CCM MACEDONIAOversight working group findings HIV/AIDS grants

Oversight visits

The CCM oversight working group conducted 2 oversight visits for Round 7 and Round 10 V grants within one meeting with the project implementation unit

GFATM Round 3 HIV grant

grant status is still "in closure" since 2008 - methadone maintenance centers in Veles and Shuto Orizari

Substitute MMT center in City hospital “8 September” is not staffed

Recommendations: MMT centers require immediate nomination of staff (psychiatrist, general medical practitioner and a nurse); MLSP to take over center in Shuto Orizari, dedicate a team of social workers ASAP

GFATM Round 7 HIV grant

the grant was merged into a single stream funding mechanism with Round 10 HIV grant. A total of 200.000 EUR will be returned t the GFATM (3%of the overall budget): 12.000 EUR-refurbishment of methadone maintenance centre in Jail Shuto Orizari 42.000 EUR - procurements at the Clinic for infectious diseases and febrile conditions 10.000 EUR - activities for M&E and supervision vista to methadone centers by the

Psychatric hospital Skopje 15.000 EUR procurement of medical consumables 15.000 EUR - trainings and attendance to international conferences 20.000 EUR - funds for preventive activities for men having sex with men, due to non-

expansion of MSM services out off Skopje 40.000 EUR - survey that was not implemented by the Institute for public health 4.500 EUR - M&E Officer not hired 12.000 EUR - counseling for prevention of HIV in Tetovo area 20.000 EUR – various activities with smaller budget

CCM Macedonia HIV/AIDS data (Indicator 1-IDUs)

CCM Macedonia HIV/AIDS data (Indicator 2 -MSM)

CCM Macedonia HIV/AIDS data (Indicator 3 - VCCT)

CCM Macedonia HIV/AIDS data:

GFATM Round 10 HIV Grant

Grant signed, initiated in January 2012 GFATM disbursed 1,6 million EUR, expenditure

app.10.000 EUR To date:

secondary recipients are not selected as planned (out of 16 pre-selected and 2 new SRs, none is selected, none has received funds to date)

Procurements have not been advertised and have been delayed according to the Procurement Plan

M&E officer is still not hired

Secondary recipients

Pre-selected SRs:1. HOPS (IDUs)

2. TRUST (IDUs)

3. VIA VITA (IDUs)

4. CHOICE (IDUs)

5. YOUTH CLUB (IDUs)

6. ZONA (IDUs)

7. PULS (IDUs)

8. RED CROSS (IDUs)

9. HELP (IDUs)

10. CRJUZ (IDUs)

11. OPCIJA (IDUs)

12. Psychiatric hospital (IDUs)

13. EGAL (MSM)

14. HERA (VCCT)

15. Clinic for infectious diseases (treatment)

16. MoJ (Prisoners)

SRs that need to be selected through a public bid:

1.Community strengthening activities (Year 1)

2.Sex workers (year 1)

3.PLWHA (Year 3)

4.IDUs (Struga) (Year 3)

Recommendations

Hard benchmarks need to be completed as soon as possible – signing of contracts with pre-selected SRs, procurements etc.

CCM needs to receive clear, accurate and time-bound pledges for the implementation rather than vague promises

It seems that the MoH is detached from the project implementation unit, since there is low communication between the entities

CCM oversight committee has to closely monitor the implementation of the HIV grant within the next period

Thank you!