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    SAARC RegionalStrategy on

    HIV and AIDS(2006-2010)

    SAARC

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    SAARC Secretariat, Kathmandu

    Published byInformation and Publications DivisionSAARC SecretariatP.O. Box 4222

    Kathmandu, Nepal

    Tel: (977-1) 4221785Fax: (977-1) 4227033e-mail: [email protected]

    Web: http://www.saarc-sec.org

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    SECTION A: 1. PREFACE .................................................................................. 4

    2. EXECUTIVE SUMMARY .............................................................. 53. LIST OF ACRONYMS AND ABBREVIATIONS ............................. 9

    SECTION B: BACKGROUND .......................................................................... 11

    1. HIV and AIDS situation in the SAARC Region ................................ 14

    1.1 Bangladesh .........................................................................14

    1.2 Bhutan ................................................................................. 151.3 India ...................................................................................15

    1.4 Maldives .............................................................................. 16

    1.5 Nepal ..................................................................................16

    1.6 Pakistan ............................................................................... 17

    1.7 Sri Lanka .............................................................................17

    2. HIV and AIDS Risk factors in the region ......................................... 18

    3. Health and Socio Economic impact ............................................... 18

    4. Situation of TB in the SAARC region ............................................. 19

    5. Need for SAARC Regional Strategy on HIV and AIDS .................... 20

    SECTION C: VISION, GUIDING PRINCIPLES, GOAL AND STRATEGIC OBJECTIVES 21

    1. Vision .......................................................................................... 21

    2. Guiding Principles ......................................................................... 213. Goal ............................................................................................22

    4. Strategic Objectives ...................................................................... 22

    SECTION D: SAARC ISSUES, CHALLENGES AND OPPORTUNITIES .................. 25

    Contents

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    Section: A

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    Executive SummaryThe countries of the South Asian Association for

    Regional Cooperation (SAARC) region have

    reached a critical point

    with respect to HIV and

    AIDS.

    However, their governments, donors

    and stakeholder organizations believe

    they can avert a massive increase in

    infections, limit economic losses and

    save millions of men, women and

    children from abject poverty. Although,

    levels of infection remain low

    compared to countries of sub Saharan

    Africa, SAARC countries are home to

    much larger populations. Therefore

    even at low prevalence rates, thecourse of the epidemic in the SAARC

    region will impact upon the

    magnitude of the global AIDS

    pandemic over the next decade.

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    Key challenges in addressing HIV and AIDS in the region includes:

    inadequate surveillance and monitoring capacity at all levels; theprovision of sustainable leadership at all levels; difficulties in

    sustaining comprehensive national level programmes; the need for

    coordination at regional and national levels; the need to deal with

    vulnerable groups; the need to address prevention and treatment

    issues, such as gender equality; and, the need for addressing stigma

    and discrimination issues.

    Process undertaken todevelop the Regional StrategyThe SAARC Regional Strategy was developed through an extensive

    consultative process, taking into consideration the uniqueness of the

    SAARC region including lessons learnt from countries that have

    halted or reversed the epidemic.

    Following the first consultation of the Joint SAARC-UNAIDS Expert

    Group Meeting of National HIV and AIDS Programme Managers in

    Dhaka in April 2005, a first draft was developed and circulated to

    the participants and representatives of the co-sponsoringorganizations. A second draft was developed incorporating the

    comments received. That draft was circulated among the SAARC

    Member States, prior to the Thirty-first Session of the Standing

    Committee for concurrence. The Leaders at the Thirteenth SAARC

    Summit (Dhaka, 12-13 November 2005) welcomed the preparation

    of the Strategy for collective SAARC response to prevent and spreadof HIV and AIDS.

    Key directions taken in the StrategyIt is inevitable when developing a strategy for a group of countries

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    The Regional Strategy will strengthen work at the regional level

    through improved coordination, collaboration and partnershipbetween regional organizations and national programmes. This will

    be especially the case for TB, HIV and AIDS and STI prevention and

    treatment programmes.

    Policies and advocacy will form the backbone of the Regional

    Strategy. Policies will be developed and advocacy will be strengthened

    in key areas including: the development of a good surveillance systemfor tracking the epidemic; development and implementation of a

    prevention strategy; development of policies and programmes on

    the continuum of treatment and care; advocacy for countering stigma

    and discrimination; empowering PLWHA and protecting their rights

    to guarantee the enjoyment of a dignified life; mainstreaming HIV

    and AIDS into relevant line ministries conducive to a multi-sectoral

    and integrated approach against HIV and AIDS; and, resource

    mobilization for both SAARC and individual Member States.

