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Multi-Country HIV/AIDS Program (MAP)

 

The Multi-Country HIV/AIDS Program for Africa (MAP)

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Related links: 

Map Goal & Objectives
The MAP Approach
Achievements and Highlights
Eligibility Criteria 
Further Information

In 1999, the World Bank launched the first major global response to HIV/AIDS in Sub-Saharan Africa. It helped put in place the foundations of the response: national strategies, a governance structure, and systems for monitoring and evaluation. It promoted a multi-sectoral response by focusing on HIV/AIDS as a development issue and by engaging both local communities and the private sector. By April 2010, the Bank had provided $2 billion for HIV/AIDS programs in 35 countries, including 5 regional projects to address cross-border issues.

picThe World Bank Africa Region’s launched its first HIV/AIDS strategy, Intensifying Action against HIV/AIDS in Africa: Responding to a Development Crisis, in 2000. Within that strategy, the Multi-Country HIV/AIDS Program for Africa (MAP) was envisaged as a 15-year commitment by the Bank to be implemented in three stages. The first stage (2000-2006) would be an “emergency response,” which entails putting in place essential structures, policies, and capacity; working with communities in delivering services; better understanding implementation dynamics; and generally, learning by doing. Stage two would scale up and mainstream prevention, treatment, and care, based on evidence of effective innovation as outlined in The World Bank’s Commitment to HIV/AIDS in Africa: Our Agenda for Action, 2007 – 2011, approved in 2007. Stage three would focus on areas or groups where the spread of the disease continued.

During the first stage, the MAP built political commitment and enabled countries to begin implementing decentralized multi-sectoral national programs while strengthening institutions and accountability. This had an immediate impact on program coverage and paved the way for rapid expansion as other funding became available in later years. The MAP contributed to health systems strengthening, started several sub regional projects to address at-risk populations, and helped increase access to treatment. Recognizing that HIV requires changes in norms, beliefs, perceptions, and social and individual behavior, the MAP mobilized communities to provide an enabling environment.

MAP support for the mobilization of civil society is especially promising, having funded over 50,000 NGO, faith-based, and community-based subprojects, many at grassroots level. MAP-supported subprojects cover prevention, care, treatment, mitigation, capacity development, and monitoring and evaluation. Under MAP, partnerships, consortiums, and networks of special interest have been encouraged to address capacity weaknesses and other challenges to scaling up national AIDS programs. As a result, civil society engagement is now considered a crucial part of a national response.

The overall development objective of the MAP is to dramatically increase access to HIV/AIDS prevention, care, and treatment programs, with emphasis on vulnerable groups such as youth, women of childbearing age, sex workers, and men who have sex with men. Specific development objectives of each individual country project, as stated in the national strategic plans, provide the basis for this program and are agreed upon at the time of appraisal of the national projects. A key feature of the MAP is direct support to community organizations, NGOs, and the private sector for local HIV/AIDS initiatives.

 

MAP GOAL & OBJECTIVES

MAP projects directly support the implementation of national HIV/AIDS strategies and sub-regional HIV/AIDS activities.

The overall goal of the MAP is to intensify action in as many countries as possible. Its specific objectives are to scale up prevention, care, and treatment programs, mitigate impact in all sectors, and strengthen the implementation of programs at all levels.

THE MAP APPROACH 

The MAP is built on a “national program support” model, meaning that assistance is comprehensive, flexible, and adaptable. MAP projects are characterized by:

  • Empowering stakeholders - MAP support goes to all types of organizations, including government, communities, civil society, faith-based organizations, and the private sector
  • Learning by doing and broad knowledge sharing - MAP is a process, not a blueprint
  • Building and unleashing capacity - to strengthen implementation of all programs Intensive attention to financial management and monitoring and evaluation
  • Evidence-based programs once the evidence is documented and shared – adapting the AIDS response to the local situation will increase effectiveness
  • Scaling up and mainstreaming AIDS interventions – AIDS is a cross-cutting development issue
TYPES OF PROJECTS 

The MAP supports the full spectrum of HIV/AIDS activities, in conjunction with all other partners. Typically, MAP projects include:

  • Capacity building for government agencies and civil society
  • Expansion of governmental responses to HIV/AIDS in all sectors
  • A civil society fund to channel grants directly to community organizations, NGOs, FBOs and the private sector for local HIV/AIDS initiatives
  • Effective mechanisms for project coordination, management, and monitoring and evaluation
PARTNERSHIP 

The MAP reflects the World Bank’s commitment to the Joint United Nations Programme on HIV/AIDS (UNAIDS).

The MAP is the Bank’s contribution to translate the principles of the International Partnership Against AIDS in Africa into action. The Bank works closely with these partnerships, as well as with the Global Fund to Fight AIDS, TB and Malaria and an array of donors, civil society organizations, and private firms to ensure that MAP support builds on existing HIV/AIDS prevention, care, and treatment efforts. The MAP also requires broad involvement of partners in the national response, especially persons living with HIV/AIDS. In addition to financial support, the MAP provides substantial technical support, which helps programs funded by all partners to implement more quickly and effectively.

