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IMPLEMENTING THE UN LEARNING STRATEGY ON HIV / AIDS : Sixteen Case Studies

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AIDS is the gravest global pandemic of our time. It has already claimed over 20 million lives, with another 39 million individuals currently estimated to be living with HIV worldwide, and millions more becoming newly infected each year. HIV can result in ostracizing stigma and discrimination against those infected and their families, threatening livelihoods, access to education, work, and health care. The epidemic can reinforce existing poverty and jeopardize the future of those affected. As a result, the HIV epidemic is reversing gains in development that took decades to achieve, has orphaned some 15 million children, and is considered a threat to the economic well-being and social and political stability of many nations. Fortunately, much has been learned in the past 25 years. HIV is preventable, and medication now exists for the treatment and care of those living with HIV. The United Nations has, and continues to play, an active role in addressing HIV and AIDS in all regards ranging from leadership and advocacy to partnership development, resource mobilization and supporting programme implementation. In 2006, the Joint United Nations Programme on HIV/AIDS (UNAIDS) marked its 10th anniversary, and commemorated the achievements made to date by its ten co-sponsoring agencies across the globe in research, prevention, treatment, care, and mitigating the impact of HIV/AIDS on communities and individuals.
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Couverture_ok:Mise en page 1 2.3.2007 9:16 Page 1

Couverture_ok:Mise en page 1 2.3.2007 9:16 Page 2
UNAIDS/07.08E / JC1311E, March 2007
© Joint United Nations Programme on HIV/AIDS (UNAIDS) 2007.
All rights reserved. Publications produced by UNAIDS can be obtained from the UNAIDS Information Centre. Requests
for permission to reproduce or translate UNAIDS publications—whether for sale or for noncommercial distribution—
should also be addressed to the Information Centre at the address below, or by fax, at +41 22 791 48 35, or e-mail:
publicationpermissions@unaids.org.
The designations employed and the presentation of the material in this publication do not imply the expression of any
opinion whatsoever on the part of UNAIDS concerning the legal status of any country, territory, city or area or of its
authorities, or concerning the delimitation of its frontiers or boundaries.
The mention of speci?c companies or of certain manufacturers’ products does not imply that they are endorsed or
recommended by UNAIDS in preference to others of a similar nature that are not mentioned. Errors and omissions
excepted, the names of proprietary products are distinguished by initial capital letters.
UNAIDS does not warrant that the information contained in this publication is complete and correct and shall not be
liable for any damages incurred as a result of its use.
WHO Library Cataloguing-in-Publication Data
Implementing the UN learning strategy on HIV/AIDS : sixteen case studies / UNAIDS.
“UNAIDS/07.08E / JC1311E”.
1.United Nations. 2.Acquired immunode?ciency syndrome - prevention and control. 3.HIV infections
- prevention and control. 4.Education, Medical. 5.Health education. 6.Case reports. I.UNAIDS.
ISBN 978 92 9173 529 7
(NLM classi?cation: WC 503.6)
UNAIDS
20 avenue Appia
CH-1211 Geneva 27
Switzerland
Tel.: (+41) 22 791 36 66
Fax: (+41) 22 791 48 35
distribution@unaids.org
www.unaids.org

