ratn annual report fy 2008/2009

RATN SUPPORTERS

International Kenya

Published by:

Regional AIDS Training Network (RATN)Nairobi Business Park, Unit C, First Floor, off Ngong Road, Adjacent to the Ngong Racecourse.P. O. Box 16035-00100 GPO,Nairobi, Kenya. Tel: +254-20-3871016, 3872201, 3872235, 3872129Fax: +254-20-3872270 Email: [email protected]: http://www.ratn.org

© Regional AIDS Training Network (RATN)

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RATN Annual Report, April 2008 - March 2009 RATN Annual Report, April 2008 - March 2009

RATN VISION A Society with the capacity to respond effectively to the HIV and AIDS pandemic

RATN MISSION To strengthen the capacity of relevant individuals, organizations and other stakeholders to respond to STIs/HIV/AIDS in the Eastern and Southern African region

RATN VAluES• Involvement of people infected and affected by HIV/AIDS• Tolerance to diversity within the organization• Equity and Fairness• Mutual Respect• Honesty and Integrity• Transparency and Accountability• Zero tolerance to all forms of corruption• learning from our past experiences and practices

ABBREVIATIONS IV

BOARD CHAIRMAN’S MESSAGE VI

EXECuTIVE DIRECTOR’S MESSAGE VII

BOARD OF DIRECTORS VIII

1. INTRODuCTION 1

2. RATN ENSuRES A SuSTAINABlE AND FuNCTIONING NETwORk OF TRAINING INSTITuTIONS IN ESA REGION 3

3. RATN FACIlITATES QuAlITy TRAINING AND CApACITy DEVElOpMENT pROGRAMMES THAT RESpOND

TO STI/HIV/AIDS TRAINING NEEDS IN ESA 6

4. RATN RESpONDS TO INCREASED DEMAND FOR INFORMATION ON STI/HIV/AIDS IN ESA REGION 10

5. NetworkiNg aNd the hiV Policy ageNda iN eSa regioN 12

6. MoNitoriNg aNd eValuatioN 16

7. FiNaNcial PerForMaNce 18

8. reFlectioNS aNd challeNgeS 20

9. PlaNNed actiVitieS For Fy2009/2010 22

10. ANNuAl REpORT AND FINANCIAl STATEMENTS FOR THE yEAR ENDING 31ST MARCH, 2009 26

ANNEX 1: COuRSES DElIVERED By RATN IN Fy2008/9 44

ANNEX 2: RATN pERFORMANCE MEASuREMENT FRAMEwORk 46

table of contents

iv RATN Annual Report, April 2008 - March 2009 vRATN Annual Report, April 2008 - March 2009

abbreviationsAIDS Acquired Immune Deficiency Syndrome

AIC AIDS Information Centre

AMREF African Medical and Research Foundation

CAFS Centre for African Family Studies

CEU Clinical Epidemiology unit

CHIKANKATA The Salvation Army, Chikankata Mission Hospital

CIDA Canadian International Development Agency

CONNECT CONNECT Institute of Systemic Therapy

EAC East African Community

EANNASO Eastern Africa National Network of AIDS Service Organizations

ESA Eastern and Southern Africa

ESAMI Eastern and Southern African Management Institute

FACT Family AIDS Caring Trust

GASD Gender, ARV, Stigma and Discrimination

GLIA Great lakes Initiative on HIV/AIDS

GOK Government of kenya

GU Centre Genito-urinary Centre, City Health Department

HEARD Health Economic and HIV/AIDS Research Division

HR Human Rights

IA Irish Aid

ICASA International Conference on HIV/AIDS and STDs in Africa

ICT Information, Communication and Technology

IDM Institute of Development Management

JFA Joint Financing Agreement

KAPC kenya Association of professional Counsellors

KARA kara Counselling and Training Trust limited

KHI kigali Health Institute

KRAs key Result Areas

MANANGA Mananga Centre for Regional Integration and Development Management

MILDMAY Mildmay International

MIM Malawi Institute of Management

MIs Member Institutions

NACC National AIDS Control Council

NARESA Network of AIDS Researchers in Eastern and Southern Africa

NDM Network Development Manager

NGO Non-Governmental Organisation

PCM partners’ Consultative Meeting

PHRU peri-natal HIV Research unit

PMF performance Management Framework

PMTCT+ prevention of Mother to Child Transmission of HIV

PSG project Support Group

RATN Regional AIDS Training Network

RECs Regional Economic Communities

REPSSI Regional psycho-Social Support Initiative

RTMES RATN Training, Monitoring and Evaluation System

SADC Southern African Development Cooperation

SIDA Swedish International Development Agency

SP Strategic plan

STD Sexually Transmitted Disease

TASO The AIDS Support Organisation

TGNP Tanzania Gender Networking programme

THETA Traditional and Modern Health practitioners Together Against AIDS

TRIC Training Reference and Information Centre

UNIFEM united Nations Development programme for women

vi RATN Annual Report, April 2008 - March 2009 viiRATN Annual Report, April 2008 - March 2009

executive director’s MessageRegional AIDS Training Network exists for the simple purpose of being a catalyst for facilitating the development of technical and management skills and capacities for implementing effective HIV and AIDS interventions in ESA region.

On day-to-day basis, fulfilling our mission in dynamic world involves complex activities in many functional areas – strategic planning, information technology, financial management, governance, operations, international relations, and networking. we think investors in our organization should know how seriously we take these issues, and that we spend significant time and resources to improve our performance. But we push hard on these business aspects of our work because they are means to the greater end of serving people in more efficient, thoughtful, and meaningful way.

Highlights of this year’s efforts are detailed in this report. Included are successful completion of the evaluation of the just ending Strategic plan (2004-2008) and development of the new Strategic plan (2009-2014). The processes were held back-to-back to ensure that successes and lessons learnt from implementing the past strategic plan inform the solid foundations for the next five years for the organization. During the year we also expanded our commitment to spearhead debate and advocacy for resources and supportive policies and environment for HIV capacity building. we brought together the NACCs and regional bodies such as SADC, ARCAN, and GlIA to discuss best practices and challenges constraining effective HIV capacity building in ESA region. we also introduced a

new and innovative training programme based on e-learning as well as the setting stage for the first Regional HIV Capacity Building Conference scheduled for June 2009 in kigali Rwanda.

The past year has indeed been a showcase of what the RATN community of network members, staff, and partners can accomplish when we work together in the interest of the quality HIV training and capacity building. Our unrelenting spirit of service to the region undoubtedly adheres to the original roadmap hinged on collaboration as designed by our founders 10 years ago.

The leadership, guidance, and generosity of our all volunteer Board of Directors were essential to all our organization’s activities over the dynamic period covered by this report.

As we approach the full implementation of the new Strategic plan (2009-2014), we acknowledge that the business world today is fast-paced and increasingly competitive and therefore demands proactive and flexible leadership. Today’s RATN management strives to achieve a harmonious balance between preservation of the past and progressive innovations to ensure the growth and future of our unique mandate. In that vein, we have instituted many practices to accompany our cherished traditions. From recently established events and programs to new partnerships, RATN is branching out to the future while our roots remain proudly and firmly planted in history.

Kelvin Storey Executive Director

Board chairman’s MessageAs we mark end of the Strategic plan (2004-2008), we not only look to our history and heritage, we embrace the changes that have launched RATN to the position we enjoy today in the area of HIV training and capacity building.

Much like the wide variety of HIV capacity building initiatives it recognizes and the diverse group of network members it serves, the Regional AIDS Training Network represents many things to many people. we are a training network, a governing body, an advocate for quality HIV training and capacity building, a forum for knowledge sharing, and so much more.

Over the years, it is pleasing to note that the organization has been seen to enjoy a unique privilege as one of the stewards of HIV capacity building mandate in the ESA region. with each passing year, the network strives harder to strengthen its core mandate and to open our world to the ever-widening demands on effective HIV capacity building.

The widespread implementation of RATN services has undoubtedly played a role in the HIV training gradual ascent to a new position in our society. The importance of HIV capacity building is seemingly beginning to be universally acknowledged, allowing organizations like RATN to take their rightful place in the HIV response scale-up programmes.

No single entity deserves credit for the great strides we have made over the past ten years. The goodwill and support RATN has enjoyed since its

establishment is a result of the collective efforts of the RATN community as a whole. This community is comprised of all the stakeholders, the development partners, network members, secretariat staff and beneficiaries, who are all the lifeblood of our work.

while we are delighted to end the year in a very healthy financial position, we are ever mindful of the appropriate reserves that we must maintain in order to ensure the future of the network. As operations expenses rise, we continue to strengthen our efforts identify alternative sources of revenue, to allow us to subsidize events, scholarships, lobbying, and the many other necessary efforts RATN undertakes in support of the HIV capacity building initiatives in ESA region.

As we set our sights toward the future, there can be little doubt of the potential and strength of the network. I am confident that the next Strategic Plan (2009-2014) will see RATN facilitating more unique capacity building initiatives for strengthening the HIV response in the ESA region. working together with the creativity and flexibility, I have every reason to believe that the organization will continue to advance as an example of excellence, progress, and innovation that is befitting of promising future.

As an organization we remain deeply committed to serving all our stakeholders and beneficiaries in the most effective, efficient, respectful manner possible. please accept our heartfelt thanks to your interest and involvement in the work of the Regional AIDS Training Network.

Dr. Rangarai TaruvingaBoard Chairman

viii RATN Annual Report, April 2008 - March 2009 1RATN Annual Report, April 2008 - March 2009

Dr. Hizaamu Ramadhan Chair, Finance and Administration

CommitteeTraditional and Modern Health

practitioners Together Against AIDS

Dr. Ranga TaruvingaChair, Board of Directors

Mananga Institute of Regional Integration and Development

Management

Mr. Marc A. OkunnuChair, programmes Committee

Centre for African Family Studies

Mr. Dennis MudedeMember, Finance Committee

CONNECT

Dr. Njabuliso DlaminiVice Chair, Board of Directors

Institute of Development Management

Mr. Zachary BigirimanaMember, programmes Committee

kigali Health Institute

Dr. Walter JaokoMember, Finance Committee

university of Nairobi

Ms. Judith KumwendaMember, Finance and

Administration Committeekara Counseling and Training Trust

Dr. James DeanMember, programmes Committee

university of Manitoba

Board of directors introduction

This report covers planning period beginning 1st April 2008 ending 31st March 2009 (i.e. Fy2008/9) and provides overview of the performance of the Regional AIDS Training Network (RATN) during the period under review. The description of RATN and its mandate is presented in the Section 1 of the report while Sections 2 to 6 highlights major activities and developments carried out in Fy2008/9. Financial performance issues are discussed in Section 7 while Section 8 provides reflections on lessons learnt. The planned activities for the next Fy2009/10 are presented in Section 9 of the Report. The detailed matrix on progress against Strategic plan (Sp) performance targets is presented in Annexes section.

Description and Mandate of Regional AIDS Training NetworkThe Regional AIDS Training Network (RATN) was founded in 1997 as a network constituting partner training Institutions in Eastern and Southern Africa (ESA) to collaborate on training activities related to STIs/HIV/AIDS in the region. RATN’s status changed in April 2003 when it moved from being a project to a registered international/regional Non-Governmental Organization with a Secretariat based in Nairobi, kenya. RATN functions as a facilitator to strengthen the capacity of member training institutions and as a forum of exchange of ideas and experiences. RATN’s Secretariat works with its established network of 25 Member Institutions to adapt and develop short term skills upgrading courses targeted at mid-level STI/HIV/AIDS workers, trainers, programme managers and senior policy makers. The broad categories of RATN MIs include (a) Non Governmental Organizations (International, National and local; (b) Management Institutions; and (c) university Departments.

In order to ensure that the training offered at the national level is needs-based, RATN carries out country specific training needs assessments, situational analysis and other environmental scanning activities. The NACCs are important

partners for RATN when establishing training needs at the national level. The national level training needs are determined by the focus established through the strategies on HIV/AIDS, the monitoring and evaluation frameworks and resources availed for capacity development. RATN’s advocacy strategy focuses on working with NACCs to ensure that training and capacity development is prioritized within the national HIV/AIDS strategies.

Linkages to International and Regional AgendaThe above focus areas are responsive to the global agenda on HIV/AIDS as established under the united Nations General Assembly Special Session (uNGASS), Millennium Development Goals (MDGs) and New partnership for Africa’s Development (NEpAD) objectives. NEpAD aims to eradicate poverty and place African countries, individually and collectively, on the path of sustainable growth and development. The RATN programme supports the NEpAD principles of African ownership and leadership, as well as participation by all sectors of society, anchoring the development of Africa on its resources and resourcefulness of its people; and partnership between and amongst African peoples.

Frontline workers need adequate skills if the global goal of halting and beginning to reverse the spread of HIV/AIDS is to be realized. The training areas covered by RATN collaborative programmes are complementary to effective responses to the epidemic, which includes prevention and behaviour change, care and support for those who are infected and mitigation of the impact of the epidemic on individuals and communities. Regular contacts are kept with the NACCs and partners at country levels and uNAIDS RESA and the HIV/AIDS Coordination desks at the Southern African Development Coordination (SADC) Secretariat and the Eastern African Community (EAC) Secretariat at regional level to ensure that RATN programmes are informed by emerging HIV and AIDS priorities and trends.