COVERAGE 

Every eligible country in Africa has received or is now receiving MAP support.

The World Bank has also developed tools to assist countries which, because of income or civil strife, do not have access to direct MAP support. One innovative approach is to link World Bank technical support with financing from other partners. For example, in Southern Sudan an HIV/AIDS grant was approved through the Multi-donor Trust Fund, and a sub regional project in the Horn of Africa was funded through the Africa Catalytic Growth Fund (ACGF). Another approach is to allow middle-income countries to have another donor buy-down the interest on their World Bank loan to make it essentially the same as the no-interest loans for which less well-off countries are eligible, as in the case of the Botswana National HIV/AIDS Prevention Support project. All African countries are eligible for implementation support.

THE MAP PROVIDES MORE THAN MONEY 

The World Bank also supplies a range of services to improve implementation and accountability of HIV/AIDS programs. This support includes:

  • Technical Support Teams – On request, the World Bank and UNAIDS provide technical support teams to countries to solve bottlenecks and speed program implementation, while sharing good practice experiences from other countries.
  • Stakeholder Consultations – Multi-country consultations are held regularly with participants from all segments of society to share experiences, provide information on improving performance, and involve more stakeholders.
  • Manuals and Guidelines – The World Bank and UNAIDS regularly produce and update guidelines and manuals of good practice and emerging lessons. These materials cover overall implementation; specific fiduciary topics such as financial management, procurement, and monitoring and evaluation; and thematic areas such as early childhood development and HIV/AIDS and education.

SUBREGIONAL PROJECTS

The MAP funds sub-regional and multi-country projects to support activities along borders, in key corridors, in post-conflict situations, among displaced populations, and with the potential to serve multiple countries. Supporting projects that cross borders is one way in which MAP addresses HIV/AIDS as a global public good.

 

Achievements and Highlights 
  • Implementation is accelerating. More sectors and organizations are carrying out HIV/AIDS activities than ever before, and the pace of program implementation is rising rapidly.
  • MAP funding – more than $2 billion in over 30 countries – has supported a strong and rapid expansion of civil society activities in many countries, with thousands of community organizations receiving financial and technical assistance – many for the first time.
  • Innovative financial mechanisms have been devised, delivering money far more widely than ever before, while still respecting accountability needs.
  • Partnerships are expanding, as the MAP supports a growing range of partners at the local, national, and international levels. With MAP support, countries are leading true joint reviews of their national programs. These bring all partners together for a common review and thus reduce the multiple, separate reviews which are so time-consuming for national officials. In some countries, partners are even pooling their HIV/AIDS support into a basket fund.
  • Implementation support is intensifying. Stakeholder consultations have brought in hundreds of HIV/AIDS leaders from 40 countries, while technical support has been provided to more than thirty countries.
  • Donor support for HIV/AIDS programs has grown exponentially. Since the MAP was launched, and partly as a result of its implementation, the global response to the epidemic has broadened and deepened. Global funding for HIV/AIDS has grown dramatically—from $1.6 billion in 2001 to nearly $10 billion in 2008—with the creation of the Global Fund to Fight HIV/AIDS, Tuberculosis, and Malaria (GFATM), the President’s Emergency Plan for AIDS Relief (PEPFAR), and the involvement of other donors. Support for treatment as well as prevention and care has become the norm.
  • Read more on how the Bank has contributed to results in country responses to HIV/AIDS.

Examples of how the MAP has helped countries in Africa:

  • Mitigating the impact of HIV/AIDS. MAP has financed the prevention and care work of at least 50,000 communities, CSOs, youth groups, and organizations of people living with HIV and enabled the care and support of more than 1.8 million orphans and other vulnerable children.
  • Providing treatment. Countries used MAP support to treat opportunistic infections in more than 288,000 people in at least 20 countries, provide anti-retroviral therapy (ART) to more than 27,000 people in 27countries, train over 560,000 people, and strengthen health systems that helped roll out ART as prices fell and donor support increased.

Eligibility Criteria for MAP Participation 

The funds are available to any African country that meets simple eligibility criteria, including eligibility for IDA credits.
1.Satisfactory evidence of a strategic approach to HIV/AIDS, developed in a participatory manner;
2.Existence of a high-level HIV/AIDS coordinating body, with broad representation of key stakeholders from all sectors, including people living with HIV/AIDS;
3.Government commitment to quick implementation arrangements, including channeling grant funds for HIV/AIDS activities directly to communities, civil society, and the private sector; and
4.Agreement by the government to use multiple implementation agencies, especially NGOs/Community Based Organizations.

 

Regional Projects
  • Abidján-Lagos
    Regional project for Nigeria, Benin, Cote de Ivorie, Ghana, Togo
  • ARCAN
    Regional Capacity Building network for HIV/AIDS prevention Care and Treatments for United Republic of Tanzania, Ethiopia and Kenya
  • TAP
    Regional HIV/AIDS Treatment Acceleration Project with Ghana, Burkina Faso, and Mozambique
  • GLIA
    Great Lakes Initiative on HIV/AIDS

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