MONTENEGRO: SUSTAINABILITY OF SERVICES PROVIDED BY NGOs IVANA VUJOVIĆ, NGO JUVENTAS MONTENEGRO

MONTENEGRO: HIV/AIDS Epidemiology Total number of citizens: 620.000 HIV was registrated for the first time at 1989. By January 2017: 228 people living with HIV, 106 with AIDS Gender: man:woman= 4,5:1,2 HIV prevalence: 0,03% Assement for populaion 15-49: 463 people living with HIV Testing on HIV: 9,1/1000 ppl (2016.god) MSM 49% among PLHIV, PUID 3% Source: Institute for public health, presentation at the National HIV/AIDS Conference, March 2017.

MONTENEGRO: HIV/AIDS Epidemiology 19 new cases 8 HIV 11 AIDS 2 woman On ART 99 PLWHIV 34 new cases 26 HIV 8 AIDS 3 woman On ART 115 PLWHIV Source: Institute for public health, presentation at the National HIV/AIDS Conference, March 2017.

Results of the survays within KAPs PWUID HIV.............1,1% (2014.) HBV...........1,4% HCV...........53% HIV.............0,3% (2011.) HBV...........0,0% HCV...........55% HIV.............0,4% (2008.) HBV............0,0% HCV...........53,6% MSM HIV..............12,5% (2014.) HIV..............4,5% (2011) SW HIV................0.47% (2015.) HIV................0% (2012.) HIV.............1,1% (2010.) HIV.............0,8% (2008.) Prisners HIV ...............0% (2012.) HBV...............0,5% (2012.) HCV...............20,1% (2012.) Source: Institute for public health, presentation at the National HIV/AIDS Conference, March 2017.

GFTAM INVESTMENT (2006 – 2015) A1 Performance Rating Annaual budget for NGOs – 250.000 – 300.000 EUR Source: GFTAM - www.theglobalfund.org

SITUATION AT THE END OF GFTAM SUPPORT NO CLEAR TRANSITION PLAN PREPARATION PROCURMENT FOR >1 YEAR BY GFTAM FIXING ASSETS CCM FUNDING BY GFTAM SUPPORT LACK OF FINANCIAL SUPPORT FOR SERVICES COMMITMENT BY NGO STAFF, OVERHEADS FROM OTHER PROJECTS USED VOLUNTEERING FINANCIAL NEW AIDS STRATEGY IMPORTANT ROLE OF INSTITUTE FOR PUBLIC HEALTH, HIGH COMMITMENT BY ITS DIRECTOR POLICY AND POLITICAL LEVEL

HELD DECISION MAKERS RESPONSIBLE ALL THE WAY THROUGH WHAT HAS BEEN DONE ADVOCACY SENT LETTERS HELD MEETINGS WROTE PUBLIC STATEMENTS WROTE AND DISTRIBUTED THE ANALYSIS OF MNE CONTEXT HELD DECISION MAKERS RESPONSIBLE ALL THE WAY THROUGH INVOLVED OTHER IMPORTANT STAKEHOLDERS: (PARLIAMENTS, MINISTRIES), EHRN, ILGA EUROPE, EUROPEAN COMMISSION, DELEGATION OF EUROPEAN UNION, GLOBAL FUND, NORWEGIAN, NETHERLAND, CANADA, US EMBASSY, OSF, UN

WHAT HAS BEEN DONE ADVOCACY AND POLICY WROTE AMENDMENTS TO THE LAW ON BUDGET ADVOCATED FOR THE AMENDMENTS THROUGH MPs ADVOCATED FOR THE IMPLEMENTATION OF THE AMENDMENTS ASK, REQUEST, SUPPORT ALL PROGRAMS OF JUVENTAS WERE RUNNING ALL THE TIME (LOWEST CAPACITIES) COALITION OF NGOs WAS STRONG PLUS COALITIONS WERE MADE WITH OTHER NGOs GROUPS

RESULTS SMALL GRANTS FROM NATIONAL LOTERY FUND SMALL GRANTS, MOSTLY FOR ADVOCACY FROM EMBASSYES OF NETHERLAND (2016 *only one which included services), CANADA (2017), NORWAY (2015/16), EHRN (2015) FUND OF100.000 EUR WAS PART OF THE NATIONAL BUDGET FOR 2016 SOCIAL CONRACTING IN 2017 FUND OF100.000 EUR IS IN BUDGET FOR 2017 ALLOCATIONS OF GFTAM FOR 3 YEARS TECHNICAL SUPPORT OF OSF AND GFTAM CCM FUNDING

GOVERNMENT FUNDING Lack of formal social contracting mechanism in country Lack of foreseen by-laws for social contracting 2 NGOs and CCM meetings with Parliamentarian bodies responsible for health in 2015 and 2016 Continuation of contact with MPs in 2015 and 2016 Reaching MP(s) to support amendments to the Law on national budget in 2016* *find where it is possible to make reallocation, possibly within the same budget unit

GOVERNMENT FUNDING CCM has prepared first draft of documents related to social contracting Pre-election and period of political instability Lack of commitment from Health insurance fund Budget reallocation to Institute for public health in December 2016. New Amendment on Law on budget has been sent in December 2016 through Liberal party Report of European commission in November 2016 explicitly mention problem of lack of funding and access to services of KAPs

GOVERNMENT FUNDING Change of methodology for social contracting – now procurement procedure OSF and GFTAM TA on preparation of real social contracting mechanism, possibly at Ministry of health Support of partners, international networks including EHRN and international stakeholders was crutial

WHAT WE HAVE LEARNED HOLD PR RESPONSIBLE AND REQUEST SUPPORT FOR SUSTAINABILITY HAVE A PLAN, BUT BE FLEXIBLE BELIEVE IN SUCCESS AND BE PASSIONATE ENSURE STRONG CCM SUPPORT FRIENDLY DECISION MAKERS ADVOCATE THROUGH MPs ASK, REQUEST BE LOUD AND BE CONSTRUCTIVE DO NOT ATTACK OTHER NGOS

WHAT WE HAVE LEARNED BE PRESENT BE RELEVANT NETWORK BUILD YOUR CAPACITIES PUBLISH AIM!

ANALYZE YOUR STAKEHOLDERS INFLUENCE ON DECISION MAKERS NATIONAL AND INTERNATIONAL TOPIC(S) TO ADVOCATE FOR ATTITUDE TOWARDS TOPIC

THANK YOU FOR ATTENTION