OMT TASKED BY THE UNCMT TO:
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OMT TASKED BY THE UNCMT TO:. o Define the specific timeframe for mapping and implementation of CS in country o Hold a OMT Retreat to decide on priority areas and agree on an annual work plan. KEY ISSUES AROSE DURING THE UNCMT RETREAT ON THE ISSUES OF JOINT PROGRAMMING.

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O define the specific timeframe for mapping and implementation of cs in country

OMT TASKED BY THE UNCMT TO:

o Define the specific timeframe for mapping and implementation of CS in country

o Hold a OMT Retreat to decide on priority areas and agree on an annual work plan


O define the specific timeframe for mapping and implementation of cs in country

KEY ISSUES AROSE DURING THE UNCMT RETREAT

ON THE ISSUES OF JOINT PROGRAMMING

Need to harmonize rules and regulations, Cost Recovery issues, Different execution modalities, Host Country Agreements

Brainstorms to get consensus on priority areas to be addressed in 2005

Sharing of best practices


O define the specific timeframe for mapping and implementation of cs in country

KISS


O define the specific timeframe for mapping and implementation of cs in country

Keep it Simple, Stupid!


O define the specific timeframe for mapping and implementation of cs in country

SEARCHING OUR MARKS AND DIRECTION

IN THE UN REFORM PROCESS


O define the specific timeframe for mapping and implementation of cs in country

UN

1

Mission

World


C e b members formerly acc

UNDP

UNFPA

UNICEF

WFP

ODCCP

UNHCR

IFAD

UNCTAD

UNEP

ILO

FAO

UNESCO

UNIDO

WHO

World Bank

IMF

Reform in the UN System

C.E.B Members (formerly ACC)

UNDG Members

  • UNESCO

  • UNOPS

  • UNAIDS

  • UNCTAD

  • UNCHS

  • FAO

  • UNIFEM

  • ODCCP

  • UNFIP (observer status)

  • OCHA (observer status)

  • OSG (observer status)

  • UNDP

  • UNFPA

  • UNICEF

  • WFP

  • WHO

  • UN

  • - DESA

  • - HCHR

  • - Regional

  • Commissions

  • UNRWA

  • ITU

  • ICAO

  • UPU

  • WMO

  • WIPO

  • IAEA

  • WTO

  • UN

    • DESA

    • OCHA

    • HCHR

    • Regional

      Commissions

    • UNU

    • UNITAR


O define the specific timeframe for mapping and implementation of cs in country

Breaking through the Land Lord

or Territorial Mentality


O define the specific timeframe for mapping and implementation of cs in country

RETREAT AGENDA

A) Working Together as One UN at Country Level: Our Challenges

1.Global Perspective & Implications for the UN

2.Outcome of UNCT 2005 Work Plan

3.Simplification and Harmonization

B) Joint Programming

(An Overview of current strategies)

C)Overview of Common Services Operational Guidelines

D)Outline of the Process Model Approach:

1.Governance Framework

2.Organizational structure

3.Role and functions of administrative and oversight bodies:

·UNCMT

·OMT

·Task Forces

E) Group Work (ICT, Travel Services, )


O define the specific timeframe for mapping and implementation of cs in country

A)Group Work (UN House, Dispensary, Execution Modality)

B)Group Work (Banking Services, VAT)

C)Presentation of Technical Working Group on HIV/Aids at the Work

Place Policy

D)Group Work for Development of an Action Plan to roll-out the

“We Care Initiative” Framework


O define the specific timeframe for mapping and implementation of cs in country

Working Together as the UN

Reduction of the transaction cost

1.UN Operations Management Team

2.Tasks Force in Various Areas

3.Annual DSA Survey

4.Remuneration Salary Scale of National Consultant & Facilitators

5.Common List and fees for Translators

6.Review of Pouch/Courier and Messenger services)

7.Classification of Duty Station

8.Joint Procurement (One Agencies sourcing and/or Procuring for others)

9. Tax Reform and Implications to the UN including VAT Issue


O define the specific timeframe for mapping and implementation of cs in country

Working Together as the UN

 B)Increase Bargaining Power through Common Services Initiatives

a)      UN Dispensary

b)     UN Security

c)      Joint Banking Services

d)     HIV-AIDS at the Work Place (We care Initiative)


O define the specific timeframe for mapping and implementation of cs in country

Working Together as the UN

A)    Achieving Economies of Scale with New /

or Improved On-Going Common Services

a)      ICT Infrastructure and Services

b)     Enhanced Common Procurement System

c)      RPF for New Banking Services

d)     Travel Services

e)      Fuel Supplies

f)       Medical Evacuations

g)      Dispensary Services Review

h)      Host Country Agreement (Privileges and Immunities)


Un reform millennium declaration and mdgs

UN Reform, Millennium Declaration and MDGs

An Agenda for Further Change


Why un reform

Why UN Reform?

