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SAARC

SAARC Regional
Strategy on
HIV and AIDS
(2006-2010)
© SAARC Secretariat, Kathmandu

Published by
Information and Publications Division
SAARC Secretariat
P.O. Box 4222
Kathmandu, Nepal

Tel: (977-1) 4221785


Fax: (977-1) 4227033
e-mail: saarc@saarc-sec.org
Web: http://www.saarc-sec.org

The SAARC Secretariat gratefully acknowledges the assistance provided by


the OPEC funded Joint United Nations Programme on HIV/AIDS (UNAIDS)
in supporting the publication of this document.
Contents
SECTION A: 1. PREFACE .................................................................................. 4
2. EXECUTIVE SUMMARY .............................................................. 5
3. LIST OF ACRONYMS AND ABBREVIATIONS ............................. 9

SECTION B: BACKGROUND .......................................................................... 11


1. HIV and AIDS situation in the SAARC Region ................................ 14
1.1 Bangladesh ......................................................................... 14
1.2 Bhutan ................................................................................. 15
1.3 India ................................................................................... 15
1.4 Maldives .............................................................................. 16
1.5 Nepal .................................................................................. 16
1.6 Pakistan ............................................................................... 17
1.7 Sri Lanka ............................................................................. 17
2. HIV and AIDS Risk factors in the region ......................................... 18
3. Health and Socio Economic impact ............................................... 18
4. Situation of TB in the SAARC region ............................................. 19
5. Need for SAARC Regional Strategy on HIV and AIDS .................... 20

SECTION C: VISION, GUIDING PRINCIPLES, GOAL AND STRATEGIC OBJECTIVES 21


1. Vision .......................................................................................... 21
2. Guiding Principles ......................................................................... 21
3. Goal ............................................................................................ 22
4. Strategic Objectives ...................................................................... 22

SECTION D: SAARC ISSUES, CHALLENGES AND OPPORTUNITIES .................. 25


1. Issues .......................................................................................... 25
2. Challenges ................................................................................... 25
3. Opportunities ............................................................................... 26

SECTION E: KEY ELEMENTS IN THE SAARC REGIONAL STRATEGY ON HIV AND AIDS 27

SECTION F: STEPS IN IMPLEMENTATION ..................................................... 33

SECTION G: ANNEXES
1. Structure of Proposed SAARC Expert Group on HIV and AIDS ....... 34
2. TOR of the Proposed SAARC Expert Group on HIV and AIDS ...... 35
3. Implementation Plan of the SAARC Regional Strategy ................... 36
4. List of Contributors ...................................................................... 64
5. Reference ..................................................................................... 65
Section: A
Executive Summary
The countries of the South Asian Association for

Regional Cooperation (SAARC) region have

reached a critical point However, their governments, donors


and stakeholder organizations believe
with respect to HIV and they can avert a massive increase in
infections, limit economic losses and
AIDS. save millions of men, women and
children from abject poverty. Although,
levels of infection remain low
compared to countries of sub Saharan
Africa, SAARC countries are home to
much larger populations. Therefore
even at low prevalence rates, the
course of the epidemic in the SAARC
region will impact upon the
magnitude of the global AIDS
pandemic over the next decade.
Community and cultural values,
along with traditional and family
support systems play a central part in
the lives of people across the SAARC
region. As a result development
initiatives must recognize the
importance of these factors if they are
to be effective and sustainable. The
SAARC Regional Strategy on HIV/AIDS
(the Regional Strategy) has been
developed within this context and aims
to guide the regional response to the
epidemic over the next five years.

SAARC REGIONAL STRATEGY


ON HIV AND AIDS 5
Key challenges in addressing HIV and AIDS in the region includes:
inadequate surveillance and monitoring capacity at all levels; the
provision of sustainable leadership at all levels; difficulties in
sustaining comprehensive national level programmes; the need for
coordination at regional and national levels; the need to deal with
vulnerable groups; the need to address prevention and treatment
issues, such as gender equality; and, the need for addressing stigma
and discrimination issues.

