RATN Annual Report FY 2008/2009 by info ratn

Table of Contents RATN VISION A Society with the capacity to respond effectively to the HIV and AIDS pandemic

ABBREVIATIONS

BOARD CHAIRMAN’S MESSAGE

EXECUTIVE DIRECTOR’S MESSAGE vii BOARD OF DIRECTORS viii 1. INTRODUCTION

2. RATN ensures a sustainable and functioning Network of Training Institutions in ESA region

3. RATN facilitates Quality Training and Capacity Development Programmes that respond to STI/HIV/AIDS Training Needs in ESA

RATN values

4. RATN responds to increased demand for information on STI/HIV/AIDS in ESA region

•

5. Networking and the HIV Policy Agenda in ESA region

6. Monitoring and Evaluation

7. Financial Performance

8. Reflections and Challenges

9. Planned Activities for FY2009/2010

10. Annual Report and Financial Statements for the year ending 31st March, 2009

Annex 1: Courses delivered by RATN in FY2008/9

Annex 2: RATN Performance Measurement Framework

RATN mission To strengthen the capacity of relevant individuals, organizations and other stakeholders to respond to STIs/HIV/AIDS in the Eastern and Southern African region

Involvement of people infected and affected by HIV/AIDS

• Tolerance to diversity within the organization • Equity and Fairness • Mutual Respect • Honesty and Integrity • Transparency and Accountability • Zero tolerance to all forms of corruption • Learning from our past experiences and practices

RATN Annual Report, April 2008 - March 2009

Abbreviations

AIDS

Acquired Immune Deficiency Syndrome

MIM

Malawi Institute of Management

AIC

AIDS Information Centre

MIs

Member Institutions

AMREF

African Medical and Research Foundation

NACC

National AIDS Control Council

CAFS

Centre for African Family Studies

NARESA

Network of AIDS Researchers in Eastern and Southern Africa

CEU

Clinical Epidemiology Unit

NDM

Network Development Manager

CHIKANKATA

The Salvation Army, Chikankata Mission Hospital

NGO

Non-Governmental Organisation

CIDA

Canadian International Development Agency

PCM

Partnersâ&#x20AC;&#x2122; Consultative Meeting

CONNECT

CONNECT Institute of Systemic Therapy

PHRU

Peri-natal HIV Research Unit

EAC

East African Community

PMF

Performance Management Framework

EANNASO

Eastern Africa National Network of AIDS Service Organizations

PMTCT+

Prevention of Mother to Child Transmission of HIV

ESA

Eastern and Southern Africa

PSG

Project Support Group

ESAMI

Eastern and Southern African Management Institute

RATN

Regional AIDS Training Network

FACT

Family AIDS Caring Trust

RECs

Regional Economic Communities

GASD

Gender, ARV, Stigma and Discrimination

REPSSI

Regional Psycho-Social Support Initiative

GLIA

Great Lakes Initiative on HIV/AIDS

RTMES

RATN Training, Monitoring and Evaluation System

GOK

Government of Kenya

SADC

Southern African Development Cooperation

GU Centre

Genito-Urinary Centre, City Health Department

SIDA

Swedish International Development Agency

HEARD

Health Economic and HIV/AIDS Research Division

Strategic Plan

Human Rights

STD

Sexually Transmitted Disease

Irish Aid

TASO

The AIDS Support Organisation

ICASA

International Conference on HIV/AIDS and STDs in Africa

TGNP

Tanzania Gender Networking Programme

ICT

Information, Communication and Technology

THETA

Traditional and Modern Health Practitioners Together Against AIDS

IDM

Institute of Development Management

TRIC

Training Reference and Information Centre

JFA

Joint Financing Agreement

UNIFEM

United Nations Development Programme for Women

KAPC

Kenya Association of Professional Counsellors

KARA

Kara Counselling and Training Trust Limited

KHI

Kigali Health Institute

KRAs

Key Result Areas

MANANGA

Mananga Centre for Regional Integration and Development Management

MILDMAY

Mildmay International

RATN Annual Report, April 2008 - March 2009

Board Chairman’s Message As we mark end of the Strategic Plan (20042008), we not only look to our history and heritage, we embrace the changes that have launched RATN to the position we enjoy today in the area of HIV training and capacity building. Much like the wide variety of HIV capacity building initiatives it recognizes and the diverse group of network members it serves, the Regional AIDS Training Network represents many things to many people. We are a training network, a governing body, an advocate for quality HIV training and capacity building, a forum for knowledge sharing, and so much more. Over the years, it is pleasing to note that the organization has been seen to enjoy a unique privilege as one of the stewards of HIV capacity building mandate in the ESA region. With each passing year, the network strives harder to strengthen its core mandate and to open our world to the ever-widening demands on effective HIV capacity building. The widespread implementation of RATN services has undoubtedly played a role in the HIV training gradual ascent to a new position in our society. The importance of HIV capacity building is seemingly beginning to be universally acknowledged, allowing organizations like RATN to take their rightful place in the HIV response scale-up programmes. No single entity deserves credit for the great strides we have made over the past ten years. The goodwill and support RATN has enjoyed since its