  • To achieve better impact

    • Holistic vision

    • Country level MD, MDG’s as indicators

  • Why now?

    • Decreased funding for UN’s operational activities

    • 14th IDA – 40% grant; $3billion per annum

    • More organizations involved in development


O define the specific timeframe for mapping and implementation of cs in country

What?

  • Shared services

    • UN house – 58

    • Common services

    • Joint office – 2 pilots

    • “Hosting” arrangements

  • Quality assurance/oversight – “Regional Team”

    • Regional “virtual” teams for technical advice : all agencies (CCA peer review group)

    • Regional oversight/support – only ex-com Reg dir at present (already very difficult to manage)


Strategic linkages cca undaf mdgs parpa

Strategic Linkages – CCA, UNDAF, MDGs & PARPA

National Priorities & Plans/Budgets (nationalized MDGs/HR)/PRS

Advocacy with civil society etc

CCA – including MDGs

CCA – including MDGs

Provides input

for the periodic

review of progress

toward the

achievement

of Millennium Goals.

UNDAF – including MDG/HR-related outcomes

UN agency programmes – including contributions to MDG outcomes

MDG Reports/monitoring


O define the specific timeframe for mapping and implementation of cs in country

Advocacy with civil society etc

CCA – including MDGs

National Priorities (including PRSP) and Plans/Budgets

UNDAF

Individual agency programmes

MDG Reports/monitoring


O define the specific timeframe for mapping and implementation of cs in country

SIMPLIFICATION AND HARMONIZATION(JOINT PROGRAMMING)


O define the specific timeframe for mapping and implementation of cs in country

Objectives:

–Increase the efficiency and effectiveness of the operational activities of the UNS

–Reduce transactional costs


Parallel fund management

Parallel Fund Management


Pooled fund management

Pooled Fund Management


Pass through fund management

Pass-through Fund Management


O define the specific timeframe for mapping and implementation of cs in country

1.Emerging Challenges

•Guidance Note cannot address all cases or solve all issues.

•      Need to internalize guidelines.

•      Local level training and support.

•      Establish inter-agency support.

•      Raise Partners Capacities

•      Different Indirect costs or overheads.

•      Different reporting formats.


O define the specific timeframe for mapping and implementation of cs in country

1.Emerging Challenges

  • Common interface with government/SWAPs:

  • –Each agency manages its own disbursement

  • –One agency manages disbursement of more than one agency

  • Differing methodologies and procedures/Conflicting Situations

  • Agency capacities at country level

  • Visibility

  • Time for coordination efforts


O define the specific timeframe for mapping and implementation of cs in country

Operational Implications

Key operational challenges

Enabling Environment

Resource Flow and Management

Coordination mechanism

Implementation Arrangement

Financial Reporting

 Monitoring and Evaluation

Communication

Funding Arrangement


O define the specific timeframe for mapping and implementation of cs in country

Operational Implications

Determining Risk Through Capacity Assessments

a)Macro Assessment

b)Micro Assessment

c)Agree on benchmarks to determine risks related to cash transfers to Partners, NGO’s, communities

Conduct the review of existing assessments

e)Selection of Implementing Partners


Omt retreat work planning

OMT RETREAT(WORK PLANNING)


O define the specific timeframe for mapping and implementation of cs in country

The UNDG Operational Guidelines for the Implementation of Common Services offer practical suggestions and guiding principles on the governance and implementation of common services in Porgramme countries.