Process undertaken to
develop the Regional Strategy
The SAARC Regional Strategy was developed through an extensive
consultative process, taking into consideration the uniqueness of the
SAARC region including lessons learnt from countries that have
halted or reversed the epidemic.
Following the first consultation of the Joint SAARC-UNAIDS Expert
Group Meeting of National HIV and AIDS Programme Managers in
Dhaka in April 2005, a first draft was developed and circulated to
the participants and representatives of the co-sponsoring
organizations. A second draft was developed incorporating the
comments received. That draft was circulated among the SAARC
Member States, prior to the Thirty-first Session of the Standing
Committee for concurrence. The Leaders at the Thirteenth SAARC
Summit (Dhaka, 12-13 November 2005) welcomed the preparation
of the Strategy for collective SAARC response to prevent and spread
of HIV and AIDS.

Key directions taken in the Strategy


It is inevitable when developing a strategy for a group of countries,
such as SAARC, that attempts are made such that its ambit is all
encompassing. However the strength of any strategy is judged not
only by its breadth of reach but also its conduciveness to timely
implementation. With these principles in mind, the Regional Strategy
highlights key elements as identified by the national participants.

The Vision of the Strategy is:


„ to halt and reverse the spread and impact of HIV and AIDS;
„ to commit leaders to lead the fight against HIV and AIDS; and,
„ to provide PLWHIV with access to affordable treatment and care
and, enjoy a dignified life.

6 SAARC REGIONAL STRATEGY


ON HIV AND AIDS
The Regional Strategy will strengthen work at the regional level
through improved coordination, collaboration and partnership
between regional organizations and national programmes. This will
be especially the case for TB, HIV and AIDS and STI prevention and
treatment programmes.
Policies and advocacy will form the backbone of the Regional
Strategy. Policies will be developed and advocacy will be strengthened
in key areas including: the development of a good surveillance system
for tracking the epidemic; development and implementation of a
prevention strategy; development of policies and programmes on
the continuum of treatment and care; advocacy for countering stigma
and discrimination; empowering PLWHA and protecting their rights
to guarantee the enjoyment of a dignified life; mainstreaming HIV
and AIDS into relevant line ministries conducive to a multi-sectoral
and integrated approach against HIV and AIDS; and, resource
mobilization for both SAARC and individual Member States.
SAARC will also: facilitate leadership support for HIV and AIDS,
including the establishment of a high-level committee, (such as cabinet
level), to highlight the importance of the issues; and, appoint and
utilize SAARC goodwill ambassadors.
In addition, SAARC will encourage Member States to involve civil
society leadership such as religious, women, youth, media, business
and other leaders.
Other key elements include: collaboration, coordination and
networking, capacity building, training and research. Furthermore,
an implementation plan and a monitoring and evaluation system
are featured.

SAARC REGIONAL STRATEGY


ON HIV AND AIDS 7
Acronyms
& Abbreviations
ADB Asian Development Bank
AIDS Acquired Immune Deficiency Syndrome
ANC Antenatal Clinic
APEC Asia Pacific Economic Cooperation
ASEAN Association of South East Asian Nations
BCC Behaviour Change Communication
BCI Behavior Change Initiative
BRAC Bangladesh Rural Advancement Committee
CBO Community Based Organization
CEDAW Convention on the Elimination of Discrimination
against Women
CSW Commercial Sex Worker
DOTS Directly Observed Treatment, Short-course
DPM Deputy Programme Manager
ESCAP Economic and Scientific Commission for Asia and the
Pacific
FSW Female Sex Workers
HMG, Nepal His Majesty’s Government of Nepal
HIV Human Immunodeficiency Virus
HT Human Trafficking
IDU Injecting Drug User
KAP Knowledge Attitude and Practice
MandE Monitoring and Evaluation
MDG Millennium Development Goal
MOFA Ministry of Foreign Affairs
MoU Memorandum of Understanding
MS Member State
MSM Men who have Sex with Men
MTCT Mother to Child Transmission

