National Strategy Application Joint Assessment Moldova, 2011

Multi-stakeholder involvement – commitment,

processes and

mechanismsIvtodi Rodica

Regional Center for Community Policies

National Strategy Application Joint AssessmentMoldova, 2011

PRINCIPLES OF ENGAGEMENT

PROCESS

ACCESSIBILITY PARTICIPATORY EQUITYNEUTRALITYTRANSPARENCYACCOUNTABILITY CONSULTATIVITY

Political Commitment

Millennium Development Goals targets as part of the Economic Growth and National Development Strategy 2008 - 2011

EU-Moldova Action Plan Sector-wide approaches:,, “Promoting gender equality for the 2006-

2009 period”, National Plan “Education for all 2004-2015”, National Programme to promote healthy lifestyles 2007-2015”, National Health Policy, National Strategy of reproductive health, National Strategy for the development of the health system 2008-2017, National Program to control and prevent Tuberculosis for the 2006-2010 period; Law No 25-XVI of 03.02.2009 for the approval of the National Youth Strategy 2009 – 2013, National Programme for control of Hepatitis B, C, D 2007-2011, Government Decision 1143 of 19.10.2007

Bilateral and multilateral agreements with donors, including the Common Country Assessment / UN Development Assistance Framework

Moldova integrated HIV into its general development plans such as:

CS commitment

UNGASS (2001, 2011) G8 summit (2005) UN Session on HIV / AIDS (2006) Session of CIS countries on the UA (2006) Three ones principles approach (UNAIDS) in

response to HIV / AIDS, etc.. National Program for Prevention and Control of

HIV / AIDS / STIs for the years 2011-2015 Law on prevention and control of HIV/AIDS ,

2007National Health Policy, 2007

Constitution of the Republic of Moldova (forbids all kind of discrimination) L AW on prevention and control of HIV/AIDS nr. 23-XVI of 16.02.2007 (in

the process of adjustment to all international standards) Republic of Moldova Government Decision 1143 On the activities to prevent

and control HIV/AIDS and STI, National Program for Prevention and Control of HIV/AIDS/STI 2011-2015.

Law Nr. 263 of the 27. 10. 2005, regarding rights and responsibilities of patients

Law №. 411 of the 28. 03. 95 regarding healthcare protection (general document) Parliament decision nr. 267 for approval of Development Strategy of

civil society Law nr. 25 regarding national Youth Strategy Law nr. 5 on equal opportunities among men and women/ Government

Decision 933 from 31.12.2009 for approval of the National Programme on Gender Equality for 2010 -2015

Government Decision 1208 from 27.12.2010 for approval of the National Antidrug strategy

Draft of antidiscriminatory law

Country political enabling environment

The National Coordinating Council (acting as CCM)

Government decision no. 825 of august 3, 2005 – institutionalization of

national coordination council TB / AIDS (22 members chaired by ministry of

health) and enlarging its function, being national coordination council

for all interventions under the umbrella of HIV/TB national

programmes

Government decision no. 375 of may 6, 2010 - NCC expanding (32

members)

“Three Ones” principle

A coordination mechanism – NCC TB / AIDS (Regulation approved in August 2005: Government Decision 893)

A national action plan - national programs for control and prevention of TB and HIV / AIDS / STI (Government decision nr.1143)

A M&E system (M&E Unit for National Health Programmes)

NCC

has active government leadership and participation has a defined membership has terms of reference includes civil society representatives includes people living with HIV, including at Vice-president level includes the private sector has an action plan has a functional Secretariat meets at least quarterly reviews actions on policy decisions regularly actively promotes policy decisions provides opportunity for civil society to influence decision-making strengthens donor coordination to avoid parallel funding and

duplication of effort in programming and reporting

NCC structure

National Programmes on Prevention and Control of HIV/AIDS and STI

Previous experience

10 years of multisectoral strategyNP 2001-2005 - Round I NP 2006-2010 - Round VI

Round VIII – complementary on social support of PLWHA

Round IX – complementary on prevention (not funded)

Round X - complementary on MARPs (not funded)

Decizional level

NCC Stakeholders Sectoral Plans on HIV/AIDS

 HIV/AIDS

Workplace

Policies

IDOM

Mass media

Churches

Sectoral involvement in NCC

Ensure coordination, participation and transparency. through:

• Publishing informational bulletin (500 copies every 3 months, distributed to all stakeholders at national and regional level)

• Administration of the web page www.ccm.md • Monitoring TWG• Organizing NCC meetings