O define the specific timeframe for mapping and implementation of cs in country

Guidelines include:

  • ·Integrated process approach model

  • ·Guidance on governance and accountability, roles and responsibilities

  • ·Performance measurement indicators/results tracking system and Reporting

  • ·Suggestions for applicability to various country situations- it is not a 'one-size-fits-all'

  • ·Model documents, templates and country office examples


O define the specific timeframe for mapping and implementation of cs in country

ORGANIZATIONAL STRUCTURE OF THE

GOVERNANCE FRAMEWORK FOR COMMON SERVICES

Country Team

UN Resident Coordinator + UN Representatives + Chair Operations Management Team

Operations Management Team

Operations/Administrative Managers of participating UN Agencies

Task Force(s)

As formulated by OMT depending on the tasks at hand


Role of uncmt

ROLE OF UNCMT

  • SET POLICIES AND STRATEGIC DIRECTIONS

  • PROVIDE DIRECTIVES

  • MAKE DECISION

  • SIGN AGREEMENT

  • COMMIT FUNDS

  • OVERSEE AND GUIDE THE WORK OF OMT/TASK FORCES


Role of omt

ROLE OF OMT

  • I.                     PURPOSE OF THE OMT

  • Under the guidance of UN Country Team (UNCT), make assessments and recommendations to the UNCT on any activities requiring their approval for joint initiatives on the effectiveness of existing common services, identify new services/activities for efficient and effective implementation, plan and manage the services/activities as per the governance framework depicted above and this Terms of Reference.


Role of task forces

ROLE OF TASK FORCES

  • PURPOSE:

  • Task forces are created to assist the OMT review and evaluate specific projects and proposals for joint initiatives in common services, as well as areas of concern. These are chaired by different UN agencies based on expertise, interest and capacity.


Role of task forces1

ROLE OF TASK FORCES

  • COMPOSITION:

  • The task forces will be composed of at least three member agencies but not exceeding five. Since the task forces will require specific technical competencies that may be lacking internally or needs to be augmented, members need not be representatives from the agencies. These can be existing or potential suppliers and service providers, or technical experts in the industry.


O define the specific timeframe for mapping and implementation of cs in country

Roles

Authority/Delegation of Authority

Accountability

Reporting

UN Country Team (UNCT)

Approve OMT Action Plan

Endorse OMT recommendations on selected contracts, suppliers and providers of the various services

Review progress and evaluate impact and value of common arrangements based on info provided by OMT.

Endorse OMT recommendations for contractual/LTA issuance.

Each Head of Agency to sign the agreed contract/LTA or designates RC to sign on behalf of all participating agencies. (Some agencies may require pre-approval from their HQS. before such action is completed)

As Head of Agency, fully accountable to their respective organization with regards to contractual commitments on joint procurement arrangements and services.

Shared responsibility in terms of the decision-making process.

RC, on behalf of the UNCT members, to report to UNDG on common arrangements

Individual reporting to respective HQS on benefits, cost savings, efficiencies of common LTA’s /contracts.

Operations Management Team (OMT)

Develop Options Plans and Implements Action Plan

Establish and oversee Task Forces or Working Groups on specific CS development

Provide recommendations and any cost-sharing requirements for UNCT endorsement

Monitor progress and implementation of various contracts and services

Recommending body to UNCT on selected supplier or provider.

Serve as UN Contracts Review Committee

Management oversight of CS contracts and arrangements

Quality of information to support recommendations.

Quality assurance of contract – terms and provisions, schedules, penalty clauses and legal provisions.

Daily management and use of common LTA/contract arrangements.

Periodical review of contractual benefits and quality of services provided.

Submit OMT work plans to UNCT.

Use of CS Results Tracking System (RTS) to ease performance monitoring and reporting.

Regular scheduled reporting to UNCT on achievements, constraints and milestones.

Task Force/Technical Working Group

Needs-assessment exercise on the specific CS envisaged

Develop technical specifications for RFP’s & bids for specific contracts and services.

Technical review functions, specific recommendations and arrangements for OMT consideration.

Review and adjudicate individual submissions as delegated by the OMT.

Detailed accountability on individual service arrangements, terms of services and payment schedule.

Develop performance measurement indicators for RTS for each specific contract/LTA.

Conduct periodic management reviews with suppliers and service providers, as required.

Report to OMT.