IMPLEMENTING THE UN LEARNING STRATEGY ON
HIV/AIDS:
Sixteen Case Studies





Table of Contents

Contributors to case studies .....................................................................................................................................8
Abbreviations, Acronyms, and Terms .....................................................................................................................10
Executive Summary................................................................................................................................................12
Introduction.............................................................................................................................................................15
Lessons Learned and Recommendations ..............................................................................................................17
1.
Commitment, support, and leadership from senior management are critical ...........................................17
2.
Having a committed and functional interagency Learning Team is essential...........................................18
3.
Strategic partnerships helped to establish local relevance of learning activities and support
a network of actors engaged in national responses to HIV/AIDS.............................................................18
4.
Diversifying learning approaches and adapting learning to the local context ensures appropriateness,
relevance, and increases interest ............................................................................................................19
5.
Adapting learning materials to the local language is essential. Appropriate and early planning for
translation needs, along with smooth delivery of other learning materials should be planned
for to avoid logistical bottlenecks. ............................................................................................................20
6.
Involving family members in creative and interactive learning activities motivates participation
and is the first step in supporting national programme efforts..................................................................21
7. Linking
workplace-related
learning to the availability of commodities and services is essential ..............21
8.
Having adequate budgets and funding allows implementation to proceed smoothly and facilitates
ownership of learning activities ................................................................................................................22
9.
Positive advocacy is necessary, but learning activities may need to be made mandatory
for maximum participation........................................................................................................................23
10.
Having well-trained focal points and Learning Facilitators is essential to ensure planning,
motivation, implementation, and follow-up ...............................................................................................24
11.
Learning activities that are related to supporting national responses to HIV/AIDS are a
critical next step .......................................................................................................................................25
12.
Sustainability is not automatic and must be planned for ..........................................................................25

BOTSWANA ...........................................................................................................................................................27
Overview and Background.................................................................................................................................27
Needs Assessment ............................................................................................................................................27
Planning for a Response....................................................................................................................................28
Key Actors .........................................................................................................................................................29
Advocacy and Promotion ...................................................................................................................................29
Implementation ..................................................................................................................................................29
Monitoring and Evaluation .................................................................................................................................30

BRAZIL ...................................................................................................................................................................31
Overview and Background.................................................................................................................................31
Needs Assessment ............................................................................................................................................31
Planning for a Response....................................................................................................................................32
Key Actors .........................................................................................................................................................32
Advocacy and Promotion ...................................................................................................................................32
Implementation ..................................................................................................................................................33
Monitoring and Evaluation .................................................................................................................................34

BURKINA FASO .....................................................................................................................................................35
Overview and Background.................................................................................................................................35
Needs Assessment ............................................................................................................................................35
Planning for a Response....................................................................................................................................35
Key Actors .........................................................................................................................................................36
Advocacy and Promotion ...................................................................................................................................36
Implementation ..................................................................................................................................................36
Monitoring and Evaluation .................................................................................................................................37

CAPE VERDE ........................................................................................................................................................38
Overview and Background.................................................................................................................................38
Needs Assessment ............................................................................................................................................38


Planning for a response .....................................................................................................................................38
Key actors..........................................................................................................................................................39
Advocacy and Promotion ...................................................................................................................................39
Implementation ..................................................................................................................................................40
Monitoring and Evaluation .................................................................................................................................40

INDIA ......................................................................................................................................................................41
Overview and Background.................................................................................................................................41
Needs Assessment ............................................................................................................................................41
Planning for a Response....................................................................................................................................42
Key Actors .........................................................................................................................................................42
Advocacy and Promotion ...................................................................................................................................43
Implementation ..................................................................................................................................................43
Monitoring and Evaluation .................................................................................................................................43

INDONESIA............................................................................................................................................................45
Overview and Background.................................................................................................................................45
Needs Assessment ............................................................................................................................................45
Planning for a Response....................................................................................................................................46
Key Actors .........................................................................................................................................................46
Advocacy and Promotion ...................................................................................................................................47
Implementation ..................................................................................................................................................48
Monitoring and Evaluation .................................................................................................................................49

MACEDONIA..........................................................................................................................................................51
Overview and background .................................................................................................................................51
Needs Assessment ............................................................................................................................................51
Planning for a Response....................................................................................................................................52
Key Actors .........................................................................................................................................................53
Advocacy and Promotion ...................................................................................................................................53
Implementation ..................................................................................................................................................54
Monitoring and Evaluation .................................................................................................................................54

MADAGASCAR ......................................................................................................................................................55
Overview and Background.................................................................................................................................55
Needs Assessment ............................................................................................................................................55
Planning for a Response....................................................................................................................................56
Key Actors .........................................................................................................................................................56
Advocacy and Promotion ...................................................................................................................................56
Implementation ..................................................................................................................................................57
Monitoring and Evaluation .................................................................................................................................57

MOROCCO ............................................................................................................................................................58
Overview and Background.................................................................................................................................58
Needs Assessment ............................................................................................................................................58
Planning for a Response....................................................................................................................................58
Key Actors .........................................................................................................................................................59
Advocacy and Promotion ...................................................................................................................................60
Implementation ..................................................................................................................................................60
Monitoring and Evaluation .................................................................................................................................62