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2 RATN Annual Report, April 2008 - March 2009 3RATN Annual Report, April 2008 - March 2009

RATN Core Business

The core business of RATN is to identify and link institutions with technical capacity to deliver quality training to middle level managers and trainers of HIV/AIDS programmes. RATN develops the capacity of MIs through specific support for training their trainers and managers, direct support for trainees through partial scholarships, advertising and marketing of MI courses to ensure good regional uptake, facilitator exchange and support programmes, support for curriculum development and evaluations and systems improvement. RATN also undertakes advocacy with Regional Economic Commissions (RECs) such as SADC, EAC, and Common Market of Eastern and Southern Africa (COMESA), donors and NACCs to support its training and capacity development agenda.

PurposeThe purpose of RATN is to establish a regional network of training institutions to provide skills training, upgrading, extension services and technical

Box 1.1: Roles of RATN as network-based organization

• Identify high quality training institutions – Member Institutions - in ESA, and collaborate with them to present training courses on a regional level.

• Develop and present new training courses through Member Institutions that respond to perceived and felt needs in the region.

• provide resources to ensure that existing training programs can be presented to a wider regional audience.

• Develop a network of technical experts in the region through the convening of meetings/workshops, publishing and dissemination of documents, improving communication linkages, and liaising with institutions and donors.

• Serve as a resource for others in identifying training institutions, trainers and consultants in the region.

• Serve as a focal point for the discussion of training issues.

• Advocate for training resources at the regional and international level.

• Facilitate a process that will lead to the network being governed by its members.

Box 1.2: RATN Outcome Objectives

Outcome 1: A sustainable and functioning network of training institutions in ESA

Outcome 2: Quality training and capacity development programmes that respond to the STI/HIV/AIDS training needs of the region

Outcome 3: RATN is recognized as an effective source of information on quality STI/HIV/AIDS training and capacity development in ESA

Outcome 4: Regional economic communities (RECs) and national policies for HIV/AIDS have capacity building and human resource components

Outcome 5: RATN responds to findings from monitoring programme reviews and evaluations

assistance to health and allied workers in the field of STIs/HIV/AIDS in the ESA.

RATN Expected OutcomesThe expected long-term impact of RATN’s work is: a contribution to reduction of the prevalence of STI/HIV/AIDS and mitigation on the impact of the epidemic on communities in the region. within the current Strategic plan, there are four outcomes stated. However, these were reviewed and revised to five as the Performance Measurement Framework was updated. The RATN expected outcomes are as follows:

Highlights on RATN Performance for FY2008/2009Overall, Fy2008/9 was a successful year for RATN, again providing clear evidence of RATN’s emergence as one of the key players in providing training and information for STI/HIV/AIDS response networking”. The next sections highlight some of the major developments and milestones for RATN during the year under review.

The Growing Network

In June 2008, the RATN General Council ratified full membership of the In-Service Training Trust (ISTT) based in lusaka, in line with the RATN member recruitment procedures. Thus, the joining of ISTT meant that Zambia has a total of three RATN member institutions in addition to kara Counseling Trust and Salvation Army Chikankata Health Services. The inclusion of ISTT was a strategic one for RATN as the institution brings to the network a course on HIV and Nutrition.

Thus, for the year under review, RATN membership is represented in eleven (11) countries namely in Eastern and Southern Africa namely: Botswana, kenya, Malawi, Rwanda, South Africa, Swaziland, Tanzania, uganda, Zambia, and Zimbabwe.

During the five year period of implementing the Strategic plan (2004-2008), it had been envisaged to increase the number of MIs from 22 to 30 operating in 13 countries (up from eight countries in 2004) by the end of the plan period. By March 2009, RATN had a membership of 25 MIs in the 11 countries. Thus, the plan targets for network expansion were partially met, at 86% of the target in membership and 77% of the target in terms of the number of countries.

Board size reduced from 12 to 9 members

Following the General Council resolution to reduce the board size from twelve (12) to nine (9) in order to ensure cost efficiency for RATN governance, the GC elected the new Board of Directors in June 2008 in lilongwe, Malawi. The following members were elected to serve on the Board: Dr. Ranga Taruvinga (Mananga Centre for Regional Integration and Management Development, Swaziland); Dr. Hizaamu Ramadhan (Traditional

and Modern Health practitioners Together Against AIDS, uganda); Stanley Chama (kARA Counseling and AIDS Trust, Zambia); Dennis Mudede (CONNECT Institute of Systemic Therapy, Zimbabwe); Marc Okunnu (Centre for African Family Studies, kenya); Dr. Njabuliso Dlamini (Institute of Development Management, Botswana); Zachary Bigirimana (kigali Health Institute); Dr. Water Jaoko (university of Nairobi); and Dr. James Dean (university of Manitoba, Canada).During the year under focus, there was 100% participation of MIs at the Board meetings which were held every four (4) months (June, October 2008 and February 2009). It is hoped that this trend will continue in the next planning period.

RATN MIs strengthened their commitment to the network Following the recommendation by the RATN Board of Directors that the RATN Secretariat should signs a Memorandum of Understanding (MoU) with Member Institutions (MI’s), about 50 percent of the MIs have signed the Mous. RATN perceives a Mou as a milestone in strengthening partnership, collaboration within the network. practically, the Mou expresses a convergence of will, indicating an intended common line of action. The MOu sets forth the roles and responsibilities of RATN and the MIs and defines the scope of cooperation. It is envisaged that the MOus will further harness the comparative advantages that exist with the diversity of the network.

In summary the MOu has following Articles: (a) Article 1: Scope of Cooperation (b) Article 2: Roles and Responsibilities of RATN (c) Article 3: Roles and Responsibilities of an MI (d) Article 4: Information Disclosure (e) Article 5: property Rights (f) Article 6: participation in Similar Activities (g) Article 7: Non-Fund Obligation Document (h) Article 8: Commencement and Modification (i) Article 9: Arbitration (j) Article 10: Expiration and Termination (k) Article 11: Contact persons

ratN ensures a sustainable and functioning Network of training institutions in eSa region

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In terms of next steps, following the signing of the broader MOU, each will develop and sign specific MOUs with the Secretariat for specific RATN collaborative projects and activities such as training courses and other activities. First HIV Capacity Building Conference in ESA regionRATN has in collaboration with kigali Health Institute (kHI) Centre for Continuing Education organized an international conference on HIV & AIDS Training and Capacity Development titled: Challenges and Trends. The two-day conference will be held on the 24th and 25th June 2009 in kigali, Rwanda. kHI is a RATN MI and is currently running a RATN collaborative course on post-Graduate Certificate in Counseling.

The HIV Capacity building conference will provide organizations and institutions engaged in HIV & AIDS capacity building and training an opportunity to share and exchange ideas and experiences. The conference is expected not only to bring together policy makers, researchers, activists and practitioners from government, academia and civil society in the Eastern and Southern Africa region, but also to facilitate organizations to build consensus on current gaps and trends in research and capacity, and the innovative and practical approaches and strategies which can be adapted to address those gaps.

As part of the preparation process the Secretariat in collaboration with an organizing committee comprised of representatives from MIs (kHI, CAFS, MIM, KAPC, and ISTT facilitated the identification of conference theme, formation of sub-committees, conference publicity, selection of conference presentations/papers as well as providing technical advice of logistical arrangements for the conference. At the time of publishing this report, about 60 presenters and a total of about 120 delegates had confirmed their participation at the conference.

RATN new Strategic Plan (2009-2014) finalized In the year under review, RATN was extensively engaged in the process of developing the Strategic plan for the year 2009-2014. The plan was developed through a participatory process of self

assessment and drawing from the evaluation results of the previous Strategic plan (2004-2008).

Based on an environmental scan, analysis of RATN’s practices and strategy effectiveness and experience stemming from the implementation of the previous strategic plan, RATN identified what it intends to achieve in the Strategic plan period 2009-2014 in terms of strategic goals and objectives and the approaches to adopt in order to realize the expected results in the short and intermediate terms.

Strategic Goal and Key Objectives

The overall goal of the strategic plan 2009-2014 is “to strengthen the capacity of individuals and institutions in the Eastern and Southern African Region to effectively respond to the HIV and AIDS pandemic through training and capacity development, information sharing and advocacy”.

The strategic objectives outlined above will be realized through key outputs classified into five (5) programme implementation areas as follows: (1) Training and Capacity Development; (2) Information and knowledge Management; (3) Advocacy, partnerships, and Networking; (4) Research, Monitoring and Evaluation; and (5) Functional and Sustainable Network

The development of the new Strategic plan was overseen by a Steering Committee of seven (7) people appointed by the Board representing the Board, MIs and RATN donors. The members of the Steering committee were: Jephias Mundondo (FACT); Dr. Njabuliso Dlamini (IDM); Anne lindeberg (Sida); Francis Mangani (kARA); prof. walter Jaoko (university of Nairobi); Dr. Trevor kaile (Chikankata); and Dr. Hizaamu Ramadhan (THETA).

In order to achieve the strategic goal, RATN intends to accomplish the following specific outcome objectives for the period 2009-2014: • Enhanced skills and competencies for design

and implementation of effective HIV and AIDS interventions at community and workplace levels.

• Strengthened capacity for training institutions (under RATN Membership) to develop and deliver training and/or manage quality gender sensitive HIV and AIDS prevention, care, support, and mitigation programs.

• Strengthened exchange of knowledge and information on HIV and AIDS related to training and capacity development (and therefore RATN being recognized as an authority source for high quality HIV and AIDS information)

• Strengthened advocacy and the capacity of RATN MIs, civil society and other partners to influence policy towards increasing support for developing effective capacity to respond to the HIV and AIDS pandemic in the region;

• RATN strengthened as fully functional and sustainable regional membership-based network organization.

• Monitoring and Evaluation system of RATN and its members strengthened.

What is New in the New Strategic Plan?• Strengthened regional perspective of RATN work:

The plan has aligned priorities for RATN to serve as a catalyst to training and capacity development resources in the region.

• Strengthened evidence-based programming: In this plan, trends and emerging issues are informing the priorities of training and capacity development in the region.

• Quality assurance: The plan recognizes the critical role of RATN to spear head the quality assurance of training and capacity development in the ESA region

• Value addition to the network membership: The plan highlights the issue of value addition to the network membership through harnessing the comparative advantages that exist within the diversity of the network


A core theme of the Regional AIDS Training Network has been to maintain “Quality training and capacity development programmes that address HIV/AIDS training needs in the ESA region” (Outcome 2 of the strategic plan). The major activities in the period under review have included the design and development of improved curriculum and training delivery that respond to identified needs and gaps in line with the current trends.

One of the core themes of the Regional AIDS Training Network in the last year of the “2004-2008” strategic plan was to maintain Quality training and capacity development programmes that respond to the STI/HIV/AIDS training needs

of the ESA region. The following sections provide highlights of activities and outcomes under the Training programme Area.

Training courses delivered and more target groups reachedA total of 30 courses out of the 38 training courses planned were delivered during the reporting period through 17 RATN MIs. Fourteen (14) courses were delivered in counselling and related courses with a total of 266 (M76 / F190), among them a mixed group of marginalized groups (30, 3M/27F by CONNECT) and another group of 14, 1M/3F who were hearing impaired by kApC. One of the courses

delivered was a Post Graduate Certificate in Counselling in which 12 graduated (6M/6F) through the kHI.

Overall 503 participants (198 Male and 305 Female) were trained. Eighty six (86) individuals were trained in care and support through TASO and FACT; 34M / 52F, and 30 of them (9M/21F) in palliative care and rehabilitation of PLWAs training through the Mildmay uganda (the only MI providing training in palliative among the RATN MIs).

Fifty two (52) individuals (26M/26F) undertook the gender training through TGNp and IDM, while CAFS delivered the only advocacy in reproductive health course currently running in collaboration with RATN 11 (6M/5F).

The Clinical Management Courses saw 64 (46M/18F) trained in ART Clinical Management and the laboratory Services Management courses. The laboratory management course through AMREF run for the first time in phases (a 2 month pre-course phase Feb-April 2008, a 2-week residential block in May 2008, and finally a post-course practical phase May – August 2008) before the participants graduated.

Figure 1:

Seven (7) planned courses were cancelled or postponed for various reasons including low number of applicants and logistical factors. The postponed courses were as follows: the planning for HIV & AIDs in sub-Saharan Africa (the HEARD unit stopped running this workshop and discussions are underway for repackaging for future delivery); Children and Carers by Chikankata (postponed due to inadequate applicants); the course on Traditional Medicine and Alternative Therapies failed to run due to restructuring at THETA. The Communication and Behavior Change (BCC) and the course on HIV programme Management and Administration delivered through MIM was postponed due to inadequate applicants) while the course on HIV Testing and Counselling because of applicants cancelling at the last minute.

Overall, RATN has trained a total of 2564 participants between Fy2004/5 and Fy2008/9. More participants have been trained in the area of counselling and related courses (1007) representing 39%, followed by Care and Support courses (531) and advocacy/policy and BCC courses (483) representing 20% and 18%% respectively. Figure 2 below shows the distribution of course participants by course cluster area between Fy2004/5 and Fy2008/9.

