Contingency Planning Methodology Alice Fay Save the Children; Sarah Karmin UNICEF, Gary Jones UNAIDS Scientific Development Workshop 23 rd July 2014

Background Addressing HIV is often a gap in humanitarian response HIV is present in most emergency contexts Treatment disruption, increased vulnerabilities Contingency planning is key © UNICEF/NYHQ /Asselin

Mozambique 2013 HIV prevalence 11.1% nationally; 25% in Gaza and 12.6% in Zambezia Flooding January ,487 people affected in Gaza alone 150,000 people in Gaza at risk of treatment disruption

Mozambique Experience 2 day workshop, based on IASC guidelines 1. Identification of vulnerabilities – context specific 2. Prioritising sectors and actions 3. Developing the plan 4. Taking it forward

1. Identification of Vulnerabilities Photo credit: UNICEF

Provide ART to those previously on treatment Provide condoms, PEP kits and access to other services Provide ART to those previously on treatment Provide condoms, PEP kits and access to other services 2.Prioritising Actions

Action Preparedness Activities related to the action Lead agency / sector Partners / stake- holders SMART indicator including timeline and means of verification Resources needed Provide ART to those previously on treatment

Action Preparedness Activities related to the action Lead agency / sector Partners / stake- holders SMART indicator including timeline and means of verification Resources needed Ensure continued access to ARVs for people living with HIV who are on treatment including pregnant women  Maintain functioning of electronic database  Preposition buffer stock of ARV in strategic and safe locations  Build the capacity of medical officers/physical assistants to prescribe and monitor ART services, including PMTCT MoHNGO X Donor Y  Database functional and online by end of March 2014  2 months worth of prepositioned ARVs available in agreed location each region by September  80% of medical officers/physical assistants trained. Means of verification:  Reports produced from the electronic database  Receipt of ARVs/delivery report from each site  Training report and list of participants. Human resources and supplies

4. Taking it Forward Concrete next steps – who, when, timeline Activities are part of regular programming; not just in times of emergency Adapting and replicating in other countries; methodology on flash drives

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