    SAARC will also: facilitate leadership support for HIV and AIDS,

    including the establishment of a high-level committee, (such as cabinet

    level), to highlight the importance of the issues; and, appoint andutilize SAARC goodwill ambassadors.

    In addition, SAARC will encourage Member States to involve civil

    society leadership such as religious, women, youth, media, business

    and other leaders.

    Other key elements include: collaboration, coordination and

    networking, capacity building, training and research. Furthermore,an implementation plan and a monitoring and evaluation system

    are featured.

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    ADB Asian Development BankAIDS Acquired Immune Deficiency Syndrome

    ANC Antenatal Clinic

    APEC Asia Pacific Economic Cooperation

    ASEAN Association of South East Asian Nations

    BCC Behaviour Change Communication

    BCI Behavior Change InitiativeBRAC Bangladesh Rural Advancement Committee

    CBO Community Based Organization

    CEDAW Convent ion on the Eliminat ion of Discrimination

    against Women

    CSW Commercial Sex Worker

    DOTS Directly Observed Treatment, Short-courseDPM Deputy Programme Manager

    ESCAP Economic and Scientific Commission for Asia and the

    Pacific

    FSW F l S W k

    Acronyms& Abbreviations

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    NACO National AIDS Control Organization (India)

    NACP National AIDS Control Programme (general)NASP National AIDS/STD Programme (Bangladesh)

    NGO Non Governmental Organization

    NTP National Tuberculosis Control Programme

    PLF Pacific Island Forum

    PLWHA People living with HIV/AIDS

    PM Programme ManagerPMTCT Prevention of Mother to Child Transmission

    SAARC South Asian Association for Regional Cooperation

    STC SAARC Tuberculosis Centre

    STD Sexually Transmitted Disease

    STI Sexually Transmitted Infection

    SW Sex Worker

    TB Tuberculosis

    TB/HIV Co-infection from both TB bacillus and HIV virus

    TOT Training of Trainers

    UNAIDAS Joint United Nations Programme on HIV/AIDS

    UNDP United Nations Development Programme

    UNDOC United Nations Organization for Drug Control

    UNGASS United Nations General Assembly on Special Session

    UNICEF United Nations Childrens Fund

    UNIFEM United Nations Development Fund for Women

    UNFPA United Nations Population Fund

    VCT Voluntary Counselling and Testing for HIV WHO World Health Organization

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    SAARCREGIONALSTRATEGY

    ON

    HIVANDAIDS

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    Activities

    Policy Advocacy

    and communication

    Mobilise Resources

    Leadership

    mobilisation

    Sub activities

    Collate and synthesize

    country information on

    HIV/AIDS policy in

    relevant ministries

    and promote multi-

    sectorality

    Mobilize resources for

    SAARC Secretariat

    Proposal preparation

    for GFATM Round Six

    Support involvement

    of leaders from

    multiple sectors e.g.,

    women, religious,youth, business,

    media, positive

    networks, etc.

    Methodology

    Bring the agenda in

    ministerial meeting /

    regional forum

    Member States to support

    SAARC Secretariat in

    generating resourcesfrom internal and external

    donors

    1. Facilitate regional

    advocacy events

    2. Mobilise expertise fromrelevant organizations and

    member states

    Responsibility

    SAARC Secretariat/

    SAARC TB and HIV/

    AIDS Centre (STC)

    in Collaboration

    with Member States

    SAARC Secretariat

    and Member States

    SAARC Secretariat

    in collaboration with

    UNDP RCC

    SAARC Secretariat

    and STC in

    partnership with

    UNICEF, UNFPA,ILO, UNDP,

    UNAIDS and other

    organization

    Time limit

    2006 and

    onwards

    July 2006 and

    onwards

    On going

    Indicators

    Number of

    ministry have

    incorporated HIV/

    AIDS concerns in

    ongoing

    programs

    MOU/funding

    agreements with

    donors

    Number of

    advocacy event

    where other

    leaders wereinvolved

    Outcome

    Increased multisecto

    involvement in HIV/A

    related activities

    Availability of sufficie

    fund

    Other leadership act

    participate in HIV/AID

    programs

    Detailed Work Plan for Implementation of SAARC Regional Strategy on HIV/AIDS (2006-20