Figure 2: No. of participants by course cluster/type (2004-2009)

ratN facilitates Quality training and capacity development Programmes that respond to Sti/hiV/aidS training Needs in eSa

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Curricula reviews to ensure quality and relevant courses During the year under review much emphasis was put in reviewing of curricula in order to ensure continued relevance and enhanced quality. Specific Task-Forces (TFs) were formed to address three course areas namely, Community Care, Counselling, and Clinical Management. The key purpose of the curricula review process was for the network to emerge with a core –curriculum to form the main thrust of the future re-packaged courses (while allowing MIs to incorporate any other significant issues that may need redress at the country and/or local level).

The Community Care Task Forces (TFs) held two curriculum review workshops in May and August 2008 to review curriculum delivered through TASO, FACT, Chikankata and the traditional medicine and alternative therapies course run through THETA. The workshop recommended that a sensitization component on traditional medicine and alternative therapies be incorporated into the community care course, (while ensuring that the full short course would continue to run through THETA).

under a similar arrangement, a Task Force of the Counselling MIs reviewed the various counselling and related course- curricular in July of 2008 covering the following curricular: kApC Counselling and Counseling supervision curriculum, also tailored to the needs of the hearing / visually impaired); kARA Eclectic Counselling Curriculum1; CONNECT Systemic Counselling Curriculum (accredited through the Open university of Zimbabwe and also tailored to the needs of the marginalized); TASO Child Counselling curriculum; Mildmay Centre ARV for Counsellors curriculum; AIC HIV Testing and Counselling (HCT) curriculum; and the Post Graduate Certificate in Counselling (KHI) curriculum. The post graduate certificate course

through kHI would maintain its focus on the needs of Rwanda, for example in traumatic counselling.

In addition, using a Task-Force of ART Clinical and programmatic Management Team, the existing draft ART Curriculum was reviewed and re-packaged during the last quarter of last Sp (March 24 – 27th 2009) to guide the delivery of the ART Course from July-August 2009. Among other outcomes of the review process, the title of the course was also revised with a focus on the course-target and now reads “the ART programme Managers Training Course”.

The various Task Forces were enriched through technical assistance of key facilitators and invited experts in order to enhance capacity of MIs in curriculum review and capturing of emerging trends and gaps. The next step planned for the next fiscal year Fy2009/10 is the review and repackaging of most of the current RATN training curricula and courses based on emerging needs and gaps.

Strengthening capacities of Member InstitutionsA summer school at the Extended Education of the University of Manitoba held in June 2008) benefited four individuals (one from the RATN secretariat and three MI representatives from three MIs (Mananga, TASO and IDM) collaborating with university of Manitoba in Canada to run an e-learning based certificate course on HIV Programme Management. The course is the first e-learning based training to be offered through RATN MIs and its delivery commenced in March 2009 with 18 participants. Related to the same e-learning programme, the team from the three MIs attended the workshop of ICT Support Team for the On-line Course – in Dar-Es-salaam in October 2008. The workshop was facilitated with technical support of the university of

Manitoba specifically for the Learning Management System “Angels” and the “Articulate soft-ware”.

RATN also facilitated the MI to MI exchange programme by supporting facilitators from kApC and CONNECT to support kHI in the delivery of the Second Phase (field-practicum) of the Post-graduate Certificate course. The activity was done from March to June 2008) kHI reported that the activity helped to effectively transfer skills from kApC and CONNECT to the kHI team within a very short period.

During the year under review, the Gender, ART, Stigma/Discrimination and Human Rights (GASD-HR) Tool-kit- accompanied by an Operational

1 (The course is being tailored to be an accredited module with the university of Zambia, while the current delivery of the same as a short course will continue at kARA)

Manual was circulated to MIs to be a key reference document in facilitating mainstreaming of gender, ART, HR, and Stigma and Discrimination into the RATN collaborative courses.

RATN also facilitated exchange of facilitators among MIs as part of the MI capacity building process. The following MIs exchanged facilitators for particular courses: THETA (uganda) and Chikankata Salvation Army (Zambia) for the Community Care Course in March 2009); Mildmay (uganda) and TASO (uganda) for the ART Clinical Management course held in June and November 2008; kApC (kenya) and CONNECT (Zimbabwe) for co-facilitating the second post graduate certificate counselling course at kHI in Rwanda (course was held February 2009).

ICT support Team for the on-line RATN/University of Manitoba ‘Certificate in Interdisciplinary Studies for HIV and AIDS programme


Strengthened Capacity of the network ICT Staff

Utilizing HINARI to access Health Information

A three-day Member Institution (MI) Information and Communication Technology (ICT) staff capacity building workshop was held in Dar es Salaam Tanzania with a total of 25 MI Information and Communication Technology staff from 17 MIs in attendance. The objective of the workshop was to empower participants to better use electronic resources to strengthen knowledge creation and sharing. The theme of the workshop was “The Role of Information in Creating and Sustaining Networks.”

This was the 5th MI ICT staff capacity building workshop organized by the RATN Secretariat. The Dar es Salaam workshop was organized in collaboration with Tanzania Gender Training programme (TGNp), a RATN Member Institution. The hands-on workshop acquainted ICT personnel with knowledge on the use of HINARI to access Health Information on the internet. The workshop was facilitated by Vimbai Hungwe, a Senior Programme Officer - Training at the Information Training and Outreach Centre for Africa (ITOCA) based in South Africa. Vimbai is also the president of AHIlA. Mr. Dennis Mudede, the Director of CONNECT Institute of Systemic Therapy, Harare Zimbabwe, said the workshop was very useful. He said that partner organizations including NGOs and university students and employees depended on CONNECT for their research on counseling. “The training has no doubt added value to us – CONNECT staff, students and sister NGOs and universities” he said. The training included a module on repackaging health information resources and authorship.

Staff trained on Strategic Management of Libraries and Information Resource Centres

RATN facilitated the training of four MI staff from AMREF, Chikankata Health Services, Institute of Development Management (IDM) and Mild may to attend a four week course on Strategic Management of libraries and Information Resource Centers (SMlRC) at Mananga Centre for Regional Integration and Management Development, Mbabane, Swaziland. Three of these attended SMlRC level 1 and one SMlRC level 2. This capacity development is in response to ICT gaps identified in MI ICT workshops previously held in Malawi and uganda. The RATN Board of Directors recommended that training be held at MI institutions which offer ICT courses such as MIM and Mananga. In 2007, six (6) MI staff members received training in MIM, Malawi and Mananga Centre.

Building Staff Capacity on Gender Mainstreaming and the Human Rights-Based Approach

The RATN capacity building training workshop for MI Information and Communication Staff held in Mombasa, kenya brought together MI staff from kenya, Rwanda, Tanzania, uganda, Swaziland, Zambia, Zimbabwe and Malawi.

The training was aimed at building the capacity of the MIs to improve programming in the focus areas of gender mainstreaming and the use of the rights – based approach to programming. Gender mainstreaming and human rights are of critical concern in programming. They have a direct bearing on access to and equitable distribution of resources with the ultimate goal of achieving gender equality. women bear the brunt of the HIV/

AIDS epidemic due to their biological make up and the triple role that they play of reproductive, productive and community. They are also among the world most marginalized and often have minimal access to resources to cope with the disease. Gender mainstreaming and the human rights-based approach are two frameworks to guide organizations’ programming aimed at achieving sustainable development by empowering the rights holders or claim holders to claim their rights from the duty bearers.

The Network facilitates Increased Information Sharing TRIC is a web-based information centre aimed to provide easy access to quality HIV and AIDS information on training resources in the East and Southern Africa region. The target audience for the TRIC information includes RATN partners, NGOs, Academic Institutions, Government Departments, private firms and individuals interested in HIV and AIDS training and capacity building resources. The

initial phases of development of the TRIC facility have benefited from the support and commitment of the uNAIDS Eastern and Southern Africa Regional team.

Despite the facility commencing late in January 2009 as a pilot phase, the attention and utilization it has attracted from users is wide and encouraging. For instance within a month it attracted over 350 requests for information on various aspects of training including inquiries on scholarships, information downloads and availability of different HIV training courses. uNICEF and other partners have also made inquiries regarding disseminating their relevant materials for a wider access through the facility.

Encouraged by brief experience of TRIC results over the period under review, RATN has gone ahead to institute a expanded facility that will accommodate an e-library with database of thousands of training materials, manuals, information kits, and up-to-date

information on where to find any specific training courses on HIV and AIDS. The facility will also include hundreds of links to other websites providing essential information and resources on effective HIV training and capacity building.

In addition to expanding the facility, RATN is in the process of ensuring that the RATN website, which hosts the facility, is aesthetically sound to provide timely and relevant HIV and AIDS training related information that is easy to use, and easy to update and maintain. The refined TRIC facility is expected to be in full operation by August 2009.

ratN responds to increased demand for information on Sti/hiV/aidS in eSa region

4


Networking and the hiV Policy agenda in eSa region5

Developing Strategic Partnerships for effective HIV & AIDS ResponseEnhancing partnerships and linkages with National and Regional HIV & AIDS bodies was pursued as a deliberate strategy by RATN during the period in review. Among other activities, RATN actively participated in SADC/uNAIDS forums for Southern Africa and the EAC/uNAIDS forum for Eastern Africa. These forums provides RATN with an opportunity not only to influence policies of regional bodies on capacity development and training, but also an opportunity further identify partners to collaborate with to develop effective capacity for HIV response in the region. For instance, RATN’s strengthened partnership with SADC resulted in RATN being invited to be part of the SADC steering team overseeing process of HIV & AIDS capacity needs assessment in the SADC region and subsequent development of the SADC HIV Capacity Building Strategy.

RATN also developed MOu’s with NAp+SAR, EANNASO and the International AIDS Alliance, and had discussions with the Southern African AIDS Trust and world university Service of Canada (wuSC) - a leading Canadian development agency aimed at strengthening partnership, cooperation and collaboration.

In the last quarter of the financial period 2008-2009, RATN was invited by the National AIDS Control Council (NACC) of the Republic of kenya to participate in the review of the kenya National HIV/AIDS Strategic plan (kNASp) III. RATN therefore is represented and actively participates in the NACC Capacity Building task force. RATN is also represented in pillar 4 on Governance and strategic information. In addition, RATN had strategic discussions with GlIA and ARCAN to establish areas of common interest through which RATN can collaborate and work with these regional partners.

The long term goal is for RATN and the MIs making substantive contributions to the formulation of regional and national policies for HIV and AIDS with a bearing on capacity building and human resource development for effective HIV response. This includes advocating for addressing barriers to effective HIV capacity building initiatives including low budgetary allocations for training and other capacity development by RECS and National AIDS Authorities.

Creating and enabling environment for effective HIV Capacity Building at national and regional levelIn view of increasing efforts to scale up the HIV response in the region, it is critical that partners working in the area of HIV capacity building at national and regional levels share best practices and experiences. It is against this background that, during the year under review, RATN facilitated the process of bringing together key players in the area of HIV capacity building to share lessons and discuss how HIV capacity building initiatives can be streamlined and strengthened to achieve optimal impact.

RATN organized a two day workshop on HIV Capacity Building for National AIDS Councils (NACs) and Regional Organizations in Nairobi, kenya. The aim of the capacity building workshop was to share best practices and lessons for coordinating and prioritizing capacity building interventions towards improved and scaled-up response to HIV & AIDS in Eastern, Central and Southern Africa. Representatives to the workshop came from nine (9) NACs (lesotho, Swaziland, Zimbabwe, Sudan, kenya, Malawi, Zambia, Tanzania, and Rwanda) as well as representatives from regional bodies – SADC (Botswana), ARCAN (Tanzania), GlIA (Burundi), and hosts RATN (kenya).

During the workshop, the participants shared experiences and had discussions on three key areas; (i) How each organization was coordinating and prioritizing HIV capacity building to ensure effective HIV response; (ii) Challenges faced in the coordination and prioritization of HIV capacity building and lessons learnt; and (iii) How each of the organization has overcome/managed the challenges. .

Comments by some of the participants regarding the workshop

“The meeting helped a lot in re-believing in worthiness of the efforts and redefining these efforts, there are a lot of good work started here since my return form Nairobi, where we started working in inserting the capacity building as clear issue in the coming strategic plan rather than leave it as “crosscutting” one, and hope it will continue to more visible good results”- (Dr Maysa Mohammed Abdalaziz Ahmed, Capacity Building Advisor - Sudan National AIDS programme, Sudan).

“Thank you for the invitation. The interaction was great and I am sure if ARCAN (project) continues (to second phase of World Bank funding), we will continue fostering this relationship and I will ensure that there is a budget to cover such costs regionally (costs for regional collaboration on HIV capacity building).” - (Ms. Valentine Gitoho, project Coordinator – ARCAN, Tanzania)

“As I was presenting a report on my visit I realized that there is a lot that I need to do at work to build the awareness on the need to consciously engage capacity building issues instead of assuming they will take care of themselves. The Nairobi trip was really an eye opener. To do this however, we need lobbying at the highest levels. History has taught us that this is best through regional networks. We have learnt that ideas are hard to accept in each country unless the region adopts them and lobbies leader to adopt.” – (Mr. Innocent Ndabanhle Maziya, Organizational Development Coordinator - National Emergency Council on HIV/AIDS (NERCHA) – Swaziland)

As an outcome of the workshop, the best practices in HIV and AIDS capacity building coordination and prioritization at national and regional levels were shared and resulted in the development of specific action plans for strengthening HIV and AIDS capacity building coordination at both the national and regional levels. The delegates made a resolution that RATN spearhead establishment of a regional technical working group comprising on NAC representatives and Regional bodies such as ARCAN, GlIA, RATN, and SADC which should aim at fostering the creation of an enabling environment as well as providing a forum for sharing and exchange of resources and ideas for effective HIV capacity building in the region. The delegates also agreed to have a similar meeting of capacity building stakeholders from the ESA region on an annual basis.

