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NATIONAL PROGRAM FOR HIV/AIDS AND STIs CONTROL AND PREVENTION FOR 2011-2015
GOVERNMENT OF THE REPUBLIC OF MOLDOVA ...............................................................................
NATIONAL PROGRAM FOR HIV/AIDS AND STIs CONTROL AND PREVENTION FOR 2011-2015
CHISINAU 2011
NATIONAL PROGRAM FOR HIV/AIDS AND STIs CONTROL AND PREVENTION FOR 2011-2015
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Contents 4 ..... Chapter I. Introduction 4 ..... Chapter II. Situation Analysis 5 ..... Chapter III. Program Goal and Objectives 6 ..... Chapter IV. Guiding Principles for HIV/AIDS National Response 6 ..... Chapter V. Program Overview 7 ..... Chapter VI. Rights Holders and Program Beneficiaries 7 ..... Chapter VII. Priority Actions 9 ..... Chapter VIII. Program Implementation 9 ..... Chapter IX. Service Provision and Implementation 10 ..... Chapter X. Monitoring and Evaluation 10 ..... Chapter XI. Overall Cost Estimates 13 ..... Chapter I. General Provisions 13 ..... Chapter II. Background 13 ..... Chapter III. M&E Plan objectives and its elements 15 ..... Chapter IV. National indicators for the HIV infection 15 ..... Chapter V. Data Sources for national indicators 15 ..... Chapter VI. National data repository (SIDATA) 16 ..... Chapter VII. Data quality 16 ..... Chapter VIII. Evaluation and research 16 ..... Chapter IX. Information Products
Tables 18 ..... Table 1. Indicators for NAP Monitoring and Evaluation 19 ..... Table 2. Roles of institutions responsible for monitoring and evaluation of the Program 21 ..... Table 3.1.1. General population 23 ..... Table 3.1.2. Key populations at risk (IDU, CSW, MSM) 25 ..... Table 3.2 Treatment and medical care 26 ..... Table 3.3 Mitigation 26 ..... Table 3.4 Coordination and management 27 ..... Annex no.3 to the National Program for HIV/AIDS and STI Prevention and Control for 2011-2015, approved through the Government Decision no1143 of 16 December 2010 Program Financing by Specific Objectives (until 2015) 28 ..... Annex no.3 to the National Program for HIV/AIDS and STI Prevention and Control for 2011-2015, approved through the Government Decision no1143 of 16 December 2010 Program Budget (detailed costing, USD, exchange rate MDL 12.8 per USD as of 26 July 2010)
NATIONAL PROGRAM FOR HIV/AIDS AND STIs CONTROL AND PREVENTION FOR 2011-2015
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Republic of Moldova DECISION no.1143 as of 16.12.2010 On the approval of the National Program for HIV/AIDS and STIs Control and Prevention for 2011-2015 Published in the “Official Monitor” Government newspaper issue 254-256, art.1286 on 24 December 2010 Pursuant to the provisions of art.6, art.7, art.9 and art.72 of the Law on the Government surveillance of public health, no.10XVI dated 03 February 2009 (‘Official Monitor of the Republic of Moldova’, 2009 issue no.67, art. 183), art. 4 of the Law on HIV/AIDS Prevention, no.23-XVI from 16 February 2007 (‘Official Monitor of the Republic of Moldova’, 2007 issue no.54, art. 250), the Government IS DECIDING: 1. To approve of the PROGRAM for 2011-2015 (annexed hereto). 2. To entitle the municipal councils from Chisinau and Balti, Administrative Territorial Unit of Gagauzia (Gagauz-Yeri) and district-level councils: • • 3.
To develop, approve of and enforce the implementation of regional HIV/AIDS and STIs prevention and control programs for 2011-2015; To establish regional committees for HIV/AIDS and STIs prevention and control, entitled to organize and control the implementation of regional programs for HIV/AIDS and STIs prevention and control.
Central public authorities shall: • •
Develop and approve of the operational plans to implement the provisions of the PROGRAM 2011-2015; Inform the Ministry of Health (MOH), on an annual basis, before 5 March each year, on the progress achieved with regards to PROGRAM implementation.
4.
It is provided for that the funding of the PROGRAM 2011-2015 shall be ensured within the national public budget means available, as well as with the funds made available by international organizations through donations and/or grants.
5.
The MOH is responsible for the control of the enforcement of the above provisions.
PRIME MINISTER Vladimir FILAT Signed off: Minister of Health Vladimir HOTINEANU Minister of Finance
Veaceslav NEGRUTA
Minister of Labor, Social Protection and Family
Valentina Buliga
Minister of Justice Alexandru Tanase Minister of Education Leonid Bujor Minister of Youth and Sports
Ilie Cebanu Nr. 1143. Chisinau, 16 december 2010.
NATIONAL PROGRAM FOR HIV/AIDS AND STIs CONTROL AND PREVENTION FOR 2011-2015
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Annex to the Government Decision no.1143 as of 16 December 2010 National Program for HIV/AIDS and STIs Prevention and Control 2011-2015
Chapter I. Introduction 1. Based on the World Health Organization (hereinafter WHO) classification, the Republic of Moldova
(hereinafter the RM) is in a concentrated stage of the HIV/AIDS epidemic, with heterosexual route of HIV/ AIDS transmission prevailing over the last years, as the number of new cases identified among injecting drug users (hereinafter IDU) dropped.
2. Therefore, given the present epidemic situation, it is critical to design strategies and take actions to advocate
for healthy lifestyles, changing risky behaviors that put someone at risk for HIV/AIDS, by developing and implementing measures to prevent and ensure treatment, care and support for the people living with HIV (hereinafter PLHIV).
3. The Government of RM, through the National Program for HIV/AIDS and STIs Prevention and Control
(hereinafter PROGRAM) shall ensure the coordination of HIV and sexually transmitted infections (hereinafter STI) response measures during 2011-2015.
4. Priority actions under the Program shall be translated in operational plans to steer the implementation
process.
5. RM is a co-signatory to the global commitments set under the Millennium Development Goal no.6 ‘Stop the
spread of HIV/AIDS and TB by 2015 and reverse current trends’, Declaration of Commitment of the United Nations (hereinafter UN) General Assembly Special Session (UNGASS) for HIV/AIDS dated 2001, Universal Access initiative and strategic framework of outcomes. At the same time, the Program is developed to support the objectives of the National Development Strategy and the Health System Development Strategy for 2008-2017 and the National Health Policy of the RM.
Chapter II. Situation Analysis 6. The HIV infection is a major public health priority in the RM. As of 1 June 2010 there have been 5,999
PLHIV reported overall in the country, including 1,891 – in Transnistria. There was an insignificant drop in the number of new cases reported, i.e. 704 (17.12 per 100,000 population) versus 795 reported in 2008 (19.27 per 100k). The spread of HIV is reported in all districts of the country, although the degree of spread differs. The highest cumulative prevalence per 100,000 people is reported in the municipalities of Balti – 804.86 and Chisinau – 135.86; districts of Glodeni – 141.49, Basarabeasca – 122.03, and Singerei – 109.69. In Transnistria the HIV prevalence rate is 2.73 times higher than in the rest of the country, tallying up to 453.59 in the city of Tiraspol, and 531.49 – in the district of Ribnita.
7. HIV is reported among the able-bodied and sexually active young people; hence, 86.02% of the total
identified number of PLHIV is from the 15-39 years-old group, 23.77% are 20 - 24 years-old, and another 24.99% are from the 25-29 years-old age group.
8. There is a steady high level of heterosexual transmission rate of HIV (81.25%), with the number of new
cases growing in rural areas (34.9%), among migrants (34%), while the share of new cases among IDUs going down. There are about 80 new HIV cases reported each year among pregnant women. As many as 887 people have been diagnosed with AIDS during 1989-2009. About 500 people died of HIV/AIDS during 1987–2009 in Moldova alone (net of Transnistria data). Another 490 PLHIV died of AIDS during 1989–2009
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NATIONAL PROGRAM FOR HIV/AIDS AND STIs CONTROL AND PREVENTION FOR 2011-2015
in Transnistria. Of the most frequently diagnosed AIDS indicator conditions, TB has the highest share - 482 people (54.34% of all AIDS patients). 9. To day, the burden of HIV is borne by men and women equally. The situation changed somewhat following
the shift from IDU-driven epidemic during 1990-2001 (most of whom were men) towards a prevailing sexual route of transmission today. Of all the major areas of suggested interventions, gender issues were reckoned as top priority, streamlined into all actions and underpinning the interventions fit for the roles played by women and men. Therefore, one has to take into account the responsibilities and opportunities for men and women from the social, cultural and political standpoints. Various tools for monitoring, evaluation and oversight have been designed to provide data disaggregated by gender to identify those interventions targeting gender issues, making allowance for gender differences. One may notice that no provisions have been made for gender issues in the HIV control actions taken before, as interventions were targeting general population and vulnerable groups at high risk for infection only. Given that IDU accounted for four-fifths of all new cases of HIV at the beginning of the epidemic, which subsequently spread to lay population via sex and taking into account the major role that women are playing in reproductive health and bringing up children within one’s family and the society in general, the emphasis is made on securing the psychological support, preventing unwanted pregnancy among HIV-positive women, counseling and testing, family planning, social care and support after birth (food parcels, clothing, summer camps for mothers and children).
10. The epidemiological curves for syphilis and gonorrhea are flat, the incidence per 100,000 people reaching
68.26 in 2006 versus 69.5 in 2009 for syphilis, and 50.7 versus 42.7 respectively for gonorrhea.
11. The evaluation of the Program 2006-2010, endorsed through Government Decision no.948 as of 5 September
2005, proved this topic relevant, contributing to strengthening and mobilizing the national and foreign resources to implement and scale up HIV prevention, treatment, care and support, surveillance and control strategies and activities for PLHIV and their family members. The activities and provisions of the Program are technically and financially supported by international organizations, GFATM and other donors.
12. Pursuant to international standards, the national laws and normative acts have been developed and
appropriately adjusted on ways to interdict the discrimination of PLHIV or vulnerable to HIV-infection, observing the human rights and dignity approach, acting as the legal basis for the carrying out of comprehensive, team and cross-sector interventions.
13. The HIV monitoring and surveillance is a hot topic at relevant central-level authorities. In order to improve
people’s access to voluntary and confidential counseling and testing (VCT) services, a VCT service was set up within the health care system. As many as 288,783 people have been tested during 2006 and 298,314 people – in 2009. HIV surveillance, antiretroviral (hereinafter, ARV) treatment and management of opportunistic infections, palliative care, prevention of mother-to-child transmission are all done as per the national protocols, developed according to WHO recommendations. PLHIV and AIDS patients are granted universal access to ARV treatment.
14. In cooperation with civil society, there are 49 harm reduction programs and projects implemented in the
country, along with prevention, rehab and psychosocial support, opiate substitution therapy with methadone for IDUs, inmates, migrants and other groups at high risk of infection, as per the standards of WHO, UNAIDS, and UNODC.
Chapter III. Program Goal and Objectives 15. The goal of the Program is to advocate for a healthy lifestyle to population, adopting safe and harmless
behaviors, scaling up HIV prevention in population, including rural population, mobile populations, improving the accessibility of health care services (VCT, early diagnosis, HIV treatment, care and support), while keeping the country’s HIV-infection in check at levels of a concentrated epidemic.
16. Listed below are the Program objectives:
NATIONAL PROGRAM FOR HIV/AIDS AND STIs CONTROL AND PREVENTION FOR 2011-2015
a.
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HIV incidence shall have stayed below 20.0 cases per 100,000 population in the 0-39 years-old age group by 2015
The main purpose of this objective is to cut down the HIV incidence among the youth of reproductive age and vulnerable groups. The accomplishment of this objective shall provide the population with access to HIV prevention services. Behavior change, community mobilization, peer-to-peer actions taken among youth and outreach activities undertaken among IDU, men having sex with men (hereinafter, MSM), commercial sex workers (hereinafter, CSW), migrants, truck drivers etc. and providing people with VCT services make up the cornerstone of HIV prevention measures. b. Mortality among PLHIV of the estimated total number of PLHIV shall have dropped by 10% by 2015
The above objective aims at improving the quality of life of the PLHIV by ensuring: required ARV therapy, treatment of opportunistic infections and HIV/AIDS associated conditions, home care, social protection, and care for orphan children. The creating of an enabling environment shall allow for better adherence to ARV treatment and a more efficient case management.
Chapter IV. Guiding Principles for HIV/AIDS National Response 17. The principles used at both international and national levels applicable to public health programs underpinned
the development of the Program, as follows: a.
Principle 1.The national response to HIV/AIDS is evidence based;
b. Principle 2. Human rights based approach; c.
Principle 3. The Program has been designed to be gender sensitive;
d. Principle 4. Ensuring the universal access to HIV prevention, treatment and care; e.
Principle 5. Involvement of communities and PLHIV in the process of Program design, implementation and evaluation; and
f.
Principle 7. Monitoring and Evaluation
Chapter V. Program Overview 18. The Program has been designed as a complex framework to guide the national response activities and
stakeholders across all sectors.
19. The implementation of the Program shall be focused on the following priority areas: a.
Strengthening and scaling up HIV prevention activities in lay population, including the rural, migrants and other groups at high risk of infection (IDU, MSM, CSW etc.) Setting up and ensuring the operability of one communication message for behavior change and advocacy for healthy lifestyles, building up safe behaviors in children and youth from the primary, secondary vocational and higher education facilities. Ongoing development of VCT services;
b. Developing infrastructure and building capacity to enhance UA to health care and palliative care by
decentralizing the ARV treatment, strengthening health care, social and palliative care services;
c.
Strengthening and building the capacity of government and civil society organizations to provide education and support for the children left with no parental care and for the children from the familiesin-need;
d. Developing and ensuring the operability of a cross-sector national system for the coordination,
management and monitoring of HIV/AIDS and STI control, prevention and treatment interventions. Building the capacity of CCM and technical working groups;
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NATIONAL PROGRAM FOR HIV/AIDS AND STIs CONTROL AND PREVENTION FOR 2011-2015
e.
The management of Program shall be ensured through operational research, implementation of epidemiologic surveillance systems, surveillance of virus circulation and resistance profile, information technologies, implementation of case management and capacity building for lab diagnosis;
f.
Strengthening the capacity of human resources through formal education, and trainings in HIV/AIDSrelated areas;
g.
Enabling environment and community development (advocacy and communication; institutional development; human rights; gender programs);
h. HIV-related research and epidemiologic, clinical, social, behavior and economic studies.
Chapter VI. Rights Holders and Program Beneficiaries The right holders and Program beneficiaries have been identified by one’s risk of getting HIV and by one’s social and behavioral vulnerability, and were classified as per Annex no.1 to this Program. The following UNAIDS/ WHO methodology was employed to estimate the size of the group of Program beneficiaries (http://www.unaids. org/en/KnowledgeCenter/HIVData/Methodology/default.asp) which, in partnership with national authorities, make use of a six-step approach to get estimates of HIV prevalence during the time span of national program implementation (5-10 years). 20. In the case of RM – country with a concentrated epidemic – as per the UNAIDS recommendations, the
estimates are computed as a result of the following: a.
Step One – Epidemiologic surveillance data is collected for high risk groups: CSW, MSM, and IDUs. Estimates of the size of vulnerable groups are made, as well as estimates of most-at-risk groups (for instance: partners of CSW or of IDUs etc.)
b. Step Two – Collected data is entered into a specially designed software (“Estimation and Projection
Package”).
c.
Step Three – Curves are drawn for the trends in adult HIV incidence rates (15-49 years-old age group) over a certain period of time.
d. Step Four – Adult incidence curve, along with national demographic estimates generated by UNFPA,
and ARV treatment coverage data for adults and children are then entered into the Spectrum software.
e.
Step Five – data is adjusted to different epidemiologic assumptions (fertility rates, female-to-male ratio, survival rate following HIV infection etc.)
f.
Step Six – ‘Spectrum’ estimates the forecast number of infected adults, new cases and HIV deaths, orphans and ARV treatment needs.
Chapter VII. Priority Actions 21. Specific Objective I. Ensuring the access for at least 10% of general population to HIV and STI prevention
services by 2015: a.
Develop and implement a strategic communication framework for behavior change in HIV/AIDS and STIs;
b. Involve and mobilize communities (local public authorities (including, health care, social assistance,
education), church community, PLHIV, NGOs, family members affected by HIV/AIDS) to strengthen HIV and STI prevention;
c.
Provide the general population with VCT services for HIV and STIs;
d. Design and implement HIV and STI prevention programs for risk population groups, including: migrants,
mobile population, recruits, inmates, people in uniform (including from the prison system), minor and youth delinquents, as well as other marginalized groups;
NATIONAL PROGRAM FOR HIV/AIDS AND STIs CONTROL AND PREVENTION FOR 2011-2015
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e.
HIV and STI prevention actions taken among youth and adolescents within the education system;
f.
HIV and STI prevention activities among unschooled youth and adolescents;
g.
PLHIV-centered HIV and STI prevention measures;
h. HIV prevention among employed population through workplace programs. 22. Specific Objective II. Ensuring the access of at least 60% of the estimated number of high risk groups (CSW,
MSM, IDU) to prevention services by 2015: a.
Ensure the curtailing of HIV and STI spread, differentiated by age specific and gender specific needs, among CSW and their clients;
b. Ensure HIV and STI prevention, differentiated by age specific and gender specific needs among MSM; c.
Ensure the access of IDUs, differentiated by age specific and gender specific needs, to comprehensive HIV prevention services and substitution therapy, including in the prison sector.
23. Specific Objective III. Providing 10% of population with condoms by 2015: a.
Provide for the social marketing of condoms.
24. Specific Objective IV. Providing 80% of patients diagnosed with an STI with treatment: a.
Provide for the testing, diagnosis and treatment of STIs for all groups of population, including high-risk groups.
25. Specific Objective V. Ensuring the access of at least 95% of pregnant women with PMTCT services: a.
Prevent the mother-to-child transmission of HIV and STIs and provide HIV-positive mothers with milk formula for the infants born to them.
26. Specific Objective VI. Ensuring blood safety for 100% of blood samples used for transfusion purposes: a.
Ensure the safety of donor blood.
27. Specific Objective VII. Providing people at risk for HIV infection with access to post-exposure prophylaxis
(PEP) in 100% of cases when needed: a.
Provide PEP for professional exposures and sexual abuse or rape. Ensure the access to PEP information.
28. Specific Objective VIII. Ensuring ARV treatment for 80% of the estimated number of PLHIV and AIDS
patients in need of treatment, by 2015: a.
Ensure access for the PLHIV and AIDS patients to outpatient treatment;
b. Ensure the access of general population to provider-initiated HIV testing and laboratory diagnostics; c.
Ensure the PLHIV with prevention, diagnosis and treatment of opportunistic infections and HIVassociated conditions in outpatient settings;
d. Ensure the access of PLHIV and AIDS patients to ARV treatment; e.
Ensure the access of adult PLHIV and AIDS patients to ARV treatment;
f.
Ensure the access of HIV-infected children and AIDS patients to ARV treatment;
g.
Ensure adherence to ARV treatment (including, through nutritional programs);
h. Ensure the laboratory follow-up to adjust regimens for an efficient treatment; i.
Surveillance of drug resistance in HIV patients.
29. Specific Objective IX. Ensuring 10% of the total estimated number of PLHIV and AIDS patients with care
and support by 2015: a.
Ensure case management and team approach to care for PLHIV;
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NATIONAL PROGRAM FOR HIV/AIDS AND STIs CONTROL AND PREVENTION FOR 2011-2015
b. Ensure psycho-social support for PLHIV and AIDS patients; c.
Provide the terminally-ill patients with palliative care in outpatient settings;
d. Ensure the diagnosis and treatment of opportunistic infections and HIV-associated conditions in PLHIV
in inpatient settings;
e.
Ensure the terminally-ill patients with palliative care in inpatient settings;
f.
Ensure the access of children infected and affected by HIV to social services.
30. Specific Objective X. Creating an efficient system for program management by 2015: a.
Ensure the planning process through the CCM’s technical working groups (TWG) and Program management;
b. Secure the financial management of the Program and projects; c.
Ensure Program monitoring and evaluation;
d. Ensure the implementation, renewal and servicing of HIV/AIDS related information systems; e.
Ensure the medical follow-up of patients by making the automated database SIME-HIV operational;
f.
Ensure the monitoring of prevention services provided to vulnerable groups and of social benefits by making the single ID system operational;
g.
Make the coordination systems operational for the NGO sector;
h. Build the capacity of staff involved in programs; i.
Provide the workers involved in service provision to HIV/AIDS and STI patients with in-service training, including for pediatric care;
j.
Ensure the social protection of PLHIV and AIDS patients;
k.
Provide for advocacy activities and defending the interests of PLHIV;
l.
Ensure the observance of rights of the PLHIV;
m. Build the capacity of PLHIV NGOs; n. Epidemiologic and sociologic studies; o. Operational research.
Chapter VIII. Program Implementation 31. The Program implementation is based on the work of CCM. 32. The relevant ministries are responsible for their participation in the CCM and the implementation of sector
activities.
33. The CCM is operating based on a partnership established between government entities, employers’
organizations, international organizations and NGOs, based on transparency and mutual collaboration.
Chapter IX. Service Provision and Implementation Implementation Partners 34. Service providers and implementers shall coordinate their implementation activities with CCM. The
transparency of implemented activities shall be secured through the website www.aids.md.
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35. Listed among implementation partners are governmental organizations and civil society organizations alike: a.
Public and private health care services to ensure lab diagnostics, clinical care, and management of patients, as well as health education etc.;
b. NGOs to carry out activities in high-risk groups, support for PLHIV etc.; c.
Private sector companies to implement workplace policies;
d. Social service providers, to translate HIV response to available services; e.
Research groups for study designs.
36. Public administration authorities and organizations in charge of capacity building are as follows: a.
MOH, MOLSPF, Ministry of Education, Ministry of Justice, Ministry of Sports and Youth and other empowered institutions;
b. UN technical agencies (UNAIDS, WHO, UNFPA, UNICEF etc.), through the technical assistance and
information about international standards;
c.
National and international NGOs specialized in PLIHV interventions, workplace actions, IDUs etc.;
d. Tier-I and tier–II local public authorities.
Chapter X. Monitoring and Evaluation 37. The MOH is responsible for the Program monitoring and evaluation as per the Program Monitoring Plan
(Annex no.2 to the given Program).
38. Program indicators are to be reported on an annual basis. 39. The core principle for setting the key indicators focused on “measuring progress” towards reaching the
targets, outcomes and Program components.
40. Thus, indicators also reflect the national reporting needs as set out in the Universal Access, Dublin Declaration
(hereinafter, UNGASS); UA Initiative and MDG focusing on HIV/AIDS.
41. According to the Program, indicators were grouped into four categories: output, process, outcome and
impact.
Chapter XI. Overall Cost Estimates 42. Program cost estimates were assessed based on the cost per service or per capita, as prescribed (Annexes
no.3 to the given Program).
Annex no.1 to the NAP 2011-2015 Target populations of beneficiaries, definitions and descriptions The identification of target groups of beneficiaries (hereinafter, TGB) aims at measuring the resources amassed for specific populations as part of the service provision process within programmatic interventions, identified based upon the UNAIDS Guidelines from 2009 “Evaluation and classification of beneficiary populations for the national response to HIV/AIDS”. It will provide results about the program expenses, making no allowance for the cost efficiency or coverage.
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NATIONAL PROGRAM FOR HIV/AIDS AND STIs CONTROL AND PREVENTION FOR 2011-2015
I. PB.01 PLHIV 1. PB.01.01 Adults and youth (15+ years-old) living with HIV a.
PB.01.01.01 Male adults and youth (15+) living with HIV
b. PB.01.01.02 Female adults and youth (15+) living with HIV c.
PB.01.01.98 Adults and youth (15+) living with HIV not broken down by sex
2. PB.01.02 Children (under 15 years-old) living with HIV a.
PB.01.02.01 Boys (under 15) living with HIV
b. PB.01.02.02 Girls (under 15) living with HIV c.
PB.01.02.98 Children (under 15) living with HIV, not broken down by sex
3. PB.01.98 PLHIV not broken down by age or sex.
II. PB.02 Population at high risk of getting HIV is identified by the type of behavior he/she is practicing putting her/him at high risk for HIV. Therefore, the population groups that are identified should be top priority for the national and sub-national programs. In particular, among those population groups that are at high risk of getting HIV one may find: CSW and their clients, IDUs, MSM, including adolescents from the above groups. It is estimated that those population groups have high rates of promiscuity, practicing unsafe sex with multiple partners or use of contaminated injection equipment for drug use, thus putting them at risk for HIV. 1. PB.02.01 IDUs and their sex partners 2. PB.02.02 CSW and their clients a.
PB.02.02.01 CSW and their clients
b. B.02.02.02 Male CSW transvestites (and their clients) c.
PB.02.02.03 Male CSW non-transvestites (and their clients)
d. PB.02.02.98 CSW broken down by sex e.
PB.02.02.99 CSW not part of any previous group and their clients
3. PB.02.03 MSM 4. PB.02.98 “Population groups at high risk for HIV” broken down by type and age
III. PB.03 Other Key Populations include children without parental care and children from families in need, children born or that ought to be born to HIV-infected mothers, refugees, internally displaced people and immigrants, emigrants and migrants within the country, reckoned as “key populations” both in terms of epidemic trends, and response to epidemic. 1. PB.03.01 Children without parental care and children from families in need (CFT) 2. PB.03.02 Children born or that ought to be born to HIV-positive mothers 3. PB.03.03 Refugees (externally displaced) 4. PB.03.04 Internally displaced people (in case of emergencies) 5. PB.03.05 Migrants/mobile populations 6. PB.03.06 Ethnic minority groups
NATIONAL PROGRAM FOR HIV/AIDS AND STIs CONTROL AND PREVENTION FOR 2011-2015
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7. PB.03.07 Inmates and other institutionalized peopled 8. PB.03.08 Track drivers / employees working in transports and commercial drivers 9. PB.03.09 Street children and youth 10. PB.03.10 Minor and young delinquents 11. PB.03.11 Out-of-school children and youth 12. PB.03.12 Institutionalized children and youth 13. PB.03.13 Partners of PLHIV 14. PB.03.14 Recipients of blood and blood products 15. PB.03.98 “Other key populations” not broken down by type 16. PB.03.99 “Other key populations” not mentioned above
IV. PB.04 Specific “Reachable” Populations include school children, women attending reproductive health clinics, military and employees. 1. PB.04.01 People attending STI clinics 2. PB.04.02 Primary and lower secondary education students 3. PB.04.03 Upper secondary education students. Students of vocational and specialized schools 4. PB.04.04 Higher education students 5. PB.04.05 Health workers 6. PB.04.06 Sailors 7. PB.04.07 Military 8. PB.04.08 Police and uniform services (other than the military) 9. PB.04.09 Veterans 10. PB.04.10 Employees 11. PB.04.98 “Reachable” populations not broken down by type 12. PB.04.99 “Reachable” populations not mentioned above
V. PB.05 General Population consisting of 1. PB.05.01 General population (adults 24+ years) a.
PB.05.01.01 Adult male population
b. PB.05.01.02 Adult female population
13 c.