    Component: I) Policies & Advocacy

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    SAARCREGIONALSTR

    ATEGY

    ONHIVANDAIDS

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    Indicators

    Number of high

    level political

    advocacy visits/

    events attended by

    Goodwill

    Ambassadors

    No of countries

    developing or

    adapting national

    guidelines on safe

    mobility, internaland external

    displacement and

    implementing

    policy

    No. of meetings/

    forums where

    issues related todrug use are

    addressed

    Responsibility

    SAARC Secretariat/

    STC

    in collaboration with

    Member States

    SAARC Secretariat /

    STC in collaboration

    with MS, UNDP and

    UNHCR, UNIFEM,

    IOM

    SAARC Secretariat/

    Member States in

    collaboration withUNODC; UNAIDS

    Time limit

    Dec.2006 and

    onwards

    Dec. 2006

    onwards

    Dec. 2006 and

    onwards

    Outcome

    Goodwill Ambassado

    have been effective in

    advocating on issues

    facilitate implementat

    of a scaled up respo

    i) Member States

    address safe mobility

    issues.

    ii) National Governmpolicy on HIV/AIDS

    reflects key issues

    related to safe mobili

    and displacement

    Member States

    addressing drug use

    related risk andvulnerability to HIV.

    Detailed Work Plan for Implementation of SAARC Regional Strategy on HIV/AIDS (2006-20

    Component: I) Policies & Advocacy..... contd.

    Activities

    Promote Regional

    dialogue on cross

    border issues

    relevant to HIV/

    AIDS

    Sub activities

    Appoint SAARC

    goodwill Ambassadors

    Mobility:

    Raise cross border

    mobility issues under

    the SAARC

    Convention onTrafficking

    Drug use:

    Raise cross border

    issues at appropriatefora and revisit the

    partnerships with

    concerned

    organisations

    Methodology

    In consultation with

    Member States appoint

    good will Ambassadors at

    regional level

    Through Ministerial

    Meetings, Program

    Managers Meeting and

    Meetings of the Technical

    Committee on Women,Youth and Children.

    Facilitation through

    Ministerial Meetings and

    other forums

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    SAARCREGIONALSTRATEGY

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    Indicators

    Information shared

    Researchconducted and

    findings shared

    Information shared

    Research

    conducted and

    findings shared

    Regional

    consultation report

    shared.

    Activities

    Youth and

    AdolescentsMake available

    analysis and strategic

    information including

    KAP on young people

    and HIV in the region

    for policy, advocacy

    and programming

    Children and

    orphans

    Facilitate evidence-

    based advocacy and

    programming for

    children affected by

    HIV/AIDS.

    Sub activities

    a) Collect and compile

    relevant information

    b) Evidence-based

    advocacy initiatives for

    enhanced access to

    youth friendly services

    for prevention, care

    and support

    a) Facilitate

    assessments of children

    affected by HIV/AIDS in

    all countries.

    b) Undertake regional

    synthesis and analysis

    of country assessmentsc) Sharing of

    information on orphans

    and children living in

    families affected by

    HIV/AIDS

    Methodology

    Share the information with

    MS

    Coordinate SAARC

    Children Affected by HIV/

    AIDS Conference and

    form Taskforce to facilitate

    development of costed

    actions plans in all

    countries

    Responsibility

    SAARC Secretariat /

    STC and MemberStates in

    collaboration with

    UNICEF, UNESCO

    and UNFPA

    SAARC Secretariat /

    STC and Member

    States in

    collaboration with

    UNICEF

    Time limit

    2006, onwards

    1st quarter of

    2007

    Detailed Work Plan for Implementation of SAARC Regional Strategy on HIV/AIDS (2006-20

    Component: I) Policies & Advocacy..... contd.