EANNASO and RATN joining hands to strengthen civil society capacity In February 2009, RATN and the Eastern Africa Network of National AIDS Service Organizations (EANNASO) signed a Memorandum of understanding aimed at strengthening the collaboration of the two organizations in capacity building for HIV and AIDS in Eastern Africa.

EANNASO was established as an umbrella organization of country networks of AIDS NGOs (namely AIDS Service Organizations (ASOs) in 13 countries in Eastern Africa). It was established to facilitate the establishment of country networks of AIDS NGOs where none exists, and strengthen those that exist. EANNASO has the duty to support and enhance the capacity of functional, sustainable and effective networks that provide leadership and capacity building in advocacy, programme development and to enhance greater involvement of people living with HIV/AIDS (plwHs) in the overall response to the AIDS pandemic. The EANNASO secretariat is based in Arusha, Tanzania

The Mou established the following areas of interest for collaboration (a) Capacity building in policy formulation and analysis; programme management skills, and information management; (b) Capacity building for country network affiliates on thematic


HIV/AIDS areas; (c) Participation in identification of emerging issues in HIV/AIDS at regional and national level; (d) Sharing of key information and best practices through information exchange; and (e) and Staff exchange programmes for short periods.

The two networks committed themselves, among other things, meet once a year to review progress on the implementation of the MOu as well as produce, on annual basis, reports on activities pertaining to the MOu.

RATN considers the partnership established with EANNASO an important step in reaching more beneficiaries for HIV capacity building. The collaboration also provides RATN with an opportunity to continuously learn training needs from more organizations working at grassroots level considering that a lot of EANNASO members are implementing HIV and AIDS programmes at community level.

Strengthening the role of Research in Informing Policy

RATN recognizes the critical role research plays in strengthening HIV & AIDS information and knowledge base for effective HIV & AIDS agenda and policy responses as well as the development of relevant and timely training and capacity building programmes. Through its membership in the ABBA Research programme Consortium (RpC), a consortium of five other organizations namely: liverpool School of Tropical Medicine (uk) which is the lead partner, population Council (uSA), Health Economic and HIV/AIDS Research Division (South Africa), Health Research unit (Ghana), Research on Equity and Community Health (Malawi), RATN is currently involved in research in the following key areas in Addressing the Balance and Burden of AIDS (ABBA): (a) Health Related Quality of life among plwHIV; and (b) persons with Disability and HIV/AIDS.

The aim of the Research project Consortium (RpC) is to persuade policymakers and project implementers to use research findings to enhance the positive impact of institutions and programmes on poor and vulnerable groups.

During the period under review, the ABBA project completed the data collections and preliminary analysis of one of the studies titled “Community Perceptions on Health Related Quality of Life (HRQoL) among PLWH in Kenya - Baseline Study”.This study was exploratory in nature and was conducted at the Riruta City Council Clinic run by liverpool VCT using in-depth interviews and focus group discussions (FGDs) qualitative methodologies. Being a first phase of a larger study on health related quality of life, it explored views on quality of life which will be analyzed and incorporated in a quantitative study that will constitute the second phase of the study

The study population primarily comprised of three groups of persons residing in Riruta and Kawangware area. The first group was that of 35 (thirty-five) PLWAs on ART. The second group was that of 13 plwAs not on ART. The purpose of having the two groups was to provide an indication as to whether there is a difference and /or shifts in perception and experience of health related quality of life depending on whether one is on ART or not. The third group of participants was drawn from the general community members to provide cultural, socio-economic data as well as general perceptions on health related quality of life, especially in the context of HIV infection. A fourth group comprised policy makers, researchers and service providers in Nairobi. At the community level FGDs were conducted with groups whose HIV status was not known. Additional and relevant information was collected from key informants. Narratives were conducted with plwAs who had special circumstances that required deeper probing. The social map provided the peoples understanding of the environment especially sources of services. The outcome of this research will be used to develop a quantitative study that will incorporate relevant domains for study of HRQol among plHIV in kenya

Emerging Issues from the Preliminary FindingsThe programme on ARVs has contributed tremendously to improved quality of life as perceived by plwAs; however, stigma, discrimination and non-disclosure are potential

barriers to high health related quality of life. At the community level participants emphasized the need to fight stigma both at the service delivery level, community and household level; recognizing that the combination of fear of disclosure and stigma have the potential to drive the epidemic. It is particularly important to improve access to health care and through increased awareness to encourage people to know their HIV status. From this study it is clear that a combination of awareness of one’s status and ART have contributed greatly to what is perceived as health related quality of life. The social economic environment has an overarching role in defining health related quality of life.

Impact of RATN’s Engagement in researchOne of RpC’s agenda is to encourage its members to share results and influence policy and programmes accordingly. As part of its Communication strategy RATN for the period under review has been actively engaged in the following activities: a) Support for Persons with Disabilities and

HIV/AIDS Advocacy and activities

RATN is a member of the Disability fraternity. In October 2008, RATN supported the kenya Campaign on Disability and HIV Advocacy Strategy planning workshop with the outcome being a (3) three year ADVOCACy STRATEGy (October 2008 – September 2011). policies that could be influenced under this advocacy STRATEGY are not limited to the following: National HIV & AIDS policy; National HIV & AIDS strategic plan; National HIV budget /resource envelope; Sector HIV mainstreaming strategies, plans, budgets; Sector Medium Term Expenditure Framework

(MTEF) plans and budgets; National HIV laws, bills and acts; National Constitution; and National laws related to evidence act, education act and penal code.

b) Developing linkages

In the past year, RATN established links with kenya National Coordinating Agency for population and Development (NCApD) a kenya government arm coordinating population and development issues. NCAPD has recently produced the first National survey on persons with Disability in kenya. Based on these strengths and RATN’s engagements with persons with disability in ABBA, it is hoped that pwD needs will be well articulated at policy level. RATN and the NCApD have gone further in responding to a call for proposals by NACC in developing a joint proposal- A situational Analysis on HIV and AIDS among pwDS.

c) Community Engagements

RATN through the ABBA project sponsored an activity during the annual event called, “Imagination of Poetry and Storytelling in the HIV & AIDS pandemic’ on 1st December by the Community Focus Group. As an annual event, this activity that has been running for the last 3 years and during the period under review, it was held on 1st December 2008 as an activity for the world AIDS day. It was organized by the community based grassroots organization- Community Focus Group (CFG) with the support of RATN. The goal of the AIDS and poetry storytelling festival is to promote HIV & AIDS human rights and reduce incidences of stigma and discrimination as well as promote Reproductive Health Rights of plHIV and the disabled.


Monitoring and evaluation6Results from Evaluation of RATN Strategic Plan (2004-2008)In April and September 2008, RATN undertook an evaluation of its Strategic plan (2004-2009). An independent consulting firm, Techtop Consult Ltd from Tanzania was commissioned to undertake the evaluation.

Box 6.1: The Evaluation Objectives

The evaluation, coming towards the end of the strategic plan period, had five main objectives:• To assess the progress made by RATN in meeting

the goals and objectives set in its Strategic plan (2004-2008) and in past annual plans and agreements with funding partners;

• To assess progress made by RATN (Secretariat and Member Institutions) in implementing the recommendations from the joint Evaluation and Beneficiary Survey (2005) and the Mid-Term Review (2007);

• To identify any important emerging issues in programmes and administration and provide recommendations to RATN and the donors on potential directions that should be incorporated into the next five-year Strategic Plan for the period April 2009 to March 2014;g

• To identify the “ value added” that RATN brings to the Eastern and Southern Africa region; and

• To assess the soundness of the systems and governance structure (strategic planning, programmatic planning and implementation, financial management, human resource management) and their viability.

The Evaluation Process

A multi-faceted approach was used to obtain both primary and secondary data for the evaluation. This entailed (a) the review of relevant documents supplied by the Secretariat of the Network, (b) structured interviews with key informants within the Secretariat, the MIs and other stakeholder organizations, (c) a questionnaire distributed by email to a sample of RATN alumni, and (d) FGDs

with alumni of selected MI in the region. Field visits were undertaken to kenya, Malawi, Tanzania, uganda, South Africa and Zimbabwe where interviews were conducted with management, training coordinators/managers, trainers and alumni of the MIs in those countries as well as with representatives of stakeholder institutions such as NACs and CSOs.

The focus of RATN during the previous Strategic plan (2004-2008) was to establish a regional network of training institutions to provide skills training, upgrading, extension services and technical assistance to health and allied workers in the field of STIs/HIV/AIDS in the ESA.

Evaluation Results and Achievements 2004-2008)Despite the challenges faced in transforming from being a project to a fully fledged International NGO, tremendous strides have been made by RATN in its attempts to scale up the access to quality training and capacity development in the ESA region. Below is a summary of RATN’s key achievements during the implementation of the Strategic plan (2004-2008):

Impact of RATN work (2004-2008)Overall, RATN has benefited her Member Institutions in several ways including the following: increased visibility of MI courses; fundraising for a minimum number of participants in courses to ensure that courses take place; opportunities for networking and collaborating for MIs; assessment of training needs at the regional level; trainer capacity development through supporting Trainer of Trainers (ToT) courses; monitoring and evaluation of courses with an opportunity of comparison of performance across institutions.

RATN has also facilitated the development and institutionalization of a number of courses which before were not being delivered, for example,

Box 6.2: Summary of key achievements • Registration under the laws of kenya in April 2003 as

an international NGO operating regionally, thereby changing its status from being a collaborative project of the university of Manitoba and the university of Nairobi

• Establishment of functioning governance structures comprising of a General Council that meets annually and gives policy directions, an elected Board of Directors responsible for directing the organization on behalf of the members, and a Secretariat under an Executive Director who is responsible for the day-to-day management and implementation of RATN’s policies and programmes

• Training of 2073 alumni (57% of them female) during the past four years (2004-2008), some of the trainees drawn from countries outside the Network such as Eritrea, Namibia, Nigeria and Sudan.

• Development of 17 new courses including programs on HIV prevention, care and support, impact mitigation, and HIV program management.

• Strengthened capacity of 25 training member institutions through ToT programmes and information exchange

• High quality regional HIV/AIDS Training Needs Assessment for Eastern and Southern Africa undertaken by RATN with support from uSAID

• Retaining the confidence and support of the core group of donors that have continued to fund the Network from its infancy as a project

• Several communications platforms – Newsletter, Resource Centre, website and TRIC – have been improved (and new ones developed e.g. the web-based Training Reference Information Centre (TRIC)).

Behavior Change Communication, Management of HIV/AIDS programmes; utilization of Research Results; Training of Trainers of HIV/AIDS programmes and Gender and HIV/AIDS.

In a survey done in 2000 by RATN to assess Members’ satisfaction with Network services, it was clear that of the above-mentioned benefits, the most valued was the opportunity to network followed by the support that RATN provides to courses. One of the training institutions stated that the biggest benefit has been: “Linkages with Partner Institutions we might never have known”

RATN has been able to achieve such an impressive set of results due largely to the dedication of programme staff and management, the partnerships it has developed as well as strategic alliances with other actors responding the HIV training and capacity development needs in the region.

Annual RATN donors Monitoring Mission In April 2009, a team of representatives of the core RATN funding partners conducted the fourth Annual Joint Monitoring Mission at RATN. The team was comprised of Anne Anamela (Irish Aid, Regional Office, and Pretoria) Erick Ordeman (CIDA Headquarters), and Enock Banda (Swedish-Norwegian Regional HIV/AIDS team for Africa, based in lusaka). The mission visit is part of the implementation of the Joint Financing Arrangement (JFA) in line with the paris Declaration aimed at harmonizing collaboration among funding and recipient partners.

The primary purpose of the monitoring mission was to verify project progress toward the achievement of results against agreed work plans, schedules, budgets, targets and indicators, as identified in RATN’s Strategic plan, Annual plans and Budgets, logical Framework Analysis, Risk Analysis and the performance Measurement Framework (pMF)

Overall, the fourth joint monitoring mission noted that over the years RATN has been improving in its interactions with the ICPs and will benefit from a continuation of this trend as the new Strategic plan is implemented. This work will be facilitated by the evaluation of the previous Strategic plan, which has provided good direction for streamlining the performance Management Framework.

Box 6.3: Specific recommendations from RATN donors monitoring mission:• The network should take into account the balance

between members needs and services provided while repackaging courses in the new strategic plan;

• undertake a deeper analysis to ascertain reasons for unequal distribution of the RATN courses conducted with a view to mitigate the 80/20 issue (i.e. 80% of the course are conducted by 20% of the MIs);

• undertake a deeper gender analysis of the uptake of courses and outcomes;

• pursue strategic partnerships to increase its regional relevance;

• Ensure that all positions are filled as appropriate and with minimum delays;

• Consider supporting higher level courses (e.g. diploma & degree courses) as recommended by the MIs and also look into the possibility of targeting high-level persons such as members of parliament;

• update the risk management framework regularly and take into account country contexts for both the MIs and the secretariat in the risk assessment.