NATIONAL PROGRAM FOR HIV/AIDS AND STIs CONTROL AND PREVENTION FOR 2011-2015
PB.05.01.98 General population (adults 24+ years-old) not broken down by sex
2. PB.05.02 Children (under 15 years) a.
PB.05.02.01 Boys
b. PB.05.02.02 Girls c.
PB.05.02.98 Children (under 15 years-old) not broken down by sex
3. PB.05.03 Youth (15 – 24 years-old) a.
PB.05.03.01 Young men
b. PB.05.03.02 Young women c.
PB.05.03.98 Youth (15 – 24 years-old age group) not broken down by sex
4. PB.05.98 General population not broken down by age or sex
VI. PB.99 Specific Target Populations not mentioned above: target populations not mentioned in any of the categories above. Annex No 2 to the National Program for Prevention and Control of HIV / AIDS and STIs for 2011-2015
Chapter I. General Provisions 1. The National Monitoring and Evaluation Plan (hereinafter called M&E plan) for the Program is aligned with
the existing policies in various sectors and was developed through a participatory process, based on the findings of the Assessment of functionality of the components of the Monitoring and Evaluation System, the review of the National Program on Prevention and Control of HIV/AIDS/STIs for the years 2006-2010 and on the National Response Analysis.
2. The M&E Plan stipulates principles of data collection, aggregation, analysis and use for program
implementation, provides information on key indicators, the main data sources, information flow, information products and institutional responsibilities.
Chapter II. Background 3. As per the recommendations provided for at the Washington Conference of 25th April 2004, organized by the
United Nations Program on HIV/AIDS (UNAIDS) and the key donors, the Republic of Moldova endorsed the Declaration of Commitment and engaged in enforcing the 3-Ones principle, prescribing the harmonization of efforts and avoidance of overlaps through: a.
one strategic framework
b. one coordination mechanism to manage the national response to HIV/AIDS c.
c. one national M&E system
Chapter III. M&E Plan objectives and its elements 4. The goal of the M&E Plan is to guide and coordinate the effective collection, analysis, aggregation and use of
data for the assessment of progress trends in the national response to HIV/AIDS and for enhanced decision making process.
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5. M&E Plan objectives: a.
Strengthen the monitoring and evaluation system that will enable the systematic collection, processing, analysis and interpretation of data;
b. Put up lists with core indicators that will allow monitoring of progress in response to HIV/AIDS and
identify data needs for decision making;
c.
Describe the main data sources used to collect data necessary for monitoring and evaluation;
d. Establish a clear information flow; e.
Describe the roles and responsibilities in monitoring and evaluation;
f.
List the information products and the dissemination mechanisms.
6. The implementation of the M&E Plan shall yield the following outputs: a.
Quality and timely reporting;
b. Strengthened monitoring and evaluation system; c.
Structured and coordinated flow of routine information;
d. Single national data repository developed to integrate the existent reporting systems; e.
Strategy for data dissemination developed;
f.
Capacity-building plan developed;
g.
Research and Evaluation agenda agreed upon.
7. The organizational framework, approved in 2008 by the global Reference Group for Monitoring and
Evaluation (MERG), provides for 12 functional components for a functional monitoring and evaluation system: a.
Organizational structures with HIV M&E functions
b. Human capacity for HIV M&E c.
Partnerships to plan, coordinate, and manage the HIV M&E system
d. National cross-sector HIV M&E plan e.
Annual costed national HIV M&E work plan
f.
Advocacy, communications, and culture for HIV M&E
g.
Routine HIV program monitoring
h. Surveys and surveillance i.
National and sub-national HIV databases
j.
Supportive supervision and data auditing
k.
HIV evaluation and research
l.
Data dissemination and use
8. The National M&E System has important functions at the central, territorial and service provider levels.
The M&E system includes reporting by public institutions and civil society organizations from all sectors involved in the implementation of the Program.
9. Information flows: a.
The indicators for monitoring and evaluation were selected to be:
b. Existing reporting verticals, automated systems (SIME-HIV, SIME STIs, VCT and unique identifier), c.
Existing reporting verticals, non-automated systems (reporting based on statistical forms)
15
NATIONAL PROGRAM FOR HIV/AIDS AND STIs CONTROL AND PREVENTION FOR 2011-2015
d. Reporting systems in process of institutionalization (reporting from NGOs) e.
Horizontal reporting (cross-sector reporting).
Chapter IV. National indicators for the HIV infection 10. The indicators for monitoring and evaluation were selected to be: a.
in line with the priority objectives established by the National HIV/AIDS Program;
b. In line with the priority objectives and HIV and AIDS related indicators of the Moldova NDP & nationalized
MDG;
c.
In line with internationally recommended core indicators in UNGASS;
d. In line with core indicators to achieve ‘Universal Access’ to HIV and AIDS interventions; e.
In line with the HIV and AIDS related indicators in other key national policies and plans;
f.
In line with international HIV and AIDS M&E guidelines; and
g.
Realistically measurable at a reasonable cost.
11. Monitoring equity and access to effective prevention, care and treatment, and impact mitigation interventions
is reflected in the definition and Broken down of the respective indicators. The standard categories of Broken down are: age, sex, location, and region (net of Transnistria, including Transnistria).
Chapter V. Data Sources for national indicators 12. Data sources for program indicators include: a.
for the impact and outcome indicators: surveys and studies, including biomedical and clinical; sentinel surveillance in key populations at risk; behavioral, sociological;
b. for the output indicators: administrative statistics/ routine monitoring; c.
for some denominators: estimates of incidence and prevalence; estimations of size of key populations at risk, estimated needs for ARV treatment and projections on trends of these estimated ranges.
13. In order to complement existing data sources and to improve understanding of trends and developments in
specific public health issues, triangulation of data from multiple sources will be made for data analysis based on empirical observations.
Chapter VI. National data repository (SIDATA) 14. The national data repository is a functional tool to ensure data availability in the strategic planning process
and concentrates aggregated data from: a.
existing reporting systems among public institutions and cross-sector program implementers
b. the NGO Sector 15. The national data repository integrates data from pre-existing reporting systems and is a unique platform
of data presentation to avoid double reporting, ensures data transparency, provides for national level validation, and limited editing access to ensure data security.
16. The national data repository provides web access in order to visualize data grouped by strategy/categories/
NATIONAL PROGRAM FOR HIV/AIDS AND STIs CONTROL AND PREVENTION FOR 2011-2015
16
areas of intervention. 17. The national data repository will be located in the National AIDS Center. Data entry is performed by trained
personnel appointed by all authorized public and nongovernmental institutions
Chapter VII. Data quality 18. The quality criteria for data used in Monitoring and Evaluation include: validity; reliability; timeliness;
precision; integrity 19. The M&E TWG will develop a protocol for ensuring data quality, which will institutionalize quality assurance
for key indicators, will consolidate data management systems and will build upon the capacities of the personnel involved in data collection, aggregation and analysis.
20. Supportive supervision will include oversight and directing the performance of subordinated institutions
and transfer of knowledge, attitudes and skills. Supportive supervision will be carried out rotationally on different samples of service providers and will be used as a mechanism for strengthening local monitoring and evaluation capacities.
21. Data validation will involve internal and external validation mechanisms. Internal Audit will be a regular
process, conducted with a certain periodicity. Annual external audits will be conducted for selected indicators in randomly selected locations. Responsibility for data validation within the sectors belongs to line Ministries. Multilateral issues will be managed by the Technical Work Group on ME.
Chapter VIII. Evaluation and research 22. Evaluation and research are components of the comprehensive monitoring and evaluation system. A national
process for identifying evaluation/research gaps and for coordinating carrying out evaluation/research shall be conducted to avoid duplication of effort and to enhance dissemination and data use in decision-making. The adequate planning of studies, research and evaluation will be a prerequisite for adequate funding.
23. The priority fields for epidemiological research include: a.
Elucidate the role of injection drug use in HIV infection among pregnant women, female sex workers and MSM;
b. Assess the extent to which there is sustained heterosexual or homosexual transmission of HIV in men,
unassociated to injecting drug use;
c.
Identify gender-associated factors of vulnerability to HIV;
d. Study the factors that determine adolescents to engage in behaviors with increased risk of HIV infection; e.
Describe the referral system and the peer support in providing access to care, the care/treatment experience, and survival after HIV diagnosis;
f.
Conduct a descriptive study of HIV-infected pregnant women.
Chapter IX. Information Products 24. Information products shall include: a.
Annual Report on the M&E of the response to HIV/AIDS;
17 b. Quarterly reports for the Global Fund to Fight AIDS/TB and Malaria; c.
Universal Access annual report;
d. UNGASS biannual report; e.
Mid-Term Review and end of cycle Evaluation reports
NATIONAL PROGRAM FOR HIV/AIDS AND STIs CONTROL AND PREVENTION FOR 2011-2015
NATIONAL PROGRAM FOR HIV/AIDS AND STIs CONTROL AND PREVENTION FOR 2011-2015
18
Table 1. Indicators for NAP Monitoring and Evaluation IMPACT INDICATORS Indicator
Numerator
Denominator
Definition according to international guide
Data sources
Broken down
Responsible institution
Reporting frequency
Baseline
Target (2015)
1
2
3
4
55
6
7
8
9
10
HIV prevalence (% of sample or national estimate)
The number of blood samples turned positive for HIV
The number of blood samples tested for HIV
UNGASS #22 WHO, II generation epidemiological surveillance
Epidemiological data/Routine statistics
Broken down by age group, gender and region (including Transnistria), t ype of residence
National AIDS Center
Every 2-3 years.
0.37
0.44
HIV Prevalence in key at-risk populations (IDU, CSW, MSM, and inmates)
The number of blood samples turned positive for HIV
The number of blood samples tested for HIV
UNGASS #23 WHO, II generation epidemiological surveillance
Epidemiological surveillance study with behavioral component (II generation)
Broken down by age group and gender
National AIDS Center
Every 2-3 years
IDU 16.4% CSW 6.1% MSM 1.7% Inmates 3.5%
IDU 20% CSW 11% MSM 5% Inmates 3.5%
HVC Prevalence in key at-risk populations (IDU, CSW, MSM, and inmates)
The number of blood samples turned positive for HVC
The number of blood samples tested for HVC
UNGASS #23 WHO, II generation epidemiological surveillance
Epidemiological surveillance study with behavioral component (II generation)
Broken down by age group and gender
National AIDS Center
Every 2-3 years
IDU 72,8% CSW 16% MSM 3,6% Inmates 15,7%
IDU 63% CSW 11% MSM 3% Inmates 10,7%
HVB Prevalence in key at-risk populations (IDU, CSW, MSM, and inmates)
The number of blood samples turned positive for HVB
The number of blood samples tested for HVB
UNGASS #23 WHO, II generation epidemiological surveillance
Epidemiological surveillance study with behavioral component (II generation)
Broken down by age group and gender
National AIDS Center
Every 2-3 years
IDU 10,9% CSW 8,5% MSM 5,8% Inmates 16,3%
IDU 5,9% CSW 4,5% MSM 3,8% Inmates 11,3%
Syphilis prevalence in key at-risk populations (IDU, CSW, MSM, and inmates)
The number of blood samples turned positive for syphilis
The number of blood samples tested for syphilis
UNGASS #23 WHO, II generation epidemiological surveillance
Epidemiological surveillance study with behavioral component (II generation)
Broken down by age group and gender
NCDV / National AIDS Center
Every 2-3 years
IDU 2,3% CSW 6,9% MSM 12,7% Inmates13,5%
IDU 2% CSW 3,9% MSM 7,7% Inmates 8,5%
HIV prevalence among pregnant women
Number of HIV + cases reported in pregnant women
Number of pregnant women tested for HIV
National indicator
Administrative statistics
Broken down by age group, and region (including Transnistria), type of residence
National AIDS Center
Annually
0.29%
0.16%
% of pregnant women that have syphilis
Number of new syphilis cases reported
Total number of pregnant women during the reporting year
National indicator
Administrative statistics
Broken down by age group, and region (including Transnistria)
NCDV NCDV Tiraspol
Annually
0,3%
0,2%
HIV incidence per 100,000 population
Number of new HIV cases reported
Total population
National indicator
Administrative statistics
Broken down by age group, gender and region (including Transnistria), type of residence
National AIDS Center
Annually
17 per 100000
20 per 100000
NATIONAL PROGRAM FOR HIV/AIDS AND STIs CONTROL AND PREVENTION FOR 2011-2015
19 1
2
3
4
55
6
7
8
9
10
Gonorrhea incidence per 100,000 population
Number of new gonorrhea cases reported
Total population
National indicator
Administrative statistics
Broken down by age group, gender and region (including Transnistria), type of residence
CNMS NCDV CDV Tiraspol
Annually
42,7 la 100000
40 la 100000
Syphilis incidence per 100,000 population
Number of new syphilis cases reported
Total population
National indicator
Administrative statistics
Broken down by age group, gender and region (including Transnistria), type of residence
National Center for Health Management
Annual
69,5 to 100000
60 to 100000
% adults and children with HIV who receive ARV treatment 12 , 24, 36, 48, 60 months after initiation
Number of people in ARV treatment who reached 12, 24, 36, 48 and 60 months after its initiation.
Number of adults and children who have initiated ARV treatment in the cohort for 12 , 24, 36, 48 and 60 months from initiation
UNGASS indicator # 24/ Universal Access # G3a-e, EURO
Administrative statistics
Broken down by age group, gender and region (including Transnistria), type of residence of residence, IDU group.
National AIDS Center
Annual
12months 88.26% 24months 88% 36months 72% 48months 79% 60months 57%
12months 88.26% 24months 88% 36months 85% 48months 80% 60months 70%
Incidence of AIDS associated mortality per 100,000 population
Number of AIDS associated deaths during the reporting year
Estimated number of PLHIV
National indicator
Administrative statistics/ estimates and projections
Broken down by age group, gender and region (including Transnistria), type of residence, cause of death
National Center for Health Management
Annual
9.6
8.6
MTCT
SPECTRUM estimated number of new HIV cases in children / Number of HIVpositive children born to HIV positive mothers from among those taken in the annual cohort
SPECTRUM estimated number of HIV-positive pregnant women / Number of children born to HIV positive mothers from among those taken in the annual cohort
UNGASS Indicator # 25/National indicator
Estimates/ forecasts/ Administrative statistics, cohort analysis by year of birth
-
National AIDS Center
Annual
2%
2%
Table 2. Roles of institutions responsible for monitoring and evaluation of the Program Mandated institution
Frequency of reporting
Comments
National Center for Public Health
Every six months
Data from territorial Public Health Centers, aggregated, validated and inserted in SIDATA
National AIDS Center
Quarterly
Aggregated data inserted in SIDATA. Validation of data per program sector
Ministry of Education
Annually
Data from educational institutions and NGOs, aggregated, validated and inserted in SIDATA
Ministry of Youth and Sports
Annually
Data from local public administration on activities carried out by youth specialists and NGOs, aggregated and inserted in SIDATA
District-level public health facilities (VCT)
Quarterly
Data per counseling sessions entered in the automated VCT system
PREVENTION
NATIONAL PROGRAM FOR HIV/AIDS AND STIs CONTROL AND PREVENTION FOR 2011-2015
20
Mandated institution
Frequency of reporting
Comments
District-level public health facilities (STI)
Quarterly
Data per case diagnosed, aggregated and entered in the automated SIME- ITS system with personal information coded, at NCDV (National Center for Dermatovenereology) level. Validation and entering in SIDATA
NGO umbrella networks
Quarterly
Data from NGOs and public institutions acting as implementers, aggregated, validated and entered in SIDATA
«National Youth Resource Center « NGO
Quarterly
Data from local and district level youth resource Centers and local peer educators teams, aggregated and entered in SIDATA. Validation shall be carried out by MYS
Department of Penitentiary Institutions (HR and VCT)
Quarterly
Aggregated, validated data entered in SIDATA
Republican Narcological Dispensary
Quarterly
Data aggregated from territorial narcological services, validates and entered in SIDATA
AIDS Center Tiraspol
Quarterly
Data aggregated for the region
National Blood Transfusion Center
Quarterly
Data aggregated, validated and entered in SIDATA
“Neovita” Youth Friendly Health Center
Quarterly
Data aggregated from district YFHS, validated and entered in SIDATA
The National Center for Reproductive Health and Medical Genetics
Every six months
Data aggregated from district reproductive health offices
Trade unions and private sector
Every six months
Data reported to MLSP, responsible for the aggregation and entering into SIDATA
NGO
Quarterly
Data reported to the respective umbrella network responsible for the aggregation and entering into SIDATA
Religious sector
Quarterly
Data reported to the respective umbrella network responsible for the aggregation and entering into SIDATA
Donors
Every six months
Information by types of assistance and implementers
Regional Centers of ARV treatment
Quarterly
Clinic case management; coded data entered into SIME-HIV
National Clinical Hospital of Infectious Disease ”Toma Ciorba» (ART and palliative inpatient treatment)
Quarterly
Aggregated data on ARV treatment coming from SIME-HIV, entered into SIDATA. Administrative data on inpatient palliative care entered into SIDATA. The National AIDS Center is responsible for validation.
AIDS Center Tiraspol (treatment)
Quarterly
Data from Infectious Diseases doctors aggregated
NGO
Quarterly
Data on palliative care services provided by social Centers and NGOs entered in SIDATA. Validation by NGO umbrella networks
Ministry of Labor, Social Protection and Family
Every six months
Data from affiliated institutions (non-automated and automated verticals) and NGOs, aggregated, validated and entered into SIDATA
National Council for Medical expertise of Vitality
Every six months
Data aggregated in the informational software on people infected and affected by HIV beneficiaries of the social protection system
Natioal Population Social Support Fund
Every six months
Data aggregated in the informational software on people infected and affected by HIV beneficiaries of the social protection system
National Social Insurance House (NSIH)
Every six months
Data aggregated in the informational software on people infected and affected by HIV beneficiaries of the social protection system
TREATMENT AND CARE
MITIGATION AND SOCIAL SUPPORT
ENABLING ENVIRONMENT
NATIONAL PROGRAM FOR HIV/AIDS AND STIs CONTROL AND PREVENTION FOR 2011-2015
21
Mandated institution
Frequency of reporting
Comments
CCM (NCC) secretariat
Quarterly
Aggregated data, entered in SIDATA. Validation-National AIDS Center
Networks secretariat
Quarterly
Aggregated data, entered in SIDATA. Validation-National AIDS Center
NGO
Quarterly
Data submitted to NGO networks or directly entered in SIDATA
National AIDS Center
Quarterly
Data on the implementation of the NAP, coordination, M&E system strengthening, entered in SIDATA
3.1. PREVENTION Table 3.1.1. General population OUTCOME INDICATORS 1
2
3
4
5
6
7
8
9
% of youth aged 15-24 who correctly identify the modes of HIV transmission and reject major misconceptions on HIV transmission
Number of respondents aged 15-24 who correctly answered all key questions
Number of respondents aged 15-24
% of the general population aged 1549 who correctly identify the modes of HIV transmission and reject major misconceptions on HIV transmission
Number of respondents aged 15–49 who correctly identify the modes of HIV transmission and reject major misconceptions on HIV transmission
% of women and men aged 15 - 49 who had sex with more than one partner in the last 12 months
10
UNGASS 13 Indicator
Population based survey
Broken down by age group, type of residence and gender
National AIDS Center
Every 2-3 years.
40.8%
Number of respondents aged 15 - 49
National indicatorm
Population based survey
Broken down by age group, type of residence and gender
National AIDS Center
Every 2-3 years.
30.6%
50%
Number of respondents aged 15 - 49 who had sex with more than one partner in the last 12 months
Number of study respondents aged 15 - 49
UNGASS 16 Indicator
Population based survey
Broken down by age group, type of residence and gender
National AIDS Center
Every 2-3 years
9.8% (17.9% men and 1.8% women)
8.5% (15% men and 2% women)
% of women and men aged 15 - 49 that had more than one partner in the last 12 months and had used condom during last sexual intercourse
Number of respondents aged 15 - 49 who had more than one partner in the last 12 months and had used condom during last sexual intercourse
Number of study respondents aged 15 - 49 who had more than one sexual partner in the last 12 months.
UNGASS 17 indicator
Population based survey
Broken down by age group, type of residence and gender
National AIDS Center
Every 2-3 years.
68%
% of young women and men aged 15 – 24 who have had sex before the age of 15
Number of respondents aged 1524 who acknowledged to have had their first sex before the age of 15.
Number of respondents aged 15-24
UNGASS Indicator 15
Population based survey
Broken down by age group, type of residence and gender
National AIDS Center
Every 2-3 years
6.7%
6%
% of young women and men aged 15 – 24 who used condom at first sex
Number of young women and men aged 15 – 24 who used a condom at first sex
Number of respondents aged 15-24 who ever had sex
National indicator
Population based survey
Broken down by age group, type of residence and gender
National AIDS Center
Every 2-3 years
53.6
70 %
75%
70%
NATIONAL PROGRAM FOR HIV/AIDS AND STIs CONTROL AND PREVENTION FOR 2011-2015
22
1
2
3
4
5
6
7
8
9
10
% of women and men aged 15-49 who had a HIV test in the last 12 months and who know their results
Number of respondents aged 15–49 tested for HIV during the last 12 months and who know the result of the last test
Number of all respondents aged 15–49
UNGASS Indicator 7
Population based survey
Broken down by age group, type of residence and gender
National AIDS Center
Every 2-3 years
13.2%
13%
% of HIV positive pregnant women who received ARV drugs to reduce the risk of mother to child transmission (MTCT)
Number of HIV positive pregnant women who received antiretroviral drugs to reduce the risk of MTCT in the last 12 months
Number of officially reported HIV positive pregnant women
National Indicator; UNGASS indicator 5
Administrative statistics
National AIDS Center
Annually
81.9%
90%
% of children born to HIV positive women who were tested for HIV in the first 2 months
Number of children born to HIV positive women who were tested for HIV in the first 2 months.
Number of children born to HIV positive women
National indicator
Administrative statistics
-
National AIDS Center
Annually
84%
90%
% of children born to HIV positive women who received formula milk
Number of children born to HIV positive women who received formula milk
Number of children born to HIV positive women
National indicator
Administrative statistics
-
National AIDS Center
Annually
97.5%
97.5%
OUTPUT AND PROCESS INDICATORS 1
2
3
4
5
6
7
8
% of donated blood units screened for HIV in a quality assured manner
Number of donated blood units screened for HIV in a quality assured manner
Number of donated blood units
UNGASS Indicator 3
Administrative statistics
Broken down by region (including Transnistria),
National Blood Transfusion Center
Annually
% of the general population aged 15 – 49 that benefited from IEC materials throughout the last year
Number of the general population aged 15 – 49 that benefited of IEC materials throughout the last year
Number of respondents aged de 15 – 49
National indicator
Population based survey
Broken down by age group, type of residence and gender
National AIDS Center
Every 2-3 years
% of the general population aged 15 – 49 that benefitted of free condoms
Number of the general population aged 15 – 49 that benefitted of free condoms
Number of respondents aged de 15 – 49
National indicator
Population based survey
Broken down by age group, type of residence and gender
National AIDS Center
Every 2-3 years
% VCT cabinets that provide quality services to the general population
Number of VCT cabinets that provide quality services to the general population
Number of VCT cabinets assessed
National indicator
Administrative statistics
-
National AIDS Center
Annually
% of schools offering Life Skills Based Education in the last school year
No of schools where 30 or more hours of HIV prevention were taught throughout the previous academic year for each grade
Total number of schools in the sample
Indicator UNGASS 11
Survey in schools
Broken down by region and type of residence
Ministry of Education
Annually
% students covered with HIV prevention education
Number of students covered with HIV prevention education
Number of respondents
National indicator
Survey in schools
Broken down by region and type of residence
Ministry of Education
Annually
% of STI patients that received treatment according to national standards
Number of STI patients that received treatment according to national standards
Number of STI patients with STI diagnoses confirmed
National indicator
Administrative statistics
Broken down by region and type of residence
IMSP NCDV
Annually
% of institutions where PEP kits are available
Number of institutions where PEP kits are available
Total number of institutions included in the sample
UNGASS Additional Indicator #1
Representative survey in medical institutions
Broken down by region and type of residence
National AIDS Center
Annually
NATIONAL PROGRAM FOR HIV/AIDS AND STIs CONTROL AND PREVENTION FOR 2011-2015
23 Table 3.1.2. Key populations at risk (IDU, CSW, MSM) OUTCOME INDICATORS 1
2
3
4
5
6
Broken down by age group and gender
7
8
9
10
National AIDS Center
Every 2-3 years
IDU64,9% CSW – 28.7% MSM34,2%
IDU -70% CSW – 50% MSM50%
% IDU, CSW, MSM that correctly identify the modes of HIV transmission and reject major misconceptions on HIV transmission
Number of respondents who correctly answered all key questions
Total number of respondents
Indicator UNGASS 14
Epidemiological surveillance study with behavioral component (II generation)
% of injecting drug users reporting the use of sterile injecting equipment (have not engaged in both direct and indirect sharing) the last time they injected
Number of injecting drug users reporting the use of sterile injecting equipment (have not engaged in both direct and indirect sharing)the last time they injected
Total number of respondents
UNGASS Indicator 21
Epidemiological surveillance study with behavioral component (II generation)
Broken down by age group and gender
National AIDS Center
Every 2-3 years
99.3%
99%
% of injecting drug users reporting the use of sterile injecting equipment (have not engaged in both direct and indirect sharing) throughout the last month
Number of injecting drug users reporting the use of sterile injecting equipment (have not engaged in both direct and indirect sharing) throughout the last month
Number of respondents who injected drugs throughout the last month
National indicator
Epidemiological surveillance study with behavioral component (II generation)
Broken down by age group and gender
National AIDS Center
Every 2-3 years
33%
50%
% of injecting drug users reporting condom use at last sexual intercourse
Number of respondents, who injected drugs during the last month, had sexual intercourse during the last month and used a condom during the last sexual intercourse
The number of respondents, who injected drugs during the last month and had sexual intercourse during the last month
UNGASS Indicator 20
Epidemiological surveillance study with behavioral component (II generation)
Broken down by age group and gender
National AIDS Center
Every 2-3 years
35.6%
55%
% of injecting drug users reporting consistent use of condoms throughout last month
Number of respondents, who injected drugs during the last month, had sexual intercourse during the last month and used condoms consistently
The number of respondents, who injected drugs during the last month and had sexual intercourse during the last month
National indicator
Epidemiological surveillance study with behavioral component (II generation)
Broken down by age group and gender
National AIDS Center
Every 2-3 years
% of IDU reached with HIV prevention programs in the last 12 months
Number of IDUs respondents who stated they know where to get an HIV test and who received during the last 12 months free of charge needles/ syringes and condoms.
