7/31/2019 Global AIDS Response Progress Reporting 2012: Italian Civil Societys Complimentary Report about NCPI

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Global

Civil Soci

Dear Sirs,

Through this complimentary report,

Composit Policy Index.

In the last two years, at a national levHIV/AIDS, as stated by the Three Ones

Themes regarding the implementation

general programmatic acts, such as the

Furthermore, there have been no coop

no agreement has been reached betw

no actions aimed to protect the rights

This probably happened because of

programmatic objectives and a dedica

have been implemented.

The AIDS Associations Committee of th

about prevention, PLHIV rights and in

implemented, too.

The synergy between Ministry of H

productive: some urgent recomme

1Three Ones key principles Coordinatio

partners Three Ones" principles, to achieve

management:

One agreed HIV/AIDS Action Fram

One National AIDS Coordinating A

One agreed country-level Monitor2

"Piano Sanitario Nazionale PSN

3 "Piano Nazionale di Prevenzione PNP

IDS Response Progress Reporting 20

etys Complimentary Report about N

National Coordinating Committ

(http://www.salute.gov.it/hiv/paginaDettaglioH

Italian Civil Society Forum on HIV/AIDS

e would like to add an overall evaluation about

l, there have been no implementation of the multis principles

1about Coordination of National Respon

of the HIV infection surveillance, test access and pre

National Sanitary Plan2, and National Prevention Pla

eration plans between Ministries, nor common resp

en institutions to start prevention programmes bas

f vulnerable populations and PLHIV have been enfor

the absence of a national strategic response p

ted budget: in absence of a strategic plan, no moni

e Ministry of Health and the Italian Forum of Civil S

fections monitoring (epidemiological and behavior

ealth and Regional Administrations (mostly Healt

ndations, edited by National AIDS Commission a

of National Responses to HIV/AIDS Guiding principles

the most effective and efficient use of resources, and to ens

ework that provides the basis for coordinating the work of

uthority, with a broad-based multisectoral mandate

ing and Evaluation System.

2

PI

Edited by:

e of Associations against AIDS

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(http://www.forumhivaids.it/)

the themes examined by the

ctorial strategy in response toses to HIV/ AIDS.

vention have been included in3.

nse strategies for HIV: in Italy,

d on scientific evidences, and

ed.

lan for HIV/AIDS with clear,

toring or evaluating initiatives

ciety indicated their priorities

al surveillance) that were not

Departments) was scarcely

d the National Coordinating

or national authorities and their

ure rapid action and results-based

ll partners.

7/31/2019 Global AIDS Response Progress Reporting 2012: Italian Civil Societys Complimentary Report about NCPI

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Committee of Associations against AIDS and signed by the Italian Ministry of Health have been implemented by the

Regional Administrations after long delays of several months, if ever, and their effects will be visible in the next years, like:

1. Solid Organs Transplant in HIV+ Patients Project, edited with the contribution of the National Transplant Center

(CNT), signed on 20th april 2011.

2. HIV Test Access, presented at the State/Regions Conference and signed on 27th

July 2011.

3. Carcerary assistance for HIV+ People, presented at the State/Regions Conference and signed on 15th

March

2012.

Even data collected by the Regional Administrations are forwarded to the central Institutions with strong delays, and often

incomplete, so that the HIV epidemiological surveillance of the last two years only partially covered our Country.

A regional collection of strategic core indicators, nationally coordinated by the Ministry of Health, has not been

programmed so far. Behavioral surveillance is completely missing throughout the Country and, at the moment, is not even

part of the future scheduling, so that the AIDS Associations Committee is implementing small, locally based projects,funded by the Italian Government to partially cover this gap.

In the last two years, the Ministry of Health has enforced only one campaign, targeted to the general population, to

promote the HIV testing: this initiative has been really expensive, but not proportionally effective, and - so far no

evaluation has been made about its impact, even if this would evidently be necessary to schedule future initiatives.

Furthermore, no data has been collected about the HIV tests, rendering substantially impossible to verify the actual state

of accessibility to HIV Test in Italy (as well as the effectiveness of the national and local campaigns) and raising serious

interrogatives about the published incidence curves.

All of these elements have made the pragmatic discussion about the national effort against HIV/AIDS between Ministry of

Health and Civil Society often conflictual, also because of the lack of information about the national budget expenditure

and its repartition for the different categories (prevention, research, treatment). The Ministry of Health, however,

expressed its commitment to fill on its side this gap.

At an International level, Italy is part of the Esther Project, but has not yet implemented a financial recovery plan for the

contribution for GFTAM not corresponded in 2009/2010, nor approved any commitment for 2011/2013.

For all the reasons mentioned in this brief relation, our conclusion is that in the last biennium the Italian response to

HIV/AIDS has not been adequately implemented at a national and international level.