11057749_710422069061857_157143107611067707_nJuly 21-22, 2015 in Istanbul (Turkey) held a technical consultation on the transition to domestic funding of HIV and TB responses and their programmatic sustainability in Eastern Europe and Central Asia (EECA).
The meeting was initiated and carried out by EHRN and with the support of Global Fund. The consultation was attended by representatives of governmental, non-governmental national and network organizations from EECA (ECU PLWH, TB Europe Coalition, ENPUD), as well as members of several delegations on the board of the Global Fund, UN system organizations and donor agencies.

The main purpose of the consultation was to discuss the realistic planning structure to ensure the programmatic sustainability of EECA countries that making the transition to the domestic funding instead of funding from the Global Fund, as well as the preparation of draft of Framework for Sustainability and Transition. Key issues included the principles, sources of technical support, algorithms and mechanisms that will help to ensure a successful transition to national funding sources.

The objectives of consultative meeting were to review the experience of other countries in transition, to define key elements and timelines to be included in a Framework for Sustainability. It will further serve as guidance for all stakeholders and also allow agreeing on next steps and opportunities towards responsible transition for the EECA region as a whole.

During the consultation was conducted a number of meetings at which were shown presentations about the current situation in the EECA region. The panel discussion and group work were held and participants could discuss the critical factors and ways to implement a successful transition, as well as the role and needs of different stakeholders in the context of the process.

A successful transition to domestic funding to fight HIV and tuberculosis and sustainability programs to ensure the effectiveness of counteraction to disease, especially among key risk groups, have the particular importance for the countries of EECA. This year, the Global Fund has begun the process of developing its new strategy for 2017-2021 years. It is planned that the strategy will be approved by the Board of the Global Fund in spring of 2016. Given the fact that all stakeholders recognize the need to mobilize domestic resources for the transition to government funding to fight HIV and TB, it is expected that the new strategy of the Global Fund, priority will be given to the development of cross-sectoral partnerships to provide the successful planning and implementation of the transition process. It is necessary that governments, donors, technical partners and civil society were able to negotiate and agree on the appropriate the terms and conditions for the transition to a national finding. At the moment in the region there us a number of initiatives for the collection of scientific data and prepare recommendations for the development of the regional program. In particular, at the meeting were presented and discussed the preliminary results of the study and analysis of the sustainability and the transition to a national funding. It was conducted in the region by the International Fund “Curatio» (CIF), Reference Group of the Global Fund Technical Review Panel (TERG) and the Eurasian Harm Reduction Network. Conclusions and recommendations received on the basis of these studies should be announced at national level to all stakeholders and serve as a basis for the development of transition plans in the region.

As a result of the two-day technical consultation on the transition to domestic funding of HIV and TB responses and their programmatic sustainability in Eastern Europe and Central Asia (EECA) the following recommendations were formed.

First, we must have a common definition of sustainability, which includes a country-led response promotes human rights and utilizes evidence-based approaches. Health of key populations must be a priority during transitions to national funding. Transition to domestic funding and ownership of HIV and TB responses is a process that includes planning, implementation, and monitoring. Guidance is needed for countries to navigate all phases of this process successfully.

In order to plan and implement a successful transition, countries need predictability of transition timeline and levels of available funding from the Global Fund. This is due to the fact that transition is complex, it requires additional and better use of resources, and cannot be completed successfully in an environment of shrinking funding. Timelines should be tailored to country readiness.

Policy dialogue and advocacy will continue to be an important component during and after transition, and need to be supported both technically and financially.

High-level policy meeting – the Regional High Level Dialogue “Road to Success” – to be held in Tbilisi on September 28-30 this year and will be a regional platform for government representatives, donors and civil society from the region of Eastern Europe and Central Asia to agree on terms and timeline of transition to government funding of HIV and TB response activities.

Post Author: Sergey Filippovych


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