10 3 / 2014
08 3 / 2014
08 3 / 2014
Happy International Women’s Day 2014! The official United Nations theme for IWD2014 is ‘Equality for women is progress for all’.
In our work to support Global Fund grant implementation and strengthen national capacities to respond to HIV, tuberculosis and malaria, equality for women plays a crucial role in the programming and implementation of disease responses.
To integrate a strong gender perspective, UNDP has developed the Checklist for Integrating Gender into the New Funding Model of the Global Fund to Fight AIDS, TB and Malaria. This checklist includes information on including gender assessments in programme planning, on engaging and involving women living with HIV, on gender specific budgeting and much more.
Visit the United Nations website for IWD 2014 here.
Download the Gender Checklist here.
07 3 / 2014
Providing Policy Advice and Technical Assistance on Critical Legal and Policy Enablers, Human Rights, and Gender Equality
UNDP is requested to serve as interim Principal Recipient (PR) for Global Fund grants in countries facing particularly difficult challenges, such as severe capacity constraints, post-crisis or complex emergencies, weak governance, donor restrictions, or other special circumstances. UNDP only serves as PR when a national entity cannot fulfill this role, including in countries under the Global Fund’s Additional Safeguard Policy (ASP).
While managing the grants, UNDP simultaneously works to develop the capacity of governments or civil society to serve as PRs when circumstances permit. Beyond its implementation support role and in line with its core mandates, UNDP also provides policy advice and technical assistance on critical legal and policy enablers, human rights, and gender equality to support Global Fund grant implementation.
As a Cosponsor of the Joint UN Programme on HIV/AIDS (UNAIDS), UNDP engages with the Global Fund on important substantive policy and programmatic issues.
UNDP, in line with its core mandates, promotes alignment of grants with national development plans and poverty reduction strategies, and the incorporation of good governance, human rights and gender initiatives into Global Fund grants. UNDP also ensures that financing reaches key populations affected by HIV such as sex workers, men who have sex with men and people who use drugs.
Human Rights - Country Examples
Examples of UNDP leveraging its role as interim Principal Recipient to advance human rights include:
In Tajikistan, with UNDP support, the Ministry of Health has undertaken a comprehensive review of legislation and by-laws to further improve provisions of the HIV Law, integrate the recommendations agreed upon by the international community in the 2011 Political Declaration on HIV and AIDS, and consider good practices recommended by the Global Commission on HIV and the Law.
In Nepal UNDP has promoted rights of most vulnerable groups through Global Fund-financed HIV programmes. Prevention services were scaled-up with the objective of reducing stigma related to HIV, and barriers to access to treatment and counselling services by marginalized groups have been lowered. By 2011, some 180,000 MSM were reached with targeted HIV interventions and a further 54,000 received HIV counselling and testing.
In Haiti UNDP has linked the Global Fund programme with UNDP’s post-earthquake recovery efforts, thus making sure that people displaced by the earthquake benefit from HIV services including key populations at higher risk such as sex workers, men who have sex with men (MSM) and youth. As part of a joint UNDP and Government of Haiti programme – and with funding from the Global Fund over 43,000 people living with advanced HIV were receiving antiretroviral therapy in 2013.
As part of this policy engagement, UNDP is currently supporting the Global Fund in developing an implementation plan for 2012-2016 Strategy to enhance the Fund’s ability to advocate with countries on the importance of human rights and gender equality in delivering durable HIV, health and development results.
Policy and Legal Enabling Environments
The UNDP Global Fund Capacity Development Toolkit Enabling Environment Module provides guidance on the legal and policy environment and links to key resources.
07 3 / 2014
07 3 / 2014
06 3 / 2014
05 3 / 2014
Khartoum, Sudan, 2013. Photo by: Mission Shots/Håkan Björkman
Pursuing service delivery, sustainability and accountability in Global Fund grants
To ensure the pursuit of its overall strategy for 2012-16, Investing for Impact, the Global Fund pursues these strategic objectives; to ensure investments are made in high-impact areas with strong value for money; to strengthen predictability and flexibility in funding; to seek seek grant implementation success through active grant management; to promote human rights in the context of HIV, TB and malaria; and to strengthen programme sustainability and mobilise additional resources.
Naturally, when it comes to the messy and complex reality of grant implementation on the ground, the pursuit of these strategic objectives is about finding the right balance between delivering services to vulnerable groups quickly and efficiently; achieving long-term sustainability and institutional strengthening; and ensuring accountability and transparency towards donors and recipients alike. This is where we in UNDP have a lot to offer.
Common challenges in grant implementation:
When it comes to service delivery in health, time is crucial. Savings in the time it takes to get malaria medicines, ARVs and tuberculosis testing equipment out to end beneficiaries literally saves lives. In some instances, going through state, district and local governments may be difficult and slow. Inefficient legacy systems, limited resources and risks related to corruption all pose significant challenges. Establishing a parallel system is often easier, quicker and cheaper.
