Description:
Executive Summary:
"The HIV epidemics in Myanmar remain largely concentrated among people identified with
high-risk behaviours, in particular sex workers and their clients, injecting drug users and men
having sex with men; and populations identified as highly vulnerable on the basis of their
young age, gender, mobility and social or occupational characteristics. This focus of the
epidemics calls for the urgent strengthening of prevention, care and treatment programmes
addressing primarily the needs of these populations. The responses to the HIV epidemic to
date have been diverse and great sources of learning, and demonstrated the capacity to
respond to the HIV epidemic successfully in Myanmar, but are not being implemented to a
scale sufficient to slow down the epidemic or mitigate its impact.
Confronting an unabated HIV epidemic, the Government of Myanmar decided to embark on a
comprehensive prevention, care and treatment strategy which would build on the experience
and enrol the participation of all actors committed to this goal. Accordingly, this National
Strategic Plan was the first in Myanmar developed using participatory processes, with direct
involvement of all sectors involved in the national response to the HIV epidemic.
Contributions were made by the Ministry of Health, several other government ministries,
United Nations entities, local non-government organizations, international non-government
organizations, people living with HIV and people drawn from vulnerable groups. The
National Strategic Plan 2006 ? 2010 was prepared following a series of reviews which looked
at the progress and experiences of activities during the first half of the decade. These included
a mid-term review of the Joint Programme for HIV/AIDS in 2005 and a review of the
National AIDS Programme in 2006, as well as many diverse studies and reviews of particular
programmes and projects. The National Strategic Plan identifies what is now required to
improve national and local responses, bring partners together to reinforce the effectiveness of
all responses, and build more effective management, coordination, monitoring and evaluation
mechanisms. It builds on current responses, identifies initiatives which are working and need
to be scaled up to have maximum impact, builds on key principles which will underlie the
national response, outlines broadly the approaches to be used for prevention, treatment, care
and support, and delineates strategic directions and activity areas to be further developed in
order to mitigate the impact of the epidemic. Ambitious service delivery targets have been set,
aiming towards Universal Access? to prevention and care services.
The National Strategic Plan is composed of two parts: Part One, presenting background
information, aim, objectives, key principles, strategic directions, approaches and information
on roles of participating entities and coordinating mechanisms; and Part Two, presenting, for
each strategic direction activity area, outcomes, outputs, indicators and targets. The
subsequent formulation of a Plan of Operations and accompanying budgets will translate key
principles and broad directions set out in the strategic plan into a directly actionable and
costed plan relevant to all aspects of the national response to HIV and to all partners in this
unprecedented effort.
Building on previous experiences and lessons learned by all partners about what works best in
the specific context of Myanmar, the National Strategic Plan identifies the key principles
underpinning both the plan itself and its future implementation. Among these are: the
adherence to the ?Three Ones” principles ? One HIV and AIDS Action Framework; one
National Coordinating Authority; and one Monitoring and Evaluation System ? the
participation of people living with HIV in every aspect and at every stage of the strategy, a
primary emphasis on outcomes, defined as targeted behaviour changes and use of services;
and a focus on the Township level with selected ?Accelerated Townships” receiving support
towards accelerated programme implementation. Key principles bring into focus populations
at higher risk and vulnerability and with the greatest needs, ensuring that their needs are met
to the maximum extent possible and that their participation in activities concerning them is
secured. The development and implementation of an enabling environment is central to this
approach, recognizing the negative effects that lack of information, inequality, discrimination
and non-participation have on the reduction of HIV-related risk and vulnerability. The
strategy will strive to scale up programme coverage and use of services to the maximum
achievable levels of resource availability and implementing capacity. It will build on evidence
as strategic information guides decision and action and will achieve value for money as
financial and other resources are incrementally mobilized and efficiently used. Working
across sectors of government will gradually expand as capacity is built. The strategy will rely
on collaboration between government and other public, private and non-government entities
while mechanisms for coordination at the central and peripheral levels are enhanced.
The National Strategic Plan for Myanmar aims at reducing HIV transmission and HIV-related
morbidity, mortality, disability and social and economic impact. Its objectives are to: reduce
HIV transmission and vulnerability, particularly among people at highest risk; improve the
quality and length of life of people living with HIV through treatment, care and support; and
mitigate the social, cultural and economic impacts of the epidemic.
Strategic directions are primarily defined on the basis of beneficiary populations. They
include the reduction of HIV-related risk, vulnerability and impact among sex workers and
their clients, men who have sex with men, drug users, partners and familes of people living
with HIV, institutionalized populations, mobile populations, uniformed services personnel,
young people, individuals in the workplace and, more generally, men and women of
reproductive age. They strive to meet the needs of people living with HIV for comprehensive
care, support and treatment through the scaling up of services and use of a participatory
approach. In order to expand the ability of all actors to engage fully in this collaborative
effort, strategic directions also include the enhancement of the capacity of health systems and
the strengthening of comprehensive monitoring and evaluation mechanisms.
This National Strategic Plan is a living document: it lends itself to adjustments and revisions
as further experience is gained, resources are mobilized and evidence of success and
shortcomings is generated through monitoring, special studies and mid-term and end-of-term
evaluations."
Source/publisher:
http://www.ibiblio.org/obl/docs4/MM_draft_Nat_strat_plan_on_HIV-AIDS.pdf
Date of Publication:
2006-06-28
Date of entry:
2007-02-11
Grouping:
- Individual Documents
Category:
Language:
English
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Format:
pdf
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632.87 KB