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establishment is a result of the collective efforts of the RATN community as a whole. This community is comprised of all the stakeholders, the development partners, network members, secretariat staff and beneficiaries, who are all the lifeblood of our work. While we are delighted to end the year in a very healthy financial position, we are ever mindful of the appropriate reserves that we must maintain in order to ensure the future of the network. As operations expenses rise, we continue to strengthen our efforts identify alternative sources of revenue, to allow us to subsidize events, scholarships, lobbying, and the many other necessary efforts RATN undertakes in support of the HIV capacity building initiatives in ESA region. As we set our sights toward the future, there can be little doubt of the potential and strength of the network. I am confident that the next Strategic Plan (2009-2014) will see RATN facilitating more unique capacity building initiatives for strengthening the HIV response in the ESA region. Working together with the creativity and flexibility, I have every reason to believe that the organization will continue to advance as an example of excellence, progress, and innovation that is befitting of promising future. As an organization we remain deeply committed to serving all our stakeholders and beneficiaries in the most effective, efficient, respectful manner possible. Please accept our heartfelt thanks to your interest and involvement in the work of the Regional AIDS Training Network.

Dr. Rangarai Taruvinga Board Chairman

Executive Director’s Message Regional AIDS Training Network exists for the simple purpose of being a catalyst for facilitating the development of technical and management skills and capacities for implementing effective HIV and AIDS interventions in ESA region. On day-to-day basis, fulfilling our mission in dynamic world involves complex activities in many functional areas – strategic planning, information technology, financial management, governance, operations, international relations, and networking. We think investors in our organization should know how seriously we take these issues, and that we spend significant time and resources to improve our performance. But we push hard on these business aspects of our work because they are means to the greater end of serving people in more efficient, thoughtful, and meaningful way. Highlights of this year’s efforts are detailed in this report. Included are successful completion of the evaluation of the just ending Strategic Plan (20042008) and development of the new Strategic Plan (2009-2014). The processes were held back-toback to ensure that successes and lessons learnt from implementing the past strategic plan inform the solid foundations for the next five years for the organization. During the year we also expanded our commitment to spearhead debate and advocacy for resources and supportive policies and environment for HIV capacity building. We brought together the NACCs and regional bodies such as SADC, ARCAN, and GLIA to discuss best practices and challenges constraining effective HIV capacity building in ESA region. We also introduced a

new and innovative training programme based on e-learning as well as the setting stage for the first Regional HIV Capacity Building Conference scheduled for June 2009 in Kigali Rwanda. The past year has indeed been a showcase of what the RATN community of network members, staff, and partners can accomplish when we work together in the interest of the quality HIV training and capacity building. Our unrelenting spirit of service to the region undoubtedly adheres to the original roadmap hinged on collaboration as designed by our founders 10 years ago. The leadership, guidance, and generosity of our all volunteer Board of Directors were essential to all our organization’s activities over the dynamic period covered by this report. As we approach the full implementation of the new Strategic Plan (2009-2014), we acknowledge that the business world today is fast-paced and increasingly competitive and therefore demands proactive and flexible leadership. Today’s RATN management strives to achieve a harmonious balance between preservation of the past and progressive innovations to ensure the growth and future of our unique mandate. In that vein, we have instituted many practices to accompany our cherished traditions. From recently established events and programs to new partnerships, RATN is branching out to the future while our roots remain proudly and firmly planted in history.

Kelvin Storey Executive Director

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Board of Directors

Dr. Hizaamu Ramadhan Chair, Finance and Administration Committee Traditional and Modern Health Practitioners Together Against AIDS

Dr. Ranga Taruvinga Chair, Board of Directors Mananga Institute of Regional Integration and Development Management

Mr. Marc A. Okunnu Chair, Programmes Committee Centre for African Family Studies

Introduction

This report covers planning period beginning 1st April 2008 ending 31st March 2009 (i.e. FY2008/9) and provides overview of the performance of the Regional AIDS Training Network (RATN) during the period under review. The description of RATN and its mandate is presented in the Section 1 of the report while Sections 2 to 6 highlights major activities and developments carried out in FY2008/9. Financial Performance issues are discussed in Section 7 while Section 8 provides reflections on lessons learnt. The planned activities for the next FY2009/10 are presented in Section 9 of the Report. The detailed matrix on progress against Strategic Plan (SP) performance targets is presented in Annexes section.