NIGERIA.................................................................................................................................................................63
Overview and Background.................................................................................................................................63
Needs Assessment ............................................................................................................................................63
Planning for a Response....................................................................................................................................64
Key Actors .........................................................................................................................................................65
Advocacy and Promotion ...................................................................................................................................66
Implementation ..................................................................................................................................................67
Monitoring and Evaluation .................................................................................................................................68




Pan American Health Organization.........................................................................................................................69
Overview and Background.................................................................................................................................69
Needs Assessment ............................................................................................................................................69
Planning for a Response....................................................................................................................................70
Key Actors .........................................................................................................................................................71
Advocacy and Promotion ...................................................................................................................................71
Implementation ..................................................................................................................................................71
Monitoring and Evaluation .................................................................................................................................72

PAKISTAN..............................................................................................................................................................74
Overview and Background.................................................................................................................................74
Needs Assessment ............................................................................................................................................74
Planning for a Response....................................................................................................................................75
Key Actors .........................................................................................................................................................77
Advocacy and Promotion ...................................................................................................................................77
Implementation ..................................................................................................................................................78
Monitoring and Evaluation .................................................................................................................................79

PARAGUAY............................................................................................................................................................81
Overview and Background.................................................................................................................................81
Needs Assessment ............................................................................................................................................81
Planning for a Response....................................................................................................................................82
Key Actors .........................................................................................................................................................82
Advocacy and Promotion ...................................................................................................................................83
Implementation ..................................................................................................................................................83
Monitoring and Evaluation .................................................................................................................................84

VIENNA ..................................................................................................................................................................85
Overview and Background.................................................................................................................................85
Needs Assessment ............................................................................................................................................85
Planning for a Response....................................................................................................................................86
Key Actors .........................................................................................................................................................87
Advocacy and Promotion ...................................................................................................................................88
Implementation ..................................................................................................................................................88
Monitoring and Evaluation .................................................................................................................................89

VIET NAM...............................................................................................................................................................91
Overview and Background.................................................................................................................................91
Planning for a Response....................................................................................................................................91
Key Actors .........................................................................................................................................................92
Advocacy and Promotion ...................................................................................................................................92
Implementation ..................................................................................................................................................92
Monitoring and Evaluation .................................................................................................................................93

YEMEN...................................................................................................................................................................94
Overview and Background.................................................................................................................................94
Needs Assessment ............................................................................................................................................94
Planning for a Response....................................................................................................................................94
Key Actors .........................................................................................................................................................95
Advocacy and Promotion ...................................................................................................................................95
Implementation ..................................................................................................................................................95
Monitoring and Evaluation .................................................................................................................................97


Contributors to case studies

Executive Summary, Introduction, Lessons Learned & Recommendations
Alan Silverman, HIV/AIDS Learning Strategy Advisor
Daryl Somma, MPH
Botswana
Irene Maina, Social Mobilization and Partnership Advisor, UNAIDS
Lydia Matebesi, Programme Specialist HIV/AIDS, UNDP
Heather McKay, MPH student, Columbia University, Mailman School of Public Health, New York
Kgoreletso Molosiwa, Programme Officer, HIV/AIDS, WHO
Sophie Torelli, Programme Associate, HIV/AIDS, UNDP
Brazil
Karina Andrade, ILO/AIDS Focal Point, Learning Facilitator
Naiara G. da Costa Chaves, UNAIDS Programme Officer
Nara Santos, UNODC Technical Adviser
Vera Severo, UNDP HR Associate, Learning Facilitator
Sarah Stumbar, MPH student, Columbia University, Mailman School of Public Health, New York
Burkina Faso
Dr. Ghislaine Conombo, HIV in the Workplace Focal Point, WHO
Dr. Mohamed Fofana, Medical Service Director, UN
Daouda Mounia, Caring for Us Committee Member, UNICEF
Shobana Ramachandran, MPH student, Columbia University, Mailman School of Public Health, New York
Dr. Mamadou Lamine Sakho, Country Coordinator, UNAIDS
Ami Tapsoba, We Care Focal Point, UNDP
Dr. Ndèye Ngoné Toure, Programme Administrator, UNICEF
Fanny Yago-Wienne, HIV in the Workplace Focal Point, World Food Programme
Dr. Thomas Zoungrana, Caring for Us Focal Point, UNFPA
Cape Verde
Jean Claude Borgès, FAO HIV/AIDS Focal Point
Dr. Alain Brun, WHO, RR
Odete Correia, Nurse of UN dispensary
Patricia De Mowbray, UN Resident Coordinator and President, UN Theme Group on HIV/AIDS
Dr. Benzerroug El Hadj, WHO, RR
Dr. Bernard Bitegetse Imana, UNAIDS Focal Point
Dr. Hafidi Mahmoud, UN dispensary
Paula Maximiano, Trainer of UN Joint Office
Justiniano Mendoça, Trainer, WHO Communication Officer
Ghada Taha-Gleeson, MPH student, Columbia University, Mailman School of Public Health, New York
India
S M Afsar, Technical Specialist (HIV/AIDS) South Asia, ILO
Meghana Kakade, MPH student, Columbia University, Mailman School of Public Health, New York
Mohd Shadab, Coordinator, HIV/AIDS and UN Workplace in India, ILO
Dr. Rohit Sobti, Regional Physician WHO
Kumar M Tiku, Information Analyst, UNDP
Indonesia
Jane Wilson, UNAIDS Country Coordinator
Taslima Lazarus, UN Learning Strategy Facilitator
Bryan Morris, Consultant, UNAIDS Secretariat
Steen Bjorn Hanssen, Volunteer, UNAIDS Secretariat
Macedonia
Vladanka Andreeva, UN RC HIV/AIDS Adviser, UNAIDS FP, Learning Strategy Facilitator
Arta Kuli, Country Programme Coordinator for STI/HIV/AIDS, WHO
Suzana Sinadinovska, Senior Secretary, UNICEF, Learning strategy facilitator
Zoran Samardziev, Human Resources Associate, UNDP
Madagascar
Raveloson Clarimond, Programme Officer, UNAIDS Secretariat
Aurel Clyde Rabehanta, Communication Officer, UNFPA
Viviane Sosoa Ralimanga, UN Coordination Specialist, Office of the Resident Coordinator
Shobana Ramachandran, MPH student, Columbia University, Mailman School of Public Health, New York
Norolalao Randrianarison, Physician, UN Dispensary
Tiana Razafimanantsoa, Programme Officer , UNICEF
Nirina Razakasoa, Programme Officer, WHO