Total number of respondents
UNGASS Indicator 9
Epidemiological surveillance study with behavioral component (II generation)
Broken down by age group and gender
National AIDS Center
Every 2-3 years
7.4%
60%
% of female sex workers reporting the use of a condom with their most recent client
Number of respondents who used a condom during their last commercial sexual intercourse
Total number of respondents
UNGASS Indicator 18
Epidemiological surveillance study with behavioral component (II generation)
Broken down by age group
National AIDS Center
Every 2-3 years
90.8%
90%
% of female sex workers consistently using condoms during commercial sex throughout last month
Number of respondents who used a condom consistently during commercial sex throughout last month
Number of respondents who had sexual contacts throughout the last month
National indicator
Epidemiological surveillance study with behavioral component (II generation)
Broken down by age group
National AIDS Center
Every 2-3 years
17,8%
60,8%
40%
75%
NATIONAL PROGRAM FOR HIV/AIDS AND STIs CONTROL AND PREVENTION FOR 2011-2015
24
1
2
3
4
5
6
7
8
9
10
% CSW reached with HIV prevention programs in the last 12 months
Number of respondents who said they know where to get an HIV test and who received free of charge condoms during the last 12 months
Total number of respondents
UNGASS Indicator 9
Epidemiological surveillance study with behavioral component (II generation)
Broken down by age group
National AIDS Center
Every 2-3 years
15.3%
60%
% MSM reporting the use of a condom at last anal sex
Number of MSM reporting the use of a condom at last anal sex
Total number of respondents
UNGASS Indicator 19
Epidemiological surveillance study with behavioral component (II generation)
Broken down by age group
National AIDS Center
Every 2-3 years
61,9%
% MSM consistently using condoms during anal sex throughout last month
Number of MSM consistently using condoms during anal sex throughout last month
Total number of respondents
National indicator
Epidemiological surveillance study with behavioral component (II generation)
Broken down by age group
National AIDS Center
Every 2-3 years
43,4%
% MSM reached with HIV prevention programs in the last 12 months
Number of respondents who said they know where to get an HIV test and who received free of charge condoms during the last 12 months
Total number of respondents
UNGASS Indicator 9
Epidemiological surveillance study with behavioral component (II generation)
Broken down by age group
National AIDS Center
Every 2-3 years
75%
50%
25%
60%
OUTPUT AND PROCESS INDICATORS 1
2
3
4
5
6
7
8
% of IDUs who received an HIV test in the last 12 months and who know their results
Number of IDUs respondents who have been tested for HIV during the last 12 months and who know the results
Total number of respondents
UNGASS Indicator 8
Epidemiological surveillance study with behavioral component (II generation)
Broken down by age group and gender
National AIDS Center
Every 2-3 years
% VCT cabinets that provided quality services to IDU
Number of VCT cabinets that provided quality services to IDU
Number of VCT cabinets assessed
National indicator
Representative survey of VCT cabinets
Broken down by region (including Transnistria)
National AIDS Center
Annually
% CSW who received an HIV test in the last 12 months and who know their results
Number of respondents who have been tested for HIV during the last 12 months and who know the results
Total number of respondents
UNGASS Indicator 8
Epidemiological surveillance study with behavioral component (II generation)
Broken down by age group
National AIDS Center
Every 2-3 years
% VCT cabinets that provided quality services to CSW
Number of VCT cabinets that provided quality services to CSW
Number of VCT cabinets assessed
National indicator
Representative survey of VCT cabinets
Broken down by region (including Transnistria)
National AIDS Center
Annually
% MSM who received an HIV test in the last 12 months and who know their results
Number of respondents who have been tested for HIV during the last 12 months and who know the results
Total number of respondents
UNGASS Indicator 8
Epidemiological surveillance study with behavioral component (II generation)
Broken down by age group
National AIDS Center
Every 2-3 years
% VCT cabinets that provided quality services to MSM
Number of VCT cabinets that provided quality services to MSM
Number of VCT cabinets assessed
National indicator
Representative survey of VCT cabinets
Broken down by region (including Transnistria)
National AIDS Center
Annually
% MARPs diagnosed with syphilis that received treatment according to national standards
Number of MARPs diagnosed with syphilis that received treatment according to national standards
Total number of MARPs diagnosed with syphilis
National indicator
Administrative statistics
Broken down by region (including Transnistria), target group, gender and age group
IMSP NCDV
Annually
NATIONAL PROGRAM FOR HIV/AIDS AND STIs CONTROL AND PREVENTION FOR 2011-2015
25 1
2
3
4
5
6
7
8
% MARPs diagnosed with gonorrhea that received treatment according to national standards
Number of MARPs diagnosed with gonorrhea that received treatment according to national standards
Total number of MARPs diagnosed with gonorrhea
National indicator
Administrative statistics
Broken down by region (including Transnistria), target group, gender and age group
IMSP NCDV
Annually
Table 3.2 Treatment and medical care OUTCOME INDICATORS 1
2
3
4
5
6
7
8
9
10
Indicator
Numerator
Denominator
Definition according to international guide
Data sources
Broken down
Responsible institution
Reporting frequency
Baseline
Target (2015)
% adults and children with advanced HIV infection receiving antiretroviral therapy
Number of adults and children with advanced HIV infection who are currently receiving ART in accordance with the nationally approved treatment protocol at the end of the reporting period
Estimated number of adults and children with advanced HIV infection that require ARV treatment for the reporting period
UNGASS Indicator 4
Administrative statistics/ SPECTRUM
Broken down by age group, gender and region (including Transnistria)
National AIDS Center
Annually
34.6%
80%
% estimated HIV positive incident TB cases that received treatment for TB and HIV
Number of people with advanced HIV infection who have received ART in accordance with the nationally approved treatment protocol and who were started on TB treatment (new TB cases) in accordance with national TB program guidelines within the reporting year
Number new TB cases that are HIV positive, according to the SIME TB database
UNGASS Indicator 6
Administrative statistics
Broken down by age group, gender and region (including Transnistria)
National AIDS Center
Annually
38.7%
60%
OUTPUT AND PROCESS INDICATORS 1
2
3
4
5
6
7
8
% adults and children with HIN enrolled in HIV care
Number of adults and children with HIV, seen at the HIV clinics at least once in the reporting year
HIV+ children and adults alive
Universal Access Indicator Euro 2
Administrative statistics
Broken down by region (including Transnistria), gender, age group, probable mode of transmission
National AIDS Center
Annually
% PLHIV in HIV care that had at least a CD4 test in the last 12 months
Number of PLHIV in HIV care that had at least a CD4 test in the last 12 months
HIV+ children and adults alive
Universal Access Indicator Euro 2
Administrative statistics
Broken down by region (including Transnistria), gender, age group, probable mode of transmission
National AIDS Center
Annually
% PLHIV in HIV care that had at least a ARN test in the last 12 months
Number of PLHIV in HIV care that had at least a ARN test in the last 12 months
HIV+ children and adults alive
Universal Access Indicator Euro 2
Administrative statistics
Broken down by region (including Transnistria), gender, age group, probable mode of transmission
National AIDS Center
Annually
% PLHIV that have undergone TB screening in the last 12 months
Number of PLHIV that have undergone TB screening in the last 12 months
HIV+ children and adults alive
National indicator
Administrative statistics
Broken down by region (including Transnistria), gender, age group, probable mode of transmission
National AIDS Center
Annually
% of health facilities that dispense ART that experienced stock out of at least one drug in the last 12 months
Number of health facilities that dispense ART that experienced stock out of at least one drug in the last 12 months
Number of health facilities that dispense ART
Additional UNGASS Indicator
Administrative statistics
Broken down by region (including Transnistria)
National AIDS Center
Annually
NATIONAL PROGRAM FOR HIV/AIDS AND STIs CONTROL AND PREVENTION FOR 2011-2015
26
Table 3.3 Mitigation OUTCOME INDICATORS 1
2
3
4
5
6
7
8
9
10
% adults and children with HIV that received social support throughout the last year
Number of adults and children with HIV that received social support throughout the last year
Number of adults and children with HIV interviewed / Number of adults and children with HIV registered and eligible for social support throughout the last 12 months
National indicator
Survey/ Administrative statistics
Broken down by region (including Transnistria), gender, age group, probable mode of transmission
MLSPF
Every 2-3 years / annually
---
10%
% adults and children with HIV that received psychosocial support throughout the last year
Number of adults and children with HIV that received psychosocial support throughout the last year
Number of adults and children with HIV interviewed / Number of adults and children with HIV registered and eligible for psychosocial support throughout the last 12 months
National indicator
Survey/ Administrative statistics
Broken down by region (including Transnistria), gender, age group, probable mode of transmission
National AIDS Center
Every 2-3 years / annually
---
10%
% adults and children with HIV covered with case management
Number of adults and children with HIV covered with case management
Number of adults and children with HIV interviewed / Number of adults and children with HIV registered and eligible for case management throughout the last 12 months
National indicator
Survey/ Administrative statistics
Broken down by region (including Transnistria), gender, age group, probable mode of transmission
National AIDS Center
Every 2-3 years / annually
0%
10%
Table 3.4 Coordination and management OUTCOME INDICATORS 1
2
3
4
5
6
7
8
9
National composite policy index
Measurement tool for National composite policy index
UNGASS Indicator # 2
Key informants interviews
-
External evaluation
Annually
18
20
OUTPUT AND PROCESS INDICATORS UNGASS Indicator # 1
Ministry of Health
Annually
-
NCC Secretariat
Annually
-
Secretariat CNC
Annually
Secretariat CNC
Once per semester
-
National AIDS Center
Annually
Administrative statistics
Broken down by TWG
Secretariat CNC
Once per semester
Administrative statistics
-
National AIDS Center
Annually
% of public resources in the HIV/AIDS expenditures
NASA Methodology
Entity for coordination of implementation of the national response is mandated through the normative framework, and is fully exercising its functions in cross-sector coordination of implementation
-
-
-
Check list
M&E Unit is mandated through the normative framework, and is fully exercising its functions in cross-sector coordination of implementation
-
-
-
Check list
% meetings of the NCC held out of meetings planned
Number of NCC meetings held
Number of NCC meetings planned
-
Administrative statistics
% M&E reports produced out of reports planned
Number of M&E reports produced
Number of M&E reports planned
-
Administrative statistics
% TWG meetings held out of TWG meetings planned, per each TWG
Number of TWG meetings held
Number of TWG meetings planned
-
% surveys/research carried out of those planned
Number of surveys/ research carried out
Number of surveys/ research planned
-
NATIONAL PROGRAM FOR HIV/AIDS AND STIs CONTROL AND PREVENTION FOR 2011-2015
27
Annex no.3 to the National Program for HIV/AIDS and STI Prevention and Control for 2011-2015, approved through the Government Decision no1143 of 16 December 2010 Program Financing by Specific Objectives (until 2015) Year 1 No.
Year 2
Year 3
Year 4
Year 5
Objectives
Public Budget Financing Total
2011
2012
2013
2014
2015
Total % 2011
2012
2013
2014
2015
13130000.8
0
0
13721600
13721600
Public budget financing, total
Financing with approved grants
Financing through Projects and Grants submitted for approval
40,573,201
6,326,874
175,660,591
I.
By 2015, provide at least 10 per cent of general population with access to HIV/ STI prevention services
43,901,696
43,651,277
46,455,117
43,816,064
44,736,512
222,560,666 20.7%
II.
By 2015, provide at least 60 per cent of the estimated number of high-risk groups (female sex workers - FSW, men having sex with men - MSM, injecting drug users - IDU) with HIV prevention services
10,254,528
9,372,467
15,989,402
16,856,666
18,754,982
71,228,045
6.6%
0
0
0
0
0
0
11,763,174
59,464,870
III.
By 2015, provide at least 10 per cent of population with condoms
9,216,000
9,254,400
9,216,000
9,216,000
9,216,000
46,118,400
4.3%
0
0
0
0
0
0
1,907,200
44,211,200
IV.
By 2015, provide at least 80 per cent of the patients diagnosed with STIs with appropriate treatment
10,632,136
11,052,232
10,948,500
11,188,680
11,573,908
55,395,456
5.2%
10112000
0
0
10112000
10112000
30,336,000
1,040,256
24,019,200
V.
By 2015, provide at least 95 per cent of pregnant women with mother-tochild transmission prevention (PMTCT) services each year
4,005,402
4,150,400
4,248,064
4,622,848
4,741,632
21,768,346
2.0%
715520
715520
0
715520
715520
2,862,080
4,100,634
14,805,632
VI.
Ensure blood safety for 100 per cent of the donated blood
19,448,320
19,448,320
19,448,320
19,448,320
19,448,320
97,241,600
9.1%
15321600
7182421.6
0
15321600
15321600
53,147,222
8,087,808
36,006,570
VII.
Provide the people at risk of getting HIV with post-exposure prophylaxis (PEP)
363,520
128,000
128,000
358,400
128,000
1,105,920
0.1%
0
0
0
0
0
0
128,000
977,920
VIII.
By 2015, provide at least 80 per cent of the estimated number of PLHIV and AIDS patients requiring treatment with ARV treatment
44,184,550
46,458,074
54,831,629
63,698,714
74,664,064
283,837,030 26.5%
9230080
14055808
995200
15777664
15777664
55,836,416
42,717,325
185,283,290
IX.
By 2015, provide at least 10 per cent of the estimated number of PLHIV and AIDS patients with care and support
19,659,310
19,068,646
19,096,658
19,071,656
16,965,248
93,861,518
5099699.2
5102950.4
0
5105958.4
5105920
20,414,528
12,710,400
60,736,590
X.
By 2015, establish an efficient program management system
38,491,418
37,695,232
46,089,600
38,282,291
18,973,005
179,531,546 16.7%
0
0
0
0
0
0
81,105,498
98,426,048
TOTAL
200,156,879
200,279,048
226,451,290
226,559,638
219,201,672 1,072,648,526
53,608,900
27,056,700
995,200
60,754,342
60,754,304
TOTAL, %
100.0%
8.8%
100.0%
203,169,446 169,887,168
699,591,911
18.9%
65.2%
15.8%
NATIONAL PROGRAM FOR HIV/AIDS AND STIs CONTROL AND PREVENTION FOR 2011-2015
28
Objective / Target Areas / Activities
Description
TOTAL
TOTAL
Budget Details Year 1
Year 2
Year 3
Year 4
Year 5
Year 1
Year 2
Year 3
Year 4
Year 5
2011
2012
2013
2014
2015
TOTAL
2011
2012
2013
2014
2015
TOTAL
Total
15,637,256
15,646,801
17,691,507
17,699,972
17,125,131
83,800,666
4,187,595
2,113,804
923,400
4,746,433
4,746,430
16,717,662
13,272,435
53,810,569
3,429,820
3,410,256
3,629,306
3,423,130
3,495,040
17,387,552
1,025,181
0
0
1,072,000
1,072,000
3,169,181
494,287
13,724,084
663,000
663,000
663,000
663,000
663,000
3315000
0
0
0
0
0
0
252337
3062663
Unit
Campaign
Campaign
Campaign
Campaign
Campaign
25,000
0
0
0
0
0
0
0
25,000
No. of units
1
1
1
1
1
Unit cost
5,000
5,000
5,000
5,000
5,000
Sub-total
5,000
5,000
5,000
5,000
5,000
I
By 2015, provide at least 10 per cent of general population with access to HIV/STI prevention services
1.1
Develop and implement a strategic behavior change communication framework in HIV/AIDS and STIs
1.1.1
Activity
Target area
Specific Objective
Public Budget Financing
Financing from Projects and Grants submitted for funding
Program Needs
External Financing with Grants Available
Annex no.3 to the National Program for HIV/AIDS and STI Prevention and Control for 2011-2015, approved through the Government Decision no1143 of 16 December 2010 Program Budget (detailed costing, USD, exchange rate MDL 12.8 per USD as of 26 July 2010)
There will be concepts developed for two nationwide behavior change campaigns in Develop the concept of behavior line with the Universal Access (UA) standards change communication (improve the use of voluntary counseling campaigns and testing (VCT) services, ARV treatment, safe behaviors, curbing of stigma and discrimination)
There will be five campaigns rolled out during 5 years based upon the aforesaid concept designs. The concept designing is to be outsourced to a local public relations company. The cost of one campaign is USD 5,000
NATIONAL PROGRAM FOR HIV/AIDS AND STIs CONTROL AND PREVENTION FOR 2011-2015
1.1.2 1.1.3 1.1.4 1.1.5 1.1.6
Activity
Activity
Activity
Activity
Activity
29
Implement behavior change communication campaigns
Develop campaign-related information and education materials
Print campaign-related information and education materials
Launch TV shows
Launch radio talks
Implementation of previously designed concepts
Designing of information materials for the following population groups: pregnant women, migrants, youth, truck drivers, lay population, health workers, prison facility officers, people living with HIV (PLHIV), uniformed services
Printing of information materials for the following population groups: pregnant women, migrants, youth, truck drivers, lay population, health workers, prison facility officers, people living with HIV (PLHIV), uniformed services
Awarding of contracts on a competitive basis to a TV broadcast company to launch a series of HIV/AIDS and STIs related shows
Awarding of contracts on a competitive basis to a radio broadcast company to launch a series of HIV/AIDS and STIs related talks
There will be five campaigns rolled out during 5 years based upon the aforesaid concept designs. The recommended world price per campaign is USD 200,000. Based on past experience, the cost of such campaigns in Moldova is estimated to be around USD 80,000. Running the campaign is to be outsourced to a local NGO or company.
Average cost of designing a set of information materials is about USD 5,000 a year.
Average cost of printing one article is USD 1.00
Average cost per mini-grant is about USD 10,000. There will be up to three mini-grants awarded each year.
Average cost per mini-grant is about USD 10,000. There will be up to three mini-grants awarded each year.
Unit
Campaign
Campaign
Campaign
Campaign
Campaign
No. of units
1
1
1
1
1
Unit cost
80,000
80,000
80,000
80,000
80,000
Sub-total
80,000
80,000
80,000
80,000
80,000
Unit
Unit
Unit
Unit
Unit
Unit
No. of units
1
1
1
1
1
Unit cost
5,000
5,000
5,000
5,000
5,000
Sub-total
5,000
5,000
5,000
5,000
5,000
Unit
Unit
Unit
Unit
Unit
Unit
No. of units
300,000
300,000
300,000
300,000
300,000
Unit cost
1
1
1
1
1
Sub-total
300,000
300,000
300,000
300,000
300,000
Unit
mini-grant
mini-grant
mini-grant
mini-grant
mini-grant
No. of units
3
3
3
3
3
Unit cost
10,000
10,000
10,000
10,000
10,000
Sub-total
30,000
30,000
30,000
30,000
30,000
Unit
mini-grant
mini-grant
mini-grant
mini-grant
mini-grant
No. of units
3
3
3
3
3
Unit cost
10,000
10000
10000
10000
10000
Sub-total
30,000
30,000
30,000
30,000
30,000
400,000
0
0
0
0
0
0
0
400,000
25,000
0
0
0
0
0
0
0
25,000
1,500,000
0
0
0
0
0
0
193,537
1,306,463
150,000
0
0
0
0
0
0
0
150,000
150,000
0
0
0
0
0
0
0
150,000
1.1.7 1.1.8 1.1.9 1.1.10 1.1.11 1.2
Target area
Activity
Activity
Activity
Activity
Activity
NATIONAL PROGRAM FOR HIV/AIDS AND STIs CONTROL AND PREVENTION FOR 2011-2015
Launch social theatre
Social theatre is an international practice whereby risky behavior prevention measures are taken through artistic performance
Carry out specific HIV related Running of risky behavior prevention events (1 December - World AIDS campaigns through the activities carried out Day (WAD), 16 May - Candlelight during 1 December and 16 May events Memorial Day)
Organize a nationwide contest for the best article, show, Conducting of a nationwide contest for the photograph etc. related to HIV best article, show, photograph etc. related to and building up of tolerance by HIV prevention and advocating for tolerance TV channels, radio broadcast, print media and electronic media
Involve youth in undertaking HIV/AIDS prevention measures through the "Dance 4 Life" concept
Provide people with telephone assisted advice through an HIV help line
Mobilize and get communities involved (local public authorities (including health services, social services, education), confession communions, people living with HIV, NGO, members of families affected by HIV/ AIDS) to strengthen HIV and STI prevention
Scaling up of "Dance 4 Life" in 3 more regions each year and running of an annual national concert
HIV help line is the means whereby people get access to data upon request and interact with each other without having to travel to service delivery sites, under full confidentiality and anonymity provisions.
30 Contracting of a company / NGO to run social theatre activities. Average cost per grant is USD 50,000
Total budget for the two nationwide events is USD 30,000
Total budget for the nationwide contest is USD 3,000. There will be three 3 awards for each of the four 4 contest categories (TV, radio, print media, and electronic media).
Grants shall provide for the costs of trainings, social activities, advocacy and media coverage, building up partnerships with the Local Public Authorities at the implementation sites. Annual costs of running an annual national concert are also to be included.
Cost of HIV help line shall provide for the compensation of the HIV help line advice service providers, and telephone fees. Annual costs for running a help line tally up to USD 30,000.
Unit
Grant
Grant
Grant
Grant
Grant
No. of units
1
1
1
1
1
Unit cost
50,000
50000
50000
50000
50000
Sub-total
50,000
50,000
50,000
50,000
50,000
Unit
Event
Event
Event
Event
Event
No. of units
2
2
2
2
2
Unit cost
15,000
15000
15000
15000
15000
Sub-total
30,000
30000
30000
30000
30000
Unit
Event
Event
Event
Event
Event
No. of units
1
1
1
1
1
Unit cost
3,000
3000
3000
3000
3000
Sub-total
3,000
3000
3000
3000
3000
Unit
grant
grant
grant
grant
grant
No. of units
1
1
1
1
1
Unit cost
100,000
100000
100000
100000
100000
Sub-total
100,000
100000
100000
100000
100000
Unit
HIV help line
HIV help line
HIV help line
HIV help line
HIV help line
No. of units
1
1
1
1
1
Unit cost
30,000
30000
30000
30000
30000
Sub-total
30,000
30000
30000
30000
30000
52,000
58,000
55,000
55,000
55,000
250,000
0
0
0
0
0
0
0
250,000
150,000
0
0
0
0
0
0
28,800
121,200
15,000
0
0
0
0
0
0
0
15,000
500,000
0
0
0
0
0
0
0
500,000
150,000
0
0
0
0
0
0
30,000
120,000
275,000
0
0
0
20,000
20,000
40,000
30,000
205,000
NATIONAL PROGRAM FOR HIV/AIDS AND STIs CONTROL AND PREVENTION FOR 2011-2015
1.2.1 1.2.2
Carry out HIV and STI prevention Undertaking of HIV and STI prevention activities through religious activities by confessions and religious communions and confessions communions (mini-grants)
The healthy lifestyles advocates from the public health centers and family doctor centers (FDC) are to organize and run HIV/ AIDS and STI prevention activities among lay population in 34 districts and 2 municipalities.
1.3
Carry out HIV/AIDS and STI prevention activities among lay population through health care facilities
1.3.1
1.2.3
Carry out HIV and STI prevention Financing of the operational plans of local activities through local public public authorities in undertaking HIV and STI authorities (mini-grants) prevention activities
Provide lay population with HIV/ STI voluntary counseling and testing (VCT) services Provide the people attending the Pre-test and post-test counseling sessions VCT rooms with HIV counseling are to be provided in the VCT rooms of public services health care facilities
1.3.2
Activity
Activity Target area
Activity
Activity
Activity
31 There will be 10 mini-grants awarded on a competitive basis each year in the amount of USD 2,000 each.
Cost per mini-grant is USD 3,000. There will be 4 mini-grants awarded during Year I, with 6 mini-grants awarded during Year II, and 5 mini-grants during each of the subsequent years.
