Fw: [AIDS ASIA] Sorry we are closing for the sake of aid effectiveness
- Nepal Update efforts in HIV/AIDsNicasio O. de Rosas
Partnership of Philippine Support Service Agencies, Inc. (PHILSSA)
3/F Joseph Cardinal Hoeffner Building Social Development Complex
Ateneo de Manila University, Loyola Heights
1108 Quezon City, Philippines
Tel. Nos. 4266001 loc. 4854, (632) 4264328, (632) 4260811
Mobile: 09178601011----- Forwarded Message -----
From: Rajiv Kafle <rajhiv2002@...>
To: AIDS_ASIA <email@example.com>
Sent: Monday, August 8, 2011 7:39 PM
Subject: [AIDS ASIA] Sorry we are closing for the sake of aid effectivenessSorry we are closing for the sake of aid effectiveness
Rajiv Kafle, Nepal
In 2003 Nava Kiran Plus (NKP) an organization formed by a small group of people living with AIDS (PLAs) with the support from SIDACTION announced the launch of Antiretroviral (ARV) treatment for the first time in Nepal. Two of its members received three month supply of the lifesaving drug without which both had less than a year to live. 8 years later both members are still alive and so are more than 5000 others who are on ARV drugs.Â NKP is not a stranger to PLAs community in Nepal and is a pioneer organization to provide care and support services.
NKP is currently providing care through its Community Care Centers (CCC) with 250 beds in 7 district across Nepal. However after 15 September NKP will shut down most of these sites due to lack of funding and less than 50 beds will be available for the chronically ill seeking treatment and care. Since 2005, the UK government supported these sites through a bilateral assistance to the government of Nepal and this support has ended.
DFID support in the past few years made some remarkable difference in the lives of PLAs, MSMs and IDUs (PMI). Most of the DFID supported programs were run by people from these community and provided direct employment to over 2000 PMIs, provided voluntary drug rehabilitation to over 3000 drug users, supported several thousand IDUs with clean syringes and thousands of condoms and lubricants were distributed for MSMs across the country.
However all of this has come to an end now because Nepal is moving into donor harmonization and aid effectiveness hence the donors have agreed to support the Nepal Health Sector Plan II (NHSP II). Led by the World Bank the NHSP II does not require services from the communities any more because it has envisioned community as service recipient and not service providers.
We are closing not because we failed as the DFID evaluation of the Nepal project has highlighted the success of these services and the need for continuation in future. We are closing not due lack of funding since the Global Fund and NHSP II donors have recently approved over 80 million dollars for Nepal which includes services for chronically ill for the next 5 years.
We are closing because the donors want to harmonize and be more effective.
Despite of a formal understanding that the DFID supported projects will be taken over by the GF support after 2011 as envisioned in the approved GF proposal due to lack of coordination between the donors hundreds of sick people will be deprived of essential care every day across Nepal, thousand more will have limited access to crucial HIV prevention tools and most ironically thousand will lose jobs which was supporting them and their children to access food.
I do not see how this will result in aid effectiveness but I can clearly see how this will affect HIV prevention programs in general in the days to come.
(If you can please write to DFID, The Global Fund and World Bank and ask “How they regard this as aid effectiveness?)
 With only SIDACTION support remaining
 DFID Nepal has been at the forefront of Nepal's response to HIV/AIDS. In October 2005, DFID commenced a five-year, Â£15-million programme in support of the national HIV/AIDS programme. The United Nations Development Programme (UNDP) managed DFID's support together with grants from the Global Fund for AIDS, TB and Malaria. DFID is currently the second major donor to the National HIV/AIDS programme, contributing 24% of the programme's resources.