Description and Mandate of Regional AIDS Training Network

Mr. Dennis Mudede Member, Finance Committee CONNECT

Dr. Walter Jaoko Member, Finance Committee University of Nairobi

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Dr. Njabuliso Dlamini Vice Chair, Board of Directors Institute of Development Management

Ms. Judith Kumwenda Member, Finance and Administration Committee Kara Counseling and Training Trust

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Mr. Zachary Bigirimana Member, Programmes Committee Kigali Health Institute

Dr. James Dean Member, Programmes Committee University of Manitoba

The Regional AIDS Training Network (RATN) was founded in 1997 as a network constituting partner training Institutions in Eastern and Southern Africa (ESA) to collaborate on training activities related to STIs/HIV/AIDS in the region. RATN’s status changed in April 2003 when it moved from being a project to a registered international/regional NonGovernmental Organization with a Secretariat based in Nairobi, Kenya. RATN functions as a facilitator to strengthen the capacity of member training institutions and as a forum of exchange of ideas and experiences. RATN’s Secretariat works with its established network of 25 Member Institutions to adapt and develop short term skills upgrading courses targeted at mid-level STI/HIV/AIDS workers, trainers, programme managers and senior policy makers. The broad categories of RATN MIs include (a) Non Governmental Organizations (International, National and Local; (b) Management Institutions; and (c) University Departments. In order to ensure that the training offered at the national level is needs-based, RATN carries out country specific training needs assessments, situational analysis and other environmental scanning activities. The NACCs are important

partners for RATN when establishing training needs at the national level. The national level training needs are determined by the focus established through the strategies on HIV/AIDS, the monitoring and evaluation frameworks and resources availed for capacity development. RATN’s advocacy strategy focuses on working with NACCs to ensure that training and capacity development is prioritized within the national HIV/AIDS strategies.

Linkages to International and Regional Agenda The above focus areas are responsive to the global agenda on HIV/AIDS as established under the United Nations General Assembly Special Session (UNGASS), Millennium Development Goals (MDGs) and New Partnership for Africa’s Development (NEPAD) objectives. NEPAD aims to eradicate poverty and place African countries, individually and collectively, on the path of sustainable growth and development. The RATN programme supports the NEPAD principles of African ownership and leadership, as well as participation by all sectors of society, anchoring the development of Africa on its resources and resourcefulness of its people; and partnership between and amongst African peoples. Frontline workers need adequate skills if the global goal of halting and beginning to reverse the spread of HIV/AIDS is to be realized. The training areas covered by RATN collaborative programmes are complementary to effective responses to the epidemic, which includes prevention and behaviour change, care and support for those who are infected and mitigation of the impact of the epidemic on individuals and communities. Regular contacts are kept with the NACCs and partners at country levels and UNAIDS RESA and the HIV/AIDS Coordination desks at the Southern African Development Coordination (SADC) Secretariat and the Eastern African Community (EAC) Secretariat at regional level to ensure that RATN programmes are informed by emerging HIV and AIDS priorities and trends.

RATN Annual Report, April 2008 - March 2009

RATN Core Business The core business of RATN is to identify and link institutions with technical capacity to deliver quality training to middle level managers and trainers of HIV/AIDS programmes. RATN develops the capacity of MIs through specific support for training their trainers and managers, direct support for trainees through partial scholarships, advertising and marketing of MI courses to ensure good regional uptake, facilitator exchange and support programmes, support for curriculum development and evaluations and systems improvement. RATN also undertakes advocacy with Regional Economic Commissions (RECs) such as SADC, EAC, and Common Market of Eastern and Southern Africa (COMESA), donors and NACCs to support its training and capacity development agenda.

Purpose The purpose of RATN is to establish a regional network of training institutions to provide skills training, upgrading, extension services and technical

Box 1.1: Roles of RATN as networkbased organization • Identify high quality training institutions – Member Institutions - in ESA, and collaborate with them to present training courses on a regional level. • Develop and present new training courses through Member Institutions that respond to perceived and felt needs in the region. • Provide resources to ensure that existing training programs can be presented to a wider regional audience. • Develop a network of technical experts in the region through the convening of meetings/workshops, publishing and dissemination of documents, improving communication linkages, and liaising with institutions and donors. • Serve as a resource for others in identifying training institutions, trainers and consultants in the region. • Serve as a focal point for the discussion of training issues. • Advocate for training resources at the regional and international level. • Facilitate a process that will lead to the network being governed by its members.

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assistance to health and allied workers in the field of STIs/HIV/AIDS in the ESA.

RATN Expected Outcomes The expected long-term impact of RATN’s work is: a contribution to reduction of the prevalence of STI/HIV/AIDS and mitigation on the impact of the epidemic on communities in the region. Within the current Strategic Plan, there are four outcomes stated. However, these were reviewed and revised to five as the Performance Measurement Framework was updated. The RATN expected outcomes are as follows:

Box 1.2: RATN Outcome Objectives Outcome 1: A sustainable and functioning network of training institutions in ESA Outcome 2: Quality training and capacity development programmes that respond to the STI/ HIV/AIDS training needs of the region Outcome 3: RATN is recognized as an effective source of information on quality STI/HIV/AIDS training and capacity development in ESA Outcome 4: Regional economic communities (RECs) and national policies for HIV/AIDS have capacity building and human resource components Outcome 5: RATN responds to findings from monitoring programme reviews and evaluations

Highlights on RATN Performance for FY2008/2009 Overall, FY2008/9 was a successful year for RATN, again providing clear evidence of RATN’s emergence as one of the key players in providing training and information for STI/HIV/AIDS response networking”. The next sections highlight some of the major developments and milestones for RATN during the year under review.