Compensation for the work done by 80 employees operating in public health centers and FDC, about USD 250 a month per employee
Cost of one counseling session (visit) is USD 1.30
Unit
mini-grant
mini-grant
mini-grant
mini-grant
mini-grant
No. of units
10
10
10
10
10
Unit cost
2,000
2,000
2,000
2,000
2,000
Sub-total
20,000
20,000
20,000
20,000
20,000
Unit
mini-grant
mini-grant
mini-grant
mini-grant
mini-grant
No. of units
4
6
5
5
5
Unit cost
3,000
3,000
3,000
3,000
3,000
Sub-total
12,000
18,000
15,000
15,000
15,000
Unit
mini-grant
mini-grant
mini-grant
mini-grant
mini-grant
No. of units
80
80
80
80
80
Unit cost
250
250
250
250
250
Sub-total
20,000
20,000
20,000
20,000
20,000
1,063,620
923,520
893,520
904,120
954,120
Unit
Counseling session
Counseling session
Counseling session
Counseling session
Counseling session
No. of units
400,000
400,000
400,000
400,000
400,000
Unit cost
1.30
1.30
1.30
1.30
1.30
Sub-total
520,000
520000
520000
520000
520000
Person
Person
Person
Person
Person
No. of units
80
80
80
80
80
Unit cost
200.00
200
200
200
200
Sub-total
16,000
16000
16000
16000
16000
Carry out activities to strengthen the network of VCT services A national workshop is to be organized for VCT A two-day workshop; cost through evaluations and review service providers for performance assessment per person of USD 200, to be of services on the spot, and and getting feedback. attended by some 80 participants recommendations for quality improvement
100,000
0
0
0
0
0
0
0
100,000
75,000
0
0
0
0
0
0
30,000
45,000
100,000
0
0
0
20000
20000
40000
0
60,000
4738900
492000
0
0
492000
492000
1476000
3500
3259400
2,600,000
492000
0
0
492000
492000
1,476,000
0
1,124,000
80,000
0
0
0
0
0
0
0
80,000
1.3.3 1.3.4 1.3.5 1.3.6 1.3.7
Activity
Activity
Activity
Activity
Activity
NATIONAL PROGRAM FOR HIV/AIDS AND STIs CONTROL AND PREVENTION FOR 2011-2015
Regional workshops to share work experience gained in VCT rooms
4 one-day regional workshops are to be organized with the participation of counselors from the regional VCT rooms aiming at identifying best practices, in-service training and sharing work experience
32 There will 4 workshops organized in the South, North, Center and East each year, attended by some 25 participants each.
Cost of saliva-based rapid test Supply rapid tests for population Saliva-based rapid tests are to be purchased is USD 5. There will be about testing, including people at high for the population testing, including people at 300,000 estimated rapid tests risk of HIV infection high risk of HIV infection. done during 5 years.
Provide VCT service providers with pre-service and in-service training in pre-test and post-test counseling
Making VCT services available at certain facilities (National Center for Dermatovenereology - NCDV, Municipal Center for Dermatovenereology - MCDV, National Center for Drug Addiction - NCDA), municipal facilities ("Arhanghelul Mihail" Hospital, "Sfanta Treime" Hospital, Municipal Clinical Hospital no.1, Emergency Hospital) and national facilities (Clinical Mental Health Hospital, National Center for Maternal and Child Care, National Clinical Hospital) and 15 prison facilities and uniformed services (Border Guards, Constables) is critical for quality service delivery. Training is to target the new employees of VCT rooms. Training is to be conducted in line with the appropriate guidelines approved of by the MOH.
Building the capacity of VCT service providers Provide additional VCT service is critical for quality service delivery. Training providers with pre-service and is to target the new employees of VCT rooms in-service training in pre-test and and the additional counselors. Training is to post-test counseling be conducted in line with the appropriate guidelines approved of by the MOH.
Design, print and deliver reference support materials to VCT rooms
Reference guidelines are to be designed for VCT, use of rapid tests, and counseling for people at high risk of HIV infection
There will be about 92 counselors and supervisors trained for the VCT rooms recently opened during program implementation as per the 5-day curriculum approved of by the MOH.
There will be 107 additional counselors trained for the VCT rooms recently put in place throughout the program implementation as per the threeday curriculum during Year I of the program.
There will be about 1,000 copies of reference guidelines made available. Cost per guidelines is USD 30.
Unit
Person
Person
Person
Person
Person
No. of units
100
100
100
100
100
Unit cost
70.00
70
70
70
70
Sub-total
7,000
7000
7000
7000
7000
Unit
Test
Test
Test
Test
Test
No. of units
50,000
50000
60000
65000
75000
Unit cost
5
5
5
5
5
Sub-total
250,000
250000
300000
325000
375000
Unit
trainee
trainee
trainee
trainee
trainee
No. of units
46
46
0
0
0
Unit cost
500
500
0
0
0
Sub-total
23,000
23000
0
0
0
Unit
trainee
trainee
trainee
trainee
trainee
No. of units
57
50
0
0
0
Unit cost
300
300
0
0
0
Sub-total
17,100
15000
0
0
0
Unit
guidelines
guidelines
guidelines
guidelines
guidelines
No. of units
1,000
0
0
0
0
Unit cost
30.00
0
0
0
0
Sub-total
30,000
0
0
0
0
35,000
0
0
0
0
0
0
0
35,000
1,500,000
0
0
0
0
0
0
0
1,500,000
46,000
0
0
0
0
0
0
3,500
42,500
32,100
0
0
0
0
0
0
0
32,100
30,000
0
0
0
0
0
0
0
30,000
NATIONAL PROGRAM FOR HIV/AIDS AND STIs CONTROL AND PREVENTION FOR 2011-2015
1.3.8 1.3.9 1.3.10 1.3.11 1.3.12
Activity
Activity
Activity
Activity
Activity
33 There will be 25 new VCT rooms opened in high-prevalence regions, as well as in specialized health care facilities such as the Make counseling services NCDA, municipal NCDV and relevant facilities available at relevant facilities and of uniformed services, prison facilities and municipal health care facilities independent health care facilities, in order to scale up the network of VCT rooms and improve access to such services.
Provide for VCT oversight and monitoring
Make VCT services available to vulnerable groups through mobile VCT services and field visits
Develop and implement quality control for VCT services
Develop the guidelines for the referral to VCT services
Evaluation of VCT provided in VCT rooms
Groups at high risk of HIV infection are facing problems in attending district-level and municipal services. Hence, quite a few people do not use VCT. In order to scale up the geography of VCT coverage and screening with instant HIV test results, there will be 4 mobile teams established and equipped with 4 vehicles to cover the North, South, Center, and East with VCT services and use of rapid tests and make tests results available. There will be 96 field visits undertaken each year to provide mobile VCT services. Year I of the program is to include the purchase of minivans.
Quality assurance of VCT services is to be done in line with requirements set forth in the Quality Monitoring Guidelines. To that end, the VCT quality monitoring guidelines are to be developed, approved, published and distributed. Circulation of guidelines 300 copies.
A working group is to be convened to develop the guidelines to further be printed out.
Budget provides for the purchase of furniture and basic equipment for VCT rooms.
Cost of oversight visits is USD 120.
Budget lines provide for the purchase of 4 minivans USD 30,000 each. Fuel costs and staff costs: a team of two counselors and driver. Cost of field visit includes the mobile team agreement costs and fuel expenses, tallying up to USD 320.
There will be 300 copies of the guidelines printed out. Cost per guidelines is USD 30
It is planned to have 6,000 copies of the guidelines drafted and printed out to be shared with health care facilities, and NGOs.
Unit
VCT room
VCT room
VCT room
VCT room
VCT room
No. of units
13
12
0
0
0
Unit cost
3,000
3000
0
0
0
Sub-total
39,000
36000
0
0
0
Unit
VCT room
VCT room
VCT room
VCT room
VCT room
No. of units
90
90
90
45
45
Unit cost
120
120
120
120
120
Sub-total
10,800
10800
10800
5400
5400
Unit
Mobile team and field visits
Field visit
Field visit
Field visit
Field visit
No. of units
4
96
96
96
75,000
0
0
0
0
0
0
0
75,000
43,200
0
0
0
0
0
0
0
43,200
273,600
0
0
0
0
0
0
0
273,600
9,000
0
0
0
0
0
0
0
9,000
15,000
0
0
0
0
0
0
0
15,000
96
Unit cost
37,680.0
320
320
320
320
Sub-total
150,720
30720
30720
30720
30720
Unit
Copy
Copy
Copy
Copy
Copy
No. of units
0
0
300
0
0
Unit cost
0
0
30
0
0
Sub-total
0
0
9000
0
0
Unit
Copy
Copy
Copy
Copy
Copy
No. of units
0
6000
0
0
0
Unit cost
0
2.5
0
0
0
Sub-total
0
15000
0
0
0
1.4 1.4.1 1.4.2 1.4.3 1.4.4 1.4.5
Activity
Activity
Activity
Activity
Activity
Target area
NATIONAL PROGRAM FOR HIV/AIDS AND STIs CONTROL AND PREVENTION FOR 2011-2015
Design and implement HIV/STI prevention programs for people at high risk of HIV-infection, including: migrants, mobile populations, recruits, inmates, uniformed services (including the prison system), children and youth in confolict with the law, other marginalized groups Carry on providing mobile populations with HIV prevention services, including truck drivers, at the border crossing check points
HIV and STI prevention measures are to be undertaken in mobile populations, including among truck drivers, at the border crossing check points by providing a set of comprehensive services
34
Annual cost per grant is estimated at USD 18,000.
Provide mobile populations with There will be 100,000 copies HIV prevention information materials are to be information materials on HIV printed out, cost per copy is designed and shared with mobile populations prevention USD 0.08.
Scale up and carry on HIV prevention services in prisons
Carry on and scale up the methadone substitution therapy program and make methadone available in prisons
Establish quality care service delivery units for inmates
Activities will include syringe/needle exchange programs, distribution of condom, information There will be a grant awarded materials, training for inmates and prison staff. in Year I, and two grants during Starting in 2012 such services are to be made each of the following years. available in Transnistria too.
Costs shall provide for the IDUs from prison facilities will be covered with purchase and dispensing of opioid substitution therapy. methadone, and training for prison staff and inmates.
Palliative care service delivery
Grant for facilities (refurbishment, purchase of equipment, furniture). Cost per grant is USD 34,300.
136,800
291,336
543,386
330,610
352,520
Unit
Grant
Grant
Grant
Grant
Grant
No. of units
2
2
2
2
2
Unit cost
18,000
18,000
18,000
18,000
18,000
Sub-total
36,000
36,000
36,000
36,000
36,000
Unit
Materials
Materials
Materials
Materials
Materials
No. of units
100,000
100,000
0
0
0
Unit cost
0.08
0
0
0
0
Sub-total
8,000
8,000
0
0
0
Unit
Grant
Grant
Grant
Grant
Grant
No. of units
1
2
2
2
2
Unit cost
63,800
95,168
83,123
60,200
58,510
Sub-total
63,800
190,336
166,246
120,400
117,020
Unit
Grant
Grant
Grant
Grant
Grant
No. of units
1
1
10
10
10
Unit cost
29,000
29,000
13,313
11,200
12,280
Sub-total
29,000
29,000
133,130
112,000
122,800
Unit
Facility
Facility
Facility
Facility
Facility
No. of units
0
0
2
0
0
Unit cost
0
0
34,300
0
0
Sub-total
0
0
68,600
0
0
1654652
0
0
0
0
0
0
180800
1473852
180,000
0
0
0
0
0
0
72000
108,000
16,000
0
0
0
0
0
0
16000
0
657,802
0
0
0
0
0
0
63,800
594,002
425,930
0
0
0
0
0
0
29,000
396,930
68,600
0
0
0
0
0
0
0
68,600
NATIONAL PROGRAM FOR HIV/AIDS AND STIs CONTROL AND PREVENTION FOR 2011-2015
1.4.6
Activity
35 Services are to include staff training in Improve the access of inmates to communication techniques for the staff with VCT services inmates, designing of information materials, annual cost estimates for services
Cost estimates per grant - USD 14,000.
Unit
Grant
No. of units
1.4.7 1.5
Run a national contest within pre-university education facilities for the best assay, drawing, photograph, poem, video clip etc. related to HIV prevention and building up of tolerance
1.5.2
1.5.1
Grants are to provide for capacity Grants are to include capacity building for the building for the health workers health workers from the prison system in areas from the prison system in areas Improve the access of inmates to such as ARV treatment, STI management, such as ART, STI management, integrated quality services diagnostics, HBV vaccination, HIV-TB codiagnostics, HBV vaccination, infection, as well as purchase and use of HIV-TB co-infection, purchase naloxone in overdose. and use of naloxone to prevent drug overdose.
HIV and STI prevention among youth and adolescents enrolled in education
1.5.3
Activity
Activity
Target area
Activity
Unit cost
Integrate life skills based education (LSBE) in school curriculum
Training of teachers in LSBE
Total budget for the nationwide contest is USD 2,000. There will be 3 awards for each of the Carrying out a national contest with awards 3 contest categories (primary for the best assay, drawing, photograph, education, lower secondary poem, video clip etc. related to HIV prevention education and upper secondary and building up of tolerance education). Other costs are to be covered as well (exhibition of works, displaying of billboards etc.)
A local NGO is to act as an implementation partner together with the Ministry of Education
About 1/3 of teachers are to be trained and further will act as reference and methodological and teaching support in teaching LSBE
Cost of mini-grant to run the platform is USD 40,000.
1/3 of the pool of 4,000 teachers currently working within the education system is to be enrolled in five-day training.
Grant
Grant
Grant
Grant
2
4
2
3
14,000
14,000
14,000
14,000
Sub-total
0
28,000
56,000
28,000
42,000
Unit
Grant
Grant
Grant
Grant
Grant
No. of units
0
0
1
1
1
Unit cost
0
0
83,410
34,210
34,700
Sub-total
0
0
83,410
34,210
34,700
1,338,000
1,338,000
1,338,000
1,338,000
1,338,000
Event
Event
Event
Event
Event
Unit
No. of units
1
1
1
1
1
Unit cost
2,000
2,000
2,000
2,000
2,000
Sub-total
2,000
2,000
2,000
2,000
2,000
Unit
mini-grant
mini-grant
mini-grant
mini-grant
mini-grant
No. of units
1
1
1
1
1
Unit cost
40,000
40,000
40,000
40,000
40,000
Sub-total
40,000
40,000
40,000
40,000
40,000
Unit
trainee
trainee
trainee
trainee
trainee
No. of units
270
270
270
270
270
Unit cost
500
500
500
500
500
Sub-total
135,000
135,000
135,000
135,000
135,000
154,000
0
0
0
0
0
0
0
154,000
152,320
0
0
0
0
0
0
0
152,320
6690000
533181
0
0
560000
560000
1653181
0
5036819
10,000
0
0
0
0
0
0
0
10,000
200,000
0
0
0
0
0
0
0
200,000
675,000
0
0
0
0
0
0
0
675,000
1.5.4 1.5.5. 1.6.2 1.6 1.6.1 1.6.2 1.7
Target area
Activity
Activity
Target area
Activity
Activity
Activity
NATIONAL PROGRAM FOR HIV/AIDS AND STIs CONTROL AND PREVENTION FOR 2011-2015
36
Services are to be delivered Integrate youth-friendly health Youth friendly centers (YFC) are to provide HIV within 14 centers. Annual costs services (YFHS) in primary health prevention and advocacy services to youth. of service delivery tally up to care (PHC) USD 40,000.
Build the capacity of school nurses in healthy lifestyle advocacy
Training of nurses working in pre-university education facilities, who will further be carrying out student information and communication activities
There are 1,500 nurses operating in 3,000 pre-university education facilities to be covered with training during 5 years.
Peer-to-peer services are to Teams of 5 persons each - 4 youth 12-18 years Carry out peer-to-peer HIV be provided to an estimated of age and one adult consultant - are to be prevention activities with special number of 290,000 in-school established to carry out peer-to-peer HIV focus on in-school youth youth. Cost per person is prevention activities among in-school youth USD 2.00
Unit
Center
Center
Center
Center
Center
No. of units
14
14
14
14
14
Unit cost
40,000
40,000
40,000
40,000
40,000
Sub-total
560,000
560,000
560,000
560,000
560,000
Unit
Trainees
Trainees
Trainees
Trainees
Trainees
No. of units
300
300
300
300
300
Unit cost
70
70
70
70
70
Sub-total
21,000
21,000
21,000
21,000
21,000
Unit
Person
Person
Person
Person
Person
No. of units
290,000
290,000
290,000
290,000
290,000
Unit cost
2
2
2
2
2
Sub-total
580,000
580,000
580,000
580,000
580,000
140,000
100,000
100,000
100,000
100,000
Unit
grant
grant
grant
grant
grant
No. of units
4
4
4
4
4
Unit cost
30,000
20,000
20,000
20,000
20,000
Sub-total
120,000
80,000
80,000
80,000
80,000
Unit
Person
Person
Person
Person
Person
No. of units
10,000
10,000
10,000
10,000
10,000
Unit cost
2
2
2
2
2
Sub-total
20,000
20,000
20,000
20,000
20,000
2,400
2,400
2,400
2,400
2,400
HIV and STI prevention activities among out-of-school youth and adolescents Create mobile teams for information sharing, education and communication with rural youth
There will be a program of mini-grants established for Mobile teams made up of volunteers trained NGOs to run the operations of in safe behavior / healthy lifestyle advocacy mobile teams, provide for the are to undertake field visits to high-prevalence travel costs and equipment rural areas and are to carry out cultural and maintenance etc. There will be 4 education activities for the youth-at-risk. grants awarded for each region for a period of 5 years.
Teams of 5 persons each - 4 youth 12-18 Carry out peer-to-peer HIV years of age and one adult consultant - are prevention activities with specific to be established to carry out peer-to-peer focus on out-of-school youth HIV prevention activities among out-ofschool youth
HIV and STI prevention among PLHIV
Peer-to-peer services are to be provided to an estimated number of 10,000 out-of-school youth. Cost per person is USD 2.00
2,800,000
533181
0
0
560000
560000
1,653,181
0
1,146,819
105,000
0
0
0
0
0
0
0
105,000
2,900,000
0
0
0
0
0
0
0
2,900,000
540000
0
0
0
0
0
0
0
540000
440,000
0
0
0
0
0
0
0
440,000
100,000
0
0
0
0
0
0
0
100,000
12000
0
0
0
0
0
0
0
12000
NATIONAL PROGRAM FOR HIV/AIDS AND STIs CONTROL AND PREVENTION FOR 2011-2015
1.7.1 1.11 1.11.1 II 1.8 1.8.2
1.8.1
Specific Objective Activity
Activity
Target area
Activity
Target area
Activity
37
Provide peer-to-peer counseling
Hiring NGO to carry out peer-to-peer counseling
Monthly cost per counselor is USD 300, with at least two counselors set per center
Unit
Train the public and private sectors in HIV workplace policy
Labor inspectors and selected facility-level decision-makers from public and private sectors are to be trained.
Covering of 1500 FSW (60 per cent of the estimates) by subcontracting an NGO
Provide for the scaling up of HIV HIV prevention activities are to be scaled prevention activities among FSW. up among FSW in the municipalities of Balti Grant program. and Tiraspol
Cost estimates per grant include staffing costs, purchase and delivery of supplies, designing, publishing and distributing of information materials.
Cost estimates per grant is USD 6,050.00
1.8.2
Activity
There will be information materials designed, published and shared with FSW to curb the risk of getting HIV
Unit cost is varying subject to the volume of information materials being published
counselor
counselor
8
8
8
8
8
300
300
300
300
300
Sub-total
2,400
2,400
2,400
2,400
2,400
34,000
34,000
34,000
30,000
30,000
Unit
Trainees
Trainees
Trainees
Trainees
Trainees
No. of units
170
170
170
150
150
12,000
0
0
0
0
0
0
0
12,000
162000
0
0
0
0
0
0
27650
134350
162,000
0
0
0
0
0
0
27650
134,350
Unit cost
200
200
200
200
200
Sub-total
34,000
34,000
34,000
30,000
30,000
801,135
732,224
1,249,172
1,316,927
1,465,233
5,564,691
0
0
0
0
0
0
918,998
4,645,693
70,899
73,449
109,100
101,500
116,500
471448
0
0
0
0
0
0
126798
344650
Unit
mini-grant
mini-grant
mini-grant
mini-grant
mini-grant
No. of units
3
3
4
4
4
424,398
0
0
0
0
0
0
126,798
297,600
6,050
0
0
0
0
0
0
0
6,050
20,000
0
0
0
0
0
0
0
20,000
Unit cost
21,133
21,133
23,900
24,500
26,000
Sub-total
63,399
63,399
95,600
98,000
104,000
Unit
Grant
Grant
Grant
Grant
Grant
No. of units
0
1
0
0
0
Unit cost
0
6,050
0
0
0
0
6,050
0
0
0
Sub-total Design HIV prevention information materials for FSW
counselor
Unit cost
By 2015, provide at least 60 per cent of the estimated number of high-risk groups (female sex workers - FSW, men having sex with men - MSM, injecting drug users - IDU) with HIV prevention services HIV and STI prevention activities, broken down by age and gender specific needs, among FSW and their clients Carry on HIV prevention among FSW. Grant program.
counselor
No. of units
HIV prevention among employees through workplace programs It is planned to have 6 two-day trainings for the decision-making staff and one training for labor inspectors conducted each year.
counselor
Unit
Information Information Information Information Information material material material material material
No. of units
0
0
10,000
0
10,000
Unit cost
0
0
1
0
1
Sub-total
0
0
10,000
0
10,000
1.8.3
Provide for HIV and STI prevention broken down by age and gender specific needs among MSM Carry on HIV prevention activities Covering of 1,500 MSM (60 per cent of the among MSM. Grant program. estimates) by subcontracting an NGO.
Ensure the scaling up of HIV prevention activities among MSM. Grant program.
Ensure the access to HBV immunization
HIV prevention activities are to be ramped up among MSM in the municipalities of Balti and Tiraspol
There will be three shots of HBV vaccine provided as to avoid getting co-infected with other conditions (at months 0, 1, and 6).
It is estimated that there will be about 7,000 FSW in the country by 2015. Three doses of vaccine required for full immunization of one person, including consumables for vaccine administration, cost USD 5.00
Cost estimates per grant include staffing costs, purchase and delivery of supplies, designing, publishing and distributing of information materials.
Cost estimates per grant include staffing costs, purchase and delivery of supplies, designing, publishing and distributing of information materials.
It is estimated that there will be 2,500 MSM in the country by 2015. The 3 doses of vaccine required to fully immunize one person, including consumables for vaccine administration, are estimated to cost USD 5.00
1.10
1.9.4
1.9.2
1.9
There will be three shots of HBV vaccine provided as to avoid getting co-infected with other conditions (at months 0, 1, and 6).
1.9.1
Ensure the access of FSW to HBV immunization and cover 60 per cent of beneficiaries with immunization services
38
Ensure the access of IDU, broken down by age and gender specific needs, to comprehensive HIV prevention services and to opioid substitution therapy with methadone, including in the prison system.
1.10.1
Activity
Target area
Activity
Activity
Activity
Target area
Activity
NATIONAL PROGRAM FOR HIV/AIDS AND STIs CONTROL AND PREVENTION FOR 2011-2015
Beginning in 2012 the HIV prevention activities Scale up HIV prevention activities for IDUs are to be scaled up to include 2 more Cost estimates per grant are USD among IDUs regions (South and Transnistria) through the 34,700.00 grant program.
Unit
vaccinated person
vaccinated person
vaccinated person
vaccinated person
vaccinated person
No. of units
1,500
800
700
700
500
Unit cost
5
5
5
5
5
Sub-total
7,500
4,000
3,500
3,500
2,500
11,500
43,600
62,500
82,000
102,400
Unit
mini-grant
mini-grant
mini-grant
mini-grant
mini-grant
No. of units
1
1
3
3
3
Unit cost
9,000
9,000
20,000
26,500
33,300
Sub-total
9,000
9,000
60,000
79,500
99,900
Unit
Grant
Grant
Grant
Grant
Grant
No. of units
0
2
0
0
0
Unit cost
0
16,050
0
0
0
Sub-total
0
32,100
0
0
0
Unit
vaccinated person
vaccinated person
vaccinated person
vaccinated person
vaccinated person
No. of units
500
500
500
500
500
Unit cost
5
5
5
5
5
Sub-total
2,500
2,500
2,500
2,500
2,500
718,736
615,175
1,077,572
1,133,427
1,246,333
Unit
mini-grant
mini-grant
mini-grant
mini-grant
mini-grant
No. of units
0
2
1
0
0
Unit cost
0
34,770
34,770
0
0
Sub-total
0
69,540
34,770
0
0
21,000
0
0
0
0
0
0
0
21,000
302000
0
0
0
0
0
0
0
302000
257,400
0
0
0
0
0
0
0
257,400
32,100
0
0
0
0
0
0
0
32,100
12,500
0
0
0
0
0
0
0
12,500
4791243
0
0
0
0
0
0
792200
3999043
104,310
0
0
0
0
0
0
0
104,310
NATIONAL PROGRAM FOR HIV/AIDS AND STIs CONTROL AND PREVENTION FOR 2011-2015
1.10.2 1.10.3 1.10.4 1.10.5 1.10.6 1.10.7
Activity
Activity
Activity
Activity
Activity
Activity
39
Carry out HIV prevention activities among IDUs
Advocate for HBV immunization and ensure access to HBV immunization
Carry on and scale up the opioid substitution therapy (OST) and ensure adequate supplies of methadone
Design HIV prevention information materials for IDUs
There will be HIV prevention services embedded in the comprehensive package of IDU services, including prevention of overdose, rehabilitation services, and appropriate supplies.
In order to avoid getting co-infected with HBV, there will be vaccination with three doses of HBV vaccine (as prescribed at 0, 1, and 6 months) + relevant testing
IDUs are to be covered with OST with methadone within the framework of harm reduction projects.
There will be information materials designed, published and made available aiming at curbing down the risk of getting HIV and for the purpose of HIV prevention among IDUs.
There will be training secured for HIV Build the capacity of staff prevention service providers among involved in carrying out HIV IDUs. Training of trainers, training of staff, prevention activities among curriculum development, peer-to-peer groups at high risk of getting HIV interventions
Identify and train the new beneficiaries in running peer-topeer interventions
Activities are to be carried out through the ongoing programs.
Funds are to be made available through grants. Cost estimates per grant tally up to USD 31,900, with a pro rata annual increase subject to the growing number of program beneficiaries.
It is estimated to have 25,000 IDUs in the country by 2015. Three doses of vaccine are required for full immunization of one person, including consumables for vaccine administration, are estimated to cost USD 5.00.
Costs are to provide for the purchase of methadone and OST administration related supplies, training of staff and beneficiaries.
Cost per unit varies subject to the quantities of information materials being published
Cost estimates are to provide for the training expenses, guidelines development costs, and peer-topeer interventions.
