Introduction
This key issues guide is a resource for donors, governments, implementers, researchers and academics and others interested in the architecture of national HIV responses. It examines institutional and governance issues as they relate to National AIDS Commissions (NACs), including structures and functions.
Universal Access and scaling up processes have placed increasing demands on NACs to deliver on their coordination mandates, especially in countries with a high HIV prevalence. At the same time country operating environments have tended to become increasingly complex and challenging given increasingly complex aid environments, increased resources and evolving HIV responses. Accordingly this guide aims to stimulate debate and encourage dialogue by introducing the literature, current issues and debates.
To date there has been little analysis of experience and a lack of multi-country syntheses of NACs. However, HLSP, through the Strengthening the AIDS Response in Zambia (STARZ) Programme, has recently reviewed the status and characteristics of institutional arrangements of NACs in seven African countries on behalf of Zambia’s NAC. Countries included: Kenya, Malawi, Mozambique, Nigeria, Rwanda, Tanzania and Uganda. The guide grew from the background literature search undertaken for the HLSP review. The STARZ Programme (2004-2009) is a DFID funded programme managed by an HLSP-led team. STARZ supports Zambia’s National AIDS Council in its work across the public and private sectors and civil society. http://www.hlspinstitute.org/projects/?mode=type&id=177782
Universal Access and scaling up processes have placed increasing demands on NACs to deliver on their coordination mandates, especially in countries with a high HIV prevalence. At the same time country operating environments have tended to become increasingly complex and challenging given increasingly complex aid environments, increased resources and evolving HIV responses. Accordingly this guide aims to stimulate debate and encourage dialogue by introducing the literature, current issues and debates.
To date there has been little analysis of experience and a lack of multi-country syntheses of NACs. However, HLSP, through the Strengthening the AIDS Response in Zambia (STARZ) Programme, has recently reviewed the status and characteristics of institutional arrangements of NACs in seven African countries on behalf of Zambia’s NAC. Countries included: Kenya, Malawi, Mozambique, Nigeria, Rwanda, Tanzania and Uganda. The guide grew from the background literature search undertaken for the HLSP review. The STARZ Programme (2004-2009) is a DFID funded programme managed by an HLSP-led team. STARZ supports Zambia’s National AIDS Council in its work across the public and private sectors and civil society. http://www.hlspinstitute.org/projects/?mode=type&id=177782