O define the specific timeframe for mapping and implementation of cs in country

Continuous

Process


O define the specific timeframe for mapping and implementation of cs in country

GROUP WORK


O define the specific timeframe for mapping and implementation of cs in country

Introduction to Group Work

There is a combination of elements to identify common services that:

a)Can be made to work;

b)Are needed and useful;

c)Are manageable

d)Are sustainable

e)Are predictable cost-wise


O define the specific timeframe for mapping and implementation of cs in country

Please provide a summary assessment of the common services you have been requested to review:1.Clarify its objective.2.Outline the priorities and needs based on the country specific situation.3.Detail the service functions and specifications.4.Summarize specific technical and operational issues. 5.Describe the institutional arrangements and management structure for it to work;6.Provide estimates of associated benefits and costs of the CS (need not be exact).7.Propose and justify what makes sense to place that common service with an agency (right capacity) 8.List the potential users

Introduction to Group Work


O define the specific timeframe for mapping and implementation of cs in country

VAT

A Group Presentation:

- VAT Group: (Narendra UNICEF)

Assessment:

UN agencies are not getting refunded

Objectives:

Solution to get the VAT refunded

Try to find upfront exemption if possible

Action Plan

Work as a one UN

Look for a tax consultant

To review, analyze and recommend a system.

TOR to be prepared

Develop an Umbrella legal framework as annex to CPAP

CMT to take up process with the Ministry of Foreign Affairs

Invite government representative to the working group


O define the specific timeframe for mapping and implementation of cs in country

VAT

Tips to build negotiation strategies

UN is exempted from taxes

Funds exempted will be used again

More than $2 is for the Whole UN as VAT returns, not only WFP

If Government wants these taxes paid, Government should pay for these taxes

Also, look all basic agreements for UN agencies.

It was suggested and not objected that Unicef leads this group.

To also took NUIT issue which seems to be interlinked to be added to the TOR of the Tax Specialist Consultant


O define the specific timeframe for mapping and implementation of cs in country

A Travel group: (Vanusa)

Assessment:

UN Agencies use different Travel Agencies

2)      Some Agencies have service contracts others don’t

3)      For those with no contracts, no clear market search was conducted

4)      UN has to come together and its collective bargaining power

LoNeed to assess the relevance and value for the money of current contracts

Operational needs/priorities

Booking, Tickets, Visa, VIP Room, Discounts, etc.

Airport Pick-up/Drop-off

Conference Facilities

 Plan of action

Hire a Travel Specialist to prepare the TOR’s and Benchmarks to Assess the Service Provider, Selection criteria

TOR to be agreed by OMT

Develop Specs and Benchmarks

Pre-qualification of local travel agents

Request for Proposals

Bid Analysis and Award

Signing Agreement

 Cost/ Benefits Analysis

Savings in OT, fuel, maintenance

Better use of HR resources

Common Benchmarks to measures the quality of the services

Get the service in house and free of charge

Outsourced services remove all workload and financial burden

Unified fares that are transparent and verifiable 

Other non-financial benefits (staff satisfaction/increased accountability, etc)

Common services management

To be discussed in the future:

WHO would lead process,

TRAVEL SERVICES


O define the specific timeframe for mapping and implementation of cs in country

ICT

ICT Group (Benedito)

Assessment

Evaluate Each agency current infrastructure

Objectives:

To provide adequate, efficient and secured ICT services with minimal costs.

To work as one UN Team

Create platform to share information, knowledge, joint meetings and trainings

Maximize service level lines/Security

Put in common resources that can be shared

Work as one team

Promote Exchange information/ Joint training plan

Action Plan

Create Efficient ICT infrastructure/Effective services

Select one Source for procurement

Select one Provider of Services (ISP)

Develop common standards and Specifications for ICT Equipment and supplies

Set up one common radio room/radio frequency

Define ways of sharing resources/infrastructures

Identify a maintenance company for ICT

One contract for mobile phone

Cost/Benefits analysis

Reduced costs through integration of VSAT connections

Reduce Communication costs

Integrated PABX lines for Agency to Agency calls as extensions (PABX line shared )

Savings on Services/Unified price lists

Increase bargaining power and better prices

Future Action

Look in detail in to infrastructure

ICT= Invisible Capable Technicians


O define the specific timeframe for mapping and implementation of cs in country

  • Banking group

  •  Assessment:

  • Inventory of existing services

  • Standard Bank

  • 2003 agreement services

  • New proposal for rates

  • Bank services not fully satisfactory

  •  2-Operational needs:

  • No rates on bank commissions: staff transfers

  • No fee on transfers/deposits/replenishments

  • Detailed bank statement (Transactions without supporting documents)