Costs provide for the training needs and for the knowledge appraisal needs
Unit
Grant
Grant
Grant
Grant
Grant
No. of units
8
8
16
16
16
Unit cost
42,800
41,725
38,720
41,220
46,220
Sub-total
342,400
333,800
619,520
659,520
739,520
Unit
vaccinated person
vaccinated person
vaccinated person
vaccinated person
vaccinated person
No. of units
0
0
1,600
1,600
2,400
Unit cost
0
0
5
5
5
Sub-total
0
0
8,000
8,000
12,000
Unit
Grant
Grant
Grant
Grant
Grant
No. of units
2
2
7
7
7
Unit cost
29,000
29000
42580
45261
51567
Sub-total
58,000
58000
298060
316827
360969
Unit
2,694,760
0
0
0
0
0
0
676,200
2,018,560
28,000
0
0
0
0
0
0
0
28,000
1,091,856
0
0
0
0
0
0
116,000
975,856
65,000
0
0
0
0
0
0
0
65,000
108,981
0
0
0
0
0
0
0
108,981
90,000
0
0
0
0
0
0
0
90,000
Information Information Information Information Information materials materials materials materials materials
No. of units
0
15000
25000
15000
25000
Unit cost
0.00
2
0.1
2
0.1
Sub-total
0
30000
2500
30000
2500
Global cost
Global cost
Global cost
Global cost
Unit
No. of units
0
1
1
1
1
Unit cost
0
41,335
28,222
20,580
18,844
Sub-total
0
41,335
28,222
20,580
18,844
Unit
Trainees
Trainees
Trainees
Trainees
Trainees
No. of units
0
500
700
1,300
2,000
Unit cost
0
20
20
20
20
Sub-total
0
10,000
14,000
26,000
40,000
1.10.8 1.10.9
Create integrated care services for IDUs in Balti, Chisinau and Tiraspol
III 1.12
Ensure the social marketing of condoms
Specific Objective
IV
Target area
1.16
1.12.2
Provide for the social marketing of condoms
Activity
By 2015, provide at least 10 per cent of population with condoms
1.12.1
Improve adherence to OST with methadone by getting community staff involved
Target area
1.10.10
Communication activities in social mobilization
Activity
Specific Objective
Activity
Activity
Activity
NATIONAL PROGRAM FOR HIV/AIDS AND STIs CONTROL AND PREVENTION FOR 2011-2015
Provide and share condoms
By 2015, provide at least 80 per cent of the patients diagnosed with STIs with appropriate treatment Provide for the testing, diagnostics and treatment of STIs for all groups of population, including for high-risk groups
There will be gender and age specific social communication campaigns organized.
Technical assistance in developing guidelines and quality standards to integrate services provided to high risk groups.
There will be VCT rooms created within the current community centers (Balti, Chisinau, Cahul, Tiraspol) aiming at improving adherence to OST with methadone.
40
Mini-grants for NGOs
Cost estimates per activity
VCT rooms are to be provided with equipment, furniture, and information materials. Appropriate staffing is to be ensured (including psychologists).
A company is to be hired to design the concept Cost per mini-grant is USD of free sharing of condoms. 3,000.00
There are about 2 million sexually active people (15-49 years-old) in the country. Each eligible person is to be provided with about 144 condoms each year, i.e. circa 10 per cent of estimated sexually active population.
Cost per unit is to include the cost of purchase, shipment, customs clearance, storage and distribution.
Unit
Grant
Grant
Grant
Grant
Grant
No. of units
0
2
2
2
2
Unit cost
0
20,000
20,000
20,000
20,000
Sub-total
0
40,000
40,000
40,000
40,000
Unit
Activity
Activity
Activity
Activity
Activity
No. of units
0
2
2
2
2
Unit cost
0
15,000
15,000
15,000
15,000
Sub-total
0
30,000
30,000
30,000
30,000
Unit
VCT room
Trainees
Trainees
Trainees
Trainees
No. of units
4
25
25
25
25
Unit cost
79,584
100
100
100
100
Sub-total
318,336
2,500
2,500
2,500
2,500
720,000
723,000
720,000
720,000
720,000
723,000
720,000
Concept
Concept
Concept
Unit
160,000
0
0
0
0
0
0
0
160,000
120,000
0
0
0
0
0
0
0
120,000
328,336
0
0
0
0
0
0
0
328,336
720,000
3,603,000
0
0
0
0
0
0
149,000
3,454,000
720,000
720,000
3603000
0
0
0
0
0
0
149000
3454000
Concept
Concept
3,000
0
0
0
0
0
0
0
3,000
3,600,000
0
0
0
0
0
0
149,000
3,451,000
No. of units
0
1
0
0
0
Unit cost
0
3,000
0
0
0
Sub-total
0
3,000
0
0
0
Unit
pieces
pieces
pieces
pieces
pieces
No. of units
14,400,000
14,400,000
14,400,000
14,400,000
14,400,000
Unit cost
0
0
0
0
0
Sub-total
720000.00
720000.00
720000.00
720000.00
720000.00
830,636
863,456
855,352
874,116
904,212
4,327,770
790,000
0
790,000
790,000
790,000
3,160,000
81,270
1,086,500
830,636
863,456
855,352
874,116
904,212
4327770
790000
0
790000
790000
790000
3160000
81270
1086500
NATIONAL PROGRAM FOR HIV/AIDS AND STIs CONTROL AND PREVENTION FOR 2011-2015
1.16.1 1.16.2 1.16.3 1.16.4 1.16.5 1.16.6 1.16.7
Activity
Activity
Activity
Activity
Activity
Activity
Activity
41 Provide diagnostic lab tests for differential diagnosis and triage for individual diagnostics
Provide diagnostic lab tests for differential diagnosis and triage for individual diagnostics
Provide diagnostic lab tests for differential diagnosis and triage for individual diagnostics
Provide diagnostic lab tests for differential diagnosis and triage for individual diagnostics
Provide lay population with access to syphilis screening and diagnostics
Provide pregnant women and children with treatment for syphilis with penicillin Na 1.0 MIU
Provide lay population with treatment for syphilis with Benzathine penicillin 2.4 MIU
Purchasing of ELISA IgM tests for syphilis diagnosis confirmation
Purchasing of ELISA IgG tests for syphilis diagnosis confirmation
Purchasing of Western Blot IgM tests for syphilis diagnosis confirmation
Purchasing of Western Blot IgG tests for syphilis diagnosis confirmation
Purchasing of microprecipitation reaction (MPR) tests
A treatment course is 14 days long and includes 4 vials of penicillin Na 1 MIU. There will be 179 pregnant women treated each year.
The treatment course is 2 days long and consists of 2 vials of Benzathine penicillin 2.4 MIU. There will be 5.000 people treated each year.
Cost per ELISA IgM test is USD 0.65. There will be 1,440 tests purchased each year.
Cost per ELISA IgG test is USD 0.48. There will be 2,880 tests purchased each year.
Cost per Western Blot IgM test is USD 28.77. There will be 160 tests purchased each year.
Cost per Western Blot IgG test is USD 26.40. There will be 320 tests purchased each year.
Annual estimated need is 22 liters. Cost per liter is USD 453.00.
Cost per vial of penicillin Na 1 MIU is USD 0.59. There will be 10,000 vials purchased each year.
Cost per vial of Benzathine penicillin 2.4 MIU is USD 0.94. There will be 10,000 vials purchased each year.
Unit
tests
tests
tests
tests
tests
No. of units
1,440
1,440
1,440
1,440
1,440
Unit cost
0.65
0.65
0.65
0.65
0.65
Sub-total
936
936
936
936
936
Unit
tests
tests
tests
tests
tests
No. of units
2,880
2,880
2,880
2,880
2,880
Unit cost
0.48
0.48
0.48
0.48
0.48
Sub-total
1,382
1,382
1,382
1,382
1,382
Unit
tests
tests
tests
tests
tests
No. of units
160
160
160
160
160
Unit cost
29
29
29
29
29
Sub-total
4,603
4,603
4,603
4,603
4,603
Unit
tests
tests
tests
tests
tests
No. of units
320
320
320
320
320
Unit cost
26
26
26
26
26
Sub-total
8,448
8,448
8,448
8,448
8,448
Unit
Liters
Liters
Liters
Liters
Liters
No. of units
22
22
22
22
22
Unit cost
453
453
453
453
453
Sub-total
9,966
9,966
9,966
9,966
9,966
Unit
Vials
Vials
Vials
Vials
Vials
No. of units
10,000
10,000
10,000
10,000
10,000
Unit cost
1
1
1
1
1
Sub-total
5,900
5,900
5,900
5,900
5,900
Unit
Vials
Vials
Vials
Vials
Vials
No. of units
10,000
10,000
10,000
10,000
10,000
Unit cost
1
1
1
1
1
Sub-total
9,400
9,400
9,400
9,400
9,400
4,680
0
0
0
0
0
0
1,872
2,808
6,912
0
0
0
0
0
0
2,764
4,148
23,016
0
0
0
0
0
0
9,206
13,810
42,240
0
0
0
0
0
0
16,896
25,344
49,830
0
0
0
0
0
0
19,932
29,898
29,500
0
0
0
0
0
0
11,800
17,700
47,000
0
0
0
0
0
0
18,800
28,200
1.16.8 1.16.9 1.16.10 1.16.11 1.16.12 1.16.13
Activity
Activity
Activity
Activity
Activity
Activity
NATIONAL PROGRAM FOR HIV/AIDS AND STIs CONTROL AND PREVENTION FOR 2011-2015
Technical assistance to design national guidelines on the use of rapid tests for HIV, VBH and VCH, and STIs
Train service providers in VCT
There will be three national consultants hired on a competitive basis to draft the guidelines and protocols for the use of rapid tests in HIV, VBH/VCH and for STI testing. A working group is to review the aforesaid prescriptions.
Share experience from the neighboring countries in the area There will be 4 specialists designated from of syndromic approach to STI Moldova. treatment
Train the health workers providing syndromic treatment for STIs to high-risk groups
Cost of hiring a consultant (10 days at USD 75 a day).
Training is to last 3 days each for 25 people, on Cost per training (3 days, 25 VCT and use of rapid tests. people) - 7,923
Provide rapid tests for the There will be rapid tests purchased: Year II diagnosis of HBV / HCV infections -500 tests, Year III: 2,000 tests, Year IV - 4,000 and STIs tests, and Year V - 8,000 tests.
Design and publish national guidelines for syndromic treatment of STIs in high-risk groups
42
There will be three national consultants hired on a competitive basis.
There will be 25 people trained overall
Cost per rapid test is USD 3.4 + appropriate consumables for running tests - USD 1.00
Cost estimates per visit (4 people) is USD 7,854.00
Cost estimates per consultant (10 days at USD 75 a day): USD 750.00
Cost estimates per training workshop (3 days, 25 people) = USD 7,923.00
Unit
consultant
consultant
consultant
consultant
consultant
No. of units
0
3
0
0
0
Unit cost
0
750
0
0
0
Sub-total
0
2,250
0
0
0
Unit
Training
Training
Training
Training
Training
No. of units
0
1
0
0
0
Unit cost
0
7,923
0
0
0
Sub-total
0
7,923
0
0
0
Unit
Test
Test
Training
Training
Training
No. of units
0
500
2,000
4,000
8,000
Unit cost
0
4
4
4
4
Sub-total
0
2,200
8,800
17,600
35,200
Unit
Visit
Visit
Visit
Visit
Visit
No. of units
0
1
0
0
0
Unit cost
0
7,854
0
0
0
Sub-total
0
7,854
0
0
0
Unit
Person
Person
Person
Person
Person
No. of units
0
3
0
0
0
Unit cost
0
750
0
0
0
Sub-total
0
2,250
0
0
0
Unit
Workshop
Workshop
Workshop
Workshop
Workshop
No. of units
0
1
0
0
0
Unit cost
0
7,923
0
0
0
Sub-total
0
7,923
0
0
0
2,250
0
0
0
0
0
0
0
2,250
7,923
0
0
0
0
0
0
0
7,923
63,800
0
0
0
0
0
0
0
63,800
7,854
0
0
0
0
0
0
0
7,854
2,250
0
0
0
0
0
0
0
2,250
7,923
0
0
0
0
0
0
0
7,923
NATIONAL PROGRAM FOR HIV/AIDS AND STIs CONTROL AND PREVENTION FOR 2011-2015
1.16.14 1.16.15 1.16.16 1.16.17 V 1.17 1.17.1 1.17.2
Specific Objective Target area Activity
Activity
Activity
Activity
Activity
Activity
43 It is estimated to have 500 people examined Provide disposable STI exam sets during year II, 1,200 - during year III, 3,500 for high-risk groups during Year IV, and 5,000 - during Year V.
Provide high-risk groups with syndromic treatment for STIs
Design and print information leaflets for STI prevention and syndromic treatment
There will be 160 people provided with treatment during Year II, 893 people - during Year III, 1,865 people - during Year IV, and 2,448 people - during Year V.
There will be information leaflets drafted and published - 40,000 copies.
Cost estimates per set are USD 1.00
Cost estimate per treated person is USD 12.00
Cost estimates per person treatment is USD 0.20.
Annual cost estimates are set Keep up the infrastructure of the There will be annual costs incurred to keep up at about USD 790,000, of which national dermatovenereology the infrastructure of the dermatovenereology 76 per cent is spent on human services services with national budget funds. resources.
Unit
Set
Set
Set
Set
Set
No. of units
0
500
1,200
3,500
5,000
Unit cost
0
1
1
1
1
Sub-total
0
500
1,200
3,500
5,000
Unit
Person
Person
Person
Person
Person
No. of units
0
160
893
1,865
2,448
Unit cost
0
12
12
12
12
Sub-total
0
1,920
10,716
22,380
29,376
Unit
Leaflet
Leaflet
Leaflet
Leaflet
Leaflet
No. of units
0
0
20,000
0
20,000
Unit cost
0
0
0
0
0
Sub-total
0
0
4,000
0
4,000
Unit
Services
Services
Services
Services
Services
No. of units
1
1
1
1
1
Unit cost
790,000
790,000
790,000
790,000
790,000
Sub-total
790,000
790,000
790,000
790,000
790,000
312,922
324,250
331,880
361,160
312,922
324,250
331,880
Unit
Counseled person
Counseled person
No. of units
43,000
Unit cost
10,200
0
0
0
0
0
0
0
10,200
64,392
0
0
0
0
0
0
0
64,392
8,000
0
0
0
0
0
0
0
8,000
3,950,000
790,000
0
790,000
790,000
790,000
3160000
0
790,000
370,440
1,700,652
55,900
55,900
55,900
55,900
55,900
279,500
320,362
1,100,790
361,160
370,440
1,700,652
55,900
55,900
55,900
55,900
55,900
279,500
320,362
1,100,790
Counseled person
Counseled person
Counseled person
43,000
43,000
43,000
43,000
279,500
55900
55900
55900
55900
55900
279500
0
0
1.30
1.30
1.30
1.30
1.30
Sub-total
55,900
55,900
55,900
55,900
55,900
Unit
Tested person
Tested person
Tested person
Tested person
Tested person
No. of units
80,000
80,000
80,000
80,000
80,000
280,000
0
0
0
0
0
0
82150
197,850
Unit cost
0.70
0.70
0.70
0.70
0.70
Sub-total
56,000
56,000
56,000
56,000
56,000
By 2015, provide at least 95 per cent of pregnant women with mother-to-child transmission prevention (PMTCT) services each year PMTCT of HIV and STIs and provide the children born to HIV-positive mothers with milk formula Provide pregnant women with access to voluntary counseling
Provide pregnant women with access to voluntary testing
There will be 43,000 pregnant women provided with voluntary counseling services each year (including, 3,000 within maternity wards).
Cost per counseling session is USD 1.30
Purchasing of basic ELISA tests for the testing Cost per basic ELISA test is of about 40,000 pregnant women twice during USD 0.70 pregnancy
1.17.3 1.17.4 1.17.5 1.17.6 1.17.7
Activity
Activity
Activity
Activity
Activity
NATIONAL PROGRAM FOR HIV/AIDS AND STIs CONTROL AND PREVENTION FOR 2011-2015
Provide pregnant women intrapartum and unknown HIV status with access to voluntary rapid tests
There will be rapid testing secured for the pregnant women intrapartum with unknown status, each year
Purchasing of ARV drugs for PMTCT for Provide pregnant women and HIV-infected pregnant women and their newborns with preventative ARV newborns, as per the national guidelines for treatment the treatment and care of PLHIV
Provide disposable sets for C-section surgery
HIV preventative treatment intrapartum
Develop and enforce the normative framework (guidelines) for family planning in PLHIV
44
Average cost per rapid test is USD 1.00
Average cost of one preventative treatment course is USD 317.00
Sets are to be purchased for Purchasing of disposable sets for the pregnant about 15 per cent of all HIVwomen with viral loads above 1,000 copies/ infected pregnant women. mL at 36 weeks of pregnancy Average cost per set is USD 100.00
Average cost of one preventative treatment course is USD 19.00, as per the national guidelines Purchasing of ARV drugs for the emergency for the Treatment and Care of prophylaxis of HIV in positive pregnant women PLHIV. There are two emergency intrapartum and for newborns prophylaxis sets prepared for each of the 50 maternity wards from Moldova.
There will be a national consultant hired, who following the appropriate working group meeting shall design family planning guidelines for PLHIV, drawing upon the Reproductive Health chapter of the national guidelines for the treatment and care of PLHIV (2010).
Cost estimates per copy are USD 20.00, with about 1,000 planned to be printed for all VCT rooms for family planning and other relevant facilities. Cost of consultation services are estimated to cost about USD 600.00
Unit
Tested person
Tested person
Tested person
Tested person
Tested person
No. of units
4,650
4,650
3,000
3,000
3,000
Unit cost
1
1
1
1
1
Sub-total
4,650
4,650
3,000
3,000
3,000
Unit
Pregnant woman newborn couple
Pregnant woman newborn couple
Pregnant woman newborn couple
Pregnant woman newborn couple
Pregnant woman newborn couple
No. of units
198
200
220
240
260
Unit cost
317
317
317
317
317
Sub-total
62,766
63,400
69,740
76,080
82,420
Unit
Pregnant woman
Pregnant woman
Pregnant woman
Pregnant woman
Pregnant woman
No. of units
30
30
33
36
39
Unit cost
100
100
100
100
100
Sub-total
2,970
3,000
3,300
3,600
3,900
Unit
prophylaxis set
prophylaxis set
prophylaxis set
prophylaxis set
prophylaxis set
No. of units
100
100
100
100
100
Unit cost
19
19
19
19
19
Sub-total
1,900
1,900
1,900
1,900
1,900
Unit
consultant
Copy
No. of units
1
500
0
500
0
Unit cost
600
20
0
20
0
Sub-total
600
10,000
0
10,000
0
18,300
0
0
0
0
0
0
9300
9,000
354,406
0
0
0
0
0
0
62678
291,728
16,770
0
0
0
0
0
0
0
16,770
9,500
0
0
0
0
0
0
0
9,500
20,600
0
0
0
0
0
0
0
20,600
Copy
NATIONAL PROGRAM FOR HIV/AIDS AND STIs CONTROL AND PREVENTION FOR 2011-2015
1.17.8 1.17.9
Provide social packages for the infants born to HIV-positive mothers
VI 1.19 1.19.1
Provide blood safety laboratory with consumables
1.19.4
1.19.3
Ensure blood safety for donated blood
Activity
Ensure blood safety for 100 per cent of the donated blood
Activity
Based upon the guidelines designed in 1.14.6, the National AIDS Center, together with other relevant stakeholders, is to design a leaflet and other information materials for HIV-positive women and their family members.
Purchase of social packages approved for the infants born to HIV-infected mothers
Provide milk formula for children Purchase of milk formula for children born to born to HIV-positive mothers HIV-positive mothers until 12 months-old until 12 months-old
Target area
1.17.10
Design family planning information materials for the PLHIV
Activity
Specific Objective
Activity
Activity
Activity
45
Provide consumables and supplies to ensure the individual safety of blood donors
Provide diagnostic products for the lab testing of donated blood
There will be all required laboratory consumables purchased for an estimated number of 80,000 donations a year worth overall USD 72,000 a year.
There will be consumables purchased to ensure the individual safety of 80,000 blood donations each year.
Cost estimates per copy of leaflet / information material is USD 3.00, with 5,000 copies planned to be published overall
Average cost per social package is USD 200.00
Average cost of milk formula per child under 12 months of age is USD 404.00 (96 packs of milk formula a year per child, costing on average USD 4.50) times the number of newborns.
Laboratory consumables used in the testing of one donated blood unit cost USD 0.90
Cost of relevant consumables is USD 1.00 per blood donation
There will be relevant diagnostic consumables Cost estimates of diagnostic purchased for laboratory testing of 80,000 consumables needed to check donations each year. blood donations - USD 2.13.
Unit
Copy
Copy
Copy
Copy
Copy
No. of units
1,000
1,000
1,000
1,000
1,000
Unit cost
3
3
3
3
3
Sub-total
3,000
3,000
3,000
3,000
3,000
Unit
package
package
package
package
package
15,000
0
0
0
0
0
0
0
15,000
223,600
0
0
0
0
0
0
0
223,600
482,976
0
0
0
0
0
0
166234
316,742
No. of units
198
200
220
240
260
Unit cost
200
200
200
200
200
Sub-total
39,600
40,000
44,000
48,000
52,000
Unit
package
package
package
package
package
No. of units
19,008
19,200
21,120
23,040
24,960
Unit cost
4.50
4.50
4.50
4.50
4.50
Sub-total
85,536
86,400
95,040
103,680
112,320
1,519,400
1,519,400
1,519,400
1,519,400
1,519,400
7,597,000
1,197,000
561,126
0
1,197,000
1,197,000
4,152,126
631,860
2,813,014
1,519,400
1,519,400
1,519,400
1,519,400
1,519,400
7,597,000
1,197,000
561,126
0
1,197,000
1,197,000
4,152,126
631,860
2,813,014
Unit
Donation
Donation
Donation
Donation
Donation
No. of units
80,000
80,000
80,000
80,000
80,000
360,000
0
0
0
0
0
0
144000
216,000
Unit cost
0.90
1
1
1
1
Sub-total
72,000
72,000
72,000
72,000
72,000
Unit
Donation
Donation
Donation
Donation
Donation
No. of units
80,000
80,000
80,000
80,000
80,000
400,000
0
0
0
0
0
0
147060
252,940
Unit cost
1
1
1
1
1
Sub-total
80,000
80,000
80,000
80,000
80,000
Unit
Donation
Donation
Donation
Donation
Donation
No. of units
80,000
80,000
80,000
80,000
80,000
852,000
0
0
0
0
0
0
340800
511,200
Unit cost
2.13
2
2
2
2
Sub-total
170,400
170,400
170,400
170,400
170,400
1.16.17 VII 1.22 1.22.1
Develop a mechanism to ensure access to PEP
Provide professional and nonprofessional PEP treatment
1.22.3 2
1.22.4
Develop a cross-sector mechanism for PEP in situations of rape
Treatment and Care By 2015, provide at least 80 per cent of the estimated number of PLHIV and AIDS patients requiring treatment with ARV treatment
46
There will be annual costs incurred to keep up Annual cost estimates - about the infrastructure of Blood Services USD 1,197,000.00
There will be a working group convened to draft a MOH ordinance or regulations to provide for 24/7 access to PEP at district level
There will be a working group convened to develop PEP leaflets / information materials to Design PEP information materials further be endorsed, printed and shared with civil servants at high risk of getting HIV due to their professional duties.
VIII
Activity Activity Specific Objective
1.22.2
Provide PEP following professional exposure and sexual abuse or rape. Ensure access to PEP information
Activity
Provide the people at risk of getting HIV with post-exposure prophylaxis (PEP)
Target area
Keep up the infrastructure of Blood Services
Activity
Specific Objective
Activity
NATIONAL PROGRAM FOR HIV/AIDS AND STIs CONTROL AND PREVENTION FOR 2011-2015
There will be a working group convoked to design non-professional PEP information materials / leaflets, which following endorsement shall be printed and distributed to lay public within the health facilities of emergency care, forensic medicine, police stations etc.
Purchase of ARV drugs for PEP
It is planned to have a facilitator hired and working group related costs
It is planned to have 6,000 copies of leaflets printed to be distributed in health care facilities etc., at a cost of about USD 3.00 per copy.
It is planned to have 6,000 copies of leaflets printed and distributed in the aforesaid facilities, at an approximate cost per copy of USD 3.00
Average cost of PEP treatment per case is USD 100.00, with about 50 cases of PEP expected each year.
Unit
Services
Services
Services
Services
Services
No. of units
1
1
1
1
1
Unit cost
1,197,000
1,197,000
1,197,000
1,197,000
1,197,000
Sub-total
1,197,000
1,197,000
1,197,000
1,197,000
1,197,000
28,400
10,000
10,000
28,000
28,400
10,000
10,000
Unit
meetings
meetings
No. of units
2
Unit cost
5,985,000
1,197,000
561,126
0
1,197,000
1,197,000
4152126
0
1,832,874
10,000
86,400
0
0
0
0
0
0
10,000
76,400
28,000
10,000
86,400
0
0
0
0
0
0
10,000
76,400
meetings
meetings
meetings
0
0
0
0
400
0
0
0
0
0
0
0
400
200
0
0
0
0
Sub-total
400
0
0
0
0
Unit
Copy
No. of units
3,000
18,000
0
0
0
0
0
0
0
18,000
18,000
0
0
0
0
0
0
0
18,000
50,000
0
0
0
0
0
0
10,000
40,000
22,174,768
721,100
1,098,110
77,500
1,232,630
1,232,630
4,361,970
3,337,291
14,475,507
Copy
0
0
3,000
0
Unit cost
3
0
0
3
0
Sub-total
9,000
0
0
9,000
0
Unit
Copy
Copy
Copy
Copy
Copy
No. of units
3,000
0
0
3,000
0
Unit cost
3
0
0
3
0
Sub-total
9,000
0
0
9,000
0
Unit
course
course
course
course
course
No. of units
100
100
100
100
100
Unit cost
100
100
100
100
100
Sub-total
10,000
10,000
10,000
10,000
10,000
3,451,918
3,629,537
4,283,721
4,976,462
5,833,130
NATIONAL PROGRAM FOR HIV/AIDS AND STIs CONTROL AND PREVENTION FOR 2011-2015
2.1 2.1.1
Keep the centers for ARV treatment initiation and followup up and running
2.1.5
2.1.4
2.1.3
2.1.2
Provide PLHIV and AIDS patients with outpatient treatment
2.1.6
Activity
Activity
Activity
Activity
Activity
Activity
Target area
47
There will be 4 regional centers for ARV treatment initiation and follow-up kept up and running.