SAARC REGIONAL STRATEGY


ON HIV AND AIDS 9
NACO National AIDS Control Organization (India)
NACP National AIDS Control Programme (general)
NASP National AIDS/STD Programme (Bangladesh)
NGO Non Governmental Organization
NTP National Tuberculosis Control Programme
PLF Pacific Island Forum
PLWHA People living with HIV/AIDS
PM Programme Manager
PMTCT Prevention of Mother to Child Transmission
SAARC South Asian Association for Regional Cooperation
STC SAARC Tuberculosis Centre
STD Sexually Transmitted Disease
STI Sexually Transmitted Infection
SW Sex Worker
TB Tuberculosis
TB/HIV Co-infection from both TB bacillus and HIV virus
TOT Training of Trainers
UNAIDAS Joint United Nations Programme on HIV/AIDS
UNDP United Nations Development Programme
UNDOC United Nations Organization for Drug Control
UNGASS United Nations General Assembly on Special Session
UNICEF United Nations Children’s Fund
UNIFEM United Nations Development Fund for Women
UNFPA United Nations Population Fund
VCT Voluntary Counselling and Testing for HIV
WHO World Health Organization

10 SAARC REGIONAL STRATEGY


ON HIV AND AIDS
Detailed Work Plan for Implementation of SAARC Regional Strategy on HIV/AIDS (2006-2010)*
Component: I) Policies & Advocacy

Activities Sub activities Methodology Responsibility Time limit Indicators Outcome


Policy Advocacy Collate and synthesize Bring the agenda in SAARC Secretariat/ 2006 and Number of Increased multisectoral
and communication country information on ministerial meeting / SAARC TB and HIV/ onwards ministry have involvement in HIV/AIDS
HIV/AIDS policy in regional forum AIDS Centre (STC) incorporated HIV/ related activities
relevant ministries in Collaboration AIDS concerns in
and promote multi- with Member States ongoing
sectorality programs
Mobilise Resources
Mobilize resources for Member States to support SAARC Secretariat July 2006 and MOU/funding Availability of sufficient
SAARC Secretariat SAARC Secretariat in and Member States onwards agreements with fund
generating resources donors
Proposal preparation from internal and external SAARC Secretariat
for GFATM Round Six donors in collaboration with
Leadership UNDP RCC
mobilisation
SAARC REGIONAL STRATEGY

Support involvement 1. Facilitate regional SAARC Secretariat On going Number of Other leadership actively
of leaders from advocacy events and STC in advocacy event participate in HIV/AIDS
multiple sectors e.g., partnership with where other programs
ON HIV AND AIDS

women, religious, 2. Mobilise expertise from UNICEF, UNFPA, leaders were


youth, business, relevant organizations and ILO, UNDP, involved
media, positive member states UNAIDS and other
networks, etc. organization
51
52

Detailed Work Plan for Implementation of SAARC Regional Strategy on HIV/AIDS (2006-2010)*
Component: I) Policies & Advocacy..... contd.
ON HIV AND AIDS
SAARC REGIONAL STRATEGY

Activities Sub activities Methodology Responsibility Time limit Indicators Outcome


Appoint SAARC In consultation with SAARC Secretariat/ Dec.2006 and Number of high Goodwill Ambassadors
goodwill Ambassadors Member States appoint STC onwards level political have been effective in
good will Ambassadors at in collaboration with advocacy visits/ advocating on issues that
regional level Member States events attended by facilitate implementation
Goodwill of a scaled up response.
Ambassadors