    Outcome

    Access to youth frien

    services for preventiocare and support

    increased

    Increased attention to

    orphan issues in the

    Region

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    SAARCREGIONALSTR

    ATEGY

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    Indicators

    Standard

    surveillance

    system in place

    Surveillancereports

    disseminated

    % of most at risk

    population

    reached by

    prevention

    services

    % of most at

    risk population

    received VCCT

    services

    Activities

    Surveillance and

    Strategic

    Information

    Advocate and

    facilitate the adoptionof standard Sero and

    behavioral

    surveillance system

    and other research

    for tracking the

    epidemic and

    generating strategic

    information

    Prevention Strategy

    Advocate for

    enhanced prevention

    strategy to address

    the challenges of

    moving towards

    universal access to

    prevention services

    Sub activities

    a) Review existing surveillance system in

    Member States

    b) Share and adopt best practices in the region

    through consultative meetings at regional level

    c) Advocate for consideration at managerial and

    relevant SAARC bodies

    d) Routine sharing of surveillance reports by

    Member States.

    e) Strengthen data base of country-wisesurveillance information

    Revisit national prevention strategies and adjust

    targets to be in line with universal access

    aspiration

    Consult with programme managers and other

    partners to formulate appropriate programmes

    Methodology

    a) To utilize

    existing SAARC

    structures and

    mechanisms to

    reach decisionmaking and

    implementation

    b) Regular

    updating of

    data base

    Review

    Workshops

    Follow-up

    meeting

    Responsibility

    SAARC Secretariat /

    STC in collaboration

    with WHO, UNAIDS

    / other

    organizations

    SAARC Secretariat/

    STC and Member

    States, UNAIDS

    Time limit

    September 2006,

    2008, 2010

    March 2007 and

    annual follow up

    Outcom

    Outcom

    Trend o

    epidem

    analyze

    Andinforma

    utilised

    Increase

    coverag

    preventi

    services

    vulnerab

    populati

    Work Plan for Implementation of SAARC Regional Strategy on HIV/AIDS

    Component: II) PREVENTION STRATEGIES

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    SAARCREGIONALSTRATEGY

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    Activities

    Universal Access

    Facilitate country's

    positioning towards

    achieving UniversalAccess for

    treatment and care

    for both adults and

    children

    Increase access

    to ART

    Sub activities

    Review current status of treatment and care as

    well as establish functional coordination between

    National TB and HIV/AIDS Programs in the

    region

    a) Estimate ARV requirement based on accurate

    size estimation and advocate with regional/global

    body for resource generation

    b) Facilitate development/ adaptation of cost

    effective outreach strategies ensuring universal

    access to treatment and care

    c) Facilitate increased access to affordable drugs

    and test facilities

    d) Facilitate on development of strong network

    between the provider and PLHA to make the

    service accessible and on development ofcoordination between the Member States to make

    the availability of affordable drugs

    Methodology

    a) Conduct assessment,

    b) Follow up with

    member countries

    c) Establish a Regional

    Database

    a) Update requirement

    using database

    b) Conduct regional

    review meeting on

    Treatment and Care

    c) Conduct strategic

    planning meetings/

    workshops on U/A for

    treatment & care and

    Identify effective

    strategies and policies

    for adaptation in theregion

    Responsibility

    SAARC

    Secretariat and

    STC and

    Member States(in collaboration

    with WHO/

    UNAIDS; where

    necessary)

    SAARC

    Secretariat and

    SAARC TB and

    HIVAIDS Center

    and Member

    States (in

    collaboration

    with WHO/

    UNAIDS; where

    necessary)

    Time limit

    December

    2006 and

    annually

    thereafter

    December

    2006 and

    annually

    thereafter

    Work Plan for Implementation of SAARC Regional Strategy on HIV/AIDS

    Component: III) TREATMENT AND CARE

    Indicators

    a) Increased

    treatment coverage

    b) Effectivecoordination

    between TB and

    HIV programs at

    country level

    c) Increased

    number of TB/ HIV

    cross referral

    a) Projected need

    for ARV and

    resources in place

    b) Increased

    resource

    generation for ARV

    Outcome

    a) Effectiv

    treatment

    program

    placeb) Equitab

    access to

    available

    PLHA

    Increased

    access to

    affordabl

    treatment

    care for P

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    ATEGY

    ONHIVANDAIDS

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    Activities

    Experience

    Sharing

    Sub activities

    Facilitate inter-country and regional cooperation

    in sharing expertise, best practices and resources

    for treatment and care.

    Methodology

    a) Identify and enlist

    pool of experts

    b) Document best

    practices

    c) Identify learning

    strategy

    d). Develop regional

    training/learning centres

    Responsibility

    SAARC

    Secretariat,

    STC, Member

    States; WHO

    Time limit

    December

    2006

    Work Plan for Implementation of SAARC Regional Strategy on HIV/AIDS

    Component: III) TREATMENT AND CARE..... contd.