  • Explore the possibility of usage of international credit cards

  • Loans for UN Staff

  • Banking Services to be improved

  • Dedicated UN branch in one of the UN Agencies premises

  • Reduce Timeframe for check clearing out of the country

  • Electronic Banking

  • Special Branch for UN Agencies (if possible in-house)

  • Action Plan

  • *Collect information to reinforce UN bargaining Power for discussions

  • *Renegotiate Agreement with the bank for improvement

  • *Prepare specs/launch new tendering (if necessary)

  •  3. Cost/Benefits Analysis

  • Less Time Consumed on Bank Reconciliation’s (Time Management)

  • Dedicated and customized services – Improved visibility for the UN

  • Staff welfare/Satisfaction – Improved productivity

  • Staff does spend lot of the time to wait in queues

  • Better security on transactions

  • Improved service lines (ATM machine/Bank Branch at UN premises

  • Zero or Low bank fees (compared to market trends)

BANKING SERVICES


O define the specific timeframe for mapping and implementation of cs in country

A UN house group (Jaime Comiche)

Assessment:

 1-Inventory of existing services:

Scattered UN /Premises/Facilities in Maputo

No clear picture/ iinventory of Existing Needs

UNIDO, UN HABITAT – Sharing UNDP facilities.

No other Agency is sharing facilities

APIE (GoM’s Real Estate Agent) is to be privatised at any moment

1)          GoM has the obligation, as hosting Govt., to provide premises free of charge to the UN, or pay for the rents. These obligations have never been considered.

2)          There is no assessment of weather UN Agencies are prepared to share common premises or not.

Would the UN want to go to Common Facilities?

2-Objectives/Operational needs:

Implement the UN SG’s reform (Establish a UN House)

Increase cohesion and economies of scale for UN in MOZ

Reduce costs for running individual premises/facilities

-         concentration of services – IT/Travel/Security, etc.

-         Achieve cost reduction/saving

-         Promote Outsourcing/concentration of services

-         Mitigate vulnerability and Improve on Security preparedness

-   Increase of visibility as one UN House

-         Unification of services

3-Action Plan

Survey of interested Agencies

Inventory of Space requirement Survey of interested Agencies

2)   Identification of relevant common services

Estimate requirement for common facilities/parking etc

Inventory of existing building from Government

Start looking at plot/funding options

Support mission from HQ to assess needs with UNCMT/OMT-      

UN HOUSE


O define the specific timeframe for mapping and implementation of cs in country

A UN house group (Jaime Comiche)

 4-Costs/Benefits

Savings deriving from sharing of common services

Economies of scale resulting from sharing facilities

Better managed and integrated protection/security

Decreased rental costs

Better usage of common space

5-Common premises/ services management:

Lead agency to be determined based on capacities

Lead Agency to act as Manager of Common/Shared Services

6-Weak Points:

1)      Resisting of some Agencies to concentration

2)      Staff Reduction

3)      Security (Terrorism)

4)      Limited availability of mine land

5)      Lack of resources from host Government

6)      Security of tenure (Long term lease)

-7-Strong Points:

1)        Cost Reduction

2)        Unification of Services (Outsourcing)

3)        Security without taking terrorism actions

4)        Increasing the visibility

5)        Successful similar experiences 

UN HOUSE


O define the specific timeframe for mapping and implementation of cs in country

Dispensary Operations

A Dispensary Group (Paula)

 Assessment:

1- inventory of existing services:

a) Background

Dispensary created 20 years ago, located at UNHCR Office was used as a medical clinic and full range of medical services were provided.

b) Actual functions:

1)        Referral Point

2)        First Aid Care

3)        Testing and Counselling Facilities

4)        Facilitating Training of First Aid Care, HIV/AIDS at Wp. Malaria

5)        Preventive Advisory Services/Information

6)        Medical Evacuation – Organise

7)        Support for assessment for medical facilities outside of Maputo

8)        Contribute to drafting of living conditions report

9)        Process MIP Claims

c) Constraints:

1)      Lack of continuous professional training

2)      No exposure to new medical practices


O define the specific timeframe for mapping and implementation of cs in country

Dispensary Operations

  • d) Current Context:

  • 1 Doctor and 2 Nurses – Not enough

  • 1) Present conditions of equipment is not sufficient for first Aid Care

  • Based on a scale of 1 to 5, 5 being the highest the Medical facilities in Maputo rated

  • as follows:

  • §         Sommerschield Clinic 4

  • §         Swedish Clinic4

  • §         Special Clinic of Central Hospital4

  • §         Cruz Azul Clinic3

  • §         222 Clinic3

  • §         Bethesda Clinic2

  • §         Instituto do Coração4

  • §         UN Dispensary?