Promote Regional Mobility: Through Ministerial SAARC Secretariat / Dec. 2006 No of countries i) Member States
dialogue on cross Raise cross border Meetings, Program STC in collaboration onwards developing or address safe mobility
border issues mobility issues under Managers Meeting and with MS, UNDP and adapting national issues.
relevant to HIV/ the SAARC Meetings of the Technical UNHCR, UNIFEM, guidelines on safe
AIDS Convention on Committee on Women, IOM mobility, internal ii) National Government
Trafficking Youth and Children. and external policy on HIV/AIDS
displacement and reflects key issues
implementing related to safe mobility
policy and displacement

Drug use: Facilitation through SAARC Secretariat/ Dec. 2006 and No. of meetings/ Member States
Raise cross border Ministerial Meetings and Member States in onwards forums where addressing drug use
issues at appropriate other forums collaboration with issues related to related risk and
fora and revisit the UNODC; UNAIDS drug use are vulnerability to HIV.
partnerships with addressed
concerned
organisations
Detailed Work Plan for Implementation of SAARC Regional Strategy on HIV/AIDS (2006-2010)*
Component: I) Policies & Advocacy..... contd.

Activities Sub activities Methodology Responsibility Time limit Indicators Outcome


Youth and a) Collect and compile Share the information with SAARC Secretariat / 2006, onwards Information shared Access to youth friendly
Adolescents relevant information MS STC and Member Research services for prevention,
Make available States in conducted and care and support
analysis and strategic b) Evidence-based collaboration with findings shared increased
information including advocacy initiatives for UNICEF, UNESCO Information shared
KAP on young people enhanced access to and UNFPA Research
and HIV in the region youth friendly services conducted and
for policy, advocacy for prevention, care findings shared
and programming and support

Children and a) Facilitate Coordinate SAARC SAARC Secretariat / 1st quarter of Regional Increased attention to
orphans assessments of children Children Affected by HIV/ STC and Member 2007 consultation report orphan issues in the
Facilitate evidence- affected by HIV/AIDS in AIDS Conference and States in shared. Region
SAARC REGIONAL STRATEGY

based advocacy and all countries. form Taskforce to facilitate collaboration with
programming for b) Undertake regional development of costed UNICEF
ON HIV AND AIDS

children affected by synthesis and analysis actions plans in all


HIV/AIDS. of country assessments countries
c) Sharing of
information on orphans
and children living in
families affected by
HIV/AIDS
53
Work Plan for Implementation of SAARC Regional Strategy on HIV/AIDS
54

Component: II) PREVENTION STRATEGIES


ON HIV AND AIDS
SAARC REGIONAL STRATEGY

Activities Sub activities Methodology Responsibility Time limit Indicators Outcome


Surveillance and a) Review existing surveillance system in a) To utilize SAARC Secretariat / September 2006, Standard Outcome
Strategic Member States existing SAARC STC in collaboration 2008, 2010 surveillance Trend of
Information structures and with WHO, UNAIDS system in place epidemic
Advocate and b) Share and adopt best practices in the region mechanisms to / other analyzed
facilitate the adoption through consultative meetings at regional level reach decision organizations Surveillance And
of standard Sero and making and reports information
behavioral c) Advocate for consideration at managerial and implementation disseminated utilised
surveillance system relevant SAARC bodies
and other research b) Regular
for tracking the d) Routine sharing of surveillance reports by updating of
epidemic and Member States. data base
generating strategic
information e) Strengthen data base of country-wise
surveillance information

Prevention Strategy Revisit national prevention strategies and adjust Review SAARC Secretariat/ March 2007 and % of most at risk Increased
Advocate for targets to be in line with universal access Workshops STC and Member annual follow up population coverage of
enhanced prevention aspiration Follow-up States, UNAIDS reached by prevention
strategy to address meeting prevention services for
the challenges of Consult with programme managers and other services vulnerable
moving towards partners to formulate appropriate programmes populations
universal access to % of most at
prevention services risk population
received VCCT
services
Work Plan for Implementation of SAARC Regional Strategy on HIV/AIDS
Component: III) TREATMENT AND CARE