    Indicators

    a) Number of

    experts enlisted

    b) # of best

    practice

    documented

    Outcome

    Database of

    experts and b

    practices

    established

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    SAARCREGIONALSTRATEGY

    ON

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    Activities

    Elimination ofstigma and

    discrimination of

    PLHA

    Sub activities

    a) Advocate for and monitorestablishment /strengthening of regional

    forum and country level PLHA networks

    as well as positive women's network to

    facilitate leadership support for HIV/AIDS

    b) Promote and advocate for

    strengthening of self-help groups of

    returnee migrant workers, CSWs, MSM

    c) Share experiences on all issues related

    to eliminating stigma and discrimination

    d) Prioritize Interaction with the regional

    PLHA networks established by UNDP

    e) Advocate of preventive strategies at all

    levels of society through different

    organizations and institutes of all sectors

    f) Facilitate on development of forum

    which could facilitate to provide

    opportunity for PLHA on empowerment

    Methodology

    a) Follow up withMember States to

    involve PLHA and

    SHGs in the

    planning and

    implementation

    b) Collect

    information from

    Member States,

    compile and

    disseminate relevant

    information to

    Member States

    c) Organize

    meeting of

    PLHAs

    Responsibility

    SAARCSecretariat/STC

    in Collaboration

    with Member

    States and

    UNAIDS, UNDP

    and UNIFEM

    Work Plan for Implementation of SAARC Regional Strategy on HIV/AIDS

    Component: IV) STIGMA AND DISCRIMINATION

    Time limit

    By December2007

    Indicators

    a) Numberof Networks

    set up

    b) Number

    of Members

    covered and

    geographical

    areacovered

    c) Regional

    forum

    established

    d) No of

    sharing

    events

    organized

    Outcome

    a) Functional andempowered PLHA an

    Positive Women net

    works playing

    leadership roles and

    acting as resource

    b) Relevant

    information

    disseminated and

    used for decision

    making

    c) Regional network

    strengthened and

    experiences and

    document on lessons

    learnt shared

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    SAARCREGIONALSTR

    ATEGY

    ONHIVANDAIDS

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    Activities

    Workplace

    Policies

    Promote

    decriminalization

    of people at High

    risk and PLHA

    Sub activities

    a) Facilitate Member States to develop

    HIV/AIDS workplace policies and

    ensure implementation

    b) Promote Non-discriminatory

    Institutional (educational and Health

    care, etc) policies in Member States

    Promote policies and legislation to

    ensure decriminalization of people at

    high risk

    Methodology

    a) Review and provide

    necessary guidance

    for regional &

    national policies and

    legislations

    b) Facilitate

    development and

    implementation of

    policies

    a) Review and provide

    necessary guidance

    for regional &

    national policies and

    legislations

    Through regional

    sharing and

    Declaration /

    Agreement by

    Member States

    Responsibility

    SAARC Secretariat

    /STC

    and SAARC

    Chamber of

    Commerce

    in Collaboration

    with Member States

    and ILO, WHO,

    UNICEF, UNESCO,

    business coalition of

    Member States

    SAARC Secretariat /

    STC

    collaboration with

    Member States and

    ILO, WHO,

    UNICEF, UNESCO,

    SAARC Secretariat/

    STC in partnership

    with UNAIDS,

    UNDP, UNIFEM and

    UNODC

    Work Plan for Implementation of SAARC Regional Strategy on HIV/AIDS

    Component: IV) STIGMA AND DISCRIMINATION..... contd.

    Time limit

    2006 to

    December

    2007

    2006 to

    December

    2007

    January

    2007 to be

    started

    Indicators

    Number of public

    sector offices,

    transnational

    companies and inter

    national

    organizations

    which have

    workplace HIV/AIDS

    policies.

    Existence of

    educational and

    health care policies

    (public and Private

    sector) to prevent

    stigma and

    discrimination

    Number of policies

    / protective

    legislations against

    criminalization

    changed

    Outcome

    Policies review

    revisited/ revi

    or developed.

    And

    implementatio

    started

    Discrimination

    reduced in

    educational a

    health care

    settings

    Criminal actio

    against High r

    behavior

    population

    reduced.

