AHRN Funding Mechanisms in Myanmar (2003 to 2014)

(I). Year 2011-2014:The Global Fund to Fight HIV/AIDS, Malaria and Tuberculosis (GFATM-Rd 9)

The Global Fund to Fight AIDS, Tuberculosis and Malaria (or the Global Fund) is an international financing organization that aims to attract and disburse additional resources to prevent and treat HIV and AIDS, tuberculosis and malaria. In 2011, The GFATM Rd 9 started in Myanmar to fight HIV/AIDS, Malaria and Tuberculosis.

Key outcomes

The 4 projects (i.e Lashio, Seng Taung, Waimaw and Bamaw) running under 3DF were transferred to GFATM funding in 2011 and 2012 respectively.

Outlet	Location		Funded Period
Drop-in-Centre	Lashio	Northern Shan State	2011-2014
Primary Health Post	Kone Nyaung Village	Northern Shan State	2011-2014
Drop-in-Centre	Seng Taung	Kachin State	2011-2014
Drop-in-Centre	Wai Maw	Kachin State	2012-2014
Drop-in-Centre	Bamaw	Kachin State	2012-2014
12th MMT clinic- OPD (support to DTC, DoH)	Wai Maw	Kachin State	2012-2014
13th MMT clinic- OPD (support to DTC, DoH)	Hpakant	Kachin State	2012-2014
14th MMT clinic- OPD (support to DTC, DoH)	Seng Taung	Kachin State	2013-2014

(II).Year 2013 : The Three Millennium Development Goal Fund (3MDG)

The Three Millennium Development Goal Fund (3MDG) supports the provision of health services in Myanmar and will contribute towards the country’s efforts to achieve the three health-related Millennium Development Goals. These goals include reducing child mortality, improving maternal health and combating HIV, tuberculosis and malaria.

Outlet	Location		Funded Period
Female Drop-in-center	Seng Taung	Kachin State	2013
Mobile Clinic	Laukkai	Northern Shan State	2013
Mobile Outreach	Man Daung	Kachin State	2013
Drop-in-Centre	Sezin	Kachin State	2013

(III). Year 2007-2012:The Three Diseases Fund (3DF)

Background

Following a review of Fund for HIV/AIDS in Myanmar (FHAM) in 2005, the end of grants to FHAM in late 2006, and the withdrawal of the Global Fund to Fight HIV/AIDS, Malaria and Tuberculosis (GFATM) some concerned donors involved have expressed the desire to replace FHAM and GFATM with a single pooled funding mechanism which can address the three diseases of HIV/AIDS, TB and Malaria, which was called 3 Diseases Fund.

Objective:

The goal or overall objective of 3D Fund is to reduce the burden these 3 diseases in Myanmar.

Purpose:

The 3D Fund purpose is to resource a programme of activities to reduce transmission and enhance provision of treatment and care for HIV/AIDS, TB and Malaria for the most in need populations.

National Strategies for the three diseases were developed and foreseen the following purposes for each disease respectively:

1. To reduce transmission and enhance provision of treatment and care for HIV/AIDS affected persons
2. To reduce the morbidity, mortality and transmission of TB while simultaneously preventing the further emergence of drug resistant forms of TB
3. To reduce malaria morbidity by at least 50% by 2010

Key outcomes

AHRN Myanmar could expand the coverage to the Drug Users through expansion to new sites under 3DF. TB activities in 4 project sites and 2 Lab activities in 2 project sites could also initiated.

The expanded sites and activities are:

Outlet	Location		Funded Period
Drop-in-Centre	Lashio	Northern Shan State	2007-2010
Primary Health Post	Kone Nyaung Village	Northern Shan State	2007-2010
Drop-in-Centre, Lab activities	Laukkai	Northern Shan State	2007-2012
Drop-in-Centre, Lab activities	Hpakant	Kachin State	2008-2012
Kokang Prison Activities	Laukkai	Northern Shan State	2008-2012
Drop-in-Centre	Seng Taung	Kachin State	2009-2011
A State Liaison Office	Myitkyina	Kachin State	2009-2011
Outreach Operation	Nam Sam Yan	Kachin State	2010-2011
Drop-in-Centre	Wai Maw	Kachin State	2010-2011
Drop-in-Centre	Bamaw	Kachin State	2010-2011
Female Drop-in-Centre	Seng Taung	Kachin State	2010-2012
Operational research	3 sites in Kachin and Northern Shan State		2012

(IV). Year 2005-2006 : The Global Fund to Fight HIV/AIDS, Malaria and Tuberculosis (GFATM-Rd 5)

Although the GFATM was terminated in Myanmar, AHRN was a sub-recipient during its time of existence in the country.

Key outcomes

A total of 16 trainings (target reached) were organized for a total of 319 participants. Two Rapid Assessment Response (RAR)/baseline done in Northern Shan State (Lashio and Laukkai)

(V). Year 2003-2006 : Fund for HIV/AIDS in Myanmar (FHAM)

Background

The Fund for HIV/AIDS in Myanmar (FHAM) was established in January 2003 to support amongst others the implementation of an Operational Plan for effective interventions aimed at reducing HIV transmission among injecting drug users, under the Joint Programme for HIV and AIDS in Myanmar (2003-2006). AHRN-Myanmar carried out activities under three of this Programme’s guiding components:

• Component #2 – Reduce individual risks of HIV among Injecting Drug Users, their sexual partners and their families;
• Component #3 – Increase awareness of HIV and AIDS among the general population, particularly young people; and
• Component #5 – Strengthening essential elements of enabling environments for an effective expanded and national response.

Activities

With FHAM support, AHRN Myanmar was able to organize, facilitate and participate in several workshops (on outreach, harm reduction, HIV and AIDS, drug treatment, primary prevention as well as prison health), study tours (to Pakistan, Australia, India and Hong Kong), meetings (including high-level advocacy meetings and consultations), as well a produce multiple documents (including a baseline survey report in Northern Shan State, translation of key policy documents, IEC and BCC materials addressed to drug users). Additionally, with FHAM’s support, AHRN Myanmar team members were able to attend key international events like the International Congress on AIDS in Asia and the Pacific and the International Conference on the Reduction of Drug Related Harm. Finally, the AHRN Myanmar team organized a national art competition on the topic of drug use and HIV.

AHRN also implemented under FHAM comprehensive services for drug users, partners and families in 2 sites (Lashio/Kone Nyaung) in Northern Shan State.

Key outcome

FHAM allowed AHRN to position itself strategically in the country’s response to HIV and drug use and keep drug users as a priority target group on the policy agenda. Indeed, AHRN Myanmar’s AHRN Myanmar was Co-Chair of the IDU-HIV Workgroup under FHAM; member of the Technical Working Group (TWG), the advisory body to FHAM and 1 of the 3 INGO representatives in the Expanded Theme Group on HIV/AIDS