RATN ensures a sustainable and functioning Network of Training Institutions in ESA region

The Growing Network In June 2008, the RATN General Council ratified full membership of the In-Service Training Trust (ISTT) based in Lusaka, in line with the RATN member recruitment procedures. Thus, the joining of ISTT meant that Zambia has a total of three RATN member institutions in addition to Kara Counseling Trust and Salvation Army Chikankata Health Services. The inclusion of ISTT was a strategic one for RATN as the institution brings to the network a course on HIV and Nutrition. Thus, for the year under review, RATN membership is represented in eleven (11) countries namely in Eastern and Southern Africa namely: Botswana, Kenya, Malawi, Rwanda, South Africa, Swaziland, Tanzania, Uganda, Zambia, and Zimbabwe. During the five year period of implementing the Strategic Plan (2004-2008), it had been envisaged to increase the number of MIs from 22 to 30 operating in 13 countries (up from eight countries in 2004) by the end of the plan period. By March 2009, RATN had a membership of 25 MIs in the 11 countries. Thus, the plan targets for network expansion were partially met, at 86% of the target in membership and 77% of the target in terms of the number of countries.

Board size reduced from 12 to 9 members Following the General Council resolution to reduce the board size from twelve (12) to nine (9) in order to ensure cost efficiency for RATN governance, the GC elected the new Board of Directors in June 2008 in Lilongwe, Malawi. The following members were elected to serve on the Board: Dr. Ranga Taruvinga (Mananga Centre for Regional Integration and Management Development, Swaziland); Dr. Hizaamu Ramadhan (Traditional

and Modern Health Practitioners Together Against AIDS, Uganda); Stanley Chama (KARA Counseling and AIDS Trust, Zambia); Dennis Mudede (CONNECT Institute of Systemic Therapy, Zimbabwe); Marc Okunnu (Centre for African Family Studies, Kenya); Dr. Njabuliso Dlamini (Institute of Development Management, Botswana); Zachary Bigirimana (Kigali Health Institute); Dr. Water Jaoko (University of Nairobi); and Dr. James Dean (University of Manitoba, Canada). During the year under focus, there was 100% participation of MIs at the Board meetings which were held every four (4) months (June, October 2008 and February 2009). It is hoped that this trend will continue in the next planning period.

RATN MIs strengthened their commitment to the network Following the recommendation by the RATN Board of Directors that the RATN Secretariat should signs a Memorandum of Understanding (MoU) with Member Institutions (MI’s), about 50 percent of the MIs have signed the MoUs. RATN perceives a MoU as a milestone in strengthening partnership, collaboration within the network. Practically, the MoU expresses a convergence of will, indicating an intended common line of action. The MOU sets forth the roles and responsibilities of RATN and the MIs and defines the scope of cooperation. It is envisaged that the MOUs will further harness the comparative advantages that exist with the diversity of the network. In summary the MOU has following Articles: (a) Article 1: Scope of Cooperation (b) Article 2: Roles and Responsibilities of RATN (c) Article 3: Roles and Responsibilities of an MI (d) Article 4: Information Disclosure (e) Article 5: Property Rights (f) Article 6: Participation in Similar Activities (g) Article 7: Non-Fund Obligation Document (h) Article 8: Commencement and Modification (i) Article 9: Arbitration (j) Article 10: Expiration and Termination (k) Article 11: Contact Persons RATN Annual Report, April 2008 - March 2009

In terms of next steps, following the signing of the broader MOU, each will develop and sign specific MOUs with the Secretariat for specific RATN collaborative projects and activities such as training courses and other activities.

First HIV Capacity Building Conference in ESA region RATN has in collaboration with Kigali Health Institute (KHI) Centre for Continuing Education organized an international conference on HIV & AIDS Training and Capacity Development titled: Challenges and Trends. The two-day conference will be held on the 24th and 25th June 2009 in Kigali, Rwanda. KHI is a RATN MI and is currently running a RATN collaborative course on Post-Graduate Certificate in Counseling. The HIV Capacity building conference will provide organizations and institutions engaged in HIV & AIDS capacity building and training an opportunity to share and exchange ideas and experiences. The conference is expected not only to bring together policy makers, researchers, activists and practitioners from government, academia and civil society in the Eastern and Southern Africa region, but also to facilitate organizations to build consensus on current gaps and trends in research and capacity, and the innovative and practical approaches and strategies which can be adapted to address those gaps. As part of the preparation process the Secretariat in collaboration with an organizing committee comprised of representatives from MIs (KHI, CAFS, MIM, KAPC, and ISTT facilitated the identification of conference theme, formation of sub-committees, conference publicity, selection of conference presentations/papers as well as providing technical advice of logistical arrangements for the conference. At the time of publishing this report, about 60 presenters and a total of about 120 delegates had confirmed their participation at the conference.