  • N.B. Difficult to rate the dispensary as standards and benchmarks are not the same

  • 2-Operational needs:

  • Current context is different in MOZ

  • Services to be reviewed and upgraded

  • Staff have no access to new medical practices

  • Lack of continuous training

  • Conditions of equipment to be upgraded

  •        Rating of available medical services is better


O define the specific timeframe for mapping and implementation of cs in country

Dispensary Operations

  • 3.Current Management and Financial Situation 

  • -         Income Deficit of US$ 70,000.00 in 2004

  • -         Annual budget approximately US $ 200,000.00

  • -         Operations currently subsidized by UNDP

  • -         No billing system hence HIP is not playing to

  • Running cost not recovered from HIP to offset financial deficit

  • Agencies complain about the budget and impact on their running costs

  • 4-Common Services management:

  • -         Need for dispensary management structure

  • - Unit to take charge of Oversight

  • -         No reporting system

  • 5. Action Plan

  • -         Dispensary operations to be reviewed and retooled

  • - UNDP Commissioned a review of the Dispensary by a consultant

  • Report to be reviewed by the UNCMT, OMT, UN Medical Services

  • Options to be implemented to move large costs to HIP

  • 6. Cost and Benefits

  • - Cost efficient services

  • - Reduced Administrative and Financial Burden

  • Improved billing system and recovery from HIP 


O define the specific timeframe for mapping and implementation of cs in country

HIV-AIDS AT THE WORK PLACE

CASE STUDY

(UN KENYA RESPONSE TO THE CHALENNGES)


O define the specific timeframe for mapping and implementation of cs in country

Calculation of HIV Infections and Annual Number of News AIDS Cases

Estimated number of HIV+ employees

25

Estimated number of employees presenting the symptoms of AIDS per year

3

Productivity Losses

KSh 576,000.00

Cost of Death Benefits

KSh 900,000.00

Cost of Training and Recruitment

KSh 1,770,000.00

Annual Cost to your Company

KSh 3,246,000.00

Calculation of HIV Infections

and

Annual Number of News AIDS Cases

US $ 40575


O define the specific timeframe for mapping and implementation of cs in country

WORLD AIDS DAY 2004

Women, Girls, HIV and AIDS

Have you heard

me today?

The Three C’s Policy:

Confidentiality, Counselling and Care

POLICY FOR UN STAFF AND FAMILIES AFFECTED BY HIV AND AIDS IN KENYA

The goal of the Three C’s Policy is to ensure confidentiality, counselling and care to all categories of UN staff members in order to create a healthy workforce. This includes access to anti-retroviral medicines in a reputable clinic that recognizes the physical, psychological and the social impact of HIV and AIDS.


O define the specific timeframe for mapping and implementation of cs in country

WORLD AIDS DAY 2004

Women, Girls, HIV and AIDS

Have you heard

me today?

The UN in Kenya’s FAIRPACK Policy

GUARANTEED FAIR EMPLOYMENT PACKAGE

The UN in Kenya’s FAIRPACK Policy is a guaranteed fair employment package for contractor employees based on site at the UN Complex in Nairobi.

The FAIRPACK policy was implemented in July 2003 to provide a health and welfare package that will boost the pay and conditions of staff employed by contractors working for the UN at Gigiri.

The FAIRPACK policy specifically includes a provision for access to appropriate treatment for contractors’ employees suffering from HIV/AIDS.


