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 Frequently Asked Questions
 
 ABOUT NATIONAL AIDS COMMISSION

CORPORATE PROFILE

The National AIDS Commission (NAC) is a corporate body that was established by an act of Parliament NO.8 of September 2005. It is charged with an overall mandate of coordinating the national response towards HIV and AIDS in Lesotho. The specific areas of its mandate are as follows: to develop and coordinate strategies for combating HIV and AIDS; to provide policy guidance to implementing agencies in the country; to provide technical and financial support to the implementing partners; and to facilitate implementation, monitoring and evaluation of programmes.

The scope of coordination includes all sectors of society, be they public institutions – Government Ministries, parastatals, Development Partners, Non Governmental Organizations (NGOs), Private sector organizations in all their forms and sizes and community based organizations (CBOs). Coordination of these sectors is effected through the necessary tools to guide harmonization of various HIV and AIDS interventions in the country. The tools include National HIV and AIDS Policy, National HIV and AIDS Strategic plan, National HIV and AIDS Monitoring and Evaluation Framework and a National Coordination Framework.

Lesotho subscribes to the “three ones” principle of: One national coordinating authority; One national strategic framework; and One monitoring and evaluation system. The fourth principle of ‘One National HIV and AIDS Fund’ is added in the case of Lesotho. With regard to the fouth one preparations are underway for the establishment of a national AIDS Fund as a way of scaling up the national response. The Commission is structured to provide stakeholder-driven strategic direction in the coordination of the national HIV and AIDS response, as well as ensuring equitable allocation of financial, human and other resources to identify strategic areas. This includes the development of necessary technical and operational capacities with implementing organizations or partners.
 
VISION
To be the leading HIV and AIDS coordinating body in the Southern African Development Community (SADC) region by 2011.

MISSION STATEMENT
To provide effective leadership in the coordination of the national response to HIV and AIDS in Lesotho.

SLOGAN
“Powered to Conquer HIV and AIDS”
 

ORGANIZATIONAL VALUES
  • Integrity— We value truthfulness, fairness, honesty and transparency in our internal and external relationships, communications and transactions.
  • Accountability—We affirm our commitment to being accountable, cost-conscious, and conscious of the impact of our actions on the environment in the fulfillment of our duties and professional obligation associated with our position.
  • Excellence—We value professionalism and timeliness and seek credibility in all that we do. We are committed to the highest professional standards.
  • Innovation—We value and support innovation. We encourage informed risk taking that holds the promise of enhancing organizational learning.
  • Leadership—We value leadership at all levels within the Secretariat. We believe that all employees are responsible for continuously providing effective leadership within the context of individual roles and responsibilities.
  • Collaboration - We value the collective wisdom that emerges when individuals work together as a team.
NAC GOVERNANCE STRUCTURE

NAC has three key components of its structure, namely the Board of Commissioners, the HIV and AIDS Forum, and the National AIDS Secretariat (NAS). These three components are integral parts of its structure, thus it is a three in one arrangement that is embedded in the NAC Act. NAS is charged with the responsibility of executing policies and strategies on a daily basis formulated by the Board on the advice of the Forum.

BOARD OF COMMISSIONERS
The Board of Commissioners is the supreme policy making body within the organization it comprises five members that are reflected below:
Board Member Portfolio
Advocate Thabo Makeka Chair Person
Dr. ‘Molotsi Monyamane Medical Portfolio
Advocate Lehlanako Mofilikoane-Leqele Legal Portfolio
Ms. ‘Puleng Lebitsa Finance Portfolio
Mr. Mohau Mabote Stakeholders Portfolio
Mrs. Manneheng Mopeli Board Secretary & Chief Executive a.i


The Board is charged with the responsibility of developing national policies and strategies for the national response and for the development of operational policies for the Commission. It is also entrusted with the oversight and guidance of the National AIDS Secretariat among other things.

HIV AND AIDS FORUM
The second component of the NAC structure is the National HIV and AIDS Forum which comprises fourteen members from various sectors. Its membership include representation from the two houses of Parliament, Ministries of Finance and Development Planning, Health and Social Welfare, Education and Training, Local Government and Chieftainship, Lesotho Council of NGOs (LCN), Lesotho Network of People Living With HIV and AIDS (LENEPWHA), Women Organizations, Lesotho Youth Federation, Teachers’ Associations, Business sector, Faith-based organizations and Sporting bodies.

