Minutes of Meetings: # 17
Meeting Date: September 24, 2015
Meeting Venue: RA MօH National Institute of Health
Meeting Chair:: V. Poghosyan, Deputy Minister of Health
- Opening and approval of Meeting agenda. Management of Conflict of Interest on the issues to be discussed.
- The status of the grant programs for the national TB and HIV/AIDS programs under the New funding mechanism of the Global Fund.
- TA from WHO for the implementation of the New grant program for HIV/AIDS based on the observations of the Committee of technical review of grant applications.
- Introduction of the new structure of CCM and launching of the NGOs election process.
- Election of the Working Group to develop a proposal of the new CCM Funding Agreement 2016-2017.
- About the Regional High level Dialogue on Successful Transition to domestic Funding of HIV and TB response in the region of Eastern Europe and Central Asia to be held in Tbilisi on 28-30 September, 2015.
- Other issues
- Meeting wrap-up
Discussions and Resolutios
1. The regular meeting of Country Coordinating Mechanism for HIV/AIDS, TB and Malaria Programs was opened by the Deputy Minister of Health V. Poghosyan. He welcomed the participants and introduced the meeting agenda, which was approved unanimously.
V. Poghosyan asked all the CCM members to fill-in the Conflict of Interest declaration forms in accordance with the bylaws, and pass them to CCM Secretariat.
Then the floor was given to H. Harutyunyan, RA MoH Global Fund Program Coordination Team Manager.
2. In her introductory speech H. Harutyunyan greeted the participants and presented the status of the grant programs for the national TB and HIV/AIDS programs under the New funding mechanism of the Global Fund. She said that the applications of the new programs had already been submitted to the Global Fund and mentioned the dates. She presented the procedure of the signing of the agreements, agreements terms, the amount and other terms. CCM member L. Qocharyan expressed a concern that the mentioned amendment would violate the provision of social support to TB patients. V. Poghosyan answered that there are no gaps, briefly informed about the current implementation of a pilot program and added that after the end of the program respective evaluation will be done and the process will continue.
3. Then the floor was given to H. Harutyunyan, RA MoH Global Fund Program Coordination Team Manager, to present the 3rd point of the agenda. The speaker presented information on the TA from WHO for the implementation of the New grant program for HIV/AIDS based on the observations of the Committee of technical review of grant applications. She presented two observations. The first was the HIV/AIDS prevention measures for the migrants, financial resources, and their lack, the second was the optimization of the antiretroviral treatment schemes.
4. V. Poghosyan proposed to take into account this speech and proceeded to the 4th point of the agenda. He noted that the CCM Secretariat had submitted a legal analysis to the CCM members, in the result of which RA Prime Minister’s draft decree was prepared. Then the new structure of the CCM was discussed. A. Grigoryan asked whether there is a fixed number of local and international NGOs and whether there should be a joint election. T. Kostanyan answered that it is suggested to conduct the election jointly. CCM member A. Papikyan offered to have a clear distinction between the places of the local and international organizations, and then V. Poghosyan put this issue into voting. The ration 2 international/ 4 local was approved unanimously. Then the chairperson indicated that a working group should be set up to regulate the elections. L. Kocharyan proposed to include the active representatives in the working group. Candidates proposed by the CCM were put into voting. As a result of voting: 9 – in favor, 6 – against, 1 – abstention, it was decided to form a Working group composed of three members. Afterwards, as candidates of the Working Group members the candidacy of UNAIDS, USAID and American University of Armenia representatives were proposed. As a result the suggested composition was approved unanimously. Summarizing the issue of the CCM election, CCM members discussed the approaches, working period, and time constraints of the Working Group. V. Poghosyan said that it is expected to carry out all activities within one month, and the Working Group was given one month. He added that the CCM Secretariat will assist the Working Group, and suggested the Working Group, in its turn, to keep aware the CCM Secretariat about the implemented works. V. Poghosyan stated about the private sector of the CCM that CCM Secretariat will apply to the organizations with notes as well as will summarize the issues related to the government agencies.
