Neftaly: Building Institutional Capacity for a Fully Nationally Funded and Sustainable HIV Response
Overview
Sustainable HIV responses require strong national ownership, robust institutions, and long-term financing strategies. As external funding declines globally, countries must develop the institutional capacities necessary to plan, implement, finance, and monitor the HIV response using domestic resources. Neftaly is committed to supporting countries in building the technical, financial, and operational capacities of key institutions to ensure a comprehensive, effective, and self-reliant HIV response.
Goal
To establish the foundational capacities within government, health, finance, and civil society institutions that enable the country to implement and sustain its entire HIV response using national funding.
Strategic Objectives
1. Strengthen National Health Governance and Leadership
- Support national AIDS coordinating bodies to lead multisectoral HIV responses with clear mandates and accountability.
- Enhance leadership skills among policymakers, public health officials, and civil society actors to champion HIV as a national development priority.
- Institutionalize strategic planning processes aligned with national health and development goals.
2. Build Financial Management and Domestic Resource Mobilization Capacity
- Develop national HIV investment cases and costed strategic plans to guide resource allocation.
- Strengthen public financial management systems to ensure efficient and transparent use of domestic HIV funds.
- Collaborate with Ministries of Finance and Health to integrate HIV financing into national and subnational budgets.
- Explore innovative financing mechanisms, including health insurance, earmarked taxes, and public-private partnerships.
3. Enhance Service Delivery and Program Implementation Capacity
- Train and equip health workers, program managers, and implementing partners in HIV service delivery, monitoring, and quality assurance.
- Strengthen supply chain and procurement systems to ensure consistent availability of HIV commodities.
- Expand differentiated service delivery models to optimize resources and improve efficiency.
4. Improve Data Systems and Monitoring Capacity
- Establish robust monitoring and evaluation (M&E) systems to track HIV program performance and inform decision-making.
- Train institutions in the collection, analysis, and use of strategic information for planning, budgeting, and reporting.
- Integrate HIV data into national health information systems for greater efficiency and ownership.
5. Support Civil Society and Community Systems Strengthening
- Build the capacity of civil society organizations (CSOs) to implement community-based HIV prevention, treatment, and support services.
- Promote strong CSO engagement in planning, monitoring, and advocacy at national and subnational levels.
- Ensure mechanisms are in place to sustain community-led HIV responses using domestic funding.
Expected Outcomes
- Institutional frameworks capable of managing the national HIV response independently.
- Increased and sustained domestic funding for HIV programs.
- More efficient and accountable use of resources across public and civil society sectors.
- Stronger health systems delivering comprehensive, quality HIV services nationwide.
- A resilient, inclusive HIV response owned and driven by national stakeholders.
Conclusion
Neftaly recognizes that true sustainability in the HIV response comes from within. By building institutional capacities across sectors, we support countries to transition from donor dependence to full national ownership of HIV programming—ensuring that gains are not only protected but strengthened for generations to come.