RATN new Strategic Plan (2009-2014) finalized In the year under review, RATN was extensively engaged in the process of developing the Strategic Plan for the year 2009-2014. The plan was developed through a participatory process of self

RATN Annual Report, April 2008 - March 2009

assessment and drawing from the evaluation results of the previous Strategic Plan (2004-2008). Based on an environmental scan, analysis of RATN’s practices and strategy effectiveness and experience stemming from the implementation of the previous strategic plan, RATN identified what it intends to achieve in the Strategic Plan period 2009-2014 in terms of strategic goals and objectives and the approaches to adopt in order to realize the expected results in the short and intermediate terms.

Strategic Goal and Key Objectives The overall goal of the strategic plan 2009-2014 is “to strengthen the capacity of individuals and institutions in the Eastern and Southern African Region to effectively respond to the HIV and AIDS pandemic through training and capacity development, information sharing and advocacy”.

The strategic objectives outlined above will be realized through key outputs classified into five (5) programme implementation areas as follows: (1) Training and Capacity Development; (2) Information and Knowledge Management; (3) Advocacy, Partnerships, and Networking; (4) Research, Monitoring and Evaluation; and (5) Functional and Sustainable Network The development of the new Strategic Plan was overseen by a Steering Committee of seven (7) people appointed by the Board representing the Board, MIs and RATN donors. The members of the Steering committee were: Jephias Mundondo (FACT); Dr. Njabuliso Dlamini (IDM); Anne Lindeberg (Sida); Francis Mangani (KARA); Prof. Walter Jaoko (University of Nairobi); Dr. Trevor Kaile (Chikankata); and Dr. Hizaamu Ramadhan (THETA).

What is New in the New Strategic Plan? •

Strengthened regional perspective of RATN work: The plan has aligned priorities for RATN to serve as a catalyst to training and capacity development resources in the region.

•

Strengthened evidence-based programming: In this plan, trends and emerging issues are informing the priorities of training and capacity development in the region.

•

Quality assurance: The plan recognizes the critical role of RATN to spear head the quality assurance of training and capacity development in the ESA region

•

Value addition to the network membership: The plan highlights the issue of value addition to the network membership through harnessing the comparative advantages that exist within the diversity of the network

In order to achieve the strategic goal, RATN intends to accomplish the following specific outcome objectives for the period 2009-2014: •

Enhanced skills and competencies for design and implementation of effective HIV and AIDS interventions at community and workplace levels.

•

Strengthened capacity for training institutions (under RATN Membership) to develop and deliver training and/or manage quality gender sensitive HIV and AIDS prevention, care, support, and mitigation programs.

•

Strengthened exchange of knowledge and information on HIV and AIDS related to training and capacity development (and therefore RATN being recognized as an authority source for high quality HIV and AIDS information)

•

Strengthened advocacy and the capacity of RATN MIs, civil society and other partners to influence policy towards increasing support for developing effective capacity to respond to the HIV and AIDS pandemic in the region;

•

RATN strengthened as fully functional and sustainable regional membership-based network organization.

•

Monitoring and Evaluation system of RATN and its members strengthened.

RATN Annual Report, April 2008 - March 2009

RATN facilitates Quality Training and Capacity Development Programmes that respond to STI/ HIV/AIDS Training Needs in ESA

A core theme of the Regional AIDS Training Network has been to maintain “Quality training and capacity development programmes that address HIV/AIDS training needs in the ESA region” (Outcome 2 of the strategic plan). The major activities in the period under review have included the design and development of improved curriculum and training delivery that respond to identified needs and gaps in line with the current trends. One of the core themes of the Regional AIDS Training Network in the last year of the “20042008” strategic plan was to maintain Quality training and capacity development programmes that respond to the STI/HIV/AIDS training needs Figure 1:

RATN Annual Report, April 2008 - March 2009

of the ESA region. The following sections provide highlights of activities and outcomes under the Training Programme Area.

Training courses delivered and more target groups reached A total of 30 courses out of the 38 training courses planned were delivered during the reporting period through 17 RATN MIs. Fourteen (14) courses were delivered in counselling and related courses with a total of 266 (M76 / F190), among them a mixed group of marginalized groups (30, 3M/27F by CONNECT) and another group of 14, 1M/3F who were hearing impaired by KAPC. One of the courses

delivered was a Post Graduate Certificate in Counselling in which 12 graduated (6M/6F) through the KHI. Overall 503 participants (198 Male and 305 Female) were trained. Eighty six (86) individuals were trained in care and support through TASO and FACT; 34M / 52F, and 30 of them (9M/21F) in palliative care and rehabilitation of PLWAs training through the Mildmay Uganda (the only MI providing training in palliative among the RATN MIs). Fifty two (52) individuals (26M/26F) undertook the gender training through TGNP and IDM, while CAFS delivered the only advocacy in reproductive health course currently running in collaboration with RATN 11 (6M/5F). The Clinical Management Courses saw 64 (46M/18F) trained in ART Clinical Management and the Laboratory Services Management courses. The Laboratory management course through AMREF run for the first time in phases (a 2 month precourse phase Feb-April 2008, a 2-week residential block in May 2008, and finally a post-course practical phase May – August 2008) before the participants graduated.