At the same time, the establishment of parallel systems presents a different, but equally significant, set of challenges all related to sustainability. National systems can be either government run or partially/fully contracted out using private sector or civil society services, but they should be inherently sustainable regardless of the model. When these systems are avoided, even when there is good reason to do so (such as a history of fraud, lack of basic control mechanisms, etc.), there is a danger of establishing systems and procedures that are dependent on foreign financing and ultimately not sustainable.
As accountability and transparency in the grant implementation is a key requirement, often the risk of corruption, waste and leakage is a major factor in deciding against using a nationally controlled system. For example, the Global Fund Additional Safeguards Policy (ASP) is a reaction to risks that threaten to significantly hamper delivery of vital services to vulnerable groups.
UNDP and the strengthening of implementation capacities:
It is necessary to find a balance between these challenges to ensure continued service delivery as well as long-term sustainability driven and borne by national stakeholders in an accountable manner.
Through our support to the Global Fund and national partners, UNDP’s efforts stand on three legs: Policy and programme quality support, direct grant implementation as interim Principal Recipient (PR) in challenging circumstances, and finally the institutional strengthening focused on national systems.
Building on our comparative strengths in terms of close government relationships and a focus on institutional strengthening UNDP is in a unique position to simultaneously strengthen national capacities in programming, procurement, financial management, M&E, etc. and ensure that vital services to vulnerable groups are being delivered. When UNDP functions as interim PR, which we currently are in 26 countries, we work to strengthen fiduciary and risk management to ensure accountability among our national partners. Moreover, we support national policy dialogue processes as well strengthening national capacities to ensure sustainability in the health sector, beyond international funding. Finally, we help ensure delivery of medical supplies and life-saving medicines to the people who need them.
You can read more about our work on strengthening national capacities in the online CD Toolkit for Global Fund implementation.
05 3 / 2014
04 3 / 2014
This ‘how to’ outlines how to utilise the UNDP Capacity Assessment and Planning Tool for National Programmes for HIV, Tuberculosis and Malaria. You can download the tool here.
The Capacity Assessment and Planning Tool is designed for National Programmes for HIV, TB and Malaria. It can also be used for Global Fund Grant and other donor funded programmes. The main purpose is to strengthen the systems and procedures of national entities to manage National Programmes.
The tool includes three ‘stages’:
- An Assessment Stage;
- A Planning Stage; and
- A Transition Stage (where relevant).
In addition, the tool includes a sample sheet that outlines how to complete it. There is a separate worksheet for each of the main capacity areas required for a National Programme and / or donor funded programme. The worksheets include:
- New Funding Model;
- Programme Management;
- Sub-Recipient Management;
- Financial Management;
- Risk Management;
- Procurement and Supply Chain Management; and
- Monitoring and Evaluation.
These should be used as a menu and the required capacities selected or capacities added based on the programme, disease and/or national entity. The capacities listed have been aligned against the Global Fund requirements and assessments frameworks (see: http://www.theglobalfund.org/en/ for more info).
The capacity development actions and results can be used to prepare a national entity to take over the management of national or donor programmes. The resulting Action Plan will have activities that identifies what system, procedures, manuals, guidelines are needed and the support to put them in place and ensure acceptable levels of adherence.
The Transition stage is relevant if the National Programme role or PR-Ship of a Global Fund grant is to move from an international organization to a national entity. The resulting Action Plan will include support to implement the new / revised systems to prepare for the transition to national entities.
How to use it:
The assessment and planning tool has been developed to use as part of a participatory process with relevant stakeholders supported by structured facilitation. Therefore, it can be used in different ways as part of a broader capacity development process that encompass the following steps: Engage stakeholders; assess capacities; plan capacity development activities; implement; evaluate.
The following pointers are important to remember when using the tool:
- The tool can be used as an individual level questionnaire, as basis for a facilitated group discussion, to discuss with key informants, as the basis for structured or semi-structured interviews, etc.
- Different user groups, situations and contexts might provoke very different responses to the tool and its use should be adapted thereafter;
- The tool does not record ‘objective’ findings - rather it reflects the subjective views of individual respondents and/or negotiated views of groups responding;
- The findings from using the tool should be used as a basis for discussion, validation and joint capacity development planning - not as a rigid list of issues to address;
- When at the planning stage of the tool, it is important to identify ‘quick wins’ (activities in the short term leading to tangible change) that will help build momentum for the CD process;
- The assessment and planning process will always be a new element in a complex political situation causing some ripples. Getting a broad representation of stakeholders that share a common understanding of the assessment findings/planned activities will ensure better chances of success;
- The tool should be used in conjunction other assessment and planning tools in the UNDP CD toolkit http://www.undp-globalfund-capacitydevelopment.org/ and utilize existing reports, audits etc.