1. Ntwa e Bolotse Looking to the Future: The Mid-term Review of the National Strategic Framework 2003-2009 Refocusing Action in the Maturing Response to HIV and AIDS in Botswana Peter M. Stegman Strategic Planning & Policy Advisor National AIDS Coordinating Agency XVII International AIDS Conference - 7 August 2008

2. Ntwa e Bolotse Importance of the Review Critical opportunity to strategically assess the response to promote alignment, focus Critical opportunity to strategically assess the response to promote alignment, focus Looked beyond a programmatic review to capture the ‘big picture’ Looked beyond a programmatic review to capture the ‘big picture’ Revitalized critical involvement in the response across sectors and levels Revitalized critical involvement in the response across sectors and levels Give a sense of where we are, the strengths and weakness of the national response Give a sense of where we are, the strengths and weakness of the national response

3. Ntwa e Bolotse MTR Components  Component 1: Programmes and Services  Programme effectiveness; geographic coverage; satisfaction with programmes & services; strategic emphases; new initiatives; implementation of MIP  Component 2: Coordination  Coordination structures of national response; gaps and overlaps; effectiveness of coordination

4. Ntwa e Bolotse MTR Components  Component 3: Funding/Financial Management  Funding pathways & procedures; strategic emphases; gaps and constraints; effectiveness of funding mechanisms and financial management  Component 4: Capacities  Capacity building under NSF goals; capacity gaps; relevance and effectiveness of capacity building

5. Ntwa e Bolotse MTR Components  Component 5: M & E/Info. Management  Establishment of BHRIMS; user satisfaction with BHRIMS; effectiveness of BHRIMS; integration of existing M&E/research systems with BHRIMS  Component 6: Stakeholder Satisfaction  Satisfaction with: degree of guidance under NSF goals; strategic direction of response; NSF development process; support for management and implementation

6. Ntwa e Bolotse MTR Process Establishment of structures / Sourcing funding Establishment of structures / Sourcing funding Information gathering and preliminary consultations Information gathering and preliminary consultations National workshop National workshop Further consultations Further consultations All-district workshop All-district workshop Draft of MTR Chapters and circulation Draft of MTR Chapters and circulation Consolidation and Finalisation Consolidation and Finalisation

7. Ntwa e Bolotse Conclusions The MTR was an important milestone in Botswana’s national response – allowing us to look at the past while focussing on the future The MTR was an important milestone in Botswana’s national response – allowing us to look at the past while focussing on the future Its recommendations are being used to inform development and reorientation of programmes and the production of the next NSF Its recommendations are being used to inform development and reorientation of programmes and the production of the next NSF Major focus areas for the future: Major focus areas for the future: Prevention Prevention Outreach and mobile service delivery Outreach and mobile service delivery Community mobilisation Community mobilisation Strengthen coordination and systems Strengthen coordination and systems

8. Ntwa e Bolotse Thank you