 410

HIV infected TB cases receive HAART (by gender and age)

70% 77% 80%

ART sites providing therapeutic food for HIV patients

80% 94% 95%

The following milestone ha been removed:

•District/rural hospital laboratories refurbished

Revised Areas: Partner Implemented Work planImpact Mitigation

Milestone Original Target

Half Year Progress

Revised Target

Vulnerable groups trained in IGAs and entrepreneurship skills.

450 587 650

Vulnerable young people trained in vocational and entrepreneurship skills by gender

3,000 3,579 5,000

Young artisans (aged 14 - 29) trained in business management and entrepreneurship including HIV and AIDS

900 2,423 3,500

Individuals received psychosocial support 15,000 14,518 20,000Sensitisation sessions on human rights, new HIV and AIDS related legislations and policies

15 25 45

Community-based paralegals trained and supported

320 59 160

OVC committee members trained in OVC core services

2,500 15,549 25,000

Registered orphans fostered 100 182 250

Revised Areas: Partner Implemented Work plan

Mainstreaming and Decentralisation

Milestone Original Target

Half Year Progress

Revised Target

Mainstreaming orientation sessions with leadership in the public sector, private sector, civil society and Local Authorities

20 22 30

People trained in HIV and AIDS mainstreaming

250 1,916 2,500

Revised Areas: Partner Implemented Work Plan

Research, Monitoring and Evaluation

Four surveys/studies to be removed since they are unlikely to be implemented in the current financial year:

•National STI Surveillance Survey

•Health Facility Survey

•Review of the National Research Strategy

•Life skills education survey conducted

Revised Areas: NAC Initiated Work plan1. New Activities

• Four new activities were introduced namely:– Zonal coordination meetings for the HIV

Prevention Strategy Phase I Operational Plan– Development of a national HIV Strategy

(consultancy and consultative meetings– Community-Based monitoring and evaluation

(CBME) (Impact evaluation)– Dissemination of Community-Based monitoring

and evaluation (CBME) findings

Revised Areas: NAC Initiated Work plan2. Activities Removed

• Two activities were deferred to next FY because unlikely to be implemented this FY

– Review and development of the national M&E Plan

– Consultative meetings for the review of the national M&E Plan

These await development of the new HIV and AIDS Strategy

Revised Areas: NAC Initiated Work plan

2. Activities Removed

– Consultative meetings with HIV and AIDS planners (including advocacy for gender sensitive planning)

• There was potential duplication since the HIV and AIDS Planners also attend consultative, coordination and TWG meetings organised by the programmes units

– Regional dissemination meetings for the Revised NAF

• Differed until the development of the new HIV and AIDS Strategy

– Mid programme evaluation for GF Round 7 grant

Revised Areas: NAC Initiated Work plan3. Activities Revised

3.1 Targets Revised

• Targets for six activities were revised upward because their annual target was achieved or close to achievement and expenditure within budget with potential balances

• Only two activities had their targets reduced due to change in implementation modality e.g. Regional sessions to national level sessions

Revised Areas: NAC Initiated Work plan3. Activities Revised

3.2 Budgets Revised

• Almost seventeen activities have their budgets increased due to unforeseen rise in input costs e.g. Fuel, consultancy fees.

• Most of the affected activities were– consultancies – Procurement of goods (some had outstanding

payments from previous FY)

Revised Areas: NAC Initiated Work plan3. Activities Revised

3.2 Budgets Revised• A bigger proportion of activities (35) had budgets

reduced mainly due to:– Change in implementation modality of some activities

resulting in savings – More activities done within Lilongwe at no or reduced

cost• Some activities (9) had both targets and budgets

reduced due to demands from other key activities resulting in delayed implementation

Budget Changes (NAC W/Plan)PROGRAMME AREA Original Budget Revised Budget  Total US$ TOTAL MK Total US$ TOTAL MK         

Behaviour Change Interventions

443,375.93

66,506,390.00

423,997.73

63,599,660.00

Policy Support and Development

50,941.20

7,641,180.00

94,397.60

14,159,640.00

Mainstreaming and Capacity Building

362,745.08

54,411,761.50

355,577.97

53,336,695.00

Planning, Monitoring, Evaluation and Research

713,963.00

107,094,450.00

679,772.70

101,958,405.00

District Coordination

160,914.20

24,137,130.00

140,173.20

21,025,980.00 Total Program Coordination 1,731,939,.41 259,790,911.50

1,693,869.20

254,025,380.00

 

Finance

135,483.00

20,322,450.00

143,863.00

21,579,450.00

Grants Management

225,022.60

33,753,390.00

245,826.90

36,874,035.00

Internal Audit

112,639.00

16,895,850.00 88,339.00

13,250,850.00

Procurement

181,806.40

27,270,960.00

152,544.00

22,881,600.00

Total Program Support 654,951.00 98,242,650.00

630,572.90

94,585,935.00  

Total Institutional Cost 5,421,938.59 813,290,788.50

5,473,486.90

821,023,035.00      

Total NAC WP

7,808,829.00 1,171,324,350.00

7,797,929.00

1,169,689,350.00          

Budget ChangesOriginal Budget Revised Budget

Total US$ TOTAL MK Total US$ TOTAL MK

TOTAL NAC WP

7,808,829.001,171,324,350.0

0

7,797,929.00

1,169,689,350

.00

TOTAL PARTNER WP

83,681,599.00

12,552,239,850.

00

83,692,499.0

0

12,553,874,85

0.00

TOTAL RESOURCES

91,490,428.00

13,723,564,200.

00

91,487,408.00

13,723,564,20

0.00

Conclusion

• Changes effected to acknowledge progress made towards attainment of the strategic goals and objectives

• Savings from each unit were ploughed back to those activities that required a budgetary increase unless there were no activities demanding such

• Key new activities accommodated from the overall savings

• Overall revised budget still within the approved budget

THANK YOU FOR YOUR ATTENTION!