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1、Provincial AIDS StrategiesMid-Term Review of the Response: Khyber Paktunkhwa. Sindh, Balochistan and PunjabPAKISTANFebruary 2015Drafted by Bettina T. Schunter, Lead Consultant for the Mid-Term Review of Provincial AIDS Strategies, Development of Pakistan AIDS Strategy III and the Global Fund Concept
2、 Note processes and Dr. Syed Amer Raza, National Consultant, with inputs from Karabi Baruah, Gender Consultant and Vu Ngoc Uyen, Costing Consultant. Islamabad, Pakistan January 2015.OutlineAcronyms5Executive Summary7I. Introduction and Rationale of the Review9I.1. Objective of the Mid-Term Review of
3、 the Provincial AIDS Strategies11II. MTR Process11II.1. Supervision & Technical Oversight11II.2. Methodology 12II.3. Constraints13III. Goal and Guiding Principles15III.1. Goals16III.2. Guiding Principles16IV. Context Analysis17IV.1. Situation Analysis17IV.2. Response Analysis18IV.3. Implications and
4、 key directions for the next five years18IV.4. Gender Analysis19V. KeyFindings, Gaps and Recommendations20V.1. Key Findings20V.2. Key Gaps23V.3. Key Recommendations23VI. SpecificRecommendations by Province26VI.1. Results Framework26VI.2 Monitoring Framework Indicators51VII. Implementation Arrangemen
5、t63VII.4. Financial management63VII.3. Capacity building and technical assistance63VII.2. Contracting and Public-Private partnership63VII.1. Governance and Coordination of the response63VIII. Monitoring, Evaluation & Research64VIII.1. Monitoring64VIII.2. Evaluation65VIII.3. Research65IX. Resource ne
6、eds 65AnnexesAnnex I.Key Findings and Gaps by Province66Annex II.Proposed Terminology Section95Annex III. Interview Tools98Annex IV. Schedule and participants of Key Informant Interviews, 103Focus Group Discussions and Provincial DialoguesAcronymsACPAIDS Control ProgrammesAIDSAcquired Immune Deficie
7、ncy SyndromeAPLHIVAssociation of People Living with HIVARTAntiretroviral TherapyARV/sAntiretroviral/s (medication)CBOCommunity-Based OrganizationCCMCountry Coordination MechanismCHBCCommunity and Home-Based CareCoPCContinuum of Prevention and CareCSOCivil Society OrganizationFATAFederally Administer
8、ed Tribal AreasFSWFemale Sex WorkerGFGlobal FundGFATMGlobal Fund to Fight AIDS, Tuberculosis and MalariaGoPGovernment of PakistanHIVHuman Immunodeficiency VirusHSWHijra Sex WorkerIDPInternally Displaced PersonIDUInjecting Drug UserKPKey PopulationKPKKhyber PakhtunkhwaM&EMonitoring and EvaluationMoEM
9、inistry of EducationMoHMinistry of HealthMoIPCMinistry of Inter-Provincial CoordinationMoLJMinistry of Law, Justice and Human RightsMSMMen who have Sex with MenMSWMale Sex WorkerMTCTMother to child TransmissionMTRMid-Term ReviewNACPNational AIDS Control ProgramNCPINational Commitment and Policy Inst
10、rumentsNCSWNational Commission on the status of WomenNEPNeedle Exchange ProgramNMHANaz Male Health AllianceNPMNational Program ManagerNSEPNeedle Syringe Exchange ProgramNSFNational Strategic FrameworkNTPNational Tuberculosis ProgramNZNai ZindagiOSTOpiate Substitution TherapyP&DPlanning and Developme
11、ntPACP/sProvincial AIDS Control Programme/sPASPakistan AIDS StrategyPCPlanning CommissionPC-1Planning Commission Proforma one (Project Document)PLHIVPeople living with HIVPPMProvincial Program ManagerPPTCTPrevention of Parent-to-Child TransmissionPRPrincipal Recipient/s - GFATMPWIDPeople who Inject
12、DrugsSDPService Delivery PackageSRSub-Recipients - GFATMSRASituation Response AnalysisSRHSexual and Reproductive HealthSWDSocial Welfare DepartmentTWGTechnical Working GroupUNUnited NationsUNAIDSUnited Nations Joint Program on HIV/AIDSUNDPUnited Nations Development ProgrammeUNICEFUnited Nations Chil
13、drens FundUNODCUnited Nations Office on Drugs and CrimeWHOWorld Health OrganizationExecutive SummaryPakistan is experiencing a concentrated HIV epidemic, driven mainly by unsafe injection drug use among people who inject drugs (PWID). However, data from Integrated Biological and Behavioural Surveill
14、ance (IBBS) rounds and otherstudies show incidence and prevalence rising in males who have sex with males (MSM, male sex workers) and hijra (including hijra sex workers). AIDS Epidemic Modelling (AEM) for Punjab and Sindh indicate the epidemic in people who inject drugs (PWID) stabilising around 2016 or 2017 and HIV incidence amongMSM and hijra climbing significantly. The urgency to meet specific HIV response needs in the country led to the formulation of first official provincial AIDS strategies in 2012, tai
