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Funded by the 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 itself is twinned with the emerging Caribbean Coalition of National AIDS Programme Coordinators and provides technical assistance and support for organizational capacity building (Caribbean).

In addition NASTAD is in an unique position to support twinning activities between its membership (state health department AIDS programs), and regional or provincial health department AIDS programs in other countries. Our work in South Africa is a good example.

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 AIDS program needs, and plan a comprehensive 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, Cambodia.

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, and partners with South Africa Partners on the Masihlanganeni project which promotes PLWHA involvement in mobilization and system development.

Surveillance
NASTAD draws upon the expertise of 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.

Monitoring and Evaluation
State AIDS program staff perform program monitoring and quality assurance, and are also experienced in managing program outcome evaluation projects. The Global program can provide one-time support to specific evaluation projects, such as the Botswana Total Community Mobilization Evaluation. The Global program can also provide ongoing support at the regional/community level for the development of comprehensive evaluation plans, data collection tools, data analysis, and use of data for program planning. The Global program is working in this area in Zambia.

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.

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