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    Activities

    Establish South-

    South Cooperation

    with other regionalbodies

    Sub activities

    Share with and learn

    from other regional

    bodies

    Methodology

    a) Mapping of

    collaborating bodies and

    issues at different level

    b) Conduct inter regional

    visits and / or meetings

    c) Share information

    Responsibility

    SAARC Secretariat /

    STC and member

    states incollaboration with

    UN & other regional

    organizations

    Time limit

    2 visits/

    meetings

    within 5 years

    Indicators

    Number of

    meeting attended

    Number of visits

    conducted

    Outcome

    Inter regional

    collaboration establis

    and strengthened

    SAARC HIV/AIDS Strategy Implementation Work Plan

    Component: V) COLLABORATION, COORDINATION & NETWORKING

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    SAARCREGIONALSTRATEGY

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    Indicators

    Indicators

    Number of

    centers identified

    Number of TOTheld

    Number of

    countries having

    center of

    excellence

    Database of HIV/

    AIDS research

    Number of

    countries where

    proposed

    research

    conducted

    Activities

    Strengthen

    Capacity of SAARC

    Secretariat /STC

    and facilitate

    capacity buildingof National AIDS

    Program staff of

    Member States

    Identify priority

    research agenda/

    areas for the

    region

    Sub activities

    Identify centers of

    excellence within or

    out side the region

    and facilitate TOT for

    member countries inthe areas of

    Epidemiology, disease

    and behavioral

    surveillance, program

    and clinical

    management

    Mapping of existing

    research on HIV/AIDS

    in the region

    Develop protocol and

    conduct research onidentified areas

    Methodology

    a) Collect required

    information & select the

    suitable center on priority

    basis

    b) Generate resources

    and facilitate trainings in

    collaboration with

    identified institutions and

    organizations

    Regional consultation

    Technical support

    Responsibility

    Responsibilities

    SAARC Secretariat /

    STC , Member

    States , and

    collaboratingagencies

    As above

    Time limit

    Time limit

    December

    2006 and

    onwards

    June 2007

    Outcome

    Outcome

    Partnership establish

    Capacity strengthene

    Research conducted

    findings disseminate

    and utilized

    Work Plan for Implementation of SAARC Regional Strategy on HIV/AIDS

    Component: VI) CAPACITY BUILDING TRAINING & RESEARCH

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    SAARCREGIO

    NALSTRATEGY

    ON

    HIVANDAIDS

    61

    p

    g

    Strategyon

    HIV/AIDS

    Component:VII)IMPLEMENTATION

    &MANAGEMENT

    Theimpleme

    ntationoftheann

    ualworkplansofSAARCRegional

    StrategyonHIV

    /AIDSwillbecoo

    rdinatedbytheDirectorofSocial

    AffairsintheSA

    ARCSecretariat,

    whowillusetheexistingstructure,

    morenotablytheSAARC

    TBandHIV/AIDSCentre(STC).Other

    mechanismsliketheTechicalCommitteeonHealthandPopulation

    Activities,theTe

    chnicalCommitteeonWomenYouthandChildren

    andtheRegion

    alTaskForceon

    Trafficking,theproposedSAARC

    CivilSocietyCentreandtheSA

    ARC

    ExpertGrouponHIV/AIDS,

    thematicexpertsetc.couldbeen

    gagedasandwh

    enappropriate.

    SincetheStra

    tegyenvisagesa

    multi-sectoralapp

    roach,theSocial

    AffairsDivisionwillcoordinatewiththeotherDivisionsoftheSAARC

    Secretariat(eg.

    Poverty,Environment,Economic&Trade,Human

    Resources,Information&Publica

    tion,Treaty).

    Asisthecon

    vention,theDirectorSocialAffairs

    willcoordinate,

    reportandadvis

    etheSAARCSecre

    taryGeneral,StandingCommittee,

    CouncilofMinis

    tersandtheSAAR

    CSummit,inordertoseekvisibility

    andactionata

    higherlevel.

    Inadditiontocoordinatingtheimplementatio

    noftheSAARC

    RegionalStrategyonHIV/AIDS,theDirectorSocia

    lAffairswillalso

    identifythereso

    urcegapandmo

    bilizethenecessa

    ryresources.