Seven (7) planned courses were cancelled or postponed for various reasons including low number of applicants and logistical factors. The postponed courses were as follows: the Planning for HIV & AIDs in sub-Saharan Africa (the HEARD Unit stopped running this workshop and discussions are underway for repackaging for future delivery); Children and Carers by Chikankata (postponed due to inadequate applicants); the course on Traditional Medicine and Alternative Therapies failed to run due to restructuring at THETA. The Communication and Behavior Change (BCC) and the course on HIV Programme Management and Administration delivered through MIM was postponed due to inadequate applicants) while the course on HIV Testing and Counselling because of applicants cancelling at the last minute. Overall, RATN has trained a total of 2564 participants between FY2004/5 and FY2008/9. More participants have been trained in the area of counselling and related courses (1007) representing 39%, followed by Care and Support courses (531) and advocacy/policy and BCC courses (483) representing 20% and 18%% respectively. Figure 2 below shows the distribution of course participants by course cluster area between FY2004/5 and FY2008/9.

Figure 2: No. of participants by course cluster/type (2004-2009)

RATN Annual Report, April 2008 - March 2009

Curricula reviews to ensure quality and relevant courses

through KHI would maintain its focus on the needs of Rwanda, for example in traumatic counselling.

Manitoba specifically for the Learning Management System “Angels” and the “Articulate soft-ware”.

During the year under review much emphasis was put in reviewing of curricula in order to ensure continued relevance and enhanced quality. Specific Task-Forces (TFs) were formed to address three course areas namely, Community Care, Counselling, and Clinical Management. The key purpose of the curricula review process was for the network to emerge with a core –curriculum to form the main thrust of the future re-packaged courses (while allowing MIs to incorporate any other significant issues that may need redress at the country and/or local level).

In addition, using a Task-Force of ART Clinical and Programmatic Management Team, the existing draft ART Curriculum was reviewed and re-packaged during the last quarter of last SP (March 24 – 27th 2009) to guide the delivery of the ART Course from July-August 2009. Among other outcomes of the review process, the title of the course was also revised with a focus on the course-target and now reads “the ART Programme Managers Training Course”.

RATN also facilitated the MI to MI exchange programme by supporting facilitators from KAPC and CONNECT to support KHI in the delivery of the Second Phase (field-practicum) of the Postgraduate Certificate course. The activity was done from March to June 2008) KHI reported that the activity helped to effectively transfer skills from KAPC and CONNECT to the KHI team within a very short period.

The Community Care Task Forces (TFs) held two curriculum review workshops in May and August 2008 to review curriculum delivered through TASO, FACT, Chikankata and the traditional medicine and alternative therapies course run through THETA. The workshop recommended that a sensitization component on traditional medicine and alternative therapies be incorporated into the community care course, (while ensuring that the full short course would continue to run through THETA). Under a similar arrangement, a Task Force of the Counselling MIs reviewed the various counselling and related course- curricular in July of 2008 covering the following curricular: KAPC Counselling and Counseling supervision curriculum, also tailored to the needs of the hearing / visually impaired); KARA Eclectic Counselling Curriculum1; CONNECT Systemic Counselling Curriculum (accredited through the Open University of Zimbabwe and also tailored to the needs of the marginalized); TASO Child Counselling curriculum; Mildmay Centre ARV for Counsellors curriculum; AIC HIV Testing and Counselling (HCT) curriculum; and the Post Graduate Certificate in Counselling (KHI) curriculum. The post graduate certificate course

The various Task Forces were enriched through technical assistance of key facilitators and invited experts in order to enhance capacity of MIs in curriculum review and capturing of emerging trends and gaps. The next step planned for the next fiscal year FY2009/10 is the review and repackaging of most of the current RATN training curricula and courses based on emerging needs and gaps.

During the year under review, the Gender, ART, Stigma/Discrimination and Human Rights (GASDHR) Tool-kit- accompanied by an Operational

Manual was circulated to MIs to be a key reference document in facilitating mainstreaming of gender, ART, HR, and Stigma and Discrimination into the RATN collaborative courses. RATN also facilitated exchange of facilitators among MIs as part of the MI capacity building process. The following MIs exchanged facilitators for particular courses: THETA (Uganda) and Chikankata Salvation Army (Zambia) for the Community Care Course in March 2009); Mildmay (Uganda) and TASO (Uganda) for the ART Clinical Management course held in June and November 2008; KAPC (Kenya) and CONNECT (Zimbabwe) for co-facilitating the second post graduate certificate counselling course at KHI in Rwanda (course was held February 2009).

