Funded by the U.S. Centers for Disease Control and Prevention-Global AIDS Program, NASTAD's Global Program increases the capacity of resource-constrained countries to plan, implement and manage HIV prevention and care activities as part of a unified U.S. government response to the HIV/AIDS pandemic.  Relying on the extensive experience of NASTAD members in organizational assessment, training, policy and program development, prevention, care, integration of STD and HIV, community planning, voluntary counseling and testing, decentralization, scaling up, capacity-building, fiscal management, stigma/ denial issues, and evaluation, the Global program responds to identified needs and priorities of country Ministries of Health, National AIDS Control Programs, and CDC through peer-based technical assistance, delegation visits, and workshops/trainings.

Twinning

NASTAD promotes the bi-directional peer-exchange of program management skills and experience between organizations in the U.S. and their counterparts abroad. 

NASTAD is in a unique position to support twinning relationships between its members (U.S. state health department HIV/AIDS programs), and regional or provincial health department AIDS programs in other countries.  In Ethiopia, NASTAD supports twinning relationships between four regional HIV/AIDS Prevention Control Organizations (HAPCOs) and U.S. state and county health departments.  In South Africa, NASTAD supports twinning relationships between three South African provincial departments of health and U.S. state health departments.  For more information on Ethiopia and South Africa twinning relationships, please see the respective country profiles. 

Community & Evidence-based Planning
Many countries seek to decentralize their AIDS program resources to the state, regional, or community level.  Communities must then be able to identify their most urgent program needs, and plan a comprehensive HIV/AIDS response.  NASTAD draws on its experience of U.S. community planning activities to provide technical assistance in the management of inclusive and representative planning bodies, as well as around their use of objective evidence, needs assessment and gap analysis to perform prioritization, and resource allocation.  NASTAD has provided TA around community and evidence-based planning in Botswana, Ethiopia, and Cambodia, and the Caribbean.  Select publications include an updated evidence-based planning toolkit for district multi-sectoral AIDS committees (DMSACs) in Botswana, a community planning primer for Cambodia, and a community planning manual prepared for CCNAPC. 

Community Organization and Mobilization
NASTAD members have experience in initiating and sustaining community participatory processes that involve key stakeholders including PLWHA, youth, clinicians, faith communities, ethnic minority community leaders, community-based organizations, other governmental agency personnel, and others.  NASTAD members also work in cultivating and sustaining political will, leadership and commitment at the national, state, and community levels.  NASTAD works in Ethiopia to mobilize community for PLWHA support and treatment adherence. 

In South Africa, NASTAD supported the establishment and development of MANEPHA, a consumer-based network in Eastern Cape Province, which provides mobilization and engagement at the provincial, district, and local levels.  Based upon MANEPHA and its development, NASTAD developed a toolkit for provincial departments of health on how to establish a consumer toolkit. 

Surveillance
NASTAD draws upon the expertise of U.S. state HIV /AIDS epidemiologists to provide short term assistance in the design and implementation of data collection protocols, and data analysis, as well as more long-term TA for the development of HIV/AIDS case reporting systems.  NASTAD has also provided assistance at the regional level in using available surveillance data to develop epidemiologic profiles.  NASTAD has performed such work in Haiti and India.  For related publications please see the Haiti epi profile, a meta-analysis, for the Grand South Department and the India epi profile for Visakhapatnam district in the state of Andhra Pradesh. 

Program Management and Development
The Global program provides both short- and long-term TA to NGOs and public health agencies in proposal writing, program design and management, and in program monitoring, quality assurance, financial management, and process improvement.