Activities Sub activities Methodology Responsibility Time limit Indicators Outcome


Universal Access Review current status of treatment and care as a) Conduct assessment, SAARC December a) Increased a) Effective
Facilitate country's well as establish functional coordination between Secretariat and 2006 and treatment coverage treatment
positioning towards National TB and HIV/AIDS Programs in the b) Follow up with STC and annually program in
achieving Universal region member countries Member States thereafter b) Effective place
Access for (in collaboration coordination b) Equitable
treatment and care c) Establish a Regional with WHO/ between TB and access to ART
for both adults and Database UNAIDS; where HIV programs at available to
children necessary) country level PLHA

c) Increased
number of TB/ HIV
cross referral

Increase access a) Estimate ARV requirement based on accurate a) Update requirement SAARC December a) Projected need Increased
to ART size estimation and advocate with regional/global using database Secretariat and 2006 and for ARV and access to
SAARC REGIONAL STRATEGY

body for resource generation SAARC TB and annually resources in place affordable
b) Conduct regional HIVAIDS Center thereafter b) Increased treatment and
b) Facilitate development/ adaptation of cost review meeting on and Member resource care for PLHA
ON HIV AND AIDS

effective outreach strategies ensuring universal Treatment and Care States (in generation for ARV
access to treatment and care collaboration
c) Conduct strategic with WHO/
c) Facilitate increased access to affordable drugs planning meetings/ UNAIDS; where
and test facilities workshops on U/A for necessary)
treatment & care and
d) Facilitate on development of strong network Identify effective
55

between the provider and PLHA to make the strategies and policies
service accessible and on development of for adaptation in the
coordination between the Member States to make region
the availability of affordable drugs
56

Work Plan for Implementation of SAARC Regional Strategy on HIV/AIDS


Component: III) TREATMENT AND CARE..... contd.
ON HIV AND AIDS
SAARC REGIONAL STRATEGY

Activities Sub activities Methodology Responsibility Time limit Indicators Outcome


Experience Facilitate inter-country and regional cooperation a) Identify and enlist SAARC December a) Number of Database of
Sharing in sharing expertise, best practices and resources pool of experts Secretariat, 2006 experts enlisted experts and best
for treatment and care. b) Document best STC, Member b) # of best practices
practices States; WHO practice established
c) Identify learning documented
strategy
d). Develop regional
training/learning centres
Work Plan for Implementation of SAARC Regional Strategy on HIV/AIDS
Component: IV) STIGMA AND DISCRIMINATION

Activities Sub activities Methodology Responsibility Time limit Indicators Outcome


Elimination of a) Advocate for and monitor a) Follow up with SAARC By December a) Number a) Functional and
stigma and establishment /strengthening of regional Member States to Secretariat/STC 2007 of Networks empowered PLHA and
discrimination of forum and country level PLHA networks involve PLHA and in Collaboration set up Positive Women net
PLHA as well as positive women's network to SHGs in the with Member works playing
facilitate leadership support for HIV/AIDS planning and States and b) Number leadership roles and
implementation UNAIDS, UNDP of Members acting as resource
b) Promote and advocate for and UNIFEM covered and
strengthening of self-help groups of geographical
returnee migrant workers, CSWs, MSM area
covered
c) Share experiences on all issues related b) Collect
to eliminating stigma and discrimination information from c) Regional b) Relevant
SAARC REGIONAL STRATEGY

Member States, forum information


d) Prioritize Interaction with the regional compile and established disseminated and
PLHA networks established by UNDP disseminate relevant used for decision
ON HIV AND AIDS

information to d) No of making
e) Advocate of preventive strategies at all Member States sharing
levels of society through different events c) Regional network
organizations and institutes of all sectors c) Organize organized strengthened and
meeting of experiences and
f) Facilitate on development of forum PLHAs document on lessons
which could facilitate to provide learnt shared
57

opportunity for PLHA on empowerment


58

Work Plan for Implementation of SAARC Regional Strategy on HIV/AIDS


ON HIV AND AIDS
SAARC REGIONAL STRATEGY

Component: IV) STIGMA AND DISCRIMINATION..... contd.