Financial Performance7External Audit Report

To fulfill the statutory requirements, RATN financial Statements have been annually audited by certified public Accountants of Kenya. A review of the audited financial statements indicate that the main funding partners of RATN are Canadian International Development Agency(CIDA), Swedish International Development Agency (Sida) and Irish Aid(IA),who jointly contributed 87% of our annual budget. The expenditure review indicates that program costs were 75% of the total expenditures while the administration costs were 25%.

The preparation of the financial statements was based on International Financial Reporting Standards (IFRS). Besides, RATN adopted several new and revised International Accounting Standards which became effective for the first time in 2007 and were relevant to our operations. The adoption of the revised standards had no effect on the amounts reported for the current or prior years. Table 7.1 and 7.2 below shows the summary of financial statements for the year under review (the detailed Financial Statements are available as a separate document).

Table 7.1 Summary of Grants received by RATN (FY2008/9)

Development Partner Grant Received (USD)

CIDA 934,571

Sida/Norwegian Agency 531,496

Irish Aid 755,976

Others 316,154

Total 2,538,197

Table 7.2: Summary of Financial Statements (FY2008/9)

Income Statement

2009 2008

US$ US$

Total Income 2,538,197 2,075,112

Less: Total Operating Expenditure

2,381,118 2,107,020

Net surplus/ Net deficit for the year

157,079 (31,908)

Balance Sheet

Assets

Non-current assets

96,836 90,393

Current assets 693,511 468,894

Total assets 790,347 559,287

Funds and liabilities

Capital funds 475,437 358,586

Current liabilities

314,910 200,701

Total funds and liabilities

790,347 559,287

Total income received during the year under review was USD2, 538,197 compared to USD2, 075,112 for the previous year (FY2007/8). This translates to an increase of 22%.

The overall total expenditure for the year was uSD 2,381,118 compared to uSD2, 107,020 for the previous year. This translates to an overall increase of 13% in. Table 7.3 shows the levels of expenditure per department during the year.

Table 7.3: Expenditures by Department (FY2008/9)

Department Amount (USD)

%

Network Development

306,118 13%

Training 914,587 38%

Information & Communication

306,125 13%

Monitoring & Evaluation

229,361 10%

Secretariat & Administration

579,932 24%

Others 44,995 2%

Total 2,381,118 100%

30%

12%

37%

21%

38%13%

24%

Information & Communication

2%

10%

13%


reflections and challenges8Key Challenges faced by RATN (FY2004/5-FY2008/9)

Despite RATN’s achievements to date, there have been several challenges that have affected its ability to respond effectively to the training and capacity development needs in the region.

Limited influence on regional policies: RATN’s capacity to influence policies of national and regional HIV/AIDS bodies was sub-optimal. Only 50% of the MIs reported having functional linkages with these bodies. In the current strategic plan, RATN intends to develop a clear strategy on advocacy for HIV training and capacity development.

Slow progress on accreditation: limited progress on implementation of plans for the accreditation of RATN courses due to the challenges and complexity of accreditation of courses offered by multiple MIs in different countries and jurisdictions

Targeting participants: Reaching out to the different target for impact at the service / implementation levels has remained to be one of the challenges. The initiative of RATN to support MIs in both the review and re-packaging of course-curricula into modular formats will enable tailor-made courses for specific clientele-needs hence cutting down on time spent on course areas that may fall into the “nice to know category” instead of the “must know-core curriculum” tailored to specific clientele needs.

Balancing regional and national participants: Getting more regional participants to attend courses has continued to be a challenge given that very few employers or donors are willing to provide support especially for travel in the region. RATN and the MIs are exploring other alternative ways of maintaining the regional sharing and cross-fertilization of learning experiences for example through mobile

training teams and out-reach where regional trainers can take courses to places where they are required.Need for National Tailored Courses: Courses tailored to the national needs would become more relevant and applicable to local situations. Including the possibility of a cost-sharing strategy with national bodies, (for example, some participants could attend courses on a daily basis etc).Increasing Course Costs: Over the past four years a trend has emerged showing that a number of RATN courses have been attracting a majority of national participants unlike when the courses were initially developed (as residential regional costs). There is need to adjust courses delivery-costs in line with the new approaches.

Keeping all Member Institutions committed to the Network: Given that the MIs are independent organizations with their own work to implement, there is a potential danger that some MIs could find themselves focusing more on their work than the Network. For instance the evaluation the last strategic plan found showed that on average 80 percent of the RATN courses were delivered by 20 percent of the MIs.

Ensuring the continued relevance of RATN training programmes: This requires the establishment of frequent and effective assessment methods to ensure that the training programmes meet the needs of the region

Inadequate information infrastructure: Some of the major challenges facing Networks in general include poor information infrastructure in most countries of the region, high cost of holding meetings and exchange fora and the difficulty in raising funds for the core activities of a Network.

Mobilizing adequate financial resources for the Strategic Plan activities can be difficult especially if an organization has no clear strategy and prioritization. Thus, the past years recorded a limited diversification of RATN income sources.

Lessons Learned to inform the implementation of New RATN SP

Considering this Annual Report is the last one based on the outgoing Strategic plan (2004-2008), it is important to draw key lessons learnt from not only implementing the RATN programmes in the year under review but also draw lessons from the cumulative experience of implementing the exiting Strategic plan in order to adequately inform the new Strategic plan (2009-2014). The following are the key lessons learnt:

Effective Participation of MIs Adds Value to the Network: Institutions are more likely to contribute to developing a Network if the “value added” of their participation is clear. It is essential to create frequent opportunities for MIs to reflect on how their organizations are benefiting from their participation to keep them motivated and to involve them in the governance of the Network.

Building an Effective Network requires Resources and a Plan: Building a formal Network will not be achieved simply by engaging in networking activities like information sharing and promoting collaboration. Such activities are vital in creating a sense of working for a common goal but they will not in themselves give Members a sense that the Network belongs to them. Building a formal Network requires a concrete strategy and resources as to how to establish and sustain it.

Functional Communication Channels are Vital within RATN: Investing in communication channels such as the RATN member newsletter and the RATN website has been an effective way to keep

MIs informed of vital information and resources. The newsletter and the website have also helped to improve the public profile of RATN and MI projects along with that of their courses throughout the ESA region.

TNA is Crucial in the Development of Appropriate Training: Conducting Training Needs Assessment studies is a crucial first step in developing training programmes. using needs assessment data in programme planning helps to ensure that training courses continue being relevant to the needs of the region.

Culture of Excellence in Training creates Significant Impact: Creating and encouraging a culture of excellence in course content and delivery among MIs has made a significant impact in several areas. However this needs to be strengthened to ensure that RATN courses withstand emerging market competition while utilizing emerging technology advancements.

M&E Function is Vital for ensuring Quality Training: The practice of feeding back the results of monitoring and evaluation into training programmes ensures continuous quality control and improvement of courses and training. long-term follow up studies are very important in ensuring that the skills attained during training have an impact in the field.

The lessons and experiences outlined above have been used as cornerstone for defining the new strategic focus and direction for RATN work in the next five years (2009-2014) to ensure increased relevance and impact of RATN programmes.


Planned activities for Fy2009/20109The following Table 2 presents a summary of the main activities planned in the next Fy2008/2009 against the key programme areas). A detailed activity schedule and targets are contained in the Annual work-plan and Budget (April 2009 – March 20010) which is a separate document.

Result Statement Indicators Baseline April 2009 Target 2009-2010 SP target (as at 31.03. 2014)

Outcomes

1. HIV and AIDS programs staff with improved skills and competencies to effectively manage HIV interventions at community and workplace levels.

1.1. Target groups reached through new courses and innovative methods for training and capacity building

26 courses run in Fy2008/9. Overall total=318 courses by 24th Feb 2009

30 training courses (2 new courses)

600 courses delivered by March 31, 2014.

2,073 (1178F, 895M ) students trained 2004-2008 (191 received funding from RATN). 57% trained were female but less in male-dominated fields

25% increase over Fy2008/9

75% over baseline.

Tools being piloted for capturing data on marginalized groups trained.

To review progress and have MIs adopt tools

To reach marginalized populations with training.

No clear structured mobile teams for specific HIV areas of expertise

Resource persons Support programs and Mobile training teams structured & expanded

75% 0f MIs actively involved in facilitators exchange and mobile teams

1.2. RATN MIs delivering high quality training and capacity building programmes (based on minimum quality standards) that respond to the STI/HIV/AIDS training needs of the region

10% of RATN courses accredited Develop plan of action for accreditation based on RATN MIs experiences

50% of RATN courses accredited

No data on quality minimum standards and compliance for HIV courses by RATN and partners in ESA

Set minimum standards for RATN training and develop linkages with key partners in ESA to advocate for quality assurance for HIV training at all levels.

75% of HIV training and capacity building programmes in MIs and ESA region meet quality standards

1.3. RATN Member institutions (MIs) with adequate capacity to develop and deliver training and/or manage quality gender sensitive HIV/ and AIDS prevention, care, support, and mitigation programs.

Total of 110 (47M//64F) MI trainers trained between 2006 and 2008

10% increase in number of MI trainers.

100% increase (over baseline) by March 31, 2014.

No data on capacity for RATN MIs to effectively deliver HIV training programmes

MI capacity needs assessment

90% of MIs report having adequate capacity to deliver quality training,

Curricula of 25% of RATN courses reviewed.

Curricula of 50% of RATN courses reviewed and repackaged to ensure relevance

100% of all RATN courses reviewed and repackaged based on best practices and changing evidence

1.4. Alumni incorporate new skills into their programmes and work plans

2nd Alumni study (2005) indicated that 90% reported that the courses were relevant and applicable; 52% of alumni reported changes in ways of programming

Consolidate the RTMES to capture impact of RATN training on Alumni (for new and old courses)

100% of Alumni report using skills and knowledge from RATN training.


Outcomes

2. RATN is fully functional and sustainable regional membership-based network organization

2.1. Number of MIs effectively participating in network activities (e.g. meetings, information exchange, planning etc)

5 MIs have MOus All (25) MIs sign Mous All MIs fulfilling terms of Mous with RATN

95% MIs participate at GC and other Network meetings

100% participation at GC meeting

100% participation at GC meeting

100% participation at Board Meetings

100% participation at Board meetings


2.2. Number of MIs in number of countries contributing own resources towards growth and strengthening of the network

25 Member Institutions (MIs) 2 new MIs 50 MIs

10 participating countries 2 new countries All Countries of ESA

75% of MIs paid membership fees in 2004

80% of MIs to pay membership fees

100% payment of membership fees

50% of MIs actively providing Technical expertise of MIs used course development areas

To increase utilization of technical expertise of MIs

100% of MIs providing technical expertise to RATN

2.3. Adequate financial and human resources mobilized and efficiently managed to support RATN programmes

RATN Annual Budget uSD 2.982.317 Annual deficit of uSD530.000

Fundraise uSD530.000 To raise uSD uSD3.5m over the years of the Sp

Audit report notes weakness in complying with internal control policies and structures

100% compliance with internal control policies and structures

To conduct timely annual audits by an external firm.

13 staff employed at Secretariat. To recruit vacant positions in line with new Sp.

RATN with adequate skills and expertise to meet regional mandate

RATN mainstreaming gender in management and programme structure

To maintain gender balances through affirmative action.

To achieve acceptable gender equality and equity in programming and structure.



Outcomes

3. Strengthened exchange of knowledge and information on HIV and AIDS (and therefore RATN is recognized as an authority source for high quality HIV/AIDS information

3.1. RATN responds to increased demand for quality information and capacity building resources

Average of 67 users per month for resource centre.TRIC being finalized as e-information hub

Convert RC to e-library under TRIC and finalize TRIC to be a quality e-info hub

RATN recognized as reliable source of HIV training and CB information

Hard copy Newsletters mailed out to 2500 individuals every quarter.

Revised circulation list to ensure efficiency and effectiveness and hard copies constitute only 50%

100% increase circulation and hard copies constitute only 10%

No baseline data on contribution feedback from users on RATN information and materials.

To develop a system for tracking user contributions and feedback.

To develop a functional and effective monitoring system for ICT.

No data on ICT capacity needs of MIs and clear strategies to address needs

Identify ICT capacity needs of MIs and develop clear actions to address needs/gaps

100% of MIs report ICT capacity supporting RATN work

3.2. Increased utilization and dissemination of RATN training and capacity building information by MIs.

80% of MIs receiving bulk copies of the RATN Newsletter for further distribution to their networks; RATN website linked to MIs websites

Streamline quality and distribution of RATN newsletter to achieve more impact and influence

100% of MIs to receive copies of RATN publications for wider dissemination.

66% of MIs attended the third ICT workshop. 76 % of the MIs attended the 5h ICT annual workshop.

100% MIs to participate at second ICT workshop

To improve data management and web-based communication.

82% of MIs participating in information networks

Revitalize the RATN website and use it as a tool for info sharing & marketing for RATN and MIs

Increase information networks between and among MIs.

poor electronic use of the HIV training and capacity building information by MIs.

Increase in electronic dissemination of information through TRIC.

75% of MIs and stakeholders access RATN training information electronically.

poor monitoring of ICT activities. To develop M&E instruments for more effective monitoring of ICT activities

Added value of ICT effectively monitored and evaluated regularly.

