Mid Year Review 2004 HIV/AIDS Section Project 1: PPTCT 1.

Changes in Project Objectives//Subproject outputs: Sub -Project 1 : There are no changes in project objectives One output has been added. Target of teams trained and functional has been scaled down and other outputs refined. Revised set of outputs are as follows 1. In 2004 , about 37 PPTCT teams facilities will be trained in moderate and low prevalence states, in place of 480 teams. 2. Training modules for PPTCT training, sensitization trainings and counsellors training will be reviewed, field tested and rolled out. 3. Standard Operating Procedure ( SOP) Manual for PPTCT will be developed, field tested and rolled out 4. Support NACO in working out a strategy and facilitating sustained supply of nevirapine..(NEW) 5. Monitoring and evaluation systems and data input formats in line with national M&E are in place Sub-Project 2: No change in project objectives and project outputs. Sub-Project 3: No Change 2. Summary of constraints related to project implementation Significant proportion of funds for RR resources were allocated to train 480 pptct teams in medium and low prevalence states ( sub project 1) based on discussions with NACO in Dec 2003 with a caveat that NACO would develop a clear strategy for scaling up in low prevalence states , in which training would be an input. However, no progress has been made in articulating the approach to low prevalence states and that combined with transfer of a senior officer in charge of pptct in NACO has resulted in low expenditure and revisions in outputs related to scaling up. Therefore it is estimated that a total of 337(300 trained in 2003 and 37 trained in 2004) teams will be functional by end of 2004. Other outputs under sub project 1 have been refined as more clarity has emerged on the over the last six months.

4/28/2013 142307468.doc

3) Proposed recommendation for reallocation of resources between subprojects ( In USD) Sub- project Planned* Budget (RR/OR) RR =420,000 OR= 473,000 Total=893,000 Revised Budget RR/OR RR=68,000 OR=213,000 Total=281,000 Released amount1/additional Funds required RR= $ 269,000 to be reprogrammed Reallocation OR (PBA 0778) = $183,000 to TN, AP and Karnataka. $ 77,000 allocated to Young people project Summary of Justification Training of PPTCT teams and sensitization trainings at district level hospitals in low prevalence states have been put on hold as there has been no clear policy on this by NACO till now. Hence RR funds could be reallocated.

1. Scaling -Up

2. District Model

RR=nil OR=13,000 Total= 13,000 RR =nil OR= 60,000 Total=60,000

RR = 30,000 OR=13,000 Total=13,000 RR= 15,000 OR= 45,000 Total=60,000

Additional required = $ 30,000(to be made No change available from RR allocation for sub project 1) $15,000 allocated from RR to fill the gap. UNAIDS-UBW PBA No.0479 for $45,000 became available in March-April 2004

3. Learning for Policy Development

Planned budget is more less equal to released amount as only funds available were programmed. Under spend funds in certain sub projects have been reallocated to states and other sub projects.

4/28/2013 142307468.doc

Project 2: Adolescents and Young People Sub Project 1: Preventive and peer education No change in objectives or sub project outputs Sub project 2: Adolescents as agents of change No change in objectives or sub project outputs 2. Summary of constraints related to project implementation Strategies for young people in vulnerable communities are evolving, therefore programme implementation for young people has been deferred to later this year following documentation and analysis of existing approaches and channels of delivery. Planned* Budget (RR/OR) RR = 2000 1. Peer and Preventive OR= 130,000 Education Total=132,000 2. Adolescents as Agents RR = 110,000 of Change OR = 272,000 Total=382,000 Sub- project Revised Budget RR/OR RR= 10,000 OR= 130,000 Total=140,000 RR = 80,000 OR = 70,000 Total=110,000 Released amount/additional Funds required Summary of Justification

RR (30,000) allocated for out of school programmes will be reprogrammed pending documentation of existing approaches. OR (UNF) $200,000 allocated directly to Unicef Bihar for CHARCA activities

Project 3: Integrated Communication 1) Changes in Project Objectives//Subproject outputs: Sub Project 1: Develop advocacy tool kit to promote prevention of HIV/AIDS among young people No change in project objectives and sub project outputs Sub project 2: Behaviour Change and development No change in objectives and sib project outputs.

2) Summary of constraints related to project implementation During the reporting period, at the request of NACO, because of the rapid scaling up of the PPTCT programme and the need to develop its communication component, the 4/28/2013 142307468.doc 3

emphasis has been placed on communication strategic planning for PPTCT. In the meantime, new programming orientations have emerged at national level, in particular the introduction of ART and the need to integrate communication in support of various HIV/AIDS Control Programme components. As a result, the section understanding of optimal modalities for communication to support the PPTCT project has to adapt, requiring to adjust planned activities. Some tasks decentralized at state levels have suffered delays as : (1) the PPTCT focal point who is in charge of PPTCT communication activities is responsible is the health officer; (2) although TOR were specific, Unicef had to request sub-contracted agency to improve the content/quality of the first deliverable of formative research. Finally, given that strategies for young people in vulnerable communities are evolving, the development of communication for young people has been deferred to next year. As a result, 2004 communication objectives, activities of Project 3 have been revised to focus on pptct. 3) Proposed recommendation for reallocation of resources between subprojects ( In USD) Sub- project 1. Advocacy and Mobilization for Social Change 2. Behaviour Development and Change Planned* Budget (RR/OR) RR = $ 75,000 OR = $ 60,000 RR= nil OR = 232,500 Total = 232,500 Revised Budget Released Summary of Justification RR/OR Amount/additional Funds required RR = no change $20,000 from OR to be OR = $ 40,000 reallocated to Sub project 2 RR = nil OR= 282,500 Total= 282,500 Addtional required = $ 30,000 Development/implementation of communication campaign will require additional funding. Additional funding may be needed once the communication campaign is costed.

4/28/2013 142307468.doc