Resource tracking and aid

Supporting aid effective responses to children affected by AIDS: Lessons learnt on channelling resources to community based organisations

Supporting aid effective responses to children affected by AIDS

In response to growing numbers of orphans and vulnerable children affected by HIV and AIDS in the last two decades, many communities have formed organisations to provide material and other support to these children. Likewise, international donors and intermediary agencies have increased their funding levels and capacity building efforts to Community Based Organisations (CBOs). Considerable effort has been spent on looking at how to get financial and technical resources to CBOs quickly and efficiently.

This study seeks to improve our understanding of successful initiatives that can create a more predictable and long-term funding environment for CBOs, managing to both address the trade-off between reducing fiduciary risk of monies being misspent yet also avoid disproportionate and onerous levels of accounting and reporting for relatively small sums of money. The study is the result of field research in Uganda, Burkina Faso and Malawi undertaken between April and July 2010, in collaboration with CARE Uganda, SAT Malawi, and IPC in Burkina Faso whose support is gratefully acknowledged.

This study was commissioned and funded by UNICEF-HQ and World Vision UK (WV), as members of the Communities and Resources Working Group (C&RWG) of the Inter-Agency Task Team on Children and HIV and AIDS (IATT), in collaboration with the Regional Inter-Agency Task Teams on Children & AIDS (RIATT) for Eastern and Southern Africa and for West and Central Africa.1 It sought to identify examples of financial mechanisms that provide financial and technical resources to CBOs who themselves provide care and protection to children affected by HIV and AIDS.

Burkina Faso, Malawi and Uganda have successfully established financial mechanisms that attract funding from multiple donors, which improves alignment and harmonisation of donor funding to Civil Society Organisations (CSOs).2 These mechanisms also provide an opportunity for funding to be more strategically allocated against nationally developed strategic plans of action on OVC. However, the degree of input from community level into the setting up or resource allocation was limited. Of the over 50 CBOs interviewed during this study, none had any knowledge or understanding of the macro-environment that had such a significant impact on their access to money. In all three countries, the message was clear – money talks, and with the donor and government at the table, the voice of CBOs was usually not considered, or CBOs were considered too ‘weak’ and poorly informed to have a valid point of view.

Using the five key principles of the Paris Declaration (ownership, alignment, harmonisation, managing for results and mutual accountability) as a guide, examples of good practice and areas for further improvements were identified.

UNAIDS Investment framework for AIDS: Questions and answers


Investment Framework on AIDS: Questions and answers

This document provides a series of frequently asked questions and answers relating to the New Investment Framework for the global HIV response.


November 2011





Thematic areas: 

Increasing effectiveness of services and funding



Global resources and key documents

Status of the Convention on the Rights of the Child

The General Assembly, by its resolution 44/25, adopted the Convention on the Rights of the Child. As at 1 July 2012, the Convention had been ratified or acceded to by 193 States, and 2 States had signed but not yet ratified the Convention. By its resolution 54/263, the Assembly adopted two Optional Protocols to the Convention. As of 1 July 2012, the Optional Protocol on the involvement of children in armed conflict had been ratified by 147 States, and the Optional Protocol on the sale of children, child prostitution and child pornography had been ratified by 158 States. Pursuant to resolution 66/141, safeguarding the rights of indigenous children is the focus of section IV of the present report, which highlights issues relating to the human rights of indigenous children; cross-cutting issues such as respect for cultural identity; protection from discrimination and the implementation of the rights of indigenous children; education; health; protection; participation; and perspectives on ways forward.

New Investment Framework for the global HIV response

New Investment Framework for the global HIV response Lancet article

Related resource: 

New Investment Framework for the global AIDS response - UNAIDS Brief

Community mobilisation and the New Investment Framework

UNAIDS Investment Framework for AIDS: Questions and answers

Substantial changes are needed to achieve a more targeted and strategic approach to investment in the response to the HIV/AIDS epidemic that will yield long-term dividends. Until now, advocacy for resources has been done on the basis of a commodity approach that encouraged scaling up of numerous strategies in parallel, irrespective of their relative eff ects.

We propose a strategic investment framework that is intended to support better management of national and international HIV/AIDS responses than exists with the present system. Our framework incorporates major efficiency gains through community mobilisation, synergies between programme elements, and benefi ts of the extension of antiretroviral therapy for prevention of HIV transmission.

