Rationale for Emphasis on Prevention
	Framework for Strategic Programming
	Decision Making Process

Decision Making Process

UNFPA is committed to serve the needs of the poorest and most vulnerable individuals and groups. This commitment should also be applied in prioritizing actions within the core areas, with special attention paid to preventing HIV infections among individuals who because of their situation are especially vulnerable to acquiring HIV. Intervening in these situations is essential for successful HIV prevention actions, and a more efficient use of the Fund’s core resources.

While integration will remain the main way by which HIV prevention is addressed within the context of the Fund’s reproductive health mandate, in selective situations there will be a need to develop and implement specific component projects to meet the needs of special vulnerable groups and situations.

In operationalizing the strategic guidance at country level, country situations and needs will dictate the emphasis of the response UNFPA adopts. A comprehensive phase of problem identification and analysis needs to be conducted to ensure the most appropriate response.

Specific country strategies will vary, based on a range of variables including the stage and the pattern of the epidemic, the socio-cultural context in which the epidemic operates, the evidence of what works best in the country situation, the comparative strengths and weaknesses of the country office and potential executing and implementing agencies, and the presence of other external funders.

In determining which HIV-related issue or area of work UNFPA would support at country level, the diagram on page 10 provides overall guidance in the decision making process:

1. Is HIV/AIDS identified as a country priority based on the Country Programme Assessment (CPA), Common Country Assessment (CCA), United Nations Development Assistance Framework (UNDAF), and/or other development related frameworks?



2. Does the issue fall within the UNFPA mandate of HIV prevention and within the core areas related to HIV/AIDS: preventing HIV infections in young people, condom programming in the context of STI/HIV prevention, preventing HIV infections in pregnant women?

• If the answer to 2 is no, the issue might best be referred to other partners and stakeholders for action.



• For issues outside of the UNFPA core areas and crosscutting issues, the Fund should advocate for the involvement of other UNAIDS cosponsors and partners at global, regional and country levels. For example, the supply of safe blood is a critical ingredient for maternal care and the prevention of maternal mortality. It is equally an important strategy for the prevention of HIV infection.
  
  Nevertheless, the Fund’s strategy would be to advocate for and possibly assist other partners in developing and implementing blood-safety programmes without assuming responsibility or using its core resources on such interventions.
  
  To do so, existing collaborative mechanisms could be used, such as regional and country-level inter-agency working groups and task teams and the United Nations HIV/AIDS Theme Group.

Guidance for decision making:

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