AIDS AND STIs CONTROL AND PREVENTION FOR

1 NATIONAL PROGRAM FOR HIV/AIDS AND STIs CONTROL AND PREVENTION FOR 2011-2015 GOVERNMENT OF THE REPUBLIC OF MOLDOVA ...................................
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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)

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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.

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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;

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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

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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

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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