5. V. Poghosyan proceeded to the next 5th point of the agenda on election of the Working Group to develop a proposal of the new CCM Funding Agreement 2016-2017. The suggestions of CCM members were put into a voting. As a result the following composition of the Working Group was approved unanimously:
1. Mamikon Hovsepyan, “Public Information and Need of Knowledge” NGO
2. Hovhannes Madoyan, “Real World Real People” NGO
3. Sergei Gabrielian, “New Generation” NGO
4. Tigran Hovsepyan, National Center for AIDS Prevention
5. Youth Foundation of Armenia (1 representative)
6. RA MOH Global Fund Program Coordination Team (1 representative)
7. Mission East (1 representative)
6. V. Poghosyan proceeded to the next 6th point of the agenda. The floor was given to the CCM Secretary Tatevik Kostanyan who stated that a resolution must be signed on the Regional High Level Dialogue on Successful Transition to Domestic Funding of HIV and TB response in the region of Eastern Europe and Central Asia to be held in Tbilisi on 28-30 September, 2015, and she presented the points of the resolution and the further work to be done as a result of the resolution. V. Poghosyan presented the essence of signing this resolution, issues raising from it in the future, and the mechanisms that should be introduced in the country after the end of the Global Fund programs. He also spoke about the upcoming visit to Georgia, said that the resolution was submitted to the respective departments of RA Ministry of Health for the opinion. He presented the composition of the delegation and the steps taken on this issue, detailed the nature of the assignment of the Prime Minister on the implementation of medium term expenditure (MTEF). Summarizing, V. Poghosyan added that before the visit all the issues would be discussed with the RA Minister of Health who, in his turn, would have discussions with RA Prime Minister, RA Ministry of Finance and other departments concerned. About the presented issue S. Grigoryan, director of the National Center for AIDS Prevention talked about the challenging parts of the transition process, presented two observations and one recommendation on this issue.
Taking into consideration that, along the registration of new HIV cases the number of patients under the follow-up and ARV treatment increases continuously while the HIV treatment is a life-long process, it is forecasted that HIV/AIDS expenditures will also constantly rise. On the other hand, in the three upcoming years on 2016-2018 the main problem is the reduction of donor funding, particularly the funds from the Global fund against AIDS, tuberculosis and malaria. Considering continuously increasing needs, it is almost 2 times less, than at 2013-2015. Summarising S. Grigoryan proposed to make the following additions:
1) adding the following paragraph to the preamble:
Taking into consideration the current gap and prospect of the Global Fund’s grant’s interruption, combined with the growing epidemic, high HIV and TB disease burden, the overall slowing of economic growth, and current financial situation in EECA countries, there are limited options for complete transition from donor funding to government financing. The phasing-out of Global Fund financing from the region will put to serious risk the sustainability of prevention and treatment programmes, bring to impossibility of reaching the UNAIDS ambitious targets for 2020/20300 and significantly affect the achievement of the Sustainable Development Goals.
2) adding a new point 6 at the end of the resolution with the following text:
Apply to the Global Fund, other donors and technical partners with a request to continue their co-funding and further raising of resources for HIV and TB programmes in EECA region for strengthening the results achieved, in the course of implementation of the UNGASS Declaration of Commitment on HIV/AIDS and Millennium Development Goals, as well as for reaching the UNAIDS ambitious targets for 2020/2030 for ending AIDS epidemic.
The suggestion of S. Grigoryan was put into a voting and was approved unanimously. It was assigned to CCM Secretary to present the mentioned suggestion by CCM on the Regional High Level Dialogue on Successful Transition to Domestic Funding of HIV and TB response in the region of Eastern Europe and Central Asia to be held in Tbilisi on 28-30 September, 2015, for including it in the resolution to be adopted.
Vira Zemlyanska, the representative of the Global Fund, proposed to create 1-2 Working Groups that will work to develop the projection of the provision of programs’ sustainability.
7. H. Harutyunyan presented information on the acquisition of equipment to modernize the X-ray devices in the outpatient clinics’ sector. She added that for this process a market research was carried out, and it turned out that there is a difference in price, now the price of the unit has increased. She stated that modernization is more affordable, it is almost twice less than the purchase of a new device. Summarizing the above, she informed that she would send the document on the analysis. The speech was taken into account by CCM.
8. V. Poghosyan thanked the members present in the meeting for their participation and being active, and the meeting was considered closed.
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