Strengthening capacities of Member Institutions A summer school at the Extended Education of the University of Manitoba held in June 2008) benefited four individuals (one from the RATN secretariat and three MI representatives from three MIs (Mananga, TASO and IDM) collaborating with University of Manitoba in Canada to run an e-learning based certificate course on HIV Programme Management. The course is the first e-learning based training to be offered through RATN MIs and its delivery commenced in March 2009 with 18 participants. Related to the same e-learning programme, the team from the three MIs attended the workshop of ICT Support Team for the On-Line Course – in Dar-Es-salaam in October 2008. The workshop was facilitated with technical support of the University of

ICT support Team for the on-line RATN/University of Manitoba ‘Certificate in Interdisciplinary Studies for HIV and AIDS Programme

(The course is being tailored to be an accredited module with the University of Zambia, while the current delivery of the same as a short course will continue at KARA)

RATN Annual Report, April 2008 - March 2009

RATN responds to increased demand for information on STI/HIV/AIDS in ESA region

Strengthened Capacity of the network ICT Staff Utilizing HINARI to access Health Information A three-day Member Institution (MI) Information and Communication Technology (ICT) staff capacity building workshop was held in Dar es Salaam Tanzania with a total of 25 MI Information and Communication Technology staff from 17 MIs in attendance. The objective of the workshop was to empower participants to better use electronic resources to strengthen knowledge creation and sharing. The theme of the workshop was “The Role of Information in Creating and Sustaining Networks.” This was the 5th MI ICT staff capacity building workshop organized by the RATN Secretariat. The Dar es Salaam workshop was organized in collaboration with Tanzania Gender Training Programme (TGNP), a RATN Member Institution. The hands-on workshop acquainted ICT personnel with knowledge on the use of HINARI to access Health Information on the internet. The workshop was facilitated by Vimbai Hungwe, a Senior Programme Officer - Training at the Information Training and Outreach Centre for Africa (ITOCA) based in South Africa. Vimbai is also the President of AHILA. Mr. Dennis Mudede, the Director of CONNECT Institute of Systemic Therapy, Harare Zimbabwe, said the Workshop was very useful. He said that partner organizations including NGOs and university students and employees depended on CONNECT for their research on counseling. “The training has no doubt added value to us – CONNECT staff, students and sister NGOs and universities” he said. The training included a module on repackaging health information resources and authorship.

RATN Annual Report, April 2008 - March 2009

Staff trained on Strategic Management of Libraries and Information Resource Centres RATN facilitated the training of four MI staff from AMREF, Chikankata Health Services, Institute of Development Management (IDM) and Mild may to attend a four week course on Strategic Management of Libraries and Information Resource Centers (SMLRC) at Mananga Centre for Regional Integration and Management Development, Mbabane, Swaziland. Three of these attended SMLRC Level 1 and one SMLRC Level 2. This capacity development is in response to ICT gaps identified in MI ICT workshops previously held in Malawi and Uganda. The RATN Board of Directors recommended that training be held at MI institutions which offer ICT courses such as MIM and Mananga. In 2007, six (6) MI staff members received training in MIM, Malawi and Mananga Centre.

Building Staff Capacity on Gender Mainstreaming and the Human Rights-Based Approach The RATN capacity building training workshop for MI Information and Communication Staff held in Mombasa, Kenya brought together MI staff from Kenya, Rwanda, Tanzania, Uganda, Swaziland, Zambia, Zimbabwe and Malawi. The training was aimed at building the capacity of the MIs to improve programming in the focus areas of gender mainstreaming and the use of the rights – based approach to programming. Gender mainstreaming and human rights are of critical concern in programming. They have a direct bearing on access to and equitable distribution of resources with the ultimate goal of achieving gender equality. Women bear the brunt of the HIV/

AIDS epidemic due to their biological make up and the triple role that they play of reproductive, productive and community. They are also among the world most marginalized and often have minimal access to resources to cope with the disease. Gender mainstreaming and the human rightsbased approach are two frameworks to guide organizations’ programming aimed at achieving sustainable development by empowering the rights holders or claim holders to claim their rights from the duty bearers.

The Network facilitates Increased Information Sharing TRIC is a web-based information centre aimed to provide easy access to quality HIV and AIDS information on training resources in the East and Southern Africa region. The target audience for the TRIC information includes RATN partners, NGOs, Academic Institutions, Government Departments, private firms and individuals interested in HIV and AIDS training and capacity building resources. The

initial phases of development of the TRIC facility have benefited from the support and commitment of the UNAIDS Eastern and Southern Africa Regional team. Despite the facility commencing late in January 2009 as a pilot phase, the attention and utilization it has attracted from users is wide and encouraging. For instance within a month it attracted over 350 requests for information on various aspects of training including inquiries on scholarships, information downloads and availability of different HIV training courses. UNICEF and other partners have also made inquiries regarding disseminating their relevant materials for a wider access through the facility. Encouraged by brief experience of TRIC results over the period under review, RATN has gone ahead to institute a expanded facility that will accommodate an e-library with database of thousands of training materials, manuals, information kits, and up-to-date information on where to find any specific training courses on HIV and AIDS. The facility will also include hundreds of links to other websites providing essential information and resources on effective HIV training and capacity building. In addition to expanding the facility, RATN is in the process of ensuring that the RATN website, which hosts the facility, is aesthetically sound to provide timely and relevant HIV and AIDS training related information that is easy to use, and easy to update and maintain. The refined TRIC facility is expected to be in full operation by August 2009.