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    SAARCREGIONALSTRATEGY

    ONHIVANDAIDS

    62

    Responsibility

    SAARC Secretariat,

    STC, Member

    States, and

    UNAIDS

    SAARC Secretariat

    and STC

    SAARC Secretariat

    and STC

    SAARC Secretariat

    and STC

    Work Plan for Implementation of SAARC Regional Strategy on HIV/AIDS

    Time limit

    January

    2007 and

    onward

    Dec 2006

    and

    onward

    2008

    2010

    Indicators

    AIDS Watch

    established

    Annual report

    circulated

    Mid term evaluation

    report circulated

    Final evaluation

    report circulated

    Outcome

    Progress asse

    Progress repoto SAARC

    leadership an

    other concern

    agencies

    Revised

    implementatio

    plan if

    recommended

    Out line for fu

    strategy availa

    Activities

    Set up

    independent body

    comprised of

    number of

    eminent healthand development

    experts of the

    region to

    periodically assess

    implementation of

    strategy and plan

    of action

    Report progress to

    SAARC Standing

    Committee

    Sub activities

    Identify number of eminent health and

    development experts of the region

    Develop progress report from memberstates and provide guidance for future

    direction

    Compile and prepare annual report for

    Standing Committee, internal and

    external consumption.

    Conduct midterm evaluation of the

    strategy implemented and make

    necessary adjustment

    Conduct final evaluation of the strategy

    Methodology

    Review country

    progress in line with

    UNGASS DOC,

    MDG and other

    internationalConventions and

    commitments

    Identify gaps and

    provide guidance

    Analyze and interpret

    the reports and

    available data

    Commissions

    consultant and experts

    Commissions

    consultant and experts

    Component: VIII) REPORTING, MONITORING & EVALUATION

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    SAARCREGIO

    NALSTRATEGY

    ON

    HIVANDAIDS

    63

    p

    )

    Subcomponen

    t:Implementation

    MemberStates,SAARC

    SecretariatandSTC

    implementthe

    Strategyincollab

    orationwithother

    stakeholders

    Managemen

    t

    BySAARCSec

    retariat/STC

    Component:

    V)REPORTIN

    G,MONITORING,EVALUATION

    andREVIEW

    Subcomponen

    t:Reporting

    Annualrepo

    rtfrom

    SAARC

    Secretariaton

    implementatio

    n

    Monitoringa

    ndevaluation

    ByExpertGroup(Compriseso

    fNationalAIDS

    Program

    Ma

    nagers,UNAID

    SCosponsors,

    PLWHIVs,etc)

    annually

    LevelofMandE

    Theovera

    llgoalandthematiclevel

    TheKeya

    ctionlevel

    Thework

    program

    level

    Review

    MidtermReview2008

    FinalReview

    2010

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    SAARCREGIONALSTRATEGY

    ONHIVANDAIDS

    64

    ANNEX

    -4

    ListofContributors

    1.MemberStates(H

    IV/AIDSProgrammeManagers)

    2.SAARCSecretaria

    t

    3.

    SAARCTBCentre

    4.

    UNAIDSandCosponsors

    5.

    UNAIDSconsulta

    nt

    6.PLWHIV

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    SAARCREGIO

    NALSTRATEGY

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    HIVANDAIDS

    65

    1.

    Islamabad

    Declaration,12t

    hSAARC

    Summit,January4-6,

    2004

    2.

    MOUbetw

    eenSAARCandUNAIDS,April19t

    h,2004

    3.

    HIV/AIDS

    inSAARC

    Regionanupdate200

    4publishedby

    SAARCTB

    Centre

    4.

    TB/HIVCo

    EpidemicintheS

    AARCRegion,20

    03publishedby

    SAARCTB

    Centre

    5.

    Tuberculos

    isintheSAARCR

    egionanupdate

    2004published

    bySAARC

    TBCentre

    6.

    CountryPr

    esentationsdone

    byparticipantsbyMemberStates

    inExpertG

    roupMeetinghe

    ldinDhakaApril4-6,2005

    7.

    2004Repo

    rtonGlobalAID

    SEpidemicUNAI

    DS

    8.

    GlobalHealthSectorStrategy

    forHIV/AIDS(2003-2007),WHO.

    9.

