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HIV Policy Scan and Action Planning

HP+ is supporting PEPFAR country teams to conduct legal environment assessments (LEAs) and develop advocacy reform plans to address LEA findings (a process called HIV Policy Scan and Action Planning), fulfilling requirements outlined in PEPFAR’s 2016 Country/Regional Operational Plan (COP/ROP) Guidance. Respecting a need by country stakeholders for a simple, specific, engaging, and cost-effective LEA approach, HP+ uses a mix of desk work, short-term technical assistance, and in-country expertise to apply the project’s unique HIV policy scan and action planning approach. The approach allows PEPFAR country teams to analyze existing HIV-related policies and their implementation; identify and prioritize HIV service gaps related to the continuum of HIV prevention, care, and treatment; and engage stakeholders to develop, monitor, and adapt country-specific policy, regulatory, and legal reform action plans to achieve treatment and other HIV response targets.

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What We Do

Using HP+’s participatory HIV policy scan and action planning approach, we provide PEPFAR country teams with an analysis of the current policy environment, how various policies are being implemented, and existing HIV service gaps. The process includes a review of legislation, government strategies, national policies, clinical guidelines, and/or standard operating procedures and various stakeholder engagements. This approach allows in-country stakeholders to take part in the process with support from HP+ senior technical staff that have experience in the continuum of HIV prevention, care, and treatment policy analysis and facilitation. Stakeholders are also involved in developing action plans based on the recommendations from the analysis.  

The methodology adheres to four fundamental principles:

HIV Policy Scan and Action Planning Approach First visit •	Analyze existing HIV-related program and policy analysis data •	Identify and prioritize HIV service gaps in need of policy action •	Engage stakeholders and decision-makers to understand program implementation context After the first visit •	Conduct analysis of written policies and policy implementation related to service gaps and identify actionable policy opportunities  Second visit •	Engage with country stakeholders to prioritize policy issues and policy-strengthening opportunities for action plan •	Clarify advocacy objectives of the action plan •	Map stakeholder and decision-maker engagement with, and support for, prioritized policy issues •	Develop action plan to change selected HIV-related policies to address prioritized service barriers  After the second visit •	Support in-country stakeholders to monitor action plans and implementation effectiveness; learn about which advocacy actions were successful and adapt action plans to changing environment to improve odds of success Summary •	Briefs or report that analyzes prioritized service gaps to identify key policy barriers and actionable policy opportunities •	Country-specific policy, regulatory, and legal reform action plans with interim outcomes and advocacy evaluation measuress

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