6 MIs do not have websites. Only 8 of the 19 with websites have established links with RATN

20% increase the number of MIs with links to RATN website

RATN utilize all MI websites as a information and marketing tool for RATN programmes.


Outcomes

4. Strengthened advocacy and capacity of MIs, civil society, and other partners to influence policies towards HIV capacity building

4.1. RATN, MIs and partners making major contributions to the formulation of policies by participating in key HIV/AIDS coordinating forums.

No clear structures and protocols for RATN and MIs to influence national HIV/AIDS authorities and RECs

Develop clear structures/ for a for RATN and MIs to influence relevant policies

RATN and MIs involved in formulation & implementation of HIV CB policies at national/ regional levels

4.2. RATN entering new collaborations with other regional bodies and networks

Ad-hoc linkages exist with SADC, uNAIDS, SAFAIDS, SAT, EANNASO, SANASO, NAp+; No structured linkages between RATN and MIs and national HIV/AIDS authorities/RECs

To establish formal and clear linkages of partnerships with regional bodies.

RATN and partners Influence policies of regional bodies on capacity development and training.

5. HIV training and capacity building programmes are evidence based and reflective of emerging trends and lessons learnt

5.1 A robust and functioning monitoring and evaluation system in place.

pMF and RTMES exist; No structured tools for collecting and analyzing M&E data to inform pMF progress

Develop an M&E strategy for integrated M&E system for regular monitoring of RATN project activities & action learning.

RATN activities based on evidence from monitoring and evaluation results

Quarterly and annual programmatic reviews undertaken and progress reported to the Board.

update the pMF on a quarterly and annual basis and report progress to the Board.

Establish quality M&E support to programme thematic areas.

Carry out Alumni follows based on RTMES tools and feedback lessons learnt into programs.

undertake effective monitoring of impact of RATN training on Alumni

undertake a annual Joint Board and donors evaluation of RATN programmes

undertake effective monitoring and evaluation of RATN programmes

5.2. New research results and reviews of existing research inform training and capacity building programmes

TNA done in 2005 informed RATN training coursesNo clear systematic database of research linked to training and capacity building activities

undertake TNA with partners in ESA region; and develop systematic database to link research and training

75% of HIV training in ESA and RATN MIs based on research evidence and priorities

No structured data of evidence-based capacity building activities in ESA region

Develop protocol for utilization of research results to inform training and capacity building.

Effectively utilize evidence to inform training and capacity building activities


REGIONAl AIDS TRAINING NETwORk CONTENTS ORGANISATION'S INFORMATION 27 REpORT OF THE BOARD MEMBERS 28 STATEMENT OF BOARD MEMBERS' RESpONSIBIlITIES 29 REpORT OF THE INDEpENDENT AuDITOR 30 FINANCIAl STATEMENTS: INCOME STATEMENT 31 BAlANCE SHEET 32 STATEMENT OF CHANGES IN CApITAl FuND 33 CASHFlOw STATEMENT 34 NOTES TO THE FINANCIAl STATEMENTS 35 - 41 ANAlySIS OF INCOME AND EXpENDITuRE By FuNDING SOuRCESAppENDIX 1 42

annual report and Financial Statements for the year ending 31st March, 2009

10

1

REGIONAL AIDS TRAINING NETWORK

ORGANISATION'S INFORMATION

FOR THE YEAR ENDED 31ST MARCH, 2009

Board Members: Dr. Ranga Taruvinga - Chair - Mananga Centre for Regional Intergration & Management Dev.Dr. Njabuliso Dlamini - Vice Chair - Institute of Development ManagementDr. Hizaamu Ramadhan - Treasurer -Traditional and Modern Health Practitioners Together Against AIDSMr.Kelvin Storey - Secretary - Excecutive Director RATNMr. George Kahuthia - Centre for African Family StudiesMs. Judith Kumwenda - Kara CounsellingMr. Dennis Mudede - CONNECT Institute of Systemic TherapyDr. James Dean - Representative, University of ManitobaDr. Walter Jaoko - Representative, University of Nairobi

Management: Mr. Kelvin Storey - Excecutive DirectorMr. Sam Mwangangi - Financial AccountantMr. Daniel Mwisunji - Network Development ManagerMs. Anastasia Ndiritu - Training Programmes ManagerMs. Consolata Mocha - Information and Communication Officer

Registered Office: Nairobi Business ParkUnit C, 1st FloorOff Ngong RoadP.O. Box 16035-00100 GPONairobi, KenyaE-mail: [email protected]

Auditors: Wachira Irungu & Associates(Certified Public Accountants)Dominion House, Muthithi RoadP.O Box 46671-00100 GPONairobi, Kenya

Bankers: NIC Bank LimitedJunction BranchP.O. Box 44599-00100 GPONairobi, Kenya


1


REPORT OF THE BOARD MEMBERS


Activities

Operating Results

Members of the Board

Auditors

By Order of the Board

Secretary………………………………………………

DATE ……………………………………………………

The present Members of the Board are set out on page 1 and were appointed on 26th June, 2008. The Board memberswho have served two year terms will offer themselves for re-election as provided for in the Constitution of RATN. Wethank them all for their exemplary service and dedication to RATN during the year under review.

Our auditors, M/S Wachira Irungu & Associates being eligible have expressed their willingness to continue in office.

The Board Members present their report together with the audited financial statements for the year ended 31st March,2009.

Regional AIDS Training Network (RATN) is an International Regional NGO working in ten countries in Eastern andSouthern Africa (ESA) region. These are Kenya, Uganda, Tanzania, Zambia, Rwanda, Malawi, Zimbabwe, Swaziland,Botswana, and South Africa. It is a network of twenty five Member Institutions (MIs) that was established in 1997 tocollaborate in building capacity to combat STIs/HIV/AIDS in the region.RATN is now in its sixth year of operation since registration as an international NGO in April 2003. At the initial stages, itwas found necessary to plan the future in order to achieve the mission. This was done through the five year strategic plan(2004-2008) which its final day of implementation was 31st March 2009.

RATN management continues to approach new funding partners and work with the current partners in order to achievesmooth implementation of the new strategic plan (2009-2014) by ensuring a continous and reliable funding flow. TheBoard and Management of RATN will continue to regularly share new developments that affect the strategic plan withdonors and accelerate fundraising activities.

In order to conform to International Financial Reporting and Accounting Standards and also to comply with donorrequirements, the management has in past years embarked in revising and enhancing financial management systemswith the aim of reducing duplication. So far, the Board can report that our major donors, namely CIDA, SIDA, and IrishAid have collaborated well in implementing the Joint Financing Arrangement (JFA) with RATN.

A review of the operating results for the year indicate that the main funding partners CIDA, SIDA and Irish Aid (IA)provided 87% of RATN's annual budget (82% in 2007/08). Program costs were 75% of the total expenditures while theadministation costs were 25%. The RATN Board, through its finance committee, continue to ensure strict budgetarycontrols through continuous review of financial performance.

1


STATEMENT OF BOARD MEMBERS' RESPONSIBILITIES


………………………………. ……………………………….

CHAIRMAN BOARD MEMBER

………………………………. ……………………………….

DATE DATE

The board acknowledges the satisfactory evaluation and development of a new strategic plan (2009-2014).The board members are of the opinion that the evaluation report ,the new strategic plan,and thesefinancial statements provides an important framework for successful partnership with RATN key fundingpartners namely CIDA, SIDA and Irish Aid.There is nothing to indicate that the organisation will notremain a going concern for at least the next twelve months from the date of this statement.

The Board Members are responsible for preparing financial statements for each financial year which givea true and fair view of the state of affairs of the organisation as at the end of the financial year and of itsoperating results for that year. The Board Members are also required to ensure the organisation keepsproper accounting records which disclose with reasonable accuracy at any time the financial position ofthe organisation. They are also responsible for safeguarding the assets of the organisation.

The Board Members accept responsibility for the annual financial statements, which have been preparedusing appropriate accounting policies supported by reasonable and prudent judgements and estimates,in conformity with International Financial Reporting Standards and the policies stated under note 1. TheBoard Members are of the opinion that the financial statements give a true and fair view of the state ofthe financial affairs of the organisation and of its operating results. The Board Members further acceptresponsibility for the maintenance of accounting records which may be relied upon in the preparation offinancial statements, as well as adequate systems of internal financial control.


1

REPORT OF THE INDEPENDENT AUDITOR

TO THE MEMBERS OF REGIONAL AIDS TRAINING NETWORK


BOARD MEMBERS' RESPONSIBILITY FOR THE FINANCIAL STATEMENTS

AUDITOR'S RESPONSIBILITY

OPINION

Certified Public AccountantsDominion House, Muthithi RoadP.O. Box 46671 - 00100NAIROBI

DATE:……………………………………………

In our opinion the accompanying financial statements give a true and fair view of the state of financial affairs of theorganisation as at 31st March, 2009 and of its income statement and cash flows for the year then ended in accordance withInternational Financial Reporting Standards and the Non-Governmental Organisations Cordination Act.

We have audited the financial statements of the Regional AIDS Training Network set out on pages 6 to 16 which comprise thebalance sheet as at 31st March 2009, the income statement, the statement of changes in capital funds, the cashflowstatement for the year then ended, and a summary of significant accounting policies and other explanatory notes.

The Board Members are responsible for the preparation and fair presentation of these financial statements in accordance withInternational Financial Reporting Standards. This responsibility includes designing, implementing and maintaining internalcontrol relevant to the preparation and fair presentation of financial statements that are free from material misstatement,whether due to fraud or error, selecting and applying appropriate accounting policies and making accounting estimates thatare reasonable in the circumstances. They are also required to ensure that the organisation maintains proper books ofaccount which are in agreement with the balance sheet and income statement.

Our responsibility is to express an independent opinion on these financial statements based on our audit. We conducted ouraudit in accordance with International Standards on Auditing. Those standards require that we comply with ethicalrequirements and plan and perform the audit to obtain reasonable assurance whether the financial statements are free frommaterial misstatement.

An audit involves performing procedures to obtain audit evidence about the amounts and disclosures in the financialstatements. The procedures selected depended on our professional judgment, including the assessment of the risks ofmaterial mis-statement of the financial statements, whether due to fraud or error. In making those risk assessments, weconsidered the internal control relevant to the organisation's preparation and fair presentation of the financial statements inorder to design audit procedures that were appropriate in the circumstances, but not for the purpose of expressing an opinionon the organisation's internal control. An audit also includes evaluating the appropriateness of accounting policies used andthe reasonableness of accounting estimates made by the Board Members, as well as evaluating the overall presentation of thefinancial statements. We believe that the audit evidence we have obtained is sufficient and appropriate to provide a basis forour audit opinion.

Wachira Irungu & Associates

1


INCOME STATEMENT


Note 2009 2008US$ US$

Income

Grants received during the year 2 2,222,043 1,893,392

Other income 3 316,154 181,720

Total income 2,538,197 2,075,112

Operating expenditure

Network development 4 306,118 334,550

Training 5 914,587 811,678

Information and capacity development 6 306,125 310,967

Monitoring and evaluation 7 229,361 92,770

Secretariat and administration costs 8 579,932 511,120

Total operating expenditure 2,336,123 2,061,085

Operating surplus 202,074 14,027

Other expenses 9 44,995 45,935

Net Surplus/( deficit )for the year 157,079 (31,908)

The notes on pages 10 to 16 form an integral part of these financial statements.



BALANCE SHEET


ASSETS 2009 2008Note US$ US$

NON-CURRENT ASSETS

Property and equipment 1(b)& 10 86,841 89,507Intangible assets 11 9,995 886

96,836 90,393CURRENT ASSETS

Receivables from donors 12 76,457 34,841Trade and other receivables 13 140,458 62,054Cash and cash equivalents 14 476,596 371,999

693,511 468,894

TOTAL ASSETS 790,347 559,287

FUNDS AND LIABILITIES

CAPITAL FUNDS

Capital fund 15 96,837 90,394Operating fund 16 378,600 268,192

475,437 358,586

CURRENT LIABILITIES

Unspent donor funds 17 212,982 155,995Trade and other payables 18 101,928 44,706

314,910 200,701

TOTAL FUNDS AND LIABILITIES 790,347 559,287

The financial statements on pages 6 to 16 were approved by the Board of Directorson …………………………………and signed on its behalf by:

………………………………… …………………………………CHAIRMAN BOARD MEMBER

1


STATEMENT OF CHANGES IN CAPITAL FUNDS


Capital Operatingfund fund Totals

Note US$ US$ US$

Balance at 1st April, 2007 104,014 390,594 494,608

Additions during the year 8,850 (8,850) -

Depreciation/ armotisation (22,470) 22,470 -

Deficit for the year - (31,908) (31,908)

Transfer to donor funds - (104,114) (104,114)Balance at 31st March, 2008 90,394 268,192 358,586

Balance at 1st April, 2008 90,394 268,192 358,586

Prior year adjustments 20 11,307 11,307

Additions during the year 37,806 (37,806) -

Depreciation/ armotisation (23,227) 23,227 -

Surplus for the year - 157,079 157,079

Transfer to donor funds - (51,535) (51,535)Balance at 31st March, 2009 104,973 370,464 475,437


1


CASHFLOW STATEMENT


2009 2008Note US$ US$

Net cash generated from program activities 19 114,343 219,824

Investing activities

Purchase of property and equipment (37,806) (8,850)Interest income 18,313Sale of property and equipment 9,747 -

Net cash generated from investing activities (9,746) (8,850)

Increase in cash and cash equivalents 104,597 210,974

Cash and cash equivalents

At the beginning of the year 371,999 161,025

At the end of the year 14 476,596 371,999

1


NOTES TO THE FINANCIAL STATEMENTS


1 SIGNIFICANT ACCOUNTING POLICIES

The principal accounting policies adopted in the preparation of these financial statements are set out below.

a) Basis of preparation

b) Property and equipment

All property and equipment are stated at historial cost less accumulated depreciation.