RATN Annual Report, April 2008 - March 2009

Networking and the HIV Policy Agenda in ESA region

Developing Strategic Partnerships for effective HIV & AIDS Response Enhancing partnerships and linkages with National and Regional HIV & AIDS bodies was pursued as a deliberate strategy by RATN during the period in review. Among other activities, RATN actively participated in SADC/UNAIDS forums for Southern Africa and the EAC/UNAIDS forum for Eastern Africa. These forums provides RATN with an opportunity not only to influence policies of regional bodies on capacity development and training, but also an opportunity further identify partners to collaborate with to develop effective capacity for HIV response in the region. For instance, RATN’s strengthened partnership with SADC resulted in RATN being invited to be part of the SADC steering team overseeing process of HIV & AIDS capacity needs assessment in the SADC region and subsequent development of the SADC HIV Capacity Building Strategy. RATN also developed MOU’s with NAP+SAR, EANNASO and the International AIDS Alliance, and had discussions with the Southern African AIDS Trust and World University Service of Canada (WUSC) - a leading Canadian development agency aimed at strengthening partnership, cooperation and collaboration. In the last quarter of the financial period 20082009, RATN was invited by the National AIDS Control Council (NACC) of the Republic of Kenya to participate in the review of the Kenya National HIV/ AIDS Strategic Plan (KNASP) III. RATN therefore is represented and actively participates in the NACC Capacity Building task force. RATN is also represented in Pillar 4 on Governance and strategic information. In addition, RATN had strategic discussions with GLIA and ARCAN to establish areas of common interest through which RATN can collaborate and work with these regional partners.

RATN Annual Report, April 2008 - March 2009

The long term goal is for RATN and the MIs making substantive contributions to the formulation of regional and national policies for HIV and AIDS with a bearing on capacity building and human resource development for effective HIV response. This includes advocating for addressing barriers to effective HIV capacity building initiatives including low budgetary allocations for training and other capacity development by RECS and National AIDS Authorities.

Creating and enabling environment for effective HIV Capacity Building at national and regional level In view of increasing efforts to scale up the HIV response in the region, it is critical that partners working in the area of HIV capacity building at national and regional levels share best practices and experiences. It is against this background that, during the year under review, RATN facilitated the process of bringing together key players in the area of HIV capacity building to share lessons and discuss how HIV capacity building initiatives can be streamlined and strengthened to achieve optimal impact. RATN organized a two day workshop on HIV Capacity Building for National AIDS Councils (NACs) and Regional Organizations in Nairobi, Kenya. The aim of the capacity building workshop was to share best practices and lessons for coordinating and prioritizing capacity building interventions towards improved and scaled-up response to HIV & AIDS in Eastern, Central and Southern Africa. Representatives to the workshop came from nine (9) NACs (Lesotho, Swaziland, Zimbabwe, Sudan, Kenya, Malawi, Zambia, Tanzania, and Rwanda) as well as representatives from regional bodies – SADC (Botswana), ARCAN (Tanzania), GLIA (Burundi), and hosts RATN (Kenya).

During the workshop, the participants shared experiences and had discussions on three key areas; (i) How each organization was coordinating and prioritizing HIV capacity building to ensure effective HIV response; (ii) Challenges faced in the coordination and prioritization of HIV capacity building and lessons learnt; and (iii) How each of the organization has overcome/managed the challenges. .

Comments by some of the participants regarding the workshop “The meeting helped a lot in re-believing in worthiness of the efforts and redefining these efforts, there are a lot of good work started here since my return form Nairobi, where we started working in inserting the capacity building as clear issue in the coming strategic plan rather than leave it as “crosscutting” one, and hope it will continue to more visible good results”- (Dr Maysa Mohammed Abdalaziz Ahmed, Capacity Building Advisor - Sudan National AIDS Programme, Sudan). “Thank you for the invitation. The interaction was great and I am sure if ARCAN (project) continues (to second phase of World Bank funding), we will continue fostering this relationship and I will ensure that there is a budget to cover such costs regionally (costs for regional collaboration on HIV capacity building).” - (Ms. Valentine Gitoho, Project Coordinator – ARCAN, Tanzania) “As I was presenting a report on my visit I realized that there is a lot that I need to do at work to build the awareness on the need to consciously engage capacity building issues instead of assuming they will take care of themselves. The Nairobi trip was really an eye opener. To do this however, we need lobbying at the highest levels. History has taught us that this is best through regional networks. We have learnt that ideas are hard to accept in each country unless the region adopts them and lobbies leader to adopt.” – (Mr. Innocent Ndabanhle Maziya, Organizational Development Coordinator - National Emergency Council on HIV/ AIDS (NERCHA) – Swaziland)

As an outcome of the workshop, the best practices in HIV and AIDS capacity building coordination and prioritization at national and regional levels were shared and resulted in the development of specific action plans for strengthening HIV and AIDS capacity building coordination at both the national and regional levels. The delegates made a resolution that RATN spearhead establishment of a regional technical working group comprising on NAC representatives and Regional bