Detailed Mechanism Funding and Narrative

Years of mechanism: 2011 2012 2013 2014 2015

Details for Mechanism ID: 12772
Country/Region: Central Asia Region
Year: 2012
Main Partner: United Nations Office on Drugs and Crime
Main Partner Program: NA
Organizational Type: Multi-lateral Agency
Funding Agency: HHS/CDC
Total Funding: $0

This ongoing cooperative agreement supports the Central Asia Region (CAR)s PEPFAR Strategy Objectives 1, 2 and 3. The goal of the project is to increase access to a full range of essential and quality HIV and TB prevention and treatment services among MARPs, primarily persons who inject drugs (PWID) and incarcerated populations. The United Nations Office on Drug and Crime (UNODC) will provide technical assistance, training and professional development, along with multi-sectoral advocacy and policy development. The target populations are PWID, incarcerated people, providers of services to these populations, and government policymakers in KZ, KG, TJ and UZ. The project will engage local experts when possible to help reduce costs, and will assist the governments in developing effective and cost efficient prevention programs to prevent the spread of HIV among PWID and prisoners. Activities are designed to build capacity of local entities (national or regional governments, prisons, and HIV service providers) and develop policies, protocols and laws that will be left behind for local governments after the project ends. All activities will be integrated with those of other USG partners as well as international donors including the EU, DFID, and GFATM to ensure that regulatory documents, models of care and capacity building activities are coordinated and complementary to other programs. To leverage resources and build ownership and sustainability of project interventions, a clear transition strategy will be developed to transfer activities at the conclusion of the project. A comprehensive M&E plan will be developed, using the UN and PEPFAR guidelines for integrating specific indicators of access to HIV-related services into the state monitoring and evaluation systems.

Global Fund / Programmatic Engagement Questions

1. Is the Prime Partner of this mechanism also a Global Fund principal or sub-recipient, and/or does this mechanism support Global Fund grant implementation? Yes2. Is this partner also a Global Fund principal or sub-recipient? Neither3. What activities does this partner undertake to support global fund implementation or governance?

Budget Code Recipient(s) of Support Approximate Budget Brief Description of ActivitiesIDUP UNODC 20000 Reviewing and updating national guidelines, operational plans and management

Funding for Prevention: Injecting and Non-Injecting Drug Use (IDUP): $0

This mechanism supports the CAR Regional PEPFAR Strategy Objectives 1, 2 and 3. This activity is linked to: (1) IDUP BCN/PSI IM #12859; (2) Columbia University/IM #12872; (3) RAC-KZ/ IM #12889; (4) RAC-KG/IM #13217; (4) RNC-KG/IM #12812; (5) TBD Harm Reduction Center/IM #13969; (6) Abt Associates/ IM # 12746; and (7)Health Policy Project/IM#13973. UNODC will provide technical assistance (TA) to the host governments of Kazakhstan, Tajikistan, Kyrgyzstan, Turkmenistan and Uzbekistan to improve the availability, coverage and quality of HIV services for drug users and incarcerated populations by: 1) updating regulatory documents (national guidelines, operational plans, management standards, etc.) to ensure that the scale and quality of services conforms to the WHO/UNODC/UNAIDS comprehensive package for the prevention, treatment and care of HIV among PWID; and 2) developing a model for integrated delivery of a comprehensive set of interventions addressing the health needs of people who inject drugs (PWID), including an effective referral mechanism that would ensure continuity of community- and prison-based care. The project contributes to institutional capacity building by updating standards of professional education for those working with PWID in health care, social work and criminal justice, with 120 people as the target number of faculty and national master trainers trained over 2012-2013. This will be paired with in-service trainings for prison health care personnel and community providers on the provision of a comprehensive package of HIV prevention services (target 130 people trained over 2012-2013). TA and capacity building will be based on 2009 WHO/UNODC/UNAIDS guidelines and input from CAR PEPFAR program as frameworks for planning, monitoring and evaluating services for prisoners, PWID and their sex partners, including: MAT and other drug treatment modalities; HTC; prevention and treatment of STIs, viral hepatitis and TB; and ART. All activities will be integrated with those of other USG partners as well as international donors including the EU, DFID, and GFATM to ensure that regulatory documents, models of care and capacity building activities are coordinated and complementary to other programs. Indicators based on the UN and PEPFAR guidelines will be integrated into the state monitoring and evaluation systems to track uptake of HIV-related services by prisoners and PWID. USG will monitor this project through regular joint field visits with regional and country-based UNODC staff and through periodic joint work plan reviews.