Activities Sub activities Methodology Responsibility Time limit Indicators Outcome


Workplace a) Facilitate Member States to develop a) Review and provide SAARC Secretariat 2006 to Number of public Policies reviewed,
Policies HIV/AIDS workplace policies and necessary guidance /STC December sector offices, revisited/ revised
ensure implementation for regional & and SAARC 2007 transnational or developed.
national policies and Chamber of companies and inter
legislations Commerce national And
b) Facilitate in Collaboration organizations implementation
development and with Member States which have started
implementation of and ILO, WHO, workplace HIV/AIDS
policies UNICEF, UNESCO, policies.
business coalition of
Member States

b) Promote Non-discriminatory a) Review and provide SAARC Secretariat / 2006 to Existence of Discrimination
Institutional (educational and Health necessary guidance STC December educational and reduced in
care, etc) policies in Member States for regional & collaboration with 2007 health care policies educational and
national policies and Member States and (public and Private health care
legislations ILO, WHO, sector) to prevent settings
UNICEF, UNESCO, stigma and
discrimination

Promote Promote policies and legislation to Through regional SAARC Secretariat/ January Number of policies Criminal action
decriminalization ensure decriminalization of people at sharing and STC in partnership 2007 to be / protective against High risk
of people at High high risk Declaration / with UNAIDS, started legislations against behavior
risk and PLHA Agreement by UNDP, UNIFEM and criminalization population
Member States UNODC changed reduced.
SAARC HIV/AIDS Strategy Implementation Work Plan
Component: V) COLLABORATION, COORDINATION & NETWORKING

Activities Sub activities Methodology Responsibility Time limit Indicators Outcome


Establish South- Share with and learn a) Mapping of SAARC Secretariat / 2 visits/ Number of Inter regional
South Cooperation from other regional collaborating bodies and STC and member meetings meeting attended collaboration established
with other regional bodies issues at different level states in within 5 years and strengthened
bodies collaboration with Number of visits
b) Conduct inter regional UN & other regional conducted
visits and / or meetings organizations

c) Share information
SAARC REGIONAL STRATEGY
59 ON HIV AND AIDS
60

Work Plan for Implementation of SAARC Regional Strategy on HIV/AIDS


Component: VI) CAPACITY BUILDING TRAINING & RESEARCH
ON HIV AND AIDS
SAARC REGIONAL STRATEGY

Activities Sub activities Methodology Responsibility Time limit Indicators Outcome