It proposes three categories of investment, consisting of six basic programmatic activities, interventions that create an enabling environment to achieve maximum eff ectiveness, and programmatic efforts in other health and development sectors related to HIV/AIDS. The yearly cost of achievement of universal access to HIV prevention, treatment, care, and support by 2015 is estimated at no less than US$22 billion.

Implementation of the new investment framework would avert 12·2 million new HIV infections and 7·4 million deaths from AIDS between 2011 and 2020 compared with continuation of present approaches, and result in 29·4 million life-years gained. The framework is cost eff ective at $1060 per life-year gained, and the additional investment proposed would be largely off set from savings in treatment costs alone

Namibia National Agenda for Children 2012-2016

Namibia's National Agenda for Children 2012-2016

The Namibia National Agenda for Children 2012-2016 is a call to action to put the constitutional mandate on the rights of children into implementable strategies. The Agenda is anchored on five pillars: health and nourishment; early childhood development and schooling; HIV prevention, treatment, care and support; adequate standard of living and legal identity; and protection against neglect and abuse.

The importance of Namibia developing its first-ever National Agenda for Children was highlighted through the publication of Children and Adolescents in Namibia 2010: A Situation Analysis, and through a review of the National Plan of Action for Orphans and Vulnerable Children (2006-2010). Two critical issues were identified through these processes: that Namibia needed to adopt a multi-sectoral approach to planning and implementation towards child-centred development, and that we needed to look more broadly at the concepts of vulnerability and inequity through the lens of a child’s life cycle.

Through a broad-based consultative process which involved government, NGOs, civil society organisations, children and development partners, the national commitments for children were identified, discussed and prioritised. While these five-year commitments have been integrated into current sector policies and plans to a large extent, the National Agenda for Children brings them together concisely, which will enable all stakeholders to plan, implement and monitor their actions for children in a coordinated manner. The Agenda also serves as a major contribution to overall national development planning processes.

While the Ministry of Gender Equality and Child Welfare has been assigned the task of facilitating the development of the national agenda for children, the primary responsibility for ensuring that is is implemented lies with the line ministries and their partners.

Discussion Paper: What is the Investment Framework for HIV/AIDS and what does it mean for the Alliance


This discussion paper provides a short introduction to an important new development in global HIV policy, the New Investment Framework for HIV/AIDS. The paper also reviews what the framework means for the International HIV/AIDS Alliance and its partners.

Community action to end paediatric HIV infections

The Journal of the International AIDS Society, under the leadership of guest editor Linda Richter, is proud to introduce a supplement on ‘Community action to end paediatric HIV infections’.

This supplement highlights that meeting the ambitious targets of the Global Plan (“Countdown to Zero: Global Plan Towards the Elimination of New HIV Infections Among Children by 2015 and Keeping their Mothers Alive”) cannot solely be reached through actions by the health services, but requires the engagement of affected women, their partners and families, the community and the wider society.

The articles provide an overview of the current knowledge and good practice in community action related to prevention of vertical transmission, including expanding access, improving care, reaching men and creating an enabling environment.

You are invited to contemplate the diverse aspects of this area and to engage with the editors and the authors on this important and timely issue, by using the ‘comment’ option available in the "Reading Tools" for each individual article. You are also encouraged to promote and disseminate the supplement within your organisation and networks.

Children and AIDS: Fourth stocktaking report, 2009

Children and AIDS: Fourth stocktaking report, 2009.pdf

Years ago, when the devastating impact of the AIDS epidemic on children was just becoming apparent, there was no way to imagine an AIDS-free generation in the foreseeable future.

In 2005, the epidemic’s consequences prompted UNICEF, the Joint United Nations Programme on HIV/AIDS (UNAIDS) and other partners to launch Unite for Children, Unite against AIDS, a global campaign to focus attention and resources on mitigating the worst effects of HIV and AIDS on children and young people.

Four years into this effort, many lives have been saved or improved because national governments, non-governmental organizations, local communities and international organizations have been examining the evidence and responding.the prevention of mother-to-child transmission of HIV is a global objective.

Combination prevention – integrating behavioural, structural/ social and biomedical approaches – can help to reduce HIV prevalence among young people. AIDS-sensitive, rather than AIDS-exclusive, interventions are being embraced in many places to benefit children affected by AIDS