Facilitating national consultation processes, including elaboration and monitoring of GF projects

• Elaboration of application procedure• Facilitation of proposal elaboration• Monitoring and facilitating procedures of application• Ensuring participation of all interested stakeholders (NCC and

non NCC) in selection of PR, managing conflict of interests• Application to the GF and further consultation

Coordination levelNCC secretariat

Coordination levelNCC led processes

With support of national and international partners, NCC coordinated development of the:

National Programmes for 2006-2010, 2011 – 2015

Mid term review of national programme

UNGASS biannual reportUniversal Access Strategy National communication strategyFinancing strategiesNational protocols Specific strategies on prevention in

vulnerable groups, epidemiological surveillance etc.

Operational level – 12 TWG

Joint for HIV&TB

Process participativity

About 40 intersectorial meetings per year

About 100 persons – members of the TWG (42 from civil society sector and 54 from governmental sector) with the right to vote

Relevant documents of NCC

Regulation and bylaw of NCCOperational ManualConflict of interest Regulation Policy Conflict of interest Declaration ModelProcedure of GF grants Primary recipients selectionMonitoring guide for GF implemented projectsNCC Procedure procedure on oversight,

coordination and alignmentInformation presentation form, for all NCC partners

implementing projects in the field of HIV/AIDS/TB (time period – 1 year)

Mechanisms of multistakeholder involvement

Parliamentary mechanism of involvement: Parliamentary committee for social protection, health and family

Parliamentary committee for Law, Appointments and Immunities

Annual Conferences “Cooperation between Parliament and Civil Society” (IV editions)

On line registration of NGOs, willing to cooperate with Parliament National Participation Council (NPC), created at the initiative of the

Government as an advisory body and operates under the Government Decision no. 11 of 19.01.2010, includes 30 members of CS Justice and human rights Economical development External policy for security and defense Social , educational, youth and environment policies

Successful experiences, as a result of cooperation between the Parliament and NGOs

Law on voluntariat Law on the legal status of adoption Law on freedom of expression Law on public-private partnerships Action Plan on Human Rights

!!! Register & Report of contributions received from civil society and cooperation of the events held at the Commission level

•NCC meetings

•TWG

•TWG on Health and Human Rights within the Ministry of Health,

with its thematic group on HIV/AIDS (analysis and adjustment of

legislation in the field, with involvement of CS representatives)

• NGO Forums (the recent one in 2009)

• Secretariats of 3 umbrella organizations, financially supported at

NCC initiative (UOHR (19), AIDS Network (40) and League of PLWHA

(8))

• Capacity building activities

Mechanisms of multistakeholder involvement

Civil society involvement

NGOs are part of the NCC (38%) and its technical working groups , which are

responsible for developing plans and sectoral strategies.

NGOs were actively involved in the mid-term review of the National Programme on

HIV/AIDS in 2008 and in finalizing the Response Analysis in 2010.

Representatives of the civil society sector were actively involved in developing the

National Programme (2011-2015)

During 2008-2009, NGOs have developed, in partnership with relevant national medical

institutions, national standards regarding complex approach to care, support, treatment

and rehabilitation of IDUs.

For the resource mobilization part, NGOs were involved in developing the project

proposals that the Government has submitted to the GFTAM (Rounds 1, 6, 8, 9, 10).

Also, the active participation of NGOs was attested in the process of creating the Law on

preventing HIV/AIDS, approved in 2007, as well as in putting forth proposed

amendments to the Law

Legal enabling environment

Law nr 239 -XVI of 13.11.2008 about transparency in decision-making

Government Decision nr.96 of 16.02.2010 about Regulation on procedures to ensure transparency in the elaboration and adoption of decisions (laws, regulations, administrative documents)

Concept of cooperation between the Parliament and civil society, adopted by Parliament Decision No. 373-XVI of 29.12.2005

Government Decision nr.33 of 11.01.2007 about rules and unified requirements for developing policy documents

Methodological guide on decision making and Methodological guide for ex-ante evaluation of publical policies impact

Processes

NAP 2011-2015 has been

designed in line with the

provisions of the national

legislative frameworks in place in

the Republic of Moldova and

international guidelines for the

development of national

programs with participation of

representatives of Government

(all line Ministries), NGOs,

including PLHIV, with technical

support of bilateral donors and

international organizations

(UNDP, UNAIDS, WHO, UNFPA)

and it was endorsed through the

Government Decision 1143 .