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Helping countries translate far-reaching goals into concrete programmes and measurable impact on the ground.
A key part of communicating results is the ability to demonstrate the impact of programmes for the individual and how improved health equality can produce wider socioeconomic benefits. This includes showing the contribution of programmes to universal health coverage (UHC) and their links to the sustainable development goals (SDGs).
Being impact-focused includes going beyond just measuring programme outputs, to creating a narrative that links programme results to the SDGs and creates synergies with other programmes. UNDP leverages information and data collected from national Health Information Systems (HIS) to convey impact and share lessons with partners through this online Health Systems Strengthening website, (along with other channels) to reflect the results of its activities globally.
Achieving impact through implementation support
With Global Fund and UNDP support, Tajikistan has achieved significant results across the HIV, TB and malaria programmes. HIV prevalence among people who inject drugs has decreased from 24% in 2006 to 13% in 2014.
UNDP supports more than 90% of HIV prevention services for key affected populations and has achieved coverage and impact through innovative partnerships with umbrella organizations that engage and mentor smaller local NGOs. The TB and malaria programmes previously supported by UNDP achieved universal access to TB treatment and helped support the effective elimination of malaria with only 1 confirmed case of malaria in 2016.
759,000 people in Zambia are now accessing life-saving antiretroviral therapy (ART) (as of 2016), enabling them to lead longer, healthier lives, stay in work, continue to support their families, and reduce the spread of HIV to others.
New cases of HIV and people currently on ART in Zimbabwe
Strengthening HIV, TB and Malaria responses through capacity development
In Zimbabwe UNDP has strengthened the existing Health Information and Surveillance System (HISS) through the introduction of data-capturing software, Frontline SMS, that has dramatically improved the weekly disease surveillance from under 40% in 2009 to 98% as of June, 2014.
In Zambia a flexible partnership including the Ministry of Health, Medical Stores Limited, the Global Fund and UNDP designed and implemented a comprehensive capacity development plan to strengthen national systems for health. As a result of capacity development efforts, the Ministry of Health signed a US$234 million grant with the Global Fund as Principal Recipient (PR) in 2015.
Promoting rights and reaching key populations through policy change
Africa Regional Grant
The Africa Regional Grant on HIV aims to address human rights barriers faced by vulnerable communities in Africa, and facilitate access to lifesaving health care. The grant is the first of its kind and covers 10 countries: Botswana, Côte d’Ivoire, Kenya, Malawi, Nigeria, Senegal, the Seychelles, Tanzania, Uganda and Zambia.
UNDP is the PR of the grant, which it implements in collaboration with four African civil society organizations (CSOs)—the AIDS and Rights Alliance for Southern Africa, ENDA Santé, KELIN, and the Southern Africa Litigation Centre—that have recognized expertise in documenting human rights violations, strategic litigation advocacy and capacity-strengthening. Activities under the grant have already helped remove legal and human rights barriers to accessing HIV and TB services.
In Malawi, legal support provided through the grant resulted in a landmark ruling on the overly broad criminalization of HIV transmission and exposure.
The ruling is important for tackling discrimination against people living with HIV in Malawi, supporting the right to a fair trial for vulnerable people and setting a precedent on the human rights violations caused by the criminalization of HIV. In another case in Malawi, legal support helped overturn a ruling for sex workers, who had been wrongly convicted due to a misinterpretation of legislation about living on the earnings of sex work.
Also in Malawi, legal support provided through the grant resulted in a landmark ruling on the overly broad criminalization of HIV transmission and exposure.