Motor vehicles 25.0%Computer equipment 30.0%Office equipment 12.5%Office furniture 12.5%Fixtures and fittings 12.5%

c) Income recognition

d) Donations in kind

e) Income from consultancy services

f) Financial instruments

g) Trade and other receivables

h) Trade and other payables

Trade and other payables are stated at their nominal value.

i) Provision For Staff Leave and GratuityA provision is made to recognise staff entitlements in respect of annual leave not taken and gratuity as at the end of the financial year.

Trade and other receivables are carried at anticipated realisable value. An estimate is made for doubtful receivables based on the review of alloutstanding amounts at the year end. Bad debts are written off when all reasonable steps to recover them have failed.

Income from consultancy services is accrued when invoiced, and after the work has been undertaken and related expenditure incurred during theconsultancy work is also accrued accordingly.

Financial assets and liabilities are recognised in the company's balance sheet when the orgnisation has become a party to the contractualprovisions of the instrument.

The financial statements are prepared in accordance with International Financial Reporting Standards(IFRS). The financial statements arepresented in United States Dollars (US$) and are prepared under the historical cost basis of accounting.

The preparation of financial statements in conformity with IFRS requires the use of assumptions that affect the reported amounts of assets andliabilities at the date of the financial statements and the reported amounts of revenue and expenses during the reported period. It also requires theBoard Members to exercise judgement in the process of applying the organisation's accounting policies. These policies have been consistentlyapplied during the year unless otherwise stated.

Depreciation is calculated on the reducing balance basis to write off the carrying values of the assets to their residual values over their expecteduseful lives, using the following rates per annum.

Non-monetary donations are brought into the accounting records at the cost to the financial partner (donor) or fair open market value, whichever islower.

Income from financial partners and donations is recognised only when received except where there is a commitment by the financial partner torelease the funds after RATN has provided proof of authorised expenditure, in which case the income receivable relating to that expenditure (whichhas been incurred) is accrued for. The income and expenditure are reflected in the income and expenditure account net of balances broughtforward.




FOR THE YEAR ENDED 31ST MARCH, 2009 (CONTINUED)

j) Impairment

k) Expenditure

Expenditure represents cash expended by RATN in program implementation and operations. Other expenditure incurreddirectly by RATN are accounted for on accrual basis.

l) Intangible assets

m) Foreign currency translation

n) Cash & cash equivalents

o) Comparatives

2009 2008US$ US$

2 GRANTS RECEIVED DURING THE YEAR

CIDA 934,571 633,114SIDA 531,496 515,310IRISH AID 755,976 708,968UNAIDS - 36,000

2,222,043 1,893,3923 OTHER INCOME

Consultancy fees 253,313 157,298Exchange gain /(Loss) 12,958 (2,053)Interest from bank 6,863 3,428Membership fees 12,730 12,600Gain on assets disposal 1,611 -Interest on fixed deposits 11,450 2,691UNIFEM (recovery of debt written off previously) 11,535 -Other income 5,694 7,756

316,154 181,720

At each balance sheet date, the company reviews the carrying amounts of its financial assets, tangible and intagible assets to determinewhether there is any indication that those assets have suffered an impairement loss.If any such indications exists, the recoverableamounts of the assets are estimated and an impairment loss is recognised in the income statement whenever the carrying amount of theasset exceeds its recoverable amount.

Where necessarry, comparative figures have been adjusted to conform with changes in presentation in the current year. In particular, thecomparatives have been adjusted or extended to take into account the requirements of the International Financial Reporting Standards.

For the purpose of the cashflow statement, cash and cash equivalents comprise of bank balances at the end of the year.

Generally, cost associated with developing computer software programs are recognized as expenses when incurred. However costs thatare clearly asociated with an identifiable and unique product which will be controlled by the organisation and has a probable benefitexceeding the cost beyond one year are recognized as intangible assets.Expenditure which enhances and extends computer software programmes beyond the original specifications and lives is recognized ascapital improvement and added to the original cost of the software.

Computer software development costs recgnized as assets are stated at cost less armotization. Armotization is calculated on a straightline basis over the estimated useful life not exceeding a period of 3 years.

Transactions in other currencies are translated into United States Dollars at an average exchange rate as determined by the managementat the commencement of every month. Assets and liabilities are translated into United States Dollars at the exchange rate ruling at thebalance sheet date. The resultant exchange variance is charged to the income and expenditure account.

1




2009 20084 NETWORK DEVELOPMENT US$ US$

Salaries and benefits 36,490 37,129Board meetings 84,227 68,666Governance meetings and Directors forum 107,575 147,988Staff travel and per diems 21,350 10,605Quality management 29,164 16,093Government taxes/legal fees 4,406 585Consultancy 14,754 17,822Capacity development 8,152 35,662

306,118 334,5505 TRAINING

Salaries and benefits 77,713 72,490CD & TC development (course) 57,779 84,477CD & TC materials development 81,463 27,594CD & TC course expenses 12,024 17,561CD & TC scholarships 345,686 340,637CD & TC M & E costs 53,021 43,895CD & TC innovations & research 48,927 50,246Consultancy 231,855 172,949Staff travel and per diems 6,119 1,829

914,587 811,6786 INFORMATION AND CAPACITY DEVELOPMENT

Salaries and benefits 84,421 83,982Resource centre publications 25,793 26,703Capacity development 81,900 66,449Communication and postage 56,254 67,669Web / LAN hosting 38,847 33,449Consultancy fees 7,040 2,199Travel per diem and accomodation 11,870 4,956TRIC - 25,560

306,125 310,9677 MONITORING AND EVALUATION

Programme reviews 105,389 70,119Capacity buiding of Mls - 6,441RATN Evaluation 123,972 -Consultancy - 15,282Travel per diem and accomodation - 928

229,361 92,7708 SECRETARIAT AND ADMINISTRATION

Salaries and wages 181,139 164,486Medical and other benefits 147,703 96,613Office expenses 14,660 -Software development 1,939 -Materials 91 -ED travel and perdiem 20,074 -Staff development - 25,432Staff parttime - 12,406Audit and accountancy fees 22,307 22,300Local consultancy 30,533 27,342Office rent and utilities 100,076 92,787Staff travel and per diem 6,098 17,565Vehicle running expenses 19,049 23,535Equipment /maintenance 1,182 14,003Government taxes & legal fees 5,298 5,735Recruitment costs 25,059 3,732Bank charges 4,724 5,184

579,932 511,120


1




2009 2008US$ US$

9 OTHER EXPENSES

Receivable from UNIFEM 50% w/off - 23,465Depreciation 18,230 19,758Provision for accrued leave days and gratuity 21,768 -Armotisation 4,997 2,712

44,995 45,935

10 PROPERTY AND EQUIPMENT

Motor Computer Office Office Fixtures &Vehicles Equipment Equipment Furniture Fittings Totals

US$ US$ US$ US$ US$ US$COST

At 1 April, 2007 59,703 72,923 36,747 16,006 48,999 234,378Additions - 5,957 - 2,893 - 8,850At 31 March, 2008 59,703 78,880 36,747 18,899 48,999 243,228

At 1 April, 2008 59,703 78,880 36,747 18,899 48,999 243,228Additions - 11,774 11,926 - - 23,700Disposals (16,600) (16,113) (779) - - (33,492)At 31 March, 2009 43,103 74,541 47,894 18,899 48,999 233,436

DEPRECIATION

At 1 April, 2007 48,905 51,738 10,899 6,629 15,791 133,962Charge for the year 2,700 8,143 3,231 1,534 4,151 19,758At 31 March, 2008 51,605 59,881 14,130 8,163 19,942 153,720

At 1 April, 2008 51,605 59,881 14,130 8,163 19,942 153,721On disposal (15,556) (9,421) (379) - - (25,356)Charge for the year 1,764 7,224 4,268 1,342 3,632 18,230At 31 March, 2009 37,813 57,684 18,019 9,505 23,574 146,595

NET BOOK VALUE

At 31 March, 2009 5,291 16,857 29,875 9,394 25,425 86,841

At 31 March, 2008 8,098 18,999 22,617 10,736 29,057 89,507

1



FOR THE YEAR ENDED 31ST MARCH, 2009(CONTINUED)

2009 2008US$ US$

11 INTANGIBLE ASSETS

This represents computer software development costs which are stated at cost less armotisation.CostAt 1 April 2008 8,135 8,135Additions 14,106 -At 31 March 2009 22,241 8,135

AmortizationAt 1 April 7,249 4,537Charge for the year 4,997 2,712At 31 March 12,246 7,249

Net book valueAt 31 March 9,995 886

12 RECEIVABLES FROM DONORS

This represents the funds that were spent by the organisation based on the commitment for reimbursement from the respective donors. The balances comprise of:

Balance at Prior year Current year Grants Grants Balance at1/4/2008 Adjustments Adjustments Received Expenses 31/03/2009

US$ US$ US$ US$ US$ US$UNIFEM 23,465 - - (23,465) - -

ACTION AID 1,267 - - - 1,267

CIDA - (2,497) (50,730) (829,257) 957,674 75,190

SIDA 10,109 - (10,109) - - -34,841 (2,497) (60,839) (852,722) 957,674 76,457

13 TRADE AND OTHER RECEIVABLES 2009 2008US$ US$

Due from member institutions 8,677 8,748Deposits 13,783 13,783Prepayments(Medical Insurance) 12,684 14,680Receivable from CIDA 105,314 -ABBA project - 24,843

140,458 62,054





2009 2008US$ US$

14 CASH AND CASH EQUIVALENTSCash at bankUSD Account 432,702 343,300Kshs Account 43,894 28,699

476,596 371,999

15 CAPITAL FUNDNet book value of assets at 1st April 90,394 104,014Disposals during the year (net book value) (8,136) -Additions during the year 37,806 8,850

120,064 112,864

Depreciation/ Armotisation (23,227) (22,470)

Balance carried forward at 31st March 96,837 90,394

16 OPERATING FUND

Balance as stated at 1st April 268,192 390,594Prior year adjustments (note 20) 11,307 -Surplus/(Deficit) for the year 157,079 (31,908)Transfer to donor funds (51,535) (104,114)

385,043 254,572Transfer to capital fund (net) (6,443) 13,620

Balance carried forward, 31st March 378,600 268,192

17 UNSPENT DONOR FUNDS

Balance at Prior year Current year Grants Grants Balance at1/4/2008 Adjustments Adjustments Received Expenses 31/03/2009

US$ US$ US$ US$ US$ US$

SIDA - (2,125) (10,109) 543,730 (489,902) 41,594

IRISH AID 54,871 (8,456) - 755,976 (637,601) 164,790

UNAIDS 44,942 - - - (38,344) 6,598

CIDA 50,730 - (50,730) - - -

HRSA / ITECH 57 - - - (57) -

UNIFEM 4,407 - - - (4,407) -

IHA 988 - - - (988) -155,995 (10,581) (60,839) 1,299,706 (1,171,299) 212,982

1



FOR THE YEAR ENDED 31ST MARCH, 2009(CONTINUED)

2009 2008US$ US$

18 TRADE AND OTHER PAYABLESTrade payables 2,571 27,306Accrued audit fees 14,500 17,400Accrued Leave days and gratuity 21,768 -ABBA Project 63,089 -

101,928 44,706

19 NOTES TO THE CASH FLOW STATEMENTNet Surplus/( deficit) 157,079 (31,908)Prior year adjustments 11,307 -Interest income (18,313) -Transfers to operating fund 5,452 -Gain on assets disposal (1,611) -Depreciation 18,230 19,758Armotisation 4,997 2,712

177,141 (9,438)

Net grant transactions - 369,954Changes in trade and other receivables (120,020) (172,025)Changes in trade and other payables 57,222 31,333

Net cash generated from program activities 114,343 219,824

20 PRIOR YEAR ADJUSTMENTSThese amount relates to misstatements in the previous year's financial statements.Understatement on receivable from SIDA 2,125 -Overstatement on unspent fund-IA 8,456 -Understatement on unspent fund-CIDA (2,497) -Understated expenses 3,223 -

11,307 -21 RISK MANAGEMENT OBJECTIVES AND POLICIES

Foreign exchange risk

Credit risk

22 CONTINGENT LIABILITY

23 INCORPORATIONThe organisation is incorporated in Kenya under Section 10 of the Non-Governmental Organisation Co-ordination Act.

The organisation is currently involved in a court case with a former employee over unpaid benefits and the outcome of the case isunpredictable

Due to the nature of its activities RATN is exposed to a variety of fianacial risks. These include credit risks, the effects ofchanges in foreign currency exchange rates and interest rates. The organisation’s overall risk management programme focuseson the unpredictability of financial markets and seeks to minimise potential adverse effects on its financial performance, but theorganisation does not hedge any risks. Risk management is carried out by the management of an organisation in accordancewith policies approved by the Members of the Board.

