The goal of the Global Plan, to eliminate new HIV infections among children and keeping their mothers alive, requires countries to manage myriad complexities in existing structures, programming approaches, funding and support systems.
If the Global Plan’s goals are to be achieved, accountability measures must be in place to promote transparency, interaction and accountability at all levels – community, national and global. That is why clear targets and milestones for 2015 and a framework to monitor and measure progress, are an essential part of the Global Plan.
The responses and contexts in different countries vary, but the following five accountability priorities have been established in the Global Plan to provide the foundation for country-led movements:
1. Developing structures for shared responsibility and accountability
Global and regional level structures must support national level ownership and leadership for a renewed and repositioned initiative aiming to achieve progress toward the aims of the Global Plan.
2. Building community capacity to monitor progress
Systems need to be in place to collect essential data to support accountability, and the capacity of communities needs to be built to use the data for programme planning, implementation and course correction. At same time, the high burden of data collection and reporting must be reduced.
3. Developing new metrics for measurement
The elimination of new HIV infections among children and keeping their mothers alive calls for improved reporting on access, coverage, results and impact. This improvement will make countries and partners more accountable and able to focus on the desired result, rather than the process.
4. Strengthening linkages with existing accountability initiatives
The accountability framework for the Global Plan must support the existing accountability framework for the Global Strategy for Women’s and Children’s Health, as well as those for the achievement of the Millennium Development Goals and the targets for achieving universal access to HIV prevention, treatment, care and support. This will facilitate joint planning and combined efforts to mobilize resources and encourage a more synergistic approach to monitoring and evaluation.
5. Target setting and monitoring progress
The Global Monitoring Framework and Strategy for the Elimination of New Child Infections by 2015 developed by WHO and UNICEF provide specific information on the indicators and methodologies for monitoring progress. To keep implementation milestones on track, there is need for a robust reporting mechanism and core indicators for measuring success at the global, national and subnational levels.
For full details of the accountability framework download the Global Plan.