Keep the software for ARV drugs management and procurement There will be an IT specialist hired. up and running
Conducting of training courses for infectious Train ARV treatment personnel at diseases physicians involved in ART working regional level (in-country) in the North, Center, South and East ARV treatment (ART) centers
Train ARV treatment center staff at international level (out-ofcountry)
Design guidelines for the outpatient treatment of PLHIV
Provide equipment to monitor the efficiency of outpatient treatment
International trainings for infectious diseases physicians working in ART from the North, Center, South and East ART centers.
There will be a national consultant hired, which following convoking a working group shall design the guidelines for the outpatient treatment
Purchase of PC equipment for the ART centers from the North, Center, South and East to monitor the efficiency of outpatient ARV therapy
Costs related to maintaining a Center up and running is USD 11,532 during Year I, and USD 10,050 during each of the following years.
IT specialist salary - USD 858.00 a month
Average cost per training course for about 25 people is USD 5,000, with 5 training modules being scheduled in all.
Average cost per training course for about 25 people is USD 62,500.00
Facilitator related costs = USD 600.00, and working group related costs (2 meetings)
Average cost of one lot of PC equipment and related accessories is USD 2,000 per center.
Unit
341,124
275,096
270,496
267,496
267,496
centers
centers
centers
centers
centers
No. of units
4
4
4
4
4
Unit cost
11,532
10,050
10,050
10,050
10,050
Sub-total
46,128
40,200
40,200
40,200
40,200
Unit
salary
salary
salary
salary
salary
No. of units
12
12
12
12
12
Unit cost
858
858
858
858
858
Sub-total
10,296
10,296
10,296
10,296
10,296
Unit
training course
training course
training course
training course
training course
No. of units
1
1
1
1
1
Unit cost
5,000
5,000
5,000
5,000
5,000
Sub-total
5,000
5,000
5,000
5,000
5,000
Unit
trainee
trainee
trainee
trainee
trainee
No. of units
25
0
0
0
0
Unit cost
2,500
0
0
0
0
Sub-total
62,500
0
0
0
0
Unit
consultant
meetings
No. of units
1
2
0
0
0
Unit cost
600
400
0
0
0
Sub-total
600
800
0
0
0
Unit
lot of equipment
lot of equipment
lot of equipment
lot of equipment
lot of equipment
No. of units
2
3
0
0
0
Unit cost
2,000
2,000
0
0
0
Sub-total
4,000
6,000
0
0
0
1421708
200000
200000
77500
200000
200000
877500
106917
437291
206,928
0
0
0
0
0
0
86,325
120,603
51,480
0
0
0
0
0
0
20,592
30,888
25,000
0
0
0
0
0
0
0
25,000
62,500
0
0
0
0
0
0
0
62,500
1,400
0
0
0
0
0
0
0
1,400
10,000
0
0
0
0
0
0
0
10,000
2.1.7 2.1.8
Vehicle maintenance related costs
2.1.1 2.1.1.1 2.1.1.3
2.1.1.2
Ensure the testing of blood samples to HIV markers
Activity
Ensure the access of lay population to provider initiated HIV testing and counseling (PITC) and laboratory diagnostics
Activity
There will be a national consultant hired up, who following consultations within a working group called up for that purpose shall design quality standards to monitor the efficiency of ARV treatment and care for PLHIV.
Fuel expenses and vehicle spare parts costs
48 The cost of one facilitator is USD 600.00, and costs related to convoking two meetings of the working group, along with printing of 100 copies USD 30.00 each.
Average cost per vehicle is USD 200.00 a month
Ensure clinical follow-up and ART Clinical follow-up and ARV treatment follow-up Cost per clinical follow-up visit is follow-up for HIV patients for PLHIV for 16,000 follow-up visits USD 12.50
Target area
2.1.9
Design quality standards to monitor the efficiency of ARV treatment and care for PLHIV
Activity
Activity
Activity
Activity
NATIONAL PROGRAM FOR HIV/AIDS AND STIs CONTROL AND PREVENTION FOR 2011-2015
Ensure the quality of HIV laboratory diagnostics
Purchase of immunoblot essay tests for HIV-1 confirmation
ELISA testing of blood (serum) samples drawn from the people seeking VCT for HIV 1 or 2 markers is to be fulfilled in diagnostic laboratories (17 overall) from within the National AIDS Center (NAC) and from the public health centers.
There will be 207,000 blood samples tested through ELISA, cost per investigation (net of test cost) is USD 2.50
Purchase of HIV-1 standardized seroconversion Purchase of two standardization panel sets. Cost per set is USD 2,000.00
Purchase of immunoblot essay tests for HIV-1
Annual need estimates are 900 tests. Cost per test is USD 30.00
Unit
consultant
meetings
Copy
No. of units
1
2
100
0
0
Unit cost
600
400
30
0
0
Sub-total
600
800
3,000
0
0
Unit
vehicle
vehicle
vehicle
vehicle
vehicle
No. of units
5
5
5
5
5
Unit cost
2,400
2,400
2,400
2,400
2,400
Sub-total
12,000
12,000
12,000
12,000
12,000
Unit
Clinical follow-up visit
Clinical follow-up visit
Clinical follow-up visit
Clinical follow-up visit
Clinical follow-up visit
No. of units
16,000
16,000
16,000
16,000
16,000
Unit cost
12.50
12.50
12.50
12.50
12.50
Sub-total
200,000
200,000
200,000
200,000
200,000
752,580
798,115
800,115
750,580
750,580
Unit
ELISA test of blood samples
ELISA test of blood samples
ELISA test of blood samples
ELISA test of blood samples
ELISA test of blood samples
No. of units
207,000
207,000
207,000
207,000
207,000
Unit cost
2.50
2.50
2.50
2.50
2.50
Sub-total
517,500
517,500
517,500
517,500
517,500
Unit
Set de seruri
Set de seruri
Set de seruri
Set de seruri
Set de seruri
No. of units
1
0
1
0
0
Unit cost
2,000
2,000
2,000
2,000
2,000
Sub-total
2,000
0
2,000
0
0
Unit
Test
Test
Test
Test
Test
No. of units
900
900
900
900
900
Unit cost
30
30
30
30
30
Sub-total
27,000
27,000
27,000
27,000
27,000
4,400
0
0
0
0
0
0
0
4,400
60,000
0
0
0
0
0
0
0
60,000
1,000,000
200000
200000
77500
200000
200000
877500
0
122,500
3,851,970
521,100
521,100
0
521,100
521,100
2,084,400
448,960
1,318,610
2,587,500
517500
517500
0
517500
517500
2,070,000
0
517,500
4,000
0
0
0
0
0
0
0
4,000
135,000
0
0
0
0
0
0
54,000
81,000
NATIONAL PROGRAM FOR HIV/AIDS AND STIs CONTROL AND PREVENTION FOR 2011-2015
2.1.1.4 2.1.1.5 2.1.1.6 2.1.1.7 2.1.1.8 2.1.1.9
Activity
Activity
Activity
Activity
Activity
Activity
49 Purchase of immunoblot essay tests for HIV-2 confirmation
Provide laboratory tests for diagnosis and triage to ensure individual differential diagnosis
Provide laboratory tests for diagnosis and triage to ensure individual differential diagnosis
Provide laboratory tests for individual differential diagnosis and triage
Provide screening lab tests
Provide laboratory tests for individual differential diagnosis and triage
Purchase of immunoblot essay tests for HIV-2
Purchase of passive agglutination based tests for triage and HIV differential diagnosis purposes
Purchase of ELISA tests to identify Ag P24 and P24 confirmation
Purchase ELISA tests for Ag P24 identification and P24 confirmation
Purchase of basic ELISA tests
Purchase of first ELISA alternate test
Annual need estimates are 36 tests. Cost per test is USD 30.00
Annual need estimates for individual differential diagnosis and triage laboratory tests are 1,200 tests each year. Cost per test is USD 4.00
Annual need estimates for the first ELISA to identify Ag P24 are 1,200 tests each year. Cost per first ELISA test to identify Ag P24 is USD 4.00.
Annual need estimates for confirmatory P24 tests tally up to 240 tests. Cost per P24 confirmatory test is estimated to be USD 15.00
Annual need estimates are 74,000 basic ELISA tests. Cost per basic ELISA test is USD 0.70
Annual need estimates for the first ELISA alternate tests are 30,000. Cost per first ELISA alternate test is USD 0.90
Unit
Test
Test
Test
Test
Test
No. of units
36
36
36
36
36
Unit cost
30
30
30
30
30
Sub-total
1,080
1,080
1,080
1,080
1,080
Unit
Test
Test
Test
Test
Test
No. of units
1,200
1,200
1,200
1,200
1,200
Unit cost
4.00
4.00
4.00
4.00
4.00
Sub-total
4,800
4,800
4,800
4,800
4,800
Unit
Test
Test
Test
Test
Test
No. of units
1,200
1,200
1,200
1,200
1,200
Unit cost
4
4
4
4
4
Sub-total
4,800
4,800
4,800
4,800
4,800
Unit
Test
Test
Test
Test
Test
No. of units
240
240
240
240
240
Unit cost
15.00
15.00
15.00
15.00
15.00
Sub-total
3,600
3,600
3,600
3,600
3,600
Unit
Test
Test
Test
Test
Test
No. of units
74,000
74,000
74,000
74,000
74,000
Unit cost
0.70
1
1
1
1
Sub-total
51,800
51,800
51,800
51,800
51,800
Unit
Test
Test
Test
Test
Test
No. of units
30,000
30,000
30,000
30,000
30,000
Unit cost
0.90
0.90
0.90
0.90
0.90
Sub-total
27,000
27,000
27,000
27,000
27,000
5,400
0
0
0
0
0
0
2,160
3,240
24,000
0
0
0
0
0
0
9,600
14,400
24,000
0
0
0
0
0
0
9,600
14,400
18,000
3600
3600
0
3600
3600
14,400
0
3,600
259,000
0
0
0
0
0
0
103,600
155,400
135,000
0
0
0
0
0
0
54,000
81,000
2.1.1.10 2.1.1.11 2.1.12 2.1.2 2.1.2.1
Activity
Target area
Activity
Activity
Activity
NATIONAL PROGRAM FOR HIV/AIDS AND STIs CONTROL AND PREVENTION FOR 2011-2015
Provide laboratory tests for individual differential diagnosis and triage
Purchase laboratory accessories and consumables to minimize the risk of blood sample contamination
Provide equipment to run laboratory tests on blood within the HIV laboratories under the public health centers
Purchase of second ELISA alternate test
The following accessories and consumables are to be purchased each year: 500,000 microtips 0-200 mcl, 15,000 microtips 2001000 mcl, 26,000 Eppendorf tubes 2 ml, 1,000 vacutainers with EDTA, 90,000 vacutainers without EDTA, 300,000 vacuum tubes with disposable caps, PCR consumables (400 vacutainers with EDTA/yr., 600 Eppendorf tubes/yr., 2 L special disinfectant/yr., 500 microtips 0.2-20 mcl/yr., 600 microtips 20-200 mcl/yr., 1,000 microtips 100-1000 mcl/yr, 4,000 PCR microtubes/yr., automated singlechannel three-volume pipette dozers - 31, 8-channel automated two-volume pipette dozers - 19)
There will be 6 equipment lots purchased (plate washer, plate reader, printer, plate incubator) to refurbish laboratories from the AIDS Centers (Chisinau, Tiraspol), Balti, Comrat, Edinet, Orhei.
50 Annual need estimates for the second ELISA alternate test are 23,000 tests. Cost per second ELISA alternate test is USD 1.00
There will be laboratory accessories and consumables purchased each year worth an estimated amount of USD 90,000.00
Cost per set: USD 15,845.00
Unit
Test
Test
Test
Test
Test
No. of units
23,000
23,000
23,000
23,000
23,000
Unit cost
1.00
1.00
1.00
1.00
1.00
Sub-total
23,000
23,000
23,000
23,000
23,000
Unit
Provide access to HBV immunization
There will be vaccination with three shots of HBV vaccine to prevent the occurrence of specific co-infections (as per the prescribed calendar at 0, 1, and 6 months).
It is estimated that there will be 18,000 PLHIV in the country by 2015. Immunization with 3 doses of vaccine required for full vaccination of one person, including related consumables to administer the vaccine, is estimated to cost USD 5.00
0
0
0
0
0
0
46,000
69,000
450,000
0
0
0
0
0
0
170000
280,000
95,070
0
0
0
0
0
0
0
95,070
765000
0
0
0
0
0
0
161633
603367
90,000
0
0
0
0
0
0
0
90,000
Accessories Accessories Accessories Accessories Accessories and consu- and consu- and consu- and consu- and consumables mables mables mables mables
No. of units
1.00
1.00
1.00
1.00
1.00
Unit cost
90,000
90,000
90,000
90,000
90,000
Sub-total
90,000
90,000
90,000
90,000
90,000
Unit
set
set
set
set
set
No. of units
0
3
3
0
0
Unit cost
0
15,845
15,845
0
0
Sub-total
0
47,535
47,535
0
0
153,000
153,000
153,000
153,000
153,000
Unit
Vaccinated person
Vaccinated person
Vaccinated person
Vaccinated person
Vaccinated person
No. of units
3,600
3,600
3,600
3,600
3,600
Provide for the prevention, diagnostics and treatment of opportunistic infections and associated conditions in HIV patients in outpatient settings
115,000
Unit cost
5
5
5
5
5
Sub-total
18,000
18,000
18,000
18,000
18,000
NATIONAL PROGRAM FOR HIV/AIDS AND STIs CONTROL AND PREVENTION FOR 2011-2015
2.1.2.2 2.1.2.3 2.1.2.4 2.1.3
Provide adults and children with OI prevention
Provide treatment for OI and associated conditions in HIV patients in outpatient settings
Purchase of lab reagents for OI (measuring of viral load for CMV, toxoplasmosis, Cryptococcus etc.)
Purchase of drugs for the preventative treatment of OI (cotrimoxazole, azithromycin, fluconazole, isoniazid)
Purchase of drugs for the treatment of OI in outpatient settings
Given the rapid evolvement of relevant technologies and changing prices, set aside a global budget worth USD 15,000.00
Annual global budget in the amount of USD 20,000 (estimated number of patients with CD4 count below 200 cells/ mcl is 3,500 a year)
Annual global budget in the amount of USD 100,000 (estimated number of patients with CD4 count less than 200 cells /mcl is 3,500 each year).
Unit
Annual budget
Annual budget
Annual budget
Annual budget
Annual budget
No. of units
1
1
1
1
1
Unit cost
15,000
15,000
15,000
15,000
15,000
Sub-total
15,000
15,000
15,000
15,000
15,000
Unit
Annual budget
Annual budget
Annual budget
Annual budget
Annual budget
No. of units
1
1
1
1
1
Unit cost
20,000
20000
20000
20000
20000
Sub-total
20,000
20,000
20,000
20,000
20,000
Unit
Annual budget
Annual budget
Annual budget
Annual budget
Annual budget
No. of units
1
1
1
1
1
Unit cost
100,000
100,000
100,000
100,000
100,000
Sub-total
100,000
100,000
100,000
100,000
100,000
4,000
1,000
20,000
4,000
1,000
expert
round table
Copy
expert
masă rotundă
Ensure the access of PLHIV and AIDS patients to ARV treatment
2.1.3.1
Ensure the access of adults with HIV and AIDS patients to ARV treatment
2.1.3.1.1
Review and adapt the national HIV treatment protocols
Target area
2.1.3.A
Provide lab reagents for the diagnosis of opportunistic infections (OI) and AIDS associated conditions
Activity
Activity
Target area
Activity
Activity
Activity
51
Provide PLHIV with first-line ARV drugs
Inviting international experts over to have them work within a larger working group on the new national HIV treatment and care protocols
Purchase of first-line ARV drugs for PLHIV taken in treatment, as per the national guidelines for HIV treatment and care (2010)
Average cost of an international expert is USD 2,000, along with round table convention costs USD 1,000 each, and printing 500 copies at USD 40.00 each
Average cost of first-line ART is USD 420.00 per patient a year
Unit
No. of units
2
1
500
2
1
Unit cost
2,000.00
1,000.00
40.00
2,000.00
1,000.00
Sub-total
4,000
1,000
20,000
4,000
1,000
1,103,490
1,200,600
1,759,050
2,310,330
3,066,360
Unit
patients
patients
patients
patients
patients
No. of units
1,627
1,755
2,217
2,658
3,267
Unit cost
420
420
420
420
420
Sub-total
683,340
737,100
931,140
1,116,360
1,372,140
75,000
0
0
0
0
0
0
24,322
50,678
100,000
0
0
0
0
0
0
100,000
500,000
0
0
0
0
0
0
137,311
362,689
30000
0
0
0
0
0
0
0
30000
30,000
0
0
0
0
0
0
0
30,000
9439830
0
377010
0
511530
511530
1400070
1103490
6936270
4,840,080
0
377010
0
511530
511530
1400070
683,340
2,756,670
2.1.3.1.2
Provide adults with food parcels
2.1.4.3
Activity
2.1.4.2
Ensure adherence to ARV treatment (including by having nutritional programs put in place)
Activity
2.1.4
Provide ARV drugs
2.1.4.1
Ensure the access of children with HIV and AIDS patients to ARV treatment
Target area
2.1.3.2
Provide PLHIV with third-line (salvage regimen) ARV drugs
2.1.3.2.1
2.1.3.1.3
Provide PLHIV with second-line ARV drugs
Activity
Target area
Activity
Activity
NATIONAL PROGRAM FOR HIV/AIDS AND STIs CONTROL AND PREVENTION FOR 2011-2015
Provide children with food parcels
Design information materials + means to improve adherence
Purchase of second-line ARV drugs for PLHIV taken in treatment, as per the national guidelines for HIV treatment and care (2010)
Purchase of third-line (salvage) ARV drugs for PLHIV taken in treatment, as per the national guidelines for HIV treatment and care (2010)
Purchase of ARV drugs for the children taken in therapy, as per the national guidelines for HIV treatment and care (2010)
Purchase of food parcels for the estimated number of PLHIV enrolled in ARV treatment
Purchase of food parcels for the estimated number of PLHIV enrolled in ARV treatment
Developing within a working group the information materials with subsequent printing of those
52
Average cost of second-line ART is USD 1,890 per patient a year
Average cost of salvage (thirdline) ART is USD 15,000 per patient a year.
Average cost of ART for children is USD 1,800 per patient a year.
Average cost per food parcel is USD 36.00, up to 4 parcels per patient a year
Average cost per food parcel is USD 36.00, up to 4 parcels per patient a year
Average cost per leaflet is USD 5.00
Unit
patients
patients
patients
patients
patients
No. of units
135
150
319
473
698
Unit cost
1,890
1,890
1,890
1,890
1,890
Sub-total
255,150
283,500
602,910
893,970
1,319,220
Unit
patients
patients
patients
patients
patients
No. of units
11
12
15
20
25
Unit cost
15,000
15,000
15,000
15,000
15,000
Sub-total
165,000
180,000
225,000
300,000
375,000
99,000
109,800
122,400
135,000
144,000
Unit
patients
patients
patients
patients
patients
No. of units
55
61
68
75
80
Unit cost
1,800
1,800
1,800
1,800
1,800
Sub-total
99,000
109,800
122,400
135,000
144,000
401,548
415,998
423,632
536,328
552,512
Unit
parcel
parcel
parcel
parcel
parcel
No. of units
6,640
7,568
10,492
12,928
14,072
Unit cost
36
36
36
36
36
Sub-total
239,040
272,448
377,712
465,408
506,592
Unit
parcel
parcel
parcel
parcel
parcel
No. of units
1,053
720
720
720
720
Unit cost
36
36
36
36
36
Sub-total
37,908
25,920
25,920
25,920
25,920
Unit
leaflet
leaflet
leaflet
leaflet
leaflet
No. of units
5,000
0
0
5,000
0
Unit cost
5
0
0
5
0
Sub-total
25,000
0
0
25,000
0
3,354,750
0
0
0
0
0
0
255,150
3,099,600
1,245,000
0
0
0
0
0
0
165,000
1,080,000
610200
0
0
0
0
0
0
159000
451200
610,200
0
0
0
0
0
0
159,000
451,200
2330018
0
0
0
0
0
0
324499
2005519
1,861,200
0
0
0
0
0
0
0
1,861,200
141,588
0
0
0
0
0
0
115,668
25,920
50,000
0
0
0
0
0
0
0
50,000
NATIONAL PROGRAM FOR HIV/AIDS AND STIs CONTROL AND PREVENTION FOR 2011-2015
2.1.4.4 2.1.5 2.1.5.1 2.1.5.2 2.1.5.3 2.1.5.4 2.1.5.5
Activity
Activity
Activity
Activity
Activity
Target area
Activity
53
Cover the travel costs
Paying the equivalent of public transport tickets for the travels of PLHIV twice a year
Ensure the laboratory monitoring of patients to adjust and ensure the efficacy of ARV treatment Provide reagents for treatment Purchase of ARV treatment monitoring monitoring (including for HIV reagents testing)
Technical support and maintenance for PCR laboratory
Quality control (external / internal) for laboratory testing
Train the lab personnel
Evaluate the efficiency of HIV/ AIDS laboratory infrastructure
Upkeeping and maintenance of PCR laboratory
Purchase of tests for running quality control in-country and out-of-country
Average cost of travel inside the country is USD 30.00 for the first two years, and USD 20.00 for the last three years.
Average cost of reagents (CD4 and PCR) is USD 34.00 and USD 12.00 respectively
Annual cost estimates = USD 10,000.00
There will be 150 tests purchased each year. Average cost per test is USD 30.00
Organizing of training courses for the CD4/PCR Average cost per training course lab personnel from the regional centers North, is USD 5,000 for about 30 Center, South, and East people each.
Assessment of efficiency and quality of laboratory infrastructure
International consultations 20 days at USD 700.00 a day, accommodation USD 200.00, travel costs USD 1,000.00. Cost estimates per consultancy are USD 15,000.00
Unit
travel
travel
travel
travel
travel
No. of units
3,320
3,921
1,000
1,000
1,000
Unit cost
30
30
20
20
20
Sub-total
99,600
117,630
20,000
20,000
20,000
572,726
627,728
670,228
732,728
785,182
Unit
tests
tests
tests
tests
tests
No. of units
10,831
11,918
13,168
14,418
15,667
Unit cost
46
46
46
46
46
Sub-total
498,226
548,228
605,728
663,228
720,682
Unit
Activity
Activity
Activity
Activity
Activity
No. of units
1
1
1
1
1
Unit cost
10,000
10,000
10,000
10,000
10,000
Sub-total
10,000
10,000
10,000
10,000
10,000
Unit
tests
tests
tests
tests
tests
No. of units
150
150
150
150
150
Unit cost
30
30
30
30
30
Sub-total
4,500
4,500
4,500
4,500
4,500
Unit
training course
training course
training course
training course
training course
No. of units
2
0
0
1
0
Unit cost
5,000
0
0
5,000
0
Sub-total
10,000
0
0
5,000
0
Unit
Consultant
Consultant
Consultant
Consultant
Consultant
No. of units
0
1
0
0
0
Unit cost
0
15,000
0
0
0
Sub-total
0
15,000
0
0
0
277,230
0
0
0
0
0
0
208,831
68,399
3388592
0
0
0
0
0
0
975372
2413220
3,036,092
0
0
0
0
0
0
955,372
2,080,720
50,000
0
0
0
0
0
0
20,000
30,000
22,500
0
0
0
0
0
0
0
22,500
15,000
0
0
0
0
0
0
0
15,000
15,000
0
0
0
0
0
0
0
15,000
2.1.5.6 4.6 4.6.1 IX 4.9.1
4.9
4.6.3
4.6.2
Develop the normative framework for the surveillance of HIV drug resistance in HIV patients taken in treatment
Specific Objective Activity
Run external quality control of tests
HIV resistance surveillance for the HIV patients in treatment
Target area
Activity
Activity
Activity
Target area
Activity
NATIONAL PROGRAM FOR HIV/AIDS AND STIs CONTROL AND PREVENTION FOR 2011-2015
Running drug susceptibility tests (DST) to identify ARV drug resistance in HIV/AIDS patients
Testing of 10 per cent of all national samples internationally
54
Cost estimates: USD 50,000.00
A national consultant is to be hired to develop Consultant - USD 600.00, and the normative framework for the surveillance costs related to calling up the of HIV drug resistance following group work working group meetings
Purchase of tests to determine ARV drug resistance profile
Average cost per DST (resistance test) is USD 225.00
Train laboratory staff in DST (ARV Organizing training courses for laboratory staff Average cost per training course drug resistance profile) in DST (ARV drug resistance profile) is USD 5,000.00
By 2015, provide at least 10 per cent of the estimated number of PLHIV and AIDS patients with care and support Ensure case management for HIV patients within multidisciplinary teams Institutionalize the training and capacity building of health There will be 75 people trained during 3 fiveworkers in the area of HIV case day trainings of 25 people each. management
Cost per training is USD 36,000.00
Unit
Event
Event
Event
Event
Event
No. of units
1
1
1
1
1
Unit cost
50,000
50,000
50,000
50,000
50,000
Sub-total
50,000
50,000
50,000
50,000
50,000
24,450
48,200
64,800
87,000
Unit
consultant
250,000
0
0
0
0
0
0
0
250,000
113,000
337450
0
0
0
0
0
0
57420
280030
1,200
0
0
0
0
0
0
0
1,200
326,250
0
0
0
0
0
0
57,420
268,830
10,000
0
0
0
0
0
0
0
10,000
consultant
No. of units
1
0
0
1
0
Unit cost
600
0
0
600
0
Sub-total
600
0
0
600
0
Unit
tests
tests
tests
tests
tests
No. of units
106
192
288
384
480
Unit cost
225.00
225.00
225.00
225.00
225.00
Sub-total
23,850
43,200
64,800
86,400
108,000
Unit
training course
training course
training course
training course
training course
No. of units
0
1
0
0
1
Unit cost
0
5,000
0
0
5,000
Sub-total
0
5,000
0
0
5,000
1,535,884
1,489,738
1,491,926
1,489,973
1,325,410
7,332,931
398,414
398,668
0
398,903
398,900
1,594,885
993,000
4,745,046
199,920
139,920
139,920
139,920
2,160
621840
0
0
0
0
0
0
516000
105840
Unit
Training
Training
Training
Training
Training
No. of units
3
1
1
1
0
216,000
0
0
0
0
0
0
216000
0
Unit cost
36,000.0
36,000.0
36,000.0
36,000.0
0.0
Sub-total
108,000
36,000
36,000
36,000
0
NATIONAL PROGRAM FOR HIV/AIDS AND STIs CONTROL AND PREVENTION FOR 2011-2015
4.9.2 4.9.3 4.9.4 4.9.5 2.1.7 2.1.7.1 2.1.8
Target area
Activity
Target area
Activity
Activity
Activity
Activity
55 Training of staff working in the residential facilities under the aegis of the MOLSPF and LPAs to provide the PLHIV and HIV affected Institutionalize the training and people with services and fight stigma and capacity building of non-health discrimination; Building the capacity of workers in HIV case management multidisciplinary teams in providing case management support to the people infected with and affected by HIV through SNR
Institutionalize the training and capacity building of social staff in HIV case management
Strengthen the information systems for the monitoring of HIV case management
Ensure Internet network connection and support for the social assistant specialists
Cost per training is USD 6.000.00
There will be 100 people from Training of staff working within the social the social assistance sector sector in training and capacity building on HIV trained each year, through twocase management. day workshops. Cost per training per person is USD 240.00
There will be 100 social assistants trained to use the service delivery reporting software.
