The International Center for Technical Cooperation on

HIV/AIDSGustav Liliequist - Consultant

A joint initiative between the Government of Brazil and the Joint United Nations Programme on HIV/AIDS (UNAIDS), aiming to strengthen and scale-up sustainable national responses to HIV/AIDS in developing countries through horizontal technical cooperation

Description

• Established in February 2005

• Based on the experience of the Brazilian STD and AIDS Program

• Focus on capacity building in a range of thematic areas and events

Key features

• Prevention

• Voluntary counseling and testing

• Treatment and care

• Program planning and management

• Monitoring and Evaluation

• Input procurement and logistics

• Research and development

• Intellectual property rights

• Epidemiology

• Strengthening of civil society

• Human Rights

• Information, education and communication

Thematic Areas

• Use of a network of accredited institutions

- Hospitals

- NGOs

- Universities

- Public institutions

• Needs assessment, project elaboration and M&E

Key features - continued

• Demand driven

• Horizontal Cooperation

• Guided by an international reference group

Key features - continued

Partner agencies

• DFID

• GTZ

Possible future support from

• CIDA

• KFW/Germany

• The Netherlands

Additional project partners

• CDC

• UNFPA, UNICEF, WHO, World Bank

Partner agencies

Projects

• International Cooperation Program (ICP)

• Laços Sul-Sul (LSS) – ICP Phase II

• Newer cooperation projects

• Additional projects

International Cooperation Program

• Limited ARV donation

• Capacity building in clinical management and logistics

• 7 countries: Burkina Faso, Bolivia, Colombia, Dominican Republic, El Salvador, Mozambique, Paraguay

LSS

• Comprehensive approach:

- ARV treatment for universal access

- Wider scope of capacity building activities, focusing on prevention of mother to child transmission

• 8 countries: Bolivia, Brazil, Cape Verde, Guinea-Bissau, Nicaragua, Paraguay, Sao Tome e Principe, East Timor

• Partnership with UNICEF (structural vulnerabilities, 3 ones, in-country focal point)

• Some concrete results – increased access to testing and treatment

Newer cooperation projects

Ecuador, Honduras, Peru (with DFID and PAHO)

Uruguay (with GTZ)

El Salvador (with ABC, initiating)

Projects in clinical management, logistics prevention, M&E, organization of health services, human rights, and the strengthening of civil society

CARICOM/PANCAP – OECS

Clinical management, strengthening of civil society, and ARV donation (initiating)

Angola Namibia

EDUCASIDA (under consideration) Under negotiation

Additional projects

• Committee for Prevention and Control of HIV/AIDS of the Armed Forces and Police of Latin America and the Caribbean (COPRECOS)

• Brazil-France Bilateral Cooperation Project in AIDS

• Brazilian AIDS Pastoral

2005‘Horizontal Technical Cooperation: Reviewing Strategies and Searching for Alternatives for Projects of the Global Fund’

‘Fostering Country Ownership and Leadership: Implementation of the Three Ones’

2006‘Regional consultation on Universal Access Towards HIV/AIDS Prevention, Treatment and Care in Latin America’

‘Global Consultation on Sex Work’, held by Brazil, UNAIDS and UNFPA

Examples of events conducted

Challenges

• Management: improving financial and administrative systems

• Technical and financial sustainability: Assuring harmonized involvement of partners

• Political sustainability: Consolidating ICTC’s international basis - IRG

Concluding remarks

Benefits of horizontal cooperation

• Jointly elaborated projects help guarantee commitment and actions in line with national policies and the Three Ones

• Importance of sharing of lessons specific to developing countries

• Sustainable local capacity through long term flow of knowledge and technology