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Research

PUBLIC EXPENDITURE TRACKING SURVEY (PETS):

The Results for Development (R4D), an institute based in USA, has recently selected CEDAR as one of the grantees among 16 organizations working in sub-Saharan Africa, South Asia, and East Asia and the Pacific to study on expenditure tracking and carry out an advocacy program to promote longer term, sustainable accountability in HIV/AIDS sector in Bangladesh. The overview of the study is as follows:

Title of the Study: Expenditure Tracking of HIV/AIDS Prevention Programs in Bangladesh
Technical Assistance: The World Bank, Washington DC, USA and The Results for Development (R4D), Washington DC, USA
Financial Assistance: The Results for Development (R4D), Washington DC, USA
Monitoring Agency: NORC at the University of Chicago, USA
Broad Objective: To explore the issues on how public-private partnership in HIV/AIDS prevention activities in Bangladesh could be broadened, strengthened, accountable and transparent.
Methodology: One to one Consultation, Observation & Documentation, Interviews and Scorecards.
Goals: 1. Providing government with simple easy-to-understand information about how HIV/AIDS prevention programs with GO-NGO collaboration to be more cost-effective;
2. Strengthening the voice of community to raise their demand for good governance in HIV/AIDS sector;
3. Strengthening service providers’ responsiveness in HIV/AIDS prevention activities to facilitate citizens’ participation and involvement;
Output: Tools have been developed on the basis of the results of the study for policy advocacy at policy, media, service providers and citizen level for transparency and accountability in HIV/AIDS sector.

Recommendations and Conclusions of the Study

1. Recommendation for Policy Advocacy

i. The National Strategic Plan for HIV/AIDS 2004-2010 has to be reformed by specifying a clause so that the frontline service outlets i.e.- DIC for HIV/AIDS prevention program among high-risk groups must have a provision to distribute condom and STI medicine among the target community with free of cost, and the donors have to be sensitized to increase their willingness to provide them.

ii. Current criminal laws and practices of policing must be reviewed to ensure an enabling environment for implementing HIV prevention programs as no legislative measures have been adopted to repeal these laws and protect the interests of the vulnerable population to HIV/AIDS.

iii. Capacity building of NASP is crucially needed so that it can sustain current public-private partnership by providing guidance to and monitoring over the HIV/AIDS prevention programs being implemented by different Government agencies, NGOs and private sector organizations.

iv. NGOs and Private sector organization working in the area of HIV/AIDS prevention need to be responsive to share their experience, strength, needs, learnt lessons, opportunities, potential, gap and the best practices of the program with other organization that are working for formulating a line of action to carry out policy advocacy for the interest to make sure the longer term sustainability of the on-going program for preventing HIV/AIDS in our country.

v. Being the Principal Recipient of GFATM grants in HIV sector, the Government of Bangladesh should take necessary step developing a process of dissemination to the people on financial and technical input and ultimate output of HIV/AIDS program to keep it transparent as involvement of large amount of fund with lack of transparency will give result of mistrust among general population. In this point, yearly financial and activity progress report formulated by the MSA may be disseminated in presence of media people, civil society, public officials, and community leaders through a dissemination workshop.

vi. Monopoly of few big national level NGOs in HIV/AIDS prevention program under GFATM grants for HIV sector has to be stopped rather increased numbers of potential small & medium NGOs and CBOs with working commitment in HIV sectors should be incorporated in public-private partnership for developing ownership.

2. Recommendation for DIC level Facilities

• DIC must be opened 24 hours a day and 7 days a week with enough space and facilities for resting, bathing, and hygienic sanitation and safe drinking water.

• DIC must have a provision to set up a separate counseling room, and STI treatment facilities have to be tailored by appropriate professional with adequate experience and expertise.

• The DIC management committee needs to be formed as quickly as possible to incept the DICs with inclusion of different state and non-state actors.

• The involvement of the relevant government officials such as medical officer, family planning officer, social welfare officer and police officer, and elected representative of local government authority into the process of DIC operation need to be ensured for the interest of longer-term sustainability of the public-private partnership in HIV sector.

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ADDRESS: 768 Satmasjid Road, Dhanmondi, Dhaka- 1209, Bangladesh.

EMAIL: cedarbangladesh@gmail.com

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