O define the specific timeframe for mapping and implementation of cs in country

It takes only around US $ 500/Year for WFP to Provide Health Insurance Plan to each of their SC Employees and their Eligible Dependents

This is far below the projected annual cost of US $ 35,254.00 to UNDP for one HIV infected Patient


Group work findings and recommendations

Group Work Findings and Recommendations

  • Revise/Revisit different contractual Modalities

  • All SC or long term SSA should have medical insurance coverage

  • Look for medical facilities that will provide integrated services

  • Negotiate a Blanket Medical Insurance policy

  • Provide also Health Insurance coverage for dependents

  • Find ways to conduct counseling and screening dispensary

  • Piggy bag on WFP Model providing Medical Death and Disability coverage at around US $ 48.80/Month

  • Issue of Confidentiality still a stumbling block

  • Sensitization to break the silence and remove the stigma

  • Improve on counseling confidentiality

  • Medical in formation is privileged. It should be confidential

  • Medical staff of the dispensary should be trained and oriented in this regard


O define the specific timeframe for mapping and implementation of cs in country

HIV-AIDS AT THE WORK PLACE

DEVELOPING AN ACTION PLAN TO ROLL-OUT

“ We Care Initiative”

in MOZAMBIQUE


O define the specific timeframe for mapping and implementation of cs in country

AIDS Impact Model for Business

MOZAMBIQUE CASE SCENARIO

AIM-B

Your responses:

49 are in the group you wish to analyze.

$ 9254 is the average annual salary of this group.

0.1322 is the percentage of your workforce that you estimate is infected

26000 is the additional cost of health care per AIDS case.

Calculation of HIV Infections and Annual Number of News AIDS Cases

Estimated number of HIV+ employees 6

Estimated number of employees presenting the symptoms of AIDS per year 1

Cost of Health Care $ 52,000.00

Productivity Losses $ 9,254.00

Cost of Death Benefits $0.00

___________

Annual Cost to your Company $ 35,254.00


We care initiative in mozambique

‘We Care Initiative’ in Mozambique

Prepared by: UNAIDS and WHO

Presented at the OMT Retreat

18-19 February 2005

Maputo, Mozambique


Outline of the presentation

Outline of the Presentation

  • What has been done in Mozambique to-date?

    • Task Forces

    • Draft Protocol guide for PEP

  • Action Plans


Task force 4 composition

Task Force 4- Composition

  • Prevention and Advocacy

    • Amalia Mondego, UNICEF- Co-ordinator

    • Stella Pinto, UNDP

    • Arnaldo Manhiça, UNDP

    • Luisa Paunde, UNFPA

    • Marta Bazima, UNFPA

    • Bernardo Jorge, UNESCO

    • Gloria Moreira, WHO

  • Voluntary Counselling and Testing

    • Marta Bazima- UNFPA - Coordinator

    • Gabriel Pereira, UNICEF

    • Helena Mutemba, UNDP

    • Bart Wynendaele, UNDP

    • Maria da Luz Vaz, UNFPA

    • Adélia Chebeia, The World Bank


O define the specific timeframe for mapping and implementation of cs in country

Care and Treatment

  • Emmanuel Aide, WHO - Co-ordinator

  • Paula Pateguana, UNDP- Deputy Co-ordinator

  • Bertine Niesten, FAO

  • Carolina Siu, UNICEF

  • Clara dos Santos, UNFPA

  • Caroline Forkin, World Bank

  • Dr. Jose Soares, UN Dispensary

  • Policy Implementation and Management

    • Adama Zampalegre, UNDP - Co-ordinator

    • Saquina Massambi, UNDP

    • Emilia Lobo, UNDP

    • Dalila Juma, UNFPA

    • Rossana Tavares, UNFPA,

    • Suzan Nkurlu, WFP

    • Carlos Magaia, UNESCO

    • Rafael Cossa, WHO


  • 2 development of work plans

    2. Development of Work Plans

    • Prevention and Advocacy

    • Voluntary Counselling and Testing


    Moving from rhetoric to action for implementing in mozambique hiv aids at the work place

    Group Work Findings and Recommendations

    Moving from rhetoric to Actionfor Implementing in Mozambique HIV/AIDS at the Work Place

    Proposed Action Plan

    2005


    Outcome 1 corporate inter agency roll out of hiv aids programme in the work place

    Outcome 1: Corporate inter-agency roll-out of HIV/AIDS Programme in the work place


    Outcome 2 provision of health insurance coverage to all un staff and dependents

    Outcome 2: Provision of Health Insurance coverage to all UN Staff and dependents


    Outcome 3 provide confidential treatment to hiv aids

    Outcome 3: Provide confidential treatment to HIV/AIDS


    Outcome 4 sensitization advocacy

    Outcome 4:Sensitization/Advocacy


    Outcome 5 access to methods of prevention

    Outcome 5: Access to methods of prevention


    Short simple and doable

    Short, Simple and doable!

    It is time to convert principles

    into concrete acts


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