Annexes

ANNEX 1: LGU'S VULNERABILITY CLASSIFICATION CRITERIA TO HIV/AIDS

Criteria	High-Risk	Medium-Risk	Low-Risk
Level of urbanization Population rise	Highly urbanized	Urbanizing	Rural
Route of land travel Presence of cruising/transport termianls (land, sea, both), congregation sites	Main thoroughfares or nodes high number of terminals/stops High number of transit points	Alternate routes mid-transit	Least traveled Low transit point
Entertainment establishments	High number of registered entertainment establishments, highly concentrated across population	with a few entertainment establishments, sparsely spread	No apparent night entertainment establishment
STI prevalence among high risk groups	> 23 percent	13-22	<= 12 percent
Tourist areas	Tourist area	Developing tourist area	No known tourist attraction

ANNEX 2: PROPOSED OPTIONS FOR SUB-NATIONAL LEVEL COORDINATION

OPTION 1: PNAC - Regional Office/s - Local Level (SARS Scheme)

Functions:

(1)		organize planning and budgeting among concerned LGUs
(2)		advocate adoption of national laws at the local level
(3)		monitoring and evaluation
(4)		mobilize technical assistance
(5)		mobilize resources
(6)		strengthen the network

Functions: Joint Circular between DOH and DILG

Notes: Structure already exists; fund releases may be coursed thru existing structures; regional offices wold require capability building

OPTION 2: LGU Cluster Coordination

Criteria:

(1)	the primary consideration for cluster coordination is access of the LGUs to services
(2)	presence of a strong NGO
(3)	the willingness of a government agency (DILG, DOH, etc.) to serve as secretariat

Functions:

(a)	coordinate cluster HIV/AIDS-related activities (quarterly meetings or as needed)
(b)	link PNAC to the area
(c)	monitoring and documentation

Structure:

Chair (preferably an NGO)
Co-chair (the LGU)
	Members: other government office representative (PNAC) and NGOs

Support Needed:
capability building and finances to sustain coordination activities

Process:
rational clustering of LGUs and participatory decision-making among involved LGUs and clusters

Legal Instrument:
MOA among participating LGUs and NGOs

Notes: Contiguous LGUs' response more cohesive; referral network strengthened; more accessible services; containment measures of HIV beyond LGU/political jurisdictions; clustering can strengthen PNAC

OPTION 3: Use the existing Regional Office structures as the sub-national coordinating body, mobilize active NGOs working within the region and coordinate directly with the cities or municipalities

Option 3 is similar to Option 1, except that the Regional AIDS Task Force shall coordinate directly with the cities/municipalities; initially those that have been identified as high-risk

Features:

(1)	Regional offices of the PNAC national government member agencies shall be organized to form the Regional AIDS Task Force (RATF). Active NGOs working within the region and representing different sectoral groups shall be mobilized to become members of teh RATF (similar to the NGO representation at the national level).
(2)	The RATF shall coordinate directly with the cities and municipalities, initially categorized as high risk. Going through the provincial offices will only be an option particularly when tackling special cases that demand the participation of provincial level stakeholders.
(3)	The RATF can be chaired by the DOH and co-chaired by the DILG, which also follows the national scheme.
(4)	A regional office will have to be identified and willing to serve as the secretariat, with the capacity to allocate extra resources within their budget, for coordinating HIV/AIDS response.
(5)	Strengthens the scheme:
		coordinating team will not be floating; it can be institutionalized in an existing regional office; at the national level, this may have to be DOH or the DILG;
		any regional office can take the lead;
		fund releases to strengthen capability may be coursed through the usual transfer/sub allotment of funds (from DOH);
		Regional Health Offices may be mobilized to provide additional funding for HIV/AIDS coordination from their own budget;
		Regional team has the option to prioritize LGUs (high risk) they should coordinate with.
(6)	Weaknesses:
		there may be no representative NGOs;
		may be far from the regional base (if locally-based at present-province/city);
		process and criteria for selecting NGO representatives need to be defined clearly;
		may need to allot 6 slots for NGO representatives.

Suggested Process:

(1)	PNAC to convene and consult regions about the plan to establish regional coordinating teams on HIV/AIDS; PNAC may have to come up with a generic template for coordination mechasim based on the intial consultation;
(2)	Regional government agencies to meet first and decide, on their own, how they should organize themselves, taking into consideration the template (generic);
(3)	Regional government agencies may meet with NGOs to mobilize their participation;
(4)	Funds for their operations/administration may come initially from PNAC (estimated at about Php 300,000 per region per year);
(5)	Lead agency can be DOH or DILG;
(6)	Regional Task Force can coordinate with the cities; may start coordination first with the identified high risk cities and then expand to other areas;
(7)	May want to start in regions where there are high risk areas (coordination team in other regions may commence in year 2 or 3 of the AMTP 4).