6th Regional Conference in Sarajevo, May 17-18 2012.

1. Developing quality, equitable and accessible
health care system in Montenegro for delivering
HIV/AIDS related services at the primary level
Vladan Golubovic
UN HIV/AIDS Focal Point
UN Coordination Office, Podgorica
6 th Regional Conference on
HIV/AIDS
17-18 May 2012
UN Theme Group
on HIV/AIDS
18 May 2012
Sarajevo, Bosnia and
Herzegovina

2. Goal and activities
Main goal of UN joint work on HIV/AIDS in Montenegro is to support
the national response to HIV and AIDS through strengthening the
capacities of national counterparts and provision of technical support in
developing the key national strategic documents and policies in this
area
Activities in 2011
•Support to national counterparts in drafting the Universal Access
Review Report
•Support to the CCM in developing the Action plan on mainstreaming
gender into the national HIV/AIDS response
•PAF (Strengthening the national response to HIV/AIDS)
•UNICEF activities on PMTCT and YFHS standards implementation
UN Theme Group
on HIV/AIDS
18 May 2012

3. Global Fund/PAF/National strategy
• GFATM is oriented to strengthening of the national response in
terms of strengthening the capacity of national partners and support to
national partners in the implementation of activities envisaged in the
Strategy
• PAF (Programme Acceleration Funds) is a mechanism created to
help the UN system to play a catalytic and coordinating role in
advancing the scope, size and effectiveness of the national response
to HIV/AIDS
• PAF is designed to strengthen efforts at the planning programme,
development and monitoring at national level through cooperation and
coordination between the UN Joint Team on AIDS and UN Theme
Group on AIDS, on one side, and national partners on the other side.
UN Theme Group
on HIV/AIDS
18 May 2012

4. Reasons for realization of PAF project
1. Support to the implementation of HIV/AIDS strategy
2. Strengthening support systems with a focus on primary
health care
3. Importance of sustainability of interventions
• Main goal: improving access to quality health care
(prevention and treatment services)
UN Theme Group
on HIV/AIDS
18 May 2012

5. Chosen doctor Centres for Support Support Units
Centre for lung Patronage units
CD for CD for CD for diseases and TBC
adults children women
Unit for physical
Centre for diagnostics therapy
Centre for mental Unit for ambulance
health transportation
Centre for prevention
DPST
Centre for children
with special needs
Centre for education
UN Theme Group
on HIV/AIDS
18 May 2012

6. Project components
1. National programme for prevention and
treatment of HIV and STIs
2. Standards and normative
3. Guidelines and protocols
4. Capacity building
5. Raising awareness
UN Theme Group
on HIV/AIDS
18 May 2012

7. Arrangement for implementation
• The project is implemented under the "umbrella" of
the UN Theme Group on HIV/AIDS (UNAIDS)
• Project coordinators (Chair of the UNTG and Chair of
the UN Joint Team on HIV/AIDS)
• The expert team consisted of one international plus 4
local consultants
UN Theme Group
on HIV/AIDS
18 May 2012

8. Produced documents
- Analysis of the PHC organizational model
- Capacity assessment tools for HIV/STI prevention,
treatment and care
- PHC visits’ report
- Referral scheme for service delivery/provision
- Low risk area and high risk area interventions
- National Programme for prevention and treatment of HIV
and STIs
- Standards and norms for working on HIV/STI prevention
UN Theme Group
on HIV/AIDS
18 May 2012

9. National programme
for prevention and treatment of HIV/SPI
• The aim of the National HIV/STI Programme for Montenegro (2012
to 2016) is to maintain Montenegro as a low HIV and STI prevalence
country through the integration of HIV/STI prevention, treatment, care
and support services into quality primary health care services
appropriate to the needs of most at-risk populations and targeted
according to epidemiological evidence.
• This aim is consistent with the National AIDS strategy for
Montenegro 2010 to 2014 and the September 2011 recommendations
of the World Health Organization (WHO) Regional Committee
UN Theme Group
on HIV/AIDS
18 May 2012

10. National programme
for prevention and treatment of HIV/SPI
Objective 1: Provide quality confidential HIV/STI services at PHC level
according to epidemic scenario and the needs of most at-risk groups, paying
specific attention to men who have sex with men, and refer to other services as
necessary.
Objective 2: Reduce stigma and discrimination towards most at-risk groups and
people living with HIV and ensure that these groups and any-one engaging in
HIV risk behaviour is aware of the full range of information and health services
provided.
Objective 3: Implement and monitor the norms and standards contained in this
document and improve capacity of staff to provide quality confidential HIV/STI
services appropriate to the different at-risk groups.
UN Theme Group
UNAIDS
on HIV/AIDS
June 13, 2012

11. National programme
for prevention and treatment of HIV/SPI
Objective 4: Provide outreach HIV/STI services to groups most at-risk through
the possible contracting out of services to NGOs working with these groups,
mobile HIV testing and counselling services and involvement of Patronage
nurses in palliative care.
Objective 5: Monitor the quality of services provided in government and the
private sector and the nature of the HIV/STI epidemics. Scale-up or modify
appropriate services to respond to any changes as needed.
Objective 6: Ensure that funding for the provision of quality confidential HIV/STI
services is sufficiently available and that staff is in post, trained and provided with
the necessary resources to perform their roles and responsibilities.
UN Theme Group
UNAIDS
on HIV/AIDS
June 13, 2012

12. National programme
for prevention and treatment of HIV/SPI
Six sections:
1) Epidemiological overview of HIV/STIs in Montenegro
2) Organization of HIV/STI services within primary health care based
on epidemiological scenario
3) Gap analysis and capacity to deliver HIV/STI services
4) Norms and standards for HIV/STI services
5) Management, supervision and monitoring service quality
6) Sustainable financing.
UN Theme Group
UNAIDS
on HIV/AIDS
June 13, 2012

13. Referral scheme UN Theme Group
on HIV/AIDS
18 May 2012

14. The basic principles for
future work of counselling centres
1. To ensure the principle of voluntariness
2. To ensure obtaining of an informed consent
3. To ensure confidentiality
4. To improve legal framework and social support to reduce discrimination
5. To ensure that counselling is an integral part of HIV testing
6. To ensure the sustainability of the programme, quality control
management, and optimal use of resources
UN Theme Group
on HIV/AIDS
18 May 2012

15. Thank you for your attention!
UN Theme Group
on HIV/AIDS
18 May 2012