A Situation Analysis of the Center for Information and Counseling on Reproductive Health in Tbilisi, Georgia, as a Response to GFATM's New Funding Model: A Special Studies Project Public

Abstract

HIV/AIDS continues to be an issue within the country of Georgia and neighboring, high-prevalence countries including Russia and Ukraine. Historically, local non-governmental organizations (NGOs), dependent on outside international funding such as the funding provided by the Global Fund to Fight AIDS, TB, and Malaria (GFATM), have played a vital role in Georgia's HIV prevention strategies for high-risk, vulnerable populations; but, only one organization is currently serving the country's MSM and FSW high-risk populations with direct health intervention services - the Center for Information and Counseling on Reproductive Health. In 2013, a strategic shift began to take place within the GFATM resulting in the development of a New Funding Model (NFM) based upon country income rankings assigned by the World Bank. Due to this strategic shift within the GFATM, Georgia will no longer be eligible to receive GFATM funding due to its middle-income ranking after 2016. But before "graduating" from GFATM funding, previous GFATM recipient countries are still eligible for a final round of funding scheduled to take place in April, 2015, under the NFM. Competition is now intense amongst Georgian HIV/AIDS NGOs, including the Center for Information and Counseling on Reproductive Health, to obtain funding through this final NFM funding round for their respective operations. The purpose of this SSP is to develop a situation analysis report for the Center for Information and Counseling on Reproductive Health that will inform the national HIV policy dialog currently taking place in Georgia while advocating on behalf of the organization during this final GFATM funding round.

Table of Contents

1. Introduction 1

2. Background 2

2.1. Global HIV Burden 2

2.2. Georgian HIV Burden 3

2.3. Georgian National Response 5

2.4. GFATM in Georgia 6

2.5. NGO Tanadgoma 7

2.6. Problem Statement 9

2.7. Purpose Statement 9

2.8. List of Acronyms 12

3. Key Milestones in HIV/AIDS in Georgia 13

3.1. 1980s 13

3.2. 1990s 13

3.3. 2000s 14

3.4. 2010s 20

4. Methods 23

4.1. Motivation for the Report 23

4.2. Data Collection 23

4.3. Target Audiences for the Report and SSP 26

4.4. 5C Situation Analysis Report 26

4.5. IRB Approval 28

5. Results 28

5.1. Situation Analysis Report Results 29

5.2. SSP Results 30

6. Discussion 30

6.1. Strengths 30

6.2. Limitations 31

6.3. Recommendations 32

7. Conclusion 32

8. References 33

9. Appendix A - Situation Analysis Report 36

10. Appendix B - NGO Survey Instrument 60

11. Appendix C - Client Satisfaction Survey Instrument 62

About this Master's Thesis

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School	Rollins School of Public Health
Department	Hubert Department of Global Health
Degree	MPH
Submission	Master's Thesis
Language	English
Research Field	Health Sciences, Public Health
Mot-clé	New Funding Model The Global Fund to Fight AIDS, Tuberculosis and Malaria Republic of Georgia GFATM
Committee Chair / Thesis Advisor	McFarland, Deborah A, Emory University
Partnering Agencies	National or regional non-profit organization (e.g., American Cancer Society)

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