Governance and management of multisectoral responses to HIV/AIDS

Responding to the HIV/AIDS epidemic and ensuring universal access to HIV prevention, treatment, care and support by 2010 calls for coordinated action across all sectors and for a strengthened local response. Government ministries, such as ministries of finance, health, planning and agriculture for example, all have an important role to play, both at central and local levels. The importance of civil society in service delivery, up-scaling responses and influencing policy is also increasingly recognized.

Coordinated action
Many countries are facing major challenges in managing and coordinating the very high - and growing – resource levels for HIV/AIDS. Even though the “three-ones” principle is adopted by most countries - most having adopted one HIV policy and one strategic, medium-term plan for HIV - inclusive operationalization of these plans remains problematic. The development of one monitoring and reporting system is also a challenge, with parallel systems often operating alongside the efforts of national AIDS coordination mechanisms to create one system.

Multiplicity of viewpoints
National coordination councils function in a multi-stakeholder environment. All stakeholders - from ministry line staff to civil society actors, organizations of people living with HIV/AIDS, the private sector, human rights activists, political and traditional leaders - have an important role to play and a message to be heard. Channelling all these views and interests into an effective and efficient HIV response, covering entire countries and sectors with the correct mix of service delivery for prevention, treatment, care and support, remains a major challenge. Countless planning and management tools, systems and guidelines have been developed, often from the perspective of particular interest groups or sectors, but many countries are struggling to operationalize systems that are in line with local priorities and offer comparative advantage.

Focal points

KIT works within a multisectoral context and with a variety of partners to strengthen HIV responses. We focus on:

  • Policy and strategy development, including analysis of drivers and scenario building
  • Costing of programmes and cost effectiveness
  • Human resource development, in particular impact assessments, forecasting and long-term planning
  • Governance and accountability
  • Monitoring and evaluation, including at global or regional level
  • Performance-based management 
  • Assistance to National Action Committees in documenting lessons learned and evaluation of different models 
  • Sector-specific mainstreaming approaches

Projects


Publications


Team members


Contact

Françoise Jenniskens

Royal Tropical Institute