There will be 15 social assistance VCT rooms connected to Internet.
Cost per training of one person is USD 240.00
Estimated cost of monthly use of Internet is USD 144.00
Unit
Training
Training
Training
Training
Training
No. of units
3
5
5
5
0
Unit cost
6,000
6,000
6,000
6,000
0
Sub-total
18,000
30,000
30,000
30,000
0
Unit
Trainee
Trainee
Trainee
Trainee
Trainee
No. of units
100
100
100
100
0
Unit cost
240
240
240
240
0
Sub-total
24,000
24,000
24,000
24,000
0
Unit
Trainee
Trainee
Trainee
Trainee
Trainee
No. of units
100
100
100
100
0
Unit cost
240
240
240
240
0
Sub-total
24,000
24,000
24,000
24,000
0
Unit
Connected VCT room
Connected VCT room
Connected VCT room
Connected VCT room
Connected VCT room
No. of units
15
15
15
15
15
Unit cost
1,728.0
1,728.0
1,728.0
1,728.0
144.0
Sub-total
25,920
25,920
25,920
25,920
2,160
0
4,000
0
4,000
0
Unit
trainee
trainee
trainee
trainee
trainee
No. of units
0
20
0
20
0
Unit cost
0
200
0
200
0
Sub-total
0
4,000
0
4,000
0
85,135
78,977
84,809
78,620
66,425
Provide PLHIV and AIDS patients with psychosocial support Build the capacity of the staff providing psychosocial services
Provide the terminally-ill patients with palliative care in outpatient settings
Organizing of training courses in psychosocial assistance. There will be 40 people trained in all.
Two-day workshop, cost per person is USD 100.00
108,000
0
0
0
0
0
0
108000
0
96,000
0
0
0
0
0
0
96000
0
96,000
0
0
0
0
0
0
0
96,000
105,840
0
0
0
0
0
0
96000
9,840
8,000
0
0
0
0
0
0
0
8,000
8,000
0
0
0
0
0
0
0
8,000
393,966
37,135
36,977
0
36,620
36,425
147,157
72,000
174,809
2.1.8.1 2.1.8.2 2.1.8.3 2.1.8.3 2.2.1 2.2.1.1 2.2.2
2.2.1.2
Target area Target area
Activity
Activity
Activity
Activity
Activity
Activity
NATIONAL PROGRAM FOR HIV/AIDS AND STIs CONTROL AND PREVENTION FOR 2011-2015
Train infectious diseases physicians and primary health care (PHC) physicians in palliative care for the people infected with and affected by HIV/AIDS
Train the staff
Design information materials on palliative care
Family doctors and infectious diseases physicians are to be trained in palliative care within the framework of 3 trainings of 2 days each with attendance of 25 people per training.
Organizing of training courses in palliative care.
Organizing of a working group to design the information materials on palliative care.
Provide the terminally-ill patients Purchase of drugs and other consumables with palliative care at home needed for palliative care at home
Provide HIV patients with diagnostic and treatment services for OI and associated conditions in inpatient settings Provide patients with treatment for OI and HIV associated conditions in inpatient settings
Provide the patients presenting with HCV and HIV co-infection with specific treatment for HCV
Provide the terminally-ill patients with palliative care in hospital settings
Treatment for 445 patients with OI and AIDS associated conditions / year
Purchase of specific treatment for HCV for PLHIV
56
Cost per training is USD 6,000.00
Cost per training course abroad is USD 4,000 per person. There will be 6 persons trained each year.
Cost per information leaflet is USD 3.00
Cost per palliative care case paid by the National Health Insurance Company (NHIC) is USD 31.00 per patient a year, with palliative courses planned for about 10 per cent of the estimated number of PLHIV
Cost per treated case is USD 400.00
Average cost per HCV specific treatment course is USD 16,000.00
Unit
training
training
training
training
training
No. of units
3
3
3
3
0
Unit cost
6,000
6,000
6,000
6,000
0
Sub-total
18,000
18,000
18,000
18,000
0
Visit abroad
training course
training course
Visit abroad
training course
Unit No. of units
6
6
6
6
6
Unit cost
4,000
4,000
4,000
4,000
4,000
Sub-total
24,000
24,000
24,000
24,000
24,000
Unit
Leaflet
Leaflet
Leaflet
Leaflet
Leaflet
No. of units
2,000
0
2,000
0
2,000
Unit cost
3
0
3
0
3
Sub-total
6,000
0
6,000
0
6,000
Unit
annual course
annual course
annual course
annual course
annual course
No. of units
1,198
1,193
1,187
1,181
1,175
Unit cost
31
31
31
31
31
Sub-total
37,135
36,977
36,809
36,620
36,425
978,000
978,000
978,000
978,000
978,000
Unit
72,000
0
0
0
0
0
0
72,000
0
120,000
0
0
0
0
0
0
0
120,000
18,000
0
0
0
0
0
0
0
18,000
183,966
37135
36977
0
36620
36425
147157
0
36,809
4,890,000
178,000
178,000
0
178,000
178,000
712,000
0
4,178,000
890,000
178000
178000
0
178000
178000
712,000
0
178,000
4,000,000
0
0
0
0
0
0
0
4,000,000
919,775
183,279
183,691
0
184,283
184,475
735,728
0
184,047
treated case treated case treated case treated case treated case
No. of units
445
445
445
445
445
Unit cost
400
400
400
400
400
Sub-total
178,000
178,000
178,000
178,000
178,000
Unit
patients
patients
patients
patients
patients
No. of units
50
50
50
50
50
Unit cost
16,000
16,000
16,000
16,000
16,000
Sub-total
800,000
800,000
800,000
800,000
800,000
183,279
183,691
184,047
184,283
184,475
NATIONAL PROGRAM FOR HIV/AIDS AND STIs CONTROL AND PREVENTION FOR 2011-2015
2.1.8.4 3.3 3.6 2.17.5 2.17.2
Provide care for vulnerable children and orphans Ensure the access of HIV infected and affected children to social services Provide HIV/AIDS infected Social packages are to be purchased for HIV children with school supplies, infected children twice a year clothing, and footwear
Organize summer recreation opportunities for HIV-infected children and accompanying persons
4 X
Build the capacity of parents caring for the HIV-infected children
By 2015, establish an efficient program management system
4.1
2.17.2
Provide palliative care drugs and Purchase of palliative care drugs and other consumables in inpatient settings consumables
Program management
Provide for the planning process through the CCM's technical working groups (TWG) and program management
4.1.1
Activity
Target area
Specific Objective
Activity
Activity
Activity
Target area
3
Activity
57
Support TWGs in accomplishing their tasks
Organizing of summer camps with training for parents on how to use ART and ensure adherence to therapy and training for other staff
Annual training sessions are to be organized for 45 people overall.
support for the TWGs made up representatives of all sectors to design the overall concept, TORs and oversee the implementation of the NAP
Cost per palliative case in hospital settings as paid for by the NHIC is USD 153.00 a year per patient, with palliative care courses provided for about 10 per cent of all the estimated number of PLHIV
Estimated number of beneficiaries - 70. Cost per social package is USD 300.00
There will be 5 summer camp events organized for 25 children each. Cost estimates per summer event are USD 7,350.00
Costs per person - USD 240.00
Annual cost estimates - USD 14,400.00
Unit
annual course
annual course
annual course
annual course
annual course
No. of units
1,198
1,193
1,187
1,181
1,175
Unit cost
153
154
155
156
157
Sub-total
183,279
183,691
184,047
184,283
184,475
89,550
105,150
105,150
105,150
94,350
Unit
package social
package social
package social
package social
package social
No. of units
140
192
192
192
192
Unit cost
300
300
300
300
300
Sub-total
42,000
57,600
57,600
57,600
57,600
Unit
meeting
meeting
meeting
meeting
meeting
No. of units
5
5
5
5
5
Unit cost
7,350
7,350
7,350
7,350
7,350
Sub-total
36,750
36,750
36,750
36,750
36,750
Unit
trainee
trainee
trainee
trainee
trainee
No. of units
45
45
45
45
0
Unit cost
240
240
240
240
0
Sub-total
10,800
10,800
10,800
10,800
0
Unit
919,775
183279
183691
0
184283
184475
735728
0
184,047
499,350
0
0
0
0
0
0
405,000
94,350
272,400
0
0
0
0
0
0
214,800
57,600
183,750
0
0
0
0
0
0
147,000
36,750
43,200
0
0
0
0
0
0
43,200
0
3,007,142
2,944,940
3,600,750
2,990,804
1,482,266
14,025,902
0
0
0
0
0
0
6,336,367
7,689,535
276,350
271,850
153,400
153,400
153,400
1,008,400
0
0
0
0
0
0
250,150
758,250
Year
Year
Year
Year
Year
72,000
0
0
0
0
0
0
8,750
63,250
No. of units
1
1
1
1
1
Unit cost
14,400
14,400
14,400
14,400
14,400
Sub-total
14,400
14,400
14,400
14,400
14,400
4.1.2 4.1.3 4.1.4 4.1.5 4.1.6 4.2 4.2.2 4.3
Target area
Activity
Target area
Activity
Activity
Activity
Activity
Activity
NATIONAL PROGRAM FOR HIV/AIDS AND STIs CONTROL AND PREVENTION FOR 2011-2015
Build the capacity of Government Government structures, NGOs and private structures, NGOs and private sector are to accomplish activities in sector by developing a partnership. partnership
Provide training to build the capacity of TWGs
Organizing of workshops in the area of needs assessment and presenting of best HIV practices reported in the country.
58 It will cover the costs of hiring 4 consultants, travel costs, Internet, equipment and other related expenses.
Cost estimates per workshop USD 6,000.00 for 8 TWGs
Five-day training course for 25 Support to design local programs Training of LPAs in designing regional programs people, cost per training course is USD 1,000.00
Provide training to build the capacity of TWGs
Technical assistance in designing project proposals
Provide for the financial management of the Program and projects Design tools for the financial management of the Program and projects
Provide for the monitoring and evaluation of the Program
Training and re-training courses for TWG members
Five-day training courses for 15 people, cost per training course is USD 3,000.00
International consultancy for 20 days worth USD 700.00 a day, accommodation USD 200.00, Training of LPAs in designing regional programs travel costs - USD 1,000.00. Cost estimates per consultancy are USD 15,000.00
Training and re-training courses for TWG members
National consultancy for 10 days worth USD 200.00 a day
Unit
Event
Event
Event
Event
Event
No. of units
1
1
0
0
0
Unit cost
122,950
118,450
0
0
0
Sub-total
122,950
118,450
0
0
0
Unit
workshop
workshop
workshop
workshop
workshop
No. of units
8
8
8
8
8
Unit cost
6,000
6,000
6,000
6,000
6,000
Sub-total
48,000
48,000
48,000
48,000
48,000
Unit
training course
training course
training course
training course
training course
No. of units
10
10
10
10
10
Unit cost
1,000
1,000
1,000
1,000
1,000
Sub-total
10,000
10,000
10,000
10,000
10,000
Unit
training course
training course
training course
training course
training course
No. of units
2
2
2
2
2
Unit cost
3,000
3,000
3,000
3,000
3,000
Sub-total
6,000
6,000
6,000
6,000
6,000
Unit
0
0
0
0
0
0
241,400
0
240,000
0
0
0
0
0
0
0
240,000
50,000
0
0
0
0
0
0
0
50,000
30,000
0
0
0
0
0
0
0
30,000
375,000
0
0
0
0
0
0
0
375,000
2,000
0
0
0
0
0
0
0
2,000
2,000
0
0
0
0
0
0
0
2,000
572500
0
0
0
0
0
0
260960
311540
Consultancy Consultancy Consultancy Consultancy Consultancy
No. of units
5
5
5
5
5
Unit cost
15,000
15,000
15,000
15,000
15,000
Sub-total
75,000
75,000
75,000
75,000
75,000
0
2,000
0
0
0
Consultant
Consultant
Consultant
Consultant
Consultant
Unit
241,400
No. of units
0
1
0
0
0
Unit cost
0
2,000
0
0
0
Sub-total
0
2,000
0
0
0
142,580
82,980
191,980
75,980
78,980
NATIONAL PROGRAM FOR HIV/AIDS AND STIs CONTROL AND PREVENTION FOR 2011-2015
4.3.1 4.3.2 4.3.3 4.3.5 4.3.6
Activity
Activity
Activity
Activity
Activity
59
Design a tool for the monitoring of the HIV recording (dispensarization) system
Cost of national consultant is Hiring up a national consultant to design a tool USD 600.00, plus the cost of for the recording of PLHIV at national, district training the regional infectious and community levels diseases physicians (North, Center, South, and East).
Mid-term review (MTR) and Training and re-training courses for the TWG end-of-the-program review (EPR) for M&E members of the NAP
Design biannual Action Plans for monitoring and evaluation
Build institutional and human capacity in monitoring and evaluation
Design a tool for enabling supervision over the implementation of regional programs by local public authorities (LPAs)
TWG for M&E and operational team for HIV/ AIDS M&E are to develop biannual plans, and shall monitor the enforcement of those and shall evaluate the implementation and operability of the system once every 2 years.
activity is to focus on the implementation of the M&E Capacity Building Strategy at national level, organizational and professional alike, by institutionalizing the curriculum through a master's degree program, and thematic trainings
NAP MTR meeting and EPR. Consultancy and evaluation meeting.
Consultancy for the designing of plans and cost estimates 3 * USD 1,000 workshops to assess the operability of the system and implementation of the Action Plan 35 people * USD 100.00 * 2 days.
Training courses of 3 days, 35 people a year; cost per person per training course day is USD 100.00
Estimated cost of consultancy The costs of consultancy provided by a group is 8 experts * USD 500.00 of experts are to be covered, as well as the Estimated cost of monitoring costs of monitoring field visits. It is planned to visits, including vehicle have monitoring visits in 8 districts each year. maintenance costs, fuel costs, per diems USD 500.00 per visit
Unit
consultant
consultant
consultant
consultant
consultant
No. of units
1
1
0
0
1
Unit cost
600
1,000
0
0
1,000
Sub-total
600
1,000
0
0
1,000
Unit
Event
Event
Event
Event
Event
No. of units
0
1
0
0
1
Unit cost
0
6,000
0
0
6,000
Sub-total
0
6,000
0
0
6,000
Unit
plan
workshop
plan
workshop
plan
No. of units
1
1
1
1
1
Unit cost
3,000
7,000
3,000
7,000
3,000
Sub-total
3,000
7,000
3,000
7,000
3,000
Unit
Trained person
Trained person
Trained person
Trained person
Trained person
No. of units
35
35
35
35
35
Unit cost
300
300
300
300
300
Sub-total
10,500
10,500
10,500
10,500
10,500
Unit
consultant
visits
visits
visits
visits
No. of units
4
8
8
8
8
Unit cost
500
500
500
500
500
Sub-total
2,000
4,000
4,000
4,000
4,000
2,600
0
0
0
0
0
0
0
2,600
12,000
0
0
0
0
0
0
0
12,000
23,000
0
0
0
0
0
0
0
23,000
52,500
0
0
0
0
0
0
0
52,500
18,000
0
0
0
0
0
0
0
18,000
4.3.7 4.3.8 4.3.12 4.8 4.8.1 4.3.4 4.3.4
Activity
Activity
Activity
Target area
Activity
Activity
Activity
NATIONAL PROGRAM FOR HIV/AIDS AND STIs CONTROL AND PREVENTION FOR 2011-2015
Prepare international reports through a participatory process in due time
Prepare annual reports on the implementation of the national program to be submitted to the Government
Organize national conferences with international participation
60
Cost estimates per report compilation is USD 20,000, of It is planned to have the consultancy costs which the cost of consultancy covered, along with retroactive additional data is USD 3,000; data collection collection, and coordination and validation costs - USD 11,000; and the cost meeting costs of validation meetings - 2 * USD 3,000.00
Pursuant to the NAP, the National AIDS Center is responsible for the preparation of annual reports on NAP implementation, together with the TWG on M&E.
There will be 2 conferences organized in 2011 and 2013.
Cost estimates per report compilation is USD 34,480.00, of which consultancy costs account for USD 28,000.00
The cost of running a conference in 2011 is USD 72,000.00. Conference costs in 2013 are estimated to be USD 120,000.00
Unit
reporting
reporting
reporting
reporting
reporting
No. of units
1
1
1
1
1
Unit cost
20,000
20,000
20,000
20,000
20,000
Sub-total
20,000
20,000
20,000
20,000
20,000
Unit
reporting
reporting
reporting
reporting
reporting
No. of units
1
1
1
1
1
Unit cost
34,480
34,480
34,480
34,480
34,480
Sub-total
34,480
34,480
34,480
34,480
34,480
Unit
conference
conference
conference
conference
conference
No. of units
1
0
1
0
0
Unit cost
72,000
0
120,000
0
0
Sub-total
72,000
0
120,000
0
0
364,700
250,700
355,200
191,700
195,700
Unit
Grant
Grant
Grant
Grant
Grant
No. of units
1
0
0
0
0
Provide for the implementation, upgrade and maintenance of HIV/AIDS information systems Ensure the operability of the web-based platform for the national repository of data SIDATA
Institutionalize data flows for reporting to the national repository of data SIDATA
National aggregated database SIDATA is to be developed and managed within the National AIDS Center. The web platform for it is to be developed and adapted in line with the needs identified for the Republic of Moldova
This activity is to provide for the support in keeping up existing automated links and in building up the mission / unautomated links
Keep up and technically maintain Upkeeping and maintenance of the website the national online information www.aids.md to improve the transparency of resource http://www.aids.md HIV/AIDS related measures at national level.
Total estimated cost to equip the national repository of data SIDATA is USD 50,000.00
Maintenance of information systems HIV ISME, VCT IS, STI ISME. Maintenance of SIDATA. Technical support for crosssector / NGO reporting.
Cost of technical maintenance of website is USD 7,200.00 each year.
Unit cost
50,000
0
0
0
0
Sub-total
50,000
0
0
0
0
Unit
grant
grant
grant
grant
grant
No. of units
1
1
1
1
1
Unit cost
120,000
120,000
100,000
100,000
100,000
Sub-total
120,000
120,000
100,000
100,000
100,000
Unit
Maintenance
Maintenance
Maintenance
Maintenance
Maintenance
No. of units
12
12
12
12
12
Unit cost
600
600
600
600
600
Sub-total
7,200
7,200
7,200
7,200
7,200
100,000
0
0
0
0
0
0
0
100,000
172,400
0
0
0
0
0
0
68,960
103,440
192,000
0
0
0
0
0
0
192,000
0
1,358,000
0
0
0
0
0
0
0
1,358,000
50,000
0
0
0
0
0
0
0
50,000
540,000
0
0
0
0
0
0
0
540,000
36,000
0
0
0
0
0
0
0
36,000
NATIONAL PROGRAM FOR HIV/AIDS AND STIs CONTROL AND PREVENTION FOR 2011-2015
4.3.9
Operationalize and ensure the maintenance of the information software for the system of records on the HIV infected and affected people enrolled in the social protection system
4.8.2.3
4.8.2.2
4.8.2.1
4.8.2
Strengthen the M&E system in harm reduction (HR) activities
4.8.3
Target area
Activity
Activity
Activity
Target area
Activity
Activity
61
Ensure the clinical follow-up of patients by having the HIV-ISME up and running Train health workers in how to use the information system for HIV monitoring and evaluation (HIV ISME)
Provide for the implementation of the HIV information system for monitoring and evaluation (HIV ISME)
International training for the staff responsible for the HIV information system HIV-ISME
Ensure the oversight over the prevention service delivery among vulnerable groups and social benefit payouts by putting in place the single identifier system
Training of staff and upkeeping the newly created system for data management. There will be 60 people trained during three workshops two days long each.
Cost estimates per workshop is USD 12,000.00
Provisions are to be made to ramp up and implement the operational software for the single identifier reporting system, and VCT reporting software. National capacities are Total budget estimates for all to be built in data analysis. Evaluations and activities = USD 660,000.00 operational research is to be conducted to identify the issues needed to be worked out in the M&E system.
Organizing of training courses for the relevant health workers in how to implement the HIV ISME.
There will be 2 consultants hired for a period of 24 months.
Training of 3 people, including IT specialists
Cost of training per person is USD 140.00
Cost of hiring one consultant is USD 800.00 a month
Cost per training is USD 3,000.00
Unit
Workshop
Workshop
Workshop
Workshop
Workshop
No. of units
3
3
0
0
0
Unit cost
12,000
12,000
0
0
0
Sub-total
36,000
36,000
0
0
0
Unit
Grant
Grant
Grant
Grant
Grant
No. of units
1
1
1
1
1
Unit cost
151,500
87,500
248,000
84,500
88,500
Sub-total
151,500
87,500
248,000
84,500
88,500
40,800
42,900
0
0
0
Units
Trainees
Trainees
Trainees
Trainees
Trainees
No. of units
90
105
0
0
0
Unit cost
140
140
0
Sub-total
12,600
14,700
0
0
0
Unit
consultant
Consultant
Consultant
Consultant
Consultant
No. of units
2
2
0
0
0
Unit cost
9,600
9,600
0
0
0
Sub-total
19,200
19,200
0
0
0
Unit
Person
Person
Person
Person
Person
No. of units
3
3
0
0
0
Unit cost
3,000
3,000
0
0
0
Sub-total
9,000
9,000
0
0
0
44,000
26,900
26,900
34,900
26,900
72,000
0
0
0
0
0
0
0
72,000
660,000
0
0
0
0
0
0
0
660,000
83,700
0
0
0
0
0
0
56,400
27,300
27,300
0
0
0
0
0
0
0
27,300
38,400
0
0
0
0
0
0
38,400
0
18,000
0
0
0
0
0
0
18,000
0
159,600
0
0
0
0
0
0
0
159,600
0
4.8.3.1 4.8.4. 4.8.4.1
Build the capacity of the HIVaffected community systems
4.8.4.2
Operationalize the coordination systems within the NGO sector
Activity
Target area
Operationalize the single identifier system for the harm reduction projects and psychosocial support services
Activity
Activity
NATIONAL PROGRAM FOR HIV/AIDS AND STIs CONTROL AND PREVENTION FOR 2011-2015
Build the capacity of the HIVaffected community systems
This activity is to provide for the costs of having the existing software adjusted, the relevant facilities trained in how to make use of it, software maintenance, enabling oversight and periodic assessment of data quality
Support for running the Union of Harm Reduction Organization (UHRO) secretariat, operations of the harm reduction resource center, providing for better quality service delivery, advocacy (IDUs, FSWs, MSM)
Organizing a forum and international experience exchange
62 Adjustment of existing software for the single identifier system - USD 22,000.00; software management services - USD 6,000.00; IT staff for scale-up and implementation - USD 43,200.00; hiring up national consultancy for audit, data analysis, development of guidelines for data collection - USD 60,000.00; purchase of equipment for the organizations to be working with the single identifier system - USD 20,000.00; training in PC use and software use for the relevant staff - USD 8,400.00
Grant awarded on a competitive basis
Grant awarded on a competitive basis
Unit
mini-grant
4.8.4.3 4.8.4.4
Activity Activity
Build the capacity of the HIVaffected community systems
Biannual meetings of NGO representatives working in the area of HIV/AIDS
There will be 2 meetings organized each year, attended also by NGO representatives
Grant awarded on a competitive basis
Cost per meeting is USD 12,000.00
mini-grant
mini-grant
mini-grant
No. of units
1
1
1
1
1
Unit cost
44,000
26,900
26,900
34,900
26,900
Sub-total
44,000
26,900
26,900
34,900
26,900
24,000
155,292
211,628
161,542
147,542
Unit
grant
grant
grant
grant
grant
No. of units
1
1
1
1
1
Unit cost
0
81,292
121,228
81,142
81,142
Sub-total
0
81,292
121,228
81,142
81,142
Unit
grant
grant
grant
grant
grant
1
1
1
1
No. of units
Community mobilization activities (IDUs, FSWs, MSM), human rights advocacy with focus on HIV vulnerable groups, media and advocacy for leadership among community representatives
mini-grant
Unit cost
0
10,000
20,000
10,000
20,000
Sub-total
0
10,000
20,000
10,000
20,000
Unit
grant
grant
grant
grant
grant
No. of units
0
1
1
1
1
Unit cost
0
33,000
46,400
46,400
46,400
Sub-total
0
33,000
46,400
46,400
46,400
Unit
meeting
meeting
meeting
meeting
meeting
No. of units
2
2
2
2
0
Unit cost
12,000
12,000
12,000
12,000
0
Sub-total
24,000
24,000
24,000
24,000
0
159,600
0
0
0
0
0
0
0
159,600
700004
0
0
0
0
0
0
96000
604004
364,804
0
0
0
0
0
0
0
364,804
60,000
0
0
0
0
0
0
0
60,000
172,200
0
0
0
0
0
0
0
172,200
96,000
0
0
0
0
0
0
96,000
0
NATIONAL PROGRAM FOR HIV/AIDS AND STIs CONTROL AND PREVENTION FOR 2011-2015
4.8.4.5
National forum with relevant NGO participation
5.1 5.1.1 5.1.3
5.1.2
Build the capacity of program staff
5.1.4
There will be a national forum organized to monitor regional operations.