The general mandate of the Forum is to enhance coordination of the national response through the organisations represented in it. It is also intended to foster a sense that NAC is a national entity to which every Mosotho should feel they have a stake. The importance of this lies in the fact that if key sectors and institutions identify with a body mandated to coordinate the national response then such a body will be effective and, succeed in its mandate. The Forum also advises the Board on issues pertaining to the response. There are three points of interface between the Forum and the Board to ensure flow of communication between them. The three points of connection relate to the fact that the Chairperson and the Secretary for both structures are the same people. In addition, the Commissioner on the Stakeholders portfolio on the Board is a direct representative of the Forum on the Board.

NAC coordinates the national response through the Forum among other ways in that its members report on their constituency activities and ways in which interventions can be improved in various sectors. The members also serve as liaisons between NAC and the organizations and sectors they represent. Thus, they pass on the feedback from the national level to their sectors and vice-versa. This is also a useful forum for members to share experiences on key issues on the national response.
 
NATIONAL AIDS SECRETARIAT
NAC has three directorates or business units, namely, Directorate of Policy, Strategy and Communication; Directorate of Stakeholders Coordination and Support; and Directorate of Finance and Corporate Services.
DIRECTORATE OF POLICY, STRATEGY AND COMMUNICATIONS
The mandate of this business unit is to develop national policies and strategies, develop communication and advocacy strategies for the national response and public relations for NAC. Furthermore, it is entrusted with developing monitoring and evaluation systems for HIV and AIDS interventions and to coordinate HIV and AIDS research in the country.
The National HIV and AIDS Policy, Strategic Plan 2006 – 2011 (NSP) and Monitoring and Evaluation (M&E) Plan were approved by Cabinet in late November 2006, after which they were printed for wide distribution. The process of developing these documents was informed by a joint review of the national response which pointed to the key driving factors of the pandemic. These driving factors have since been used as a basis for the development of the policy as well as the strategic plan. They include multiple and concurrent sexual partnerships, alcohol and drug abuse, poverty and food insecurity, unemployment, multigenerational sex, high levels of unprotected sexual practices, gender inequality and gender based violence, and inadequate access to HIV and AIDS information and services.

 
DIRECTORATE OF STAKEHOLDERS, COORDINATION AND SUPPORT
The mission of this directorate is to lead coordination of the national response and to provide technical support to Implementing Partners (IPs) and to provide grants to IPs to scale up efforts to combat the pandemic. Coordination is effected through a number of self-coordinating structures such as community councils, committees and umbrella organisations which include but are not limited to the Lesotho Youth Federation, Lesotho Inter-Religious Consortium (LIRAC), Lesotho Council of NGOs and Lesotho Network of People Living with HIV and AIDS (LENEPWHA).

A National Coordination Framework has been developed and disseminated to the different stakeholders alongside the key national documents for the national response. The document is being used to catalyze and guide the process of establishment of sectoral coordinating structures and to define/re-define their coordinating roles and responsibilities in the national response.
 

DIRECTORATE OF FINANCE AND CORPORATE SERVICES
The mandate of this business unit is to oversee implementation and compliance to the NAC financial regulations and procedures and provide support to the technical business units. The support is in a number of forms such as Human Resources, Information Technology, logistics, transport and other material support. It also deals with the grants-making process for Implementing Partners supported by NAC. The strategic objective of Finance and Corporate Services is to strengthen NAS capacity to effectively manage and coordinate the national response to HIV and AIDS. The directorate achieves this objective by putting in place systems for financial management, human resources management, administration, management of information systems and grants management.
 