Morocco
Dr. Kamal Alami, UNAIDS National Country Coordinator
Nadia Alioua, UNICEF
Souad Ayadi, UNFPA
Nadia Benabdellah, UNFPA
Qassem Chafiq, UNFPA
Btissam Daoudi, ALCS
Zoulikha Faraj, WHO
Claudine Jellali, UNDP
Kamal Marhoum El Filali, Professor of infectious diseases, Centre Hospitalier Universitaire, Casablanca
Ilham Mansoum, Consultant
Noura Mejjad, Coordinator and Social Advisor, Programmes, ALCS
Raphaele Péan, UNDP
Dr. Triki Soumia, Consultant
Agnès Sikivi, UNIFEM
Ghada Taha-Gleeson, MPH student, Columbia University, Mailman School of Public Health, New York
Jamal Tarib, UNICEF
Soumaya Yakoubi, Programme Assistant
Nigeria
Dupe Irele, UNICEF, UN Learning Strategy Facilitator
Dr. Pierre Mpele, UNAIDS Country Coordinator
Sarah Stumbar, MPH student, Columbia University, Mailman School of Public Health, New York
Dr. Alti Zwandor, UNAIDS, UN Learning Strategy Facilitator
Pakistan
Fawad Haider, Programme Officer, UNAIDS
Erum Hassan, Research Assistant, UNAIDS
Zarak Saleem Jan, Coordination Analyst, UN Resident Coordinator Office
Barnaby Jones, UNDP Deputy Resident Representative
Aldo Landi, UNAIDS Country Coordinator
Heather McKay, MPH student, Columbia University, Mailman School of Public Health, New York
Syed Mukarram Ali, Human Resource Assistant, WFP
Maryam Siyal, Database Coordinator, UNDSS
Pan American Health Organization (PAHO)
Paul de la Croix-Vaubois, Human Resources Advisor (Policy Development) Acting Unit Chief, Benefits and Contract
Administration PAHO
Rafael Mazin, MD, MPH, Regional Advisor on HIV Prevention & Comprehensive Care PAHO/WHO
Monica Alonso MD, PHD, MPH, Associate Professional Officer, HIV/AIDS Unit PAHO/WHO
Jeanne Kent, Human Resources Advisor, Staff Development Unit PAHO/WHO
Beth Engiles, PAHO intern, HIV/AIDS Unit PAHO/WHO
Miguel Aguero, Facilitator
Paraguay
Inés López G., UN Joint Team on HIV/AIDS
Marcia Moreira, PAHO
Sarah Stumbar, MPH student, Columbia University, Mailman School of Public Health, New York
Vienna
Filip Aggestam, Individual Contractor, UNODC
Erla Erlingsdottir, Head Nurse, Vienna International Centre
Andrea Kienle, Chief, Staff Development Unit, UNODC
Lynn Kim, MPH student, Columbia University, Mailman School of Public Health, New York
Christopher Quijano-Evans, Staff Development Assistant, Staff Development Unit, UNODC
Fariba Soltani, Expert, HIV/AIDS Unit, UNODC
Viet Nam
Tobias Alfven, UNAIDS Monitoring and Evaluation Programme Officer
Ludo Bok, UNAIDS Partnerships Adviser
Nancy Fee, UNAIDS Country Coordinator
Lynn Kim, MPH student, Columbia University, Mailman School of Public Health, New York
Akiko Takai, UNFPA Programme Coordinator for HIV/AIDS
Yemen
Buthaina Al-Iryani, UNICEF
Najiah Bahubaish, Project Officer, UNFPA
Suad Nabhan, UNICEF
Shobana Ramachandran, MPH student, Columbia University, Mailman School of Public Health, New York




Abbreviations, Acronyms, and Terms

AIDS
Acquired
Immunodeficiency
Syndrome
ALCS (Morocco)


Association de Lutte Contre le SIDA
APCCT



Asian and Pacific Centre for Transfer of Technology
BIREME (PAHO)
Latin American and Caribbean Centre on Health Sciences
Information
CBO
Community-based
organization
CCO
Committee
of
Cosponsoring
Organizations
CEPIS (PAHO)
Pan American Centre for Sanitary Engineering and Environmental
Sciences
CFNI (PAHO)



Caribbean Food and Nutrition Institute
CFT (Vienna)



Core Facilitation Team
CLAP (PAHO)
Latin American Centre for Perinatology and Human Development
CTBTO
Comprehensive
Nuclear
Test-Ban
Treaty
Organization
ECLAC
Economic Commission for Latin America and the Caribbean
FAO




United Nations Food and Agriculture Organization
FUNSA
Federation
of
UN
Staff
Associations
GIPA
Greater Involvement of People Living with and Affected by HIV and
AIDS
HIV
Human Immunodeficiency Virus
IAEA
International Atomic Energy Agency
IATT Interagency
Task
Team
IDU
Injection drug user
IEC
Information, Education, and Communication
IFC
International Finance Corporation
ILO
International Labour Organization
IMF
International Monetary Fund
JAC
Joint Advisory Committee
KABP / KAP
Knowledge, Attitude, Behaviour, Practice survey / Knowledge,
Attitude, Practice survey
LGBT
Lesbian, gay, bisexual, and transsexual
NGO Nongovernmental
organization
OPP (Nigeria)
Organization for Positive Productivity Support Group
PAHO
Pan American Health Organization
PEP Post-exposure
prophylaxis
PEPFAR
US President’s Emergency Plan for AIDS Relief
SIDA
Swedish International Development Cooperation Agency
STI
Sexually Transmitted Infection
UNAIDS
Joint UN Programme on HIV/AIDS
UNDP
United Nations Development Programme


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