Cost of forum is USD 7,000.00
Unit
Forum
Forum
Forum
Forum
Forum
No. of units
0
1
0
0
0
Unit cost
0
7,000
0
0
0
Sub-total
0
7,000
0
0
0
Human Resources
Design curriculum for the Medicine and Pharmacy State University (MPSU) and medical colleges
5.1.5
Activity
Activity
Activity
Activity
Activity
Target area
5
Activity
63
Training for health workers to build their capacity in providing services to children born to HIV-positive mothers and HIVpositive children
Train the staff of the child social protection system in HIV/AIDS
Build the capacity of MOLSPF staff involved in program implementation
Ensure the management of prevention activities to be accomplished by the social sector (working groups) to set the eligibility criteria for beneficiaries, logistics and program coordination
258,344 Convoking a working group to design the curriculum
Cost per the working group's round table is USD 500.00
Organizing of training courses abroad for pediatricians and neonatologists in HIV case Cost per training course abroad is management for children born to HIV-positive USD 5,000.00 mothers and HIV-infected children
Organizing of training courses for the staff of the social protection system as per the new guidelines
There will be a three-day training organized for 25 people.
There will be a working group meeting called upon each month to identify program beneficiaries and to monitor the program progress and achievements.
2-day workshop, cost per person/ day is USD 100.00. Estimated number of trainees during 5 years - 750.
Cost of three-day training per person is USD 350.00
Monthly cost of activities is estimated to be USD 2,170.00
Unit
242,970
244,494
249,494
237,144
7,000
0
0
0
0
0
0
0
7,000
1,232,446
0
0
0
0
0
0
226,925
1,005,521
3,000
0
0
0
0
0
0
0
3,000
10,000
0
0
0
0
0
0
0
10,000
150,000
0
0
0
0
0
0
0
150,000
36,750
0
0
0
0
0
0
36,000
750
130,200
0
0
0
0
0
0
8,750
121,450
round table round table round table round table round table
No. of units
3
3
0
0
0
Unit cost
500
500
0
0
0
Sub-total
1,500
1,500
0
0
0
Unit
training course
training course
training course
training course
training course
No. of units
1
0
0
1
0
Unit cost
5,000
0
0
5,000
0
Sub-total
5,000
0
0
5,000
0
Unit
trainee
trainee
trainee
trainee
trainee
No. of units
150
150
150
150
150
Unit cost
200
200
200
200
200
Sub-total
30,000
30,000
30,000
30,000
30,000
Unit
Trainee
Trainee
Trainee
Trainee
Trainee
No. of units
42
21
21
21
0
Unit cost
350.0
350.0
350.0
350.0
0.0
Sub-total
14,700
7,350
7,350
7,350
0
Unit
Activity
Activity
Activity
Activity
Activity
No. of units
12
12
12
12
12
Unit cost
2,170.0
2,170.0
2,170.0
2,170.0
2,170.0
Sub-total
26,040
26,040
26,040
26,040
26,040
5.1.6 5.1.7 5.1.8
Build the capacity of NAC staff
Design programs, guidelines, curriculum, instructions
There will be 25 trainings organized for the NAC staff each year.
There will be information bulletins on the annual NAC reports developed.
5.3
Carry out the training of program This activity is covered within the NAP staff
5.3.1
5.1.9
Keep up and running the HIV/ AIDS prevention, treatment and There will be 5 national consultants and one control coordination unit within head of unit on the payroll. the National HIV/AIDS Prevention and Control Center (NAC)
Provide for capacity building for the workers involved in service delivery for HIV/AIDS/STI patients, including pediatric care There will be 4 two-day workshop organized each year for 25 people each on HIV Carry out HIV/STI prevention prevention and control, with involvement activities through health services of epidemiologists and infectious diseases physicians from the regions.
5.3.2
Activity
Activity
Target area
Activity
Activity
Activity
Activity
NATIONAL PROGRAM FOR HIV/AIDS AND STIs CONTROL AND PREVENTION FOR 2011-2015
Carry out the training of HIV/ AIDS laboratory staff
64 Wages of specialists (monthly salary per consultant is USD 961.00; monthly salary of the head of unit is USD 1,236.00) and related running costs
Cost per international training is estimated to be USD 3,000.00
Cost estimates per unit are USD 1.00
Five-day training course for 25 people each year; cost per training course is USD 12,500.00
Costs per person a day is USD 100.00
There will be 2 two-day workshops organized each year for 25 people each on HIV Costs per person a day is USD laboratory diagnosis and HIV diagnosis quality 100.00 assessment.
Unit
annual sector costs
annual sector costs
annual sector costs
annual sector costs
annual sector costs
No. of units
12
12
12
12
12
Unit cost
7,717
7,465
7,717
7,717
7,717
Sub-total
92,604
89,580
92,604
92,604
92,604
Unit
trainings
trainings
trainings
trainings
trainings
No. of units
25
25
25
25
25
Unit cost
3,000
3,000
3,000
3,000
3,000
Sub-total
75,000
75,000
75,000
75,000
75,000
Unit
Unit
Unit
Unit
Unit
Unit
No. of units
1,000
1,000
1,000
1,000
1,000
Unit cost
1
1
1
1
1
Sub-total
1,000
1,000
1,000
1,000
1,000
Unit
Trained person
Trained person
Trained person
Trained person
Trained person
No. of units
25
25
25
25
25
Unit cost
500
500
500
500
500
Sub-total
12,500
12,500
12,500
12,500
12,500
169,400
215,368
758,608
366,088
232,000
Unit
trainee
trainee
trainee
trainee
trainee
No. of units
100
100
100
100
100
Unit cost
200
200
200
200
200
Sub-total
20,000
20,000
20,000
20,000
20,000
Unit
trainee
trainee
trainee
trainee
trainee
No. of units
50
50
50
50
50
Unit cost
200
200
200
200
200
Sub-total
10000
10000
10000
10000
10000
459,996
0
0
0
0
0
0
182,175
277,821
375,000
0
0
0
0
0
0
0
375,000
5,000
0
0
0
0
0
0
0
5,000
62,500
0
0
0
0
0
0
0
62,500
1,741,464
0
0
0
0
0
0
497,464
1,244,000
100,000
0
0
0
0
0
0
0
100,000
50,000
0
0
0
0
0
0
0
50,000
NATIONAL PROGRAM FOR HIV/AIDS AND STIs CONTROL AND PREVENTION FOR 2011-2015
5.3.3 5.3.4 5.3.5 5.3.6
Provide in-service training for the health workers working in HIV/AIDS prevention, laboratory diagnosis and case management
Ensure the operability of the distance learning web platform
Create and equip a Center of Excellence
6
Keep up and running the Center of Excellence
Social Mitigation
6.99
5.3.6
Organizing of training courses for the Train health workers for capacity infectious diseases physicians involved in ART building as per the new protocols.
Provide PLHIV and AIDS patients with social protection services
6.99.1
Activity
Target area
Activity
Activity
Activity
Activity
Activity
65
Build the capacity of parents caring for HIV-positive children
Cost per training course is USD 1,000 for 20 people each.
There will be retraining courses organized and carried out for epidemiologists, infectious Cost per training course is USD diseases physicians, laboratory staff, nurses 700.00; There will be 70 people within the MSPU and staff retraining centers trained each year. (Chisinau, Balti).
A specialized facility is to be hired for grant implementation
Purchase of furniture and equipment for the Center of Excellence for in-service training in HIV/AIDS
Upkeeping of the Center of Excellence operations
There will be guidelines and curriculum designed for the PLHIV with children and parents caring for HIV-positive children
Total grant cost for 2011-2016 is USD 497,464.00
Equipment and supplies are estimated to cost USD 380,000.00
Costs for running the Center of Excellence are estimated to be USD 150,000 each year (staffing, utilities, teaching materials, transport and other related expenses)
Total cost per set of materials is USD 19,080.00
training course
training course
No. of units
3
0
3
0
3
Unit cost
1000
0
1000
0
1000
Sub-total
3000
0
3000
0
3000
Unit
training course
training course
training course
training course
training course
Unit
training course
training course
training course
No. of units
70
70
70
70
70
Unit cost
700
700
700
700
700
Sub-total
49,000
49,000
49,000
49,000
49,000
Unit
Grant
Grant
Grant
Grant
Grant
No. of units
1
1
1
1
0
Unit cost
87,400
136,368
136,608
137,088
0
Sub-total
87,400
136,368
136,608
137,088
0
Unit
Grant
Grant
Grant
Grant
Grant
No. of units
0
0
1
0
0
Unit cost
0
0
540,000
0
0
Sub-total
0
0
540,000
0
0
Unit
Grant
Grant
Grant
Grant
Grant
No. of units
0
0
0
1
1
Unit cost
0
0
0
150,000
150,000
Sub-total
0
0
0
150,000
150,000
1,033,080
1,012,200
1,009,200
1,009,200
218,000
set of materials
set of materials
set of materials
set of materials
set of materials
No. of units
1
0
0
0
0
Unit cost
19,080
0
0
0
0
Sub-total
19,080
0
0
0
0
Unit
9,000
0
0
0
0
0
0
0
9,000
245,000
0
0
0
0
0
0
0
245,000
497,464
0
0
0
0
0
0
497,464
0
540,000
0
0
0
0
0
0
0
540,000
300,000
0
0
0
0
0
0
0
300,000
4,281,680
0
0
0
0
0
0
3,224,680
1,057,000
19,080
0
0
0
0
0
0
19,080
0
6.99.2 6.99.3 6.99.4 6.99.5 6.99.6
Provide HIV infected and affected There will be about 1,000 adults covered adults with social services within with social services within day-care centers day-care centers each year.
Build the capacity and keep up and running the regional social centers for the HIV infected and affected people
Provide teaching and support materials for the health workers in reducing stigma and discrimination
Provide for the maintenance of existing community centers (Balti, Chisinau, Cahul, Tiraspol)
Provide community centers with teaching/studying and support materials
7
6.99.7
66
Ensure the access of HIV infected and affected children to the There will be about 100 children covered with Estimated number of children social services available within services within day-care centers each year. during 5 years - 500. day-care centers
Enabling environment
7.1
Target area
Activity
Activity
Activity
Activity
Activity
Activity
NATIONAL PROGRAM FOR HIV/AIDS AND STIs CONTROL AND PREVENTION FOR 2011-2015
Ensure advocacy and lobbying for PLHIV rights
4 NGOs are to be hired on a competitive basis to implement activities within the aforesaid centers
NAD-designed guidelines on reducing stigma and discrimination are to be re-printed
Estimated number of adults during 5 years - 5,000.
Estimated cost per project is USD 84,000.00
Estimated cost per guidelines copy is USD 5.00. There will be 6,000 copies re-printed.
Maintenance costs are to be covered (utilities, Annual costs per center are USD transport) 115,000.00
There will be 15 sets of teaching/learning and support materials designed and printed out.
There will be 15 sets designed and printed out, at USD 1,200.00 a set.
Unit
Person
Person
Person
Person
Person
No. of units
100
100
100
100
100
Unit cost
180
180
180
180
180
Sub-total
18,000
18,000
18,000
18,000
18,000
Unit
Person
Person
Person
Person
Person
No. of units
1,000
1,000
1,000
1,000
1,000
Unit cost
200
200
200
200
200
Sub-total
200,000
200,000
200,000
200,000
200,000
Unit
Grant
training course
training course
training course
training course
No. of units
4
4
4
4
Unit cost
84,000
78,300
78,300
78,300
Sub-total
336,000
313,200
313,200
313,200
0
Unit
Copy
Month
Month
Month
Month
No. of units
0
600
0
0
0
Unit cost
0
5
0
0
0
Sub-total
0
3,000
0
0
0
Unit
Center
Center
Center
Center
Center
No. of units
4
4
4
4
0
Unit cost
115,000
115,000
115,000
115,000
0
Sub-total
460,000
460,000
460,000
460,000
0
Unit
Set
Set
Set
Set
Set
No. of units
0
15
15
15
0
Unit cost
0
1,200
1,200
1,200
0
Sub-total
0
18,000
18,000
18,000
0
23,000
23,000
23,000
23,000
23,000
90,000
0
0
0
0
0
0
36,000
54,000
1,000,000
0
0
0
0
0
0
0
1,000,000
1,275,600
0
0
0
0
0
0
1,275,600
0
3,000
0
0
0
0
0
0
0
3,000
1,840,000
0
0
0
0
0
0
1,840,000
0
54,000
0
0
0
0
0
0
54,000
0
115,000
0
0
0
0
0
0
0
115,000
NATIONAL PROGRAM FOR HIV/AIDS AND STIs CONTROL AND PREVENTION FOR 2011-2015
7.1.1 7.1.2 7.1.3
Implement an advocacy action plan
Develop platforms and conduct advocacy campaigns
7.2
Enable and train in running advocacy campaigns
7.2.2
7.1.4
Design an Advocacy Action Plan
Provide for the protection of PLHIV rights Provide PLHIV with pro-bono legal assistance
7.2.3
Activity
Activity
Target area
Activity
Activity
Activity
Activity
67
Provide for strategic litigation of cases of PLHIV's rights violations
A platform is to be developed to involve local public administration (LPA), private sector and Hiring a national consultant to other stakeholders in the national response design an advocacy action plan. to HIV.
NAC is to do the coordination of the implementation of the advocacy action plan.
There will be an advocacy campaign organized each year for the rights of PLHIV. Campaigns are aiming at: reducing stigma and discrimination, financing of ARV therapy programs etc.
Average cost of the action plan is USD 10,000.00
Estimated annual cost - USD 5,000.00
There will be one training organized each year 1 three-day workshop each year for NGOs to build their capacity in developing for 25 participants each messages and advocacy campaigns.
Legal assistance to PLHIV is to be provided by having empowered facilities hire up lawyers.
Strategic litigation of selected cases by hiring up lawyers
Expenses include running costs and staffing costs (salaries).
Cost per litigated case is USD 10,000.00
Unit
Person / Month
Person / Month
Person / Month
Person / Month
Person / Month
No. of units
1
1
1
1
1
Unit cost
500
500
500
500
500
Sub-total
500
500
500
500
500
Unit
Unit
Unit
Unit
Unit
Unit
No. of units
1
1
1
1
1
Unit cost
10,000
10,000
10,000
10,000
10,000
Sub-total
10,000
10,000
10,000
10,000
10,000
Unit
Campaign
Campaign
Campaign
Campaign
Campaign
No. of units
1
1
1
1
1
Unit cost
5,000
5,000
5,000
5,000
5,000
Sub-total
5,000
5,000
5,000
5,000
5,000
Unit
Trainee
Trainee
Trainee
Trainee
Trainee
No. of units
25
25
25
25
25
Unit cost
300
300
300
300
300
Sub-total
7,500
7,500
7,500
7,500
7,500
155,064
143,004
143,436
143,868
0
Unit
monthly expenses
monthly expenses
monthly expenses
monthly expenses
monthly expenses
No. of units
12
12
12
12
0
Unit cost
5,082
4,302
4,338
4,374
0
Sub-total
60,984
51,624
52,056
52,488
0
Unit
litigated case
litigated case
litigated case
litigated case
litigated case
No. of units
3
3
3
3
0
Unit cost
10,000
10,000
10,000
10,000
0
Sub-total
30,000
30,000
30,000
30,000
0
2,500
0
0
0
0
0
0
0
2,500
50,000
0
0
0
0
0
0
0
50,000
25,000
0
0
0
0
0
0
0
25,000
37,500
0
0
0
0
0
0
0
37,500
585,372
0
0
0
0
0
0
527,652
57,720
217,152
0
0
0
0
0
0
217,152
0
120,000
0
0
0
0
0
0
62,280
57,720
7.2.4 7.2.5 7.2.6 7.2.8 7.3 7.3.1 7.3.2
Activity
Activity
Target area
Activity
Activity
Activity
Activity
NATIONAL PROGRAM FOR HIV/AIDS AND STIs CONTROL AND PREVENTION FOR 2011-2015
Train rights protection and enforcement authorities in PLHIV's rights, stigma and discrimination
Train NGO representatives and initiative groups in PLHIV rights, non-discrimination and action measures should human rights violation cases occur
There will be 200 people trained each year in human rights protection for PLHIV, mitigation of PLHIV stigma and discrimination.
There will be 25 people trained representatives of various NGOs and initiative groups representing the rights of PLHIV - to create an efficient response and referral system for human rights violation cases
The webpage is to host data on the ongoing Keep up and running a web page litigation cases, information resources and on PLHIV rights materials on the action tools to be employed in case of PLHIV rights violation
Train LPA staff in PLHIV rights
LPA representatives are to be trained on PLHIV rights. There will be 8 such meetings organized in all.
68 There will be 8 two-day workshops organized each year for 25 people each. Cost per training per person is USD 240.00
There will be 25 people trained during Year I during a two-day training event. Costs per training session is USD 240.00. There will be about 30 more people trained each year during the following three years (cost per person USD 110.00)
Cost of webpage maintenance is USD 7,200 each year.
Cost per meeting is USD 360.00
Unit
Trainees
Trainees
Trainees
Trainees
Trainees
No. of units
200
200
200
200
0
Unit cost
240
240
240
240
0
Sub-total
48,000
48,000
48,000
48,000
0
Unit
Trainees
Trainees
Trainees
Trainees
Trainees
No. of units
25
30
30
30
0
Unit cost
240
110
110
110
0
Sub-total
6,000
3,300
3,300
3,300
0
Unit
monthly cost
monthly cost
monthly cost
monthly cost
monthly cost
No. of units
12
12
12
12
0
Unit cost
600
600
600
600
0
Sub-total
7,200
7,200
7,200
7,200
0
Unit
meeting
meeting
meeting
meeting
meeting
No. of units
8
8
8
8
0
Unit cost
360
360
360
360
0
Sub-total
2,880
2,880
2,880
2,880
0
340,824
277,776
251,904
253,632
9,600
Unit
Trainees
Trainees
Trainees
Trainees
Trainees
No. of units
200
250
250
250
0
Unit cost
240
240
240
240
0
Sub-total
48,000
60,000
60,000
60,000
0
Unit
Trainees
Trainees
Trainees
Trainees
Trainees
Build the capacity of PLHIV NGOs
Build the capacity of NGOs through trainings
Have NGO representatives participate in international events
NGO staff is to be trained in strategic planning, operational management, fundraising etc. Cost per training per person is There will be 200 people trained for 2 days USD 240.00 each year.
NGO representatives are to take part in Cost per training per person is workshops, training sessions, conferences and USD 3,600.00 other international events.
No. of units
13
6
4
4
0
Unit cost
3,600
3,600
3,600
3,600
0
Sub-total
46,800
21,600
14,400
14,400
0
192,000
0
0
0
0
0
0
192,000
0
15,900
0
0
0
0
0
0
15,900
0
28,800
0
0
0
0
0
0
28,800
0
11,520
0
0
0
0
0
0
11,520
0
1,133,736
0
0
0
0
0
0
1,124,136
9,600
228,000
0
0
0
0
0
0
228,000
0
97,200
0
0
0
0
0
0
97,200
0
NATIONAL PROGRAM FOR HIV/AIDS AND STIs CONTROL AND PREVENTION FOR 2011-2015
7.3.3
Activity
69
Design information materials for PLHIV communities
There will be about 9,000 copies designed, printed out and distributed each year (during the first two years) and 8,000 copies (for the remaining three years) for PLHIV.
Cost per copy is USD 1.20.
Unit
7.3.4 8.1 8.1.1 8.1.2.
Activity
Activity
Target area
Activity
No. of units
Support PLHIV network coordination structures at national level
Support extended to the League of PLHIV.
Expenses provide for the running costs and audit costs to assess the League of PLHIV performance
Biomedical and clinical studies / research
Strengthen the secondgeneration surveillance system
Updating of second-generation surveillance protocols. There will be recommendations drafted for amendments to be made and specific steps to be taken as part of the M&E Action Plan. There will be capacity building actions taken for the institutional infrastructure and human resources.
Costs per the number of cohort enrollees + drugs and specialists related costs. 100 patients - USD 25,000.00
Consultancy for protocol review as per the international standards and best practices 2 * USD 1,000.00; TWG meetings to develop the protocol 4 * USD 500.00; international training sessions for the relevant staff 4 * USD 5,000.00; national training sessions 40 * 5 days * USD 100.00 per person.
8.3.2
Activity
Estimation and forecast studies
9,000
8,000
8,000
8,000
Unit cost
1.2
1.2
1.2
1.2
1.2
10,800
10,800
9,600
9,600
9,600
Unit
monthly expenses
monthly expenses
monthly expenses
monthly expenses
monthly expenses
No. of units
12
12
12
12
0
Unit cost
19,602.0
15,448.0
13,992.0
14,136.0
0.0
Sub-total
235,224
185,376
167,904
169,632
0
135,000
178,000
211,000
308,000
140,000
Unit
study
study
study
study
study
No. of units
0
1
0
1
0
Unit cost
0
25,000
0
130,000
0
Sub-total
0
25,000
0
130,000
0
Unit
consultancy
meetings
Trainees
Trainees
Trainees
No. of units
Estimated cost to generate a set of estimates and forecasts is USD It is planned to cover the costs of consultancy, 10,000.00, of which the cost of additional retroactive data collection, and consultancy is USD 2,000.00; costs of coordination and validation meetings. cost of data collection is USD 5,000.00; cost of validation meetings is USD 3,000.00
9,000
Sub-total
Epidemiologic and sociological studies A study is to be conducted in a cohort of patients to identify HIV resistance to ARV drugs. Subject to laboratory resources and funds availability, it is planned to have studies conducted to look into the incidence and age of HIV infection.
Information Information Information Information Information material material material material material
3
9
2
40
50,400
0
0
0
0
0
0
40,800
9,600
758,136
0
0
0
0
0
0
758,136
0
972,000
0
0
0
0
0
0
72,000
900,000
155,000
0
0
0
0
0
0
0
155,000
91,000
0
0
0
0
0
0
60,000
31,000
10,000
0
0
0
0
0
0
0
10,000
2
Unit cost
5,000
5,000
500
500
5,000
Sub-total
15,000
45,000
1,000
20,000
10,000
Unit
forecasts
forecasts
forecasts
forecasts
forecasts
No. of units
0
0
0
0
1
Unit cost
0
0
0
0
10,000
Sub-total
0
0
0
0
10,000
8.4.1 8.4.2 8.4.3 4.3.11 8
Activity
Activity
Activity
Activity
NATIONAL PROGRAM FOR HIV/AIDS AND STIs CONTROL AND PREVENTION FOR 2011-2015
70
Subcontracting such study to a Assess stigma and discrimination There will be a study conducted on stigma and NGO or sociological company. towards PLHIV violation of PLHIV rights Study cost estimates - USD 50,000.00
Conduct behavioral studies / surveys in lay population and risk groups
Socio-economic studies
Cost-efficiency studies for harm reduction (HR) programs
Operational research
Knowledge, attitudes, and practices (KAP) surveys in lay population, on a total sample size of 3,500 people to ensure representativeness at national and specific regional levels, are to be implemented every 2 years. KAP surveys with a national representative sample size of youth are to be conducted with the same frequency. Behavioral and seroprevalence surveys among most-at-risk populations MARP are to be implemented once every 2 years in 3 key regions.
There will be studies conducted in lay population to look into the social norms, attitudes and behavior-related factors linked to HIV vulnerability, as well as qualitative studies (focus groups) for a more in-depth analysis of specific factors linked to one's vulnerability to HIV. Moreover, one is to look into the links between migration, risky sexual behaviors and other factors of HIV vulnerability. A study is to be conducted among HIV-affected families, with a control group consisting of HIV unaffected families, to look into the social and economic issues and HIV impact on affected families
Cost-efficiency studies for HR programs are mandatory for a comprehensive review of such assessments conducted under the NAP.
Surveys in lay population - estimated budget USD 50,000 * 2. Surveys among youth - estimated budget USD 18,000 * 2. BSS surveys among MARP - estimated budget USD 120,000 * 3
Study on the social and economic issues of HIV/AIDS affected families (sample size of HIV affected families - 500, control group) - USD 40,000.00; study on migrants (sample size 2,000 people) - USD 40,000.00; study on gender specific vulnerability to HIV (review of normative framework implementation, quantitative and qualitative studies, including among LGBT communities) - USD 40,000.00
Cost estimates per cost-efficiency study is USD 50,000.00
Unit
study
study
study
study
study
No. of units
0
0
0
1
0
Unit cost
0
0
0
50,000
0
Sub-total
0
0
0
50,000
0
Unit
grant
grant
grant
grant
grant
No. of units
1
1
1
1
1
Unit cost
120,000
68,000
120,000
68,000
120,000
Sub-total
120,000
68,000
120,000
68,000
120,000
Unit
survey
survey
survey
survey
survey
No. of units
0
1
1
1
0
Unit cost
0
40,000
40,000
40,000
0
Sub-total
0
40,000
40,000
40,000
0
Unit
50,000
0
0
0
0
0
0
0
50,000
496,000
0
0
0
0
0
0
12,000
484,000
120,000
0
0
0
0
0
0
0
120,000
50,000
0
0
0
0
0
0
0
50,000
80,000
0
0
0
0
0
0
0
80,000
assessment assessment assessment assessment assessment
No. of units
0
0
1
0
0
Unit cost
0
0
50000
0
0
Sub-total
0
0
50000
0
0
0
20,000
20,000
20,000
20,000
NATIONAL PROGRAM FOR HIV/AIDS AND STIs CONTROL AND PREVENTION FOR 2011-2015
4.3.11
Activity
71
Assess the efficiency of the program's innovative components
Operational research is to be conducted to assess the efficiency of the program's innovative components and to identify potential implementation challenges.
Cost estimates per operational research are USD 20,000.00. It is planned to conduct operational research each year starting with Year II of NAP implementation, as per the planning of research areas included in the M&E Action Plan.
Unit
operational operational operational operational operational research research research research research 80,000
No. of units
0
1
1
1
1
Unit cost
0
20000
20000
20000
20000
Sub-total
0
20000
20000
20000
20000
0
0
0
0
0
0
0
80,000