DIRECTORATE OF FINANCE AND CORPORATE SERVICES
The following are the responsibilities of NAC as spelt out in the legislation that establishes the commission:
  1. To develop and establish policies, strategies and priorities for national response to HIV and AIDS embracing the institution of a nationwide HIV and AIDS information and education programme.
  2. To review periodic reports evaluating the progress of the Commission towards achieving its goal.
  3. To monitor the implementation of the National Aids Strategic Plan and Strategies for scaling up the fight against HIV and AIDS in Lesotho.
  4. To coordinate and support the scaling up of innovative efforts that involve stakeholders at various levels.
  5. To facilitate the development and implementation of communication strategies to support the national response with emphasis on behavioural change.
  6. To encourage openness and tolerance to people living with HIV and AIDS.
  7. To develop and issue, in consultation with the Ministry responsible for Health, guidelines on medical and other practices and procedures that carry the risk of HIV transmission.
  8. To facilitate the provision of accessible and affordable HIV testing and counseling services to people who are in need of them.
  9. To facilitate the provision of accessible, affordable and acceptable health and support services for persons living with HIV and AIDS in hospitals and in communities.
  10. To spearhead HIV and AIDS advocacy and create an enabling environment for all stakeholders to effectively participate in the national response against the HIV and AIDS pandemic.
  11. To develop a national HIV and AIDS monitoring and evaluation system and coordinate its implementation in order to asses the impact and results of relevant programmes and other interventions.
  12. To develop resource mobilization strategies, facilitate allocation and track effective utilization in the implementation of the national response to HIV and AIDS pandemic
  13. To act as a national agent for mobilizing financial and technical resources for HIV and AIDS activities from Government, the donor community and the private sector and solicit their partnership and support in the implementation, monitoring and evaluation processes.
  14. To identify emerging policy and programme issues and challenges.
  15. To determine research, facilitate research work and use findings to inform policy reform and development.
  16. To provide strategic direction for core-streaming HIV and AIDS into all national policies and programme.
  17. To advocate for the observance of medical confidentiality and adherence to the precepts of this ACT.
  18. To map out interventions indicating the geographical coverage and the scope of the interventions and actors throughout the country. and
  19. To coordinate, monitor and supervise all activities relating to HIV and AIDS.

 The paramount responsibility of NAC is coordination of the national response to HIV and AIDS. Coordination denotes that there are agencies that are directly involved in implementation whose activities are coordinated by NAC. It also implies that NAC should come up with mechanisms with which to guide the implementing organizations. One of the primary strategies that the Commission employs to coordinate the national response is to engage various sectoral coordination structures to take on HIV and AIDS activities. Such structures include the Lesotho Sports and Recreation Commission (LSRC), Lesotho Inter-religious Consortium (LIRAC), Lesotho Network of People Living with HIV and AIDS (LENEPWHA). This approach ensures among other things that the interventions that NAC coordinates and supports are country-wide in their reach and impact because all the organizations with which it works operate throughout the country.
 

KEY MILESTONES
Phase II of Round 2 Global fund grant approved 2006
Launch of National AIDS Commission September 2006
Labour Code amended to ensure non-discrimination 2006
National Blood Transfusion Policy adopted 2006
1st anniversary of the formation of LENEPWHA May 2006
Phase I of Round 5 Global fund grant approved (Scale-up of care and treatment) Nov2006
National AIDS forum constituted with representation of all stakeholders 2006
Development partners pledge significant funds to support National AIDS response November 2006
Launch of the National Action plan on Women, girls and HIV and AIDS November 2006
Adoption of National Strategic plan December 2006
Adoption of National AIDS Policy December 2006
Adoption of National M&E Framework December 2006
National Coordination framework adopted  
District level launch of National AIDS Policy, Action plan and M&E plan August 2007
National Operational plan for 2007-2008 developed May 2007
Phase I of Round 6 Global fund grant approved on the scale up of TB/HIV collaborative activities  
Plan to scale up PMTCT programme developed as a result of joint review of PMTCT programmes May 2007
National Partnership forum launched March 2007
Church leaders sign statement of commitment to focus on HIV and AIDS July 2007
Thematic working groups for Programme management, HIV prevention, Treatment, care and support and Impact mitigation formed July 2007
EU grant for 12 million Euros for focusing on OVCs approved August 2007
National consultations on preparation of AIDS bill September 2007
All 21 line ministries and Government departments trained on HIV and AIDS and develop action plans for mainstreaming HIV within their sectors September/October 2007
Global Fund round 7 for US$33 million approved to focus on OVC and PMTCT November 2007
All 128 community councils in Lesotho prepare AIDS action plan to implement essential package of services on HIV and AIDS at community level November 2007
National AIDS Commission becomes full member of the Country Coordinating Mechanism December 2007

 

 

 

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