The organisation's operations are predominantly in Kenya, and the currency used in reporting the financial statements is the USdollar. The currency has remained relatively stable against major convertible currencies. A significant portion of the organisationsborrowings and grants are denominated in foreign currencies, and is therefore dollar and Euro. Foreign exchange risk arisesfrom future commercial transactions, and recognised assets and liabilities.

The organisation takes on exposure to credit risk, which is the risk that a counter party will be unable to pay amounts in full,when due. The organisation structures the levels of credit risk it undertakes by placing limits on amounts of risk accepted inrelation to one borrower or group of borrowers. Such risks are monitored on a revolving basis and subject to annual or morefrequent review.


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Annex 1: courses delivered by ratN in Fy2008/9

TOPIC INSTITUTE/

RATN MI

SITE DATE M F TOTAL

COUNSELING & RELATED COURSES

Counselling kApC NAIROBI 7 April - 2 May, 2008 6 9 15

Counselling Support Supervision

1st Block + 2nd Block

kApC NAIROBI 24 March – 4 April, 2008

8 – 19 Sept, 2008

2 6 8

Accredited Counselling CONNECT HARARE 5 – 30 May, 2008 3 28 31

Counselling for the Visually

Impaired

kApC NAIROBI 12 May – 6 June, 2008 3 8 11

Counselling kARA luSAkA 23 June – 25 July, 2008 4 6 10

ARV for Counsellors MIlDMAy kAMpAlA 16 - 27 June, 2008 10 24 34

Counselling kApC NAIROBI 4 – 29 Aug , 2008 2 14 16

Child Counselling TASO kAMpAlA 4 – 22 Aug, 2008 4 18 22

Counselling kARA luSAkA 1 – 26 Sept, 2008 3 7 10

Counselling Marginalized Groups CONNECT HARARE 7 July – 1 Aug, 2008 3 27 30

Counselling CONNECT HARARE 8 Sept – 3 Oct, 2008 12 26 38

Counselling for the Hearing

Impaired

kApC NAIROBI 10 Nov – 5 Dec, 2008 11 3 14

Post Graduate Certificate in

Counselling

kHI kIGAlI 2 – 27 Feb, 2009 6 6 12

Counselling kARA luSAkA 16 March – 10 April, 2009 7 8 12

SUB TOTAL 76 190 266

CARE & SUPPORT

Community Care of HIV TASO kAMpAlA 5 – 23 May, 2008 9 6 15

Community Care of HIV

FACT MuTARE 22 Sept – 10 Oct, 2008 5 4 9

Rehabilitation & palliative Care MIlDMAy kAMpAlA 13 – 31 Oct, 2008 9 21 30

Community Care of HIV TASO kAMpAlA 6 – 24 Oct, 2008 6 13 19

Community Care of HIVs CHIkANkATA SAl. ARMy 22 March – 11 April, 2009 5 8 13

SUB TOTAL 34 52 86

TOPIC INSTITUTE/

RATN MI

SITE DATE M F TOTAL

PROG MANAGEMENT & RESEARCH METHODS

program Management and

Administration

ESAMI ARuSHA 2 – 27 June, 2008 2 6 8

Advanced Research Methods CEu - uoN NAIROBI 3 – 21 Nov, 2008 6 2 8

programme Management and

Administration

MANANGA MBABANE 9 Feb – 6 March, 2009 5 5 10

SUB TOTAL 13 13 26

ADVOCACY, GENDER , POLICY PLANNING & BCC

Gender TGNp DAR ES

SAlAAM

9 – 20 June, 2008 13 15 28

Advocacy Skills CAF NAIROBI 2 – 13 June, 2008 6 5 11

Gender and HIV/AIDS IDM GABORONE 16 – 27 March, 2009 7 6 13

SUB TOTAL 26 26 52

ADULT EDUCATION

Adult Education/TOT ESAMI ARuSHA 1 – 12 Sept, 2008 3 6 9

SUB TOTAL 3 6 9

CLINICAL MANAGEMENT

ART Clinical programme

Management

TASO/MIlDMAy kAMpAlA 15 June – 4 July, 2008 17 8 25

ART Clinical programme

Management

MIlDMAy/TASO kAMpAlA 3 – 21 Nov, 2008 10 5 15

lab Management MIlDMAy kAMpAlA 24 Nov – 6 Dec, 2008 8 4 12

lab Management ph 1, 2 & 2 AMREF NAIROBI 12 Feb – 18 April, 2008

12 – 23 May , 2008

June/August, 2008

11 1 12

SUB TOTAL 46 18 64

TOTAL COURSEs (30)

GRAND TOTAL 198 305 503


Annex 2: annex 2: ratN Performance Measurement Framework

Key Outcomes, Indicators, Targets and Percentage Completed as at 31st March 2009

Outcome Indicator Strategic Plan Target AchievedAt 31st March, 2009

% of SP Target

1. A sustainable and functioning network of training institutions in Eastern and Southern Africa

1.1. Number of MIs in number of countries contributing own resources towards growth and strengthening of the network

30 MIs, 8 new 25 MIs in the Network. 1 new 83%

13 Countries, 5 new 10 countries 69%

100% payment of membership fees

22/25 88%

100% participation at GC meeting 95% at June 2008 95%


100% participation at Board meetings. 100%

1.2. Adequate financial and human resources mobilized and efficiently managed to support RATN programmes

To raise uS$ 10,853,000 :Fy2004/05 $2,354,000Fy2005/06 $2,640,000Fy2006/07 $2,740,000Fy2007/08 $1,557,000Fy2008/09 $1,562,000

Total $9,904,965 (Def $948,035)Fy2004/05 $1,281,803Fy2005/06 $1,714,765Fy2006/07 $1,896,980Fy2007/08 $2,029,100Fy2008/09 $2,982,317

91%

16 members of staff 13, 1 vacant: M&E officer 81%

Administrative overhead drops to 18% of annual budget

29% of budget as at Feb 200630% of budget as at Jan 200726% of budget as at 29 Feb 200828% of budget as at 31 Mar 2009

45%

2. Quality training and capacity development programmes that respond to the STI/HIV/AIDS training needs of the region

2.1 New courses and methodologies implemented to respond to identified needs and gaps

20 new training courses developed in 5 areas for the period of the strategic plan.

2004/05: 7 new training courses, 5 areas2005/06: 5 news training courses delivered, 8 areas2006/07: 61 new training courses delivered, 32 areas2007/08: 33 new training courses developed, 3 areas2008/09, no new courseTotal 21 new courses

105%

At least 3 new methodologies to be implemented in training.

4 implemented 133%


% of SP Target

2. Quality training and capacity development programmes that respond to the STI/HIV/AIDS training needs of the region

2.2. MI courses improved as a result of RATN capacity development initiatives.

30% increase in MI Trainers trained by March 31, 2009 (baseline 54) 19M/35F in Fy03/04 cumulative 180, 74M/106F.

Fy 04/05: 20 (10M/10F)Fy 05/06: 26 (11M/17F)Fy 06/07: 94 (37M/57F)Fy 07/08: 83 (44M/39F)Fy 08/09: 19 (6M/13F)Total 244 (108M/136F)

16 representatives from MIs attended 3 days Gender Training in Feb 2008

RATN developed HR-GASD4 toolkit for MIs to mainstream human rights, gender, ART, stigma and discrimination into training programmes.

Counselling course curriculum review done in May 2008 (11 pieces) 17 participated

Curriculum review of Community Care (4 pieces) 10 participated

35%

2.3. Target groups reached through programme activities continuously expanding.

150 courses delivered by March 31, 2009.

Fy 04/05: 27, 4 newFy 05/06: 32, 5 newFy 06/07: 31, 6 newFy 07/08: 37, 2 newFy 08./09 30, 0 newTotal 157

105%

25% annual increase in trainees over baseline in Fy03/04 529(230M/299F) trainees, cumulative 2388 (1,046M/1,342F).

Fy 04/05: 465 (219M/246F)Fy 05/06: 516 (233M/283F)Fy 06/07: 508 (211M/297F)Fy 07/08: 480(192M/288F)Fy 08/09: 492 (193M/299F)Cum 2,461 (1,048M/,1,413F)

103%

2.4. Alumni incorporate new skills into their work plans

10% increase (from 25%) in Alumni reporting influencing their organisations

52%5 reported changes in programming and work as result of training

92%

3. RATN is recognized as an effective source of information on quality STD/HIV/AIDS training and capacity enhancement in ESA

3.1. RATN responds to increased demand for information and services.

30% increase in monthly requests for information processed by Resource Centre by March 31, 2009, over baseline average of 75/month.

Average 67 users per month. 11%decline due to relocation of RATN office. MIs 14% of users.2005/06: 10 MIs regularly requesting materials from RC 2006/07: 15 MIs6 regularly requesting materials from RC2007/08: 15 MIs7 regularly requesting materials from RC

2008/09 TRIC 70 hits

68%

3.2. Increased utilization and dissemination of RATN information by MIs.

90% of MIs collaborating with their national HIV and AIDS bodies

18 (72%) MIs report linkages with their National HIV and AIDS authorities

72%

RATN Establish formal and clear linkages with regional bodies like COMESA, GlIA, EAC, SADC, etc to influence policies in favour of capacity development and training.

RATN is participating in: Regional Advisory Group of Regional Programme IHA;RAANGO meetings (3times);SADC HIV forum (2 times);EAC (once)COMESA (1) Exhibition

N/A

5 Human Rights, Gender, ART, Stigma and Discrimination6 Based on RATN Alumni study (2006). Expect updated data from RTMES results rolled out in Jan 20087 kARA; CONNECT; TASO; FACT; Chikankata; kApC; AIC; Mildmay; Mananga; AMREF; NARESA; CAFS; THETA; IDM; MIM8 Same institutions that accessed RC frequently in 2006/7 have maintained the trend.

2 Clinical management of Anti Retroviral Therapy (Mildmay/TASO), lab Management (Mildmay), Counselling for Hearing Impaired (kApC), HIV Counselling and Testing (AIC), Counselling for marginalized groups (Connect) Accredited counselling (Connect)

3 ART, Counselling, and lad Management4 kHI counselling, AMREF lab Management (lM), and HIV and AIDS Management e-learning with university of Manitoba. lM has took about 2 years to develop

and pilot while E-learning development overran into Fy2008/9

48 RATN Annual Report, April 2008 - March 2009


% of SP Target

3. RATN responds to findings from monitoring, programme reviews and evaluations

4.1 A robust and functioning monitoring and evaluation system in place

To develop and operationlise and M&E strategy and

M&E strategy approved by the Board and being operationalised by Secretariat.

N/A

Establish quality M&E support to programme thematic areas.

Quarterly programmatic reviews carried out through the revised pMF and reports provided to the Board and ICps for discussion and approval in June 07; Oct 07; Mar 2008, Oct 08, Feb 09

N/A

Develop a comprehensive plan for monitoring of training courses.

Mid-Term Review of the Strategic Plan was conducted and final report submitted in April 2007. Implementation schedule for the MTR Recommendations presented to Board in October 2007 for discussion and approval. progress discussed at last BOD meeting in Feb 09, 92% of MTR recommendations addressed.

RATN Annual progress Report to be drafted by end May 2009

ICp joint monitoring missions annual pMF updates

Implementation of Reviews is on-going.

N/A

undertake effective monitoring of the strategic plan.

Alumni follow-up study completed and results informing programmes. Study disseminated on CD, MIs and other stakeholders.

N/A

Joint donor and board evaluation completed and disseminated to partners. Action plan developed. progress reports on action plan provided to Board.Joint RATN – ICp steering committee set.

N/A

4.2. Formulation and follow-up of action points by RATN to the findings of programme monitoring, reviews and evaluations

Effectively monitor the implementation of the strategic plan.

Do quarterly programmatic reviews and prepare presentations to the Board.

92% of recommendations from the joint donor and board evaluation have been implemented. MTR completed successfully in April 2007.

More than 95% of the aide memoir issues have been implemented

2004-2008 strategic plan evaluation completed

Quarterly programmatic reviews carried out and presented to the Board. Action points on Board resolutions and decisions followed up by Secretariat and progress last discussed at BOD meeting of 27th Feb 2009. Board minutes circulated to ICps.

4.3. All MIs effectively managing own monitoring systems.

Develop the capacity of MIs in M&E

RTMES capacity building training done in Nov 2008 for 18 Training Managers from MIs.Training for MI staff on M&E undertaken by HEARD in August 2007.

planned training in RBM in Aug 2009 will improve capacities for follow up

RATN SUPPORTERS

International Kenya

Published by:

Regional AIDS Training Network (RATN)Nairobi Business Park, Unit C, First Floor, off Ngong Road, Adjacent to the Ngong Racecourse.P. O. Box 16035-00100 GPO,Nairobi, Kenya. Tel: +254-20-3871016, 3872201, 3872235, 3872129Fax: +254-20-3872270 Email: [email protected]: http://www.ratn.org

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ratn annual report fy 2008/2009

Documents

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vratn annual report

quality training

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aids pandemicratn mission

stihivaids training

southern africaesami

hivaids tolerance