Detailed Mechanism Funding and Narrative

Years of mechanism: 2012 2013 2014

Details for Mechanism ID: 14089
Country/Region: India
Year: 2012
Main Partner: World Health Organization
Main Partner Program: NA
Organizational Type: Multi-lateral Agency
Funding Agency: HHS/CDC
Total Funding: $256,808

This mechanism provides technical assistance (TA) to the National AIDS Control Program (NACP) in strategic information (SI) policy, decision making and planning. Objectives are: 1) Strengthening national and sub-national capacity in SI including surveillance, estimations and projections, state-based modeling, district-level profiling by data triangulation, improving data management; and monitoring and evaluation (M&E); 2) Strengthening national capacity in HIV drug resistance surveillance and monitoring including improved routine monitoring of ART and PMTCT program outcomes; and 3) Strengthening operations research (OR) capacities. The objectives support Goal 2 (data for decision making) of the PEPFAR/India strategy.

USG funding supports 3 National Program Officers for the World Health Organization/India Country Office (WHO/India) to provide TA at the national level to build capacity at national, state and district level in SI and to institutionalize capacities in information management and evidence based policy making at state level. Capacity-building activities are expected to continue through 2017 to support full roll-out of improvements and newer methodologies for HIV surveillance (e.g. HIV case reporting and high risk group surveillance). The project provides TA, while all surveillance activities are funded by GOI. During this period, states will be capacitated to analyze and triangulate their own data, to enable improved policy and program implementation, with technical support and leadership/guidance from the national level.

As project key achievements will be based on the outputs of the NACP in implementing the proposed activities, progress will be monitored through reports of relevant activities conducted by the national program.

Funding for Strategic Information (HVSI): $256,808

In FY12, WHO/India will continue to support the national program to implement its SI workplan in phases for routine surveillance, monitoring and evaluation. NACO and its partners identified several SI gaps during recent NACP-IV planning, and in detailed discussions within the technical program areas, including weaknesses at data generation points, poor use of data at service sites, insufficient management of data quality, lack of analysis for policy and program implementation, poor data on extent of HIV drug resistance (HIVDR) and an overall lack of human capacity in knowledge management and programme evaluation. At the national level, WHO will advocate for and support planning and preparation for implementation of newer elements such as the rolling Integrated Behavioral and Biologic Assessment (IBBA), HIV case reporting, HIV incidence and drug resistance studies, and improved methodologies for high risk group surveillance. This work will be done in close collaboration with other partners in HIV SI including CDC, UNAIDS and USAID. WHO will also strengthen core components of SI within the technical program areas including treatment, HIV testing and counseling, paediatric early infant diagnosis and prevention of mother to child transmission, and STI. The following activities will be prioritized for FY12:

1. Expansion of capacity building for cohort analysis and monitoring of HIVDR early warning indicators (EWI) for ART centers: WHO and partners will train Centers of Excellence (COE) to establish institutional capacity in this area, and then support COE to scale up nationally.2. Support for implementation of two HIVDR surveys in support of Indias HIVDR plan (three surveys planned in 2013).3. Support for continuation of the rolling IBBA to achieve national coverage; 3 states undergo IBBA every year to cover the country in a phased manner.4. Support for implementation of HIV case reporting in several states. During 2012 WHO will support NACO and its partners to prepare for implementation, which will begin in 2013 in 4 states with at least 2 districts in each.5. Together with UNAIDS, provide ongoing technical support for estimations and projections of HIV burden for 2012 as well as to implement the annual/biannual sentinel surveillance rounds.6. Review methods for high risk group surveillance and provide technical assistance to support improved implementation of high risk group surveillance for 2012.7. Capacity building for operations research and program evaluation: WHO will provide technical support to prioritization of research questions, protocol-writing and formative evaluation of program areas. As there are major shifts in guidelines for pregnant women in 2012, WHO will provide intensified support for monitoring and ongoing assessment.8. Provide technical support in data analysis and GIS for decision making and program implementation.9. Provide technical support in strengthening capacities of program staff, state epidemiologists, M&E officers and other relevant staff involved in data generation, quality management and analysis.

WHO/India is currently developing its 5-year Country Cooperation Strategy with GOI, stakeholders, civil society and development partners. The WHOs specific plan of work under this Implementing Mechanism will be finalized based on this Cooperation Strategy.

Implementing Mechanism Indicator InformationRedacted

Cross Cutting Budget Categories and Known Amounts Total: $170,000
Human Resources for Health $170,000