Taking stock of budget advocacy efforts in EECA

The Eurasian Harm Reduction Association (EHRA) presented the mapping report „Taking stock of budget advocacy efforts in Eastern Europe, South-Eastern Europe and Central Asiа“ summarising budget advocacy efforts, funding and impact during the period 2018-2021 in CEECA countries. The focus of the assessment is on the role of civil society in budget advocacy, while acknowledging that government leaders, UN and technical partners play important roles as well. The assessment describes key budget advocacy initiatives and HIV donor support for them.

The report zooms in the four result areas of advocacy: civil society capacity to advocate; influencing HIV funding levels from national and local public sources; increasing efficiencies in spending; and contracting and funding for NGOs to deliver services. Without offering a comprehensive review, one of the final sections of the report shines light on efforts to influence budgets beyond HIV including in the fields of TB and health systems.

Regional overview is based on eight country case studies (including three fro Sout East Europe) exploring national experiences with budget advocacy, emerging challenges, and best practices. Kyrgyzstan, Moldova and Ukraine (lower middle-income countries), Georgia, Kazakhstan and Montenegro (upper middle income countries receiving donor support), and Bulgaria and North Macedonia (post-Global Fund countries) were selected for analysis.

To keep the mapping manageable and focused, this assessment has not attempted to assess neither the impact of the ongoing COVID-19 pandemic on HIV budget advocacy and fiscal space for health financing nor potential savings from reducing criminalization of population behaviours.

Analytical report «Taking stock of budget advocacy efforts in Eastern Europe, South-Eastern Europe and Central Asiа» has been prepared by EHRA in partnership with Open Society Foundations, The Global Fund to Fight AIDS, Tuberculosis and Malaria Sustainability, Transition and Efficiency Strategic Initiative and EECA regional team in cooperation with ECOM – Eurasian Coalition on Health, Rights, Gender and Sexual Diversity and Eurasian Women’s Network on AIDS (EWNA) as partners in the Eurasian Regional Consortium withing project “Thinking outside the box: overcoming challenges in community advocacy for sustainable and high-quality HIV services” supported by the Robert Carr Fund for civil society networks. Information was provided by country, regional and international partners. We are grateful to all our partners, members of Regional Advisory Group on Sustainability, interviewees and reviewers for their time and effort in work on this report.

To read the report, follow this link>>>.

 

Social return on investment for HIV services

Countries in the Eastern Europe and Central Asia (EECA) region have made significant progress in setting the foundation for effective social contracting mechanisms. All of the countries have legal structures that allow them to contract NGOs for the provision of various HIV-related activities as well as provide care and support to PLHIV. However, some challenges remain, ranging from legal obstacles, complex bidding processes as well as lack of technical capacity (by NGOs) to participate in the bidding processes.

UNDP prepared the Policy Brief: Social Return on Investment for HIV services to explore this issue.

As the case studies featured in this brief have shown, activities that are conducted under the auspices of social contracting result in significant returns on investment: for each USD invested, there is a return in social investment of between 2 to 3 USD. These social returns include, inter alia, improved quality of life among PLHIV, numerous averted infections among key population groups, through counselling and distribution of needles and condoms, ultimately resulting in improved self-esteem and better quality of life among the key populations.

To access this document, please follow this link>>>.

Request For Proposals for EECA HIV multi-country grant

The Eastern Europe and Central Asia (EECA) is one of the three regions globally where the HIV epidemic is increasing. In 2019, the incidence/prevalence ratio was higher than in any other part of the world: 10.1. The number of people living with HIV in the region was 1.7 million; the number of new HIV infections was 170,000 and the number of AIDS-related deaths – 35,000. In 2019, according to the data for testing and treatment cascade, 70% of people living with HIV knew their status, 44% of people living with HIV were on treatment, and 41% of people living with HIV were virally suppressed.

The HIV epidemic remains concentrated in key populations in EECA countries. Key populations and their sexual partners are disproportionately impacted, accounting for 99% of new HIV infections in 2019. Addressing the HIV epidemic would require an interlinked set of measures focused on improving sustainable access of key populations to quality prevention, diagnostics, treatment and care; improving efficiency and quality of HIV service delivery models; and building financial sustainability of provision of services tailored to the needs of key populations

The Global Fund to Fight AIDS, Tuberculosis and Malaria (the “Global Fund”) is seeking proposals from regional stakeholders to implement a multicountry program under Catalytic Investments for the 2020-2022 allocation period.

The multi-country grant should contribute to sustainable and significant reduction of infections, illness and death by HIV/AIDS in EECA, with a clearly described theory of change and proposed specific actions and performance metrics.

Of the US$ 50,000,000 made available for this strategic priority area, this RFP refers to the US$ 13,000,000 made available under the multicountry priority area “Sustainability of services for key populations in Eastern Europe and Central Asia region”.

To read applicants guidelines for this request, please follow this link>>>.

 

New publication from Eurasian Harm Reduction Association

EHRAThe Eurasian Harm Reduction Association (EHRA) presented its new publication “Getting to know the Civil Society and Eastern Europe and Central Asia Delegations to the Board of the Global Fund to Fight AIDS, Tuberculosis and Malaria. An Information note for Eastern Europe and Central Asia”. The publication is developed within the project of the EECA Regional Platform for Communication and Coordination.

This Information Note is an easy-to-use document which allows for greater understanding of the work and role of the Communities, Developed Country NGO, Developing Country NGOs and the Eastern Europe and Central Asia (EECA) Delegations to the Board of the Global Fund to Fight AIDS, Tuberculosis and Malaria. The EECA Delegation is dedicated to the causes and concerns of the region, both from a public sector and civil society perspective. The other three Delegations have specific mandates to bring to the Board the issues of civil society and all the communities of persons living with, and affected by, the three diseases in those countries eligible for Global Fund support.

Getting to know the Civil Society and Eastern Europe and Central Asia Delegations to the Board of the Global Fund to Fight AIDS, Tuberculosis and Malaria

Whilst there are four distinct Delegations, these Global Fund Board representatives have similar practices for their internal functioning and in consulting with civil society and communities as well as established opportunities to engage with them. This document provides information concerning these key practices and opportunities. The communities and civil society organizations (CSO’s) in the EECA region will be able to use this document to better plan and coordinate their advocacy efforts and engage with their representatives to the Fund at the most opportune times and in strategic ways.

The Global Fund is the world’s largest financing organization for HIV and AIDS, TB and malaria prevention, treatment, care and support programs. The Fund’s purpose is to attract, leverage and invest additional resources to end the epidemics of HIV, tuberculosis and malaria to support attainment of the Sustainable Development Goals (SDG’s) established by the United Nations. Since its founding in 2002, the Global Fund’s investments in the EECA region have contributed to considerable progress in combating three diseases as well as in developing enabling environments and the strengthening of health and community systems, making the Global Fund the major donor to support the HIV and TB response in the EECA region.

To read or download this publication follow this link>>>>