    TheUnited

    NationsMillenn

    ium

    Declaration

    of8September

    2000,and

    theMillennium

    DevelopmentGoa

    ls

    10.TheCallforActiontofight

    HIV/AIDSinAsia

    andthePacific

    adoptedbytheEconomicand

    SocialCom

    missionforAsia

    andthePacific,April2001

    11.TheDeclarationofCommitmentonHIV/AIDSadoptedatthe

    26thSpecialSessionofthe

    UnitedNa

    tionGeneralAssembly,June2001

    12.TheDecla

    rationoftheFirst

    AsiaPacificMinisterialMeetingon

    HIV/AIDS,

    October2001

    13.TheDecla

    rationoftheEleventhSouthAsia

    Associationfor

    RegionalC

    ooperation(SAARC)Summit,Janu

    ary2002

    14.TheWorldFitforChildrendocumentadopteda

    ttheUNGeneral

    AssemblySpecialSessiononChildren,May2

    002

    15.TheKathm

    anduCallagainstHIV/AIDSinSou

    thAsiaadopted

    bytheSou

    thHighLevelConferenceonHIV

    /AIDS,February

    2003

    16.TheDeclarationoftheSecondAsiaPacificMinisterialMeeting

    onHIV/AIDS,July2004

    17.TheNewD

    elhiConsensus:D

    eliveringoncom

    mitmentonHIV/

    AIDS,ChildrenandYoung

    PeopleinSouthAsia,September2004.

    ANNEX-5

    References

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    SAARCREGIONALSTRATEGY

    ONHIVANDAIDS

    66

    ANNEX

    -1V

    References

    [1]

    2004Reporton

    theglobalAIDS

    epidemic,UNAID

    S

    [2]

    AIDSinAsia:F

    acetheFacts.A

    comprehensiveanalysisofthe

    AIDSepidemics

    inAsia,MAPrep

    ort,2004

    [3]

    WHO,SEARO,

    1997.AIDS:No

    timeforcomplacency,regional

    publication,SEA

    RONo.26,1-2

    [4]

    YoungPeopleS

    peakOut,Meetin

    gOurRightsto

    HIVPrevention

    andCare,Acces

    sforall.UNICEFEAPROReportforXVInternational

    AIDSConferenc

    e,Bangkok,11-1

    6July2004

    [5]

    DeclarationofcommitmentonHIV/AIDS-UNGASS(2001)Global

    Crisis-GlobalAction

    [6]

    Declaration21

    ,SocialIssue,S

    AARC

    Summit,I

    slamabad4-6

    January,2004

    [7]

    HIV/AIDSinthe

    SAARCRegion,an

    Update2004,SA

    ARCTBCentre

    [8]

    SAARCRegionalStrategyforTB/H

    IVco-infection,SA

    ARCTBCentre

    [9]

    MAPreport2001,TheStatusandTrendsofHIV/AIDS/STIepidemics

    inAsiaandthe

    Pacific.

    [10

    ]Ascaled-upresp

    onsetoAIDSinAsiaandthePacific,2005UNAIDS

    RegionalSuppo

    rtTeam,Asiaand

    thePacific.

    [11

    ]Millennium

    DevelopmentGoals(MDG)onHIV/AIDS

    [12

    ]CoreIndicators

    forMonitoringDeclarationofCommitmentfor

    UNGASS2006

    [13

    ]UNAIDS,Asia

    PacificLeaders

    hipForum

    onHIV/AIDSand

    Development(A

    PLF)M&EFramew

    ork,July2004

    [14

    ]UNAIDSGlobalcoreindicators

    O

    therdocumentconsulted

    [1]

    AIDSinAsiaTh

    eChallengeAhead,Jai.P.Narain

    WHO,SEARO,

    NewDelhi

    [2]

    UNODCandH

    IV/AIDS:spotligh

    tonSouth-EastA

    sia

    [3]

    Migrationand

    HIVinSouthA

    sia,UNDPRegionalHIVand

    DevelopmentPr

    ogramme,South

    andSouthEastA

    sia,Delhi

    [4]

    TheCaribbeanR

    egionalStrategicPlanofActionforH

    IV/AIDS,2001

    [5]

    TheCARICOM

    SecretariatAction

    fortheFightagainstHIV/AIDS,

    July2002

    [6]

    OperationalFra

    meworkfortheA

    SEANWorkProgrammeonHIV/

    AIDSII(2002-2005)

    [7]

    PacificRegionalHIV/AIDSstrategy