Strengthen Identify centers of a) Collect required Responsibilities Time limit Indicators Outcome
Capacity of SAARC excellence within or information & select the SAARC Secretariat / December Number of Partnership established
Secretariat /STC out side the region suitable center on priority STC , Member 2006 and centers identified
and facilitate and facilitate TOT for basis States , and onwards
capacity building member countries in collaborating Number of TOT Capacity strengthened
of National AIDS the areas of agencies held
Program staff of Epidemiology, disease
Member States and behavioral b) Generate resources Number of
surveillance, program and facilitate trainings in countries having
and clinical collaboration with center of
management identified institutions and excellence
organizations
As above June 2007 Database of HIV/ Research conducted and
AIDS research findings disseminated
Identify priority Mapping of existing Regional consultation Number of and utilized
research agenda/ research on HIV/AIDS countries where
areas for the in the region proposed
region research
Develop protocol and Technical support conducted
conduct research on
identified areas
Work Plan for Implementation of SAARC Regional
Strategy on HIV/AIDS
Component: VII) IMPLEMENTATION & MANAGEMENT
The implementation of the annual work plans of SAARC Regional
Strategy on HIV/AIDS will be coordinated by the Director of Social
Affairs in the SAARC Secretariat, who will use the existing structure,
more notably the SAARC TB and HIV/AIDS Centre(STC). Other
mechanisms like the Techical Committee on Health and Population
Activities, the Technical Committee on Women Youth and Children
and the Regional Task Force on Trafficking, the proposed SAARC
Civil Society Centre and the SAARC Expert Group on HIV/AIDS,
thematic experts etc. could be engaged as and when appropriate.
Since the Strategy envisages a multi-sectoral approach, the Social
Affairs Division will coordinate with the other Divisions of the SAARC
Secretariat (eg. Poverty, Environment, Economic & Trade, Human
Resources, Information & Publication, Treaty).
As is the convention, the Director Social Affairs will coordinate,
report and advise the SAARC Secretary General, Standing Committee,
Council of Ministers and the SAARC Summit, in order to seek visibility
and action at a higher level.
In addition to coordinating the implementation of the SAARC
Regional Strategy on HIV/AIDS, the Director Social Affairs will also
identify the resource gap and mobilize the necessary resources.
SAARC REGIONAL STRATEGY
ON HIV AND AIDS 61
Work Plan for Implementation of SAARC Regional Strategy on HIV/AIDS
62

Component: VIII) REPORTING, MONITORING & EVALUATION


ON HIV AND AIDS
SAARC REGIONAL STRATEGY

Activities Sub activities Methodology Responsibility Time limit Indicators Outcome


Set up Identify number of eminent health and Review country SAARC Secretariat, January AIDS Watch Progress assessed
independent body development experts of the region progress in line with STC, Member 2007 and established
comprised of UNGASS DOC, States, and onward
number of MDG and other UNAIDS
eminent health Develop progress report from member international
and development states and provide guidance for future Conventions and
experts of the direction commitments
region to
periodically assess Identify gaps and
implementation of provide guidance
strategy and plan
of action
Progress reported
Report progress to Compile and prepare annual report for Analyze and interpret SAARC Secretariat Dec 2006 Annual report to SAARC
SAARC Standing Standing Committee, internal and the reports and and STC and circulated leadership and
Committee external consumption. available data onward other concern
agencies

Conduct midterm evaluation of the Commissions SAARC Secretariat 2008 Mid term evaluation Revised
strategy implemented and make consultant and experts and STC report circulated implementation
necessary adjustment plan if
recommended

Conduct final evaluation of the strategy Commissions SAARC Secretariat 2010 Final evaluation Out line for future
consultant and experts and STC report circulated strategy available
Component: 1V) IMPLEMENTATION and MANAGEMENT
Sub component: Implementation
Member States, SAARC Secretariat and STC
implement the Strategy in collaboration with other
stakeholders
Management
By SAARC Secretariat / STC
Component: V) REPORTING, MONITORING, EVALUATION
and REVIEW
Sub component: Reporting
Annual report from SAARC Secretariat on
implementation
Monitoring and evaluation
By Expert Group (Comprises of National AIDS
Program Managers, UNAIDS Co sponsors,
PLWHIVs, etc) annually
Level of M and E
„ The overall goal and thematic level
„ The Key action level
„ The work program level
Review
Mid term Review 2008
Final Review 2010
SAARC REGIONAL STRATEGY
ON HIV AND AIDS 63
ANNEX-4
List of Contributors
1. Member States (HIV/AIDS Programme Managers)
2. SAARC Secretariat
3. SAARC TB Centre
4. UNAIDS and Cosponsors
5. UNAIDS consultant
6. PLWHIV
64 SAARC REGIONAL STRATEGY
ON HIV AND AIDS
ANNEX-5
References
1. Islamabad Declaration, 12th SAARC Summit, January 4-6,
2004
2. MOU between SAARC and UNAIDS, April1 9th, 2004
3. HIV/AIDS in SAARC Region an update 2004 published by
SAARC TB Centre
4. TB/HIV Co Epidemic in the SAARC Region, 2003 published by
SAARC TB Centre
5. Tuberculosis in the SAARC Region an update 2004 published
by SAARC TB Centre
6. Country Presentations done by participants by Member States
in Expert Group Meeting held in Dhaka April 4-6, 2005
7. 2004 Report on Global AIDS Epidemic UNAIDS
8. Global Health Sector Strategy for HIV/AIDS (2003-2007), WHO.
9. The United Nations Millennium Declaration of 8 September
2000, and the Millennium Development Goals
10. The Call for Action to fight HIV/AIDS in Asia and the Pacific
adopted by the Economic and
Social Commission for Asia and the Pacific, April 2001
11. The Declaration of Commitment on HIV/AIDS adopted at the
26th Special Session of the
United Nation General Assembly, June 2001
12. The Declaration of the First Asia Pacific Ministerial Meeting on
HIV/AIDS, October 2001
13. The Declaration of the Eleventh South Asia Association for
Regional Cooperation (SAARC) Summit, January 2002
14. The World Fit for Children document adopted at the UN General
Assembly Special Session on Children, May 2002
15. “The Kathmandu Call against HIV/AIDS in South Asia” adopted
by the South High Level Conference on HIV/AIDS, February
2003
16. The Declaration of the Second Asia Pacific Ministerial Meeting
on HIV/AIDS, July 2004
17. The New Delhi Consensus: Delivering on commitment on HIV/
AIDS, Children and Young
People in South Asia, September 2004.
SAARC REGIONAL STRATEGY
ON HIV AND AIDS 65
ANNEX-1V
References
[1] 2004 Report on the global AIDS epidemic, UNAIDS
[2] AIDS in Asia: Face the Facts. A comprehensive analysis of the
AIDS epidemics in Asia, MAP report, 2004
[3] WHO, SEARO, 1997. AIDS: No time for complacency, regional
publication, SEARO No. 26, 1-2
[4] Young People Speak Out, Meeting Our Rights to HIV Prevention
and Care, Access for all. UNICEF EAPRO Report for XV International
AIDS Conference, Bangkok, 11-16 July 2004
[5] Declaration of commitment on HIV/AIDS-UNGASS (2001) “Global
Crisis-Global Action”
[6] Declaration 21, Social Issue, SAARC Summit, Islamabad 4-6
January, 2004
[7] HIV/AIDS in the SAARC Region, an Update 2004, SAARC TB Centre
[8] SAARC Regional Strategy for TB/HIV co-infection, SAARC TB Centre
[9] MAP report 2001, The Status and Trends of HIV/AIDS/STI epidemics
in Asia and the Pacific.
[10] A scaled-up response to AIDS in Asia and the Pacific, 2005 UNAIDS
Regional Support Team, Asia and the Pacific.
[11] Millennium Development Goals (MDG) on HIV/AIDS
[12] Core Indicators for Monitoring Declaration of Commitment for
UNGASS 2006
[13] UNAIDS, Asia Pacific Leadership Forum on HIV/AIDS and
Development (APLF) M&E Framework, July 2004
[14] UNAIDS Global core indicators
Other document consulted
[1] AIDS in Asia The Challenge Ahead, Jai. P. Narain WHO, SEARO,
New Delhi
[2] UNODC and HIV/AIDS: spotlight on South-East Asia
[3] Migration and HIV in South Asia, UNDP Regional HIV and
Development Programme, South and South East Asia, Delhi
[4] The Caribbean Regional Strategic Plan of Action for HIV/AIDS, 2001
[5] The CARICOM Secretariat Action for the Fight against HIV/AIDS,
July 2002
[6] Operational Framework for the ASEAN Work Programme on HIV/
AIDS II (2002-2005)
[7] Pacific Regional HIV/AIDS strategy
66 SAARC REGIONAL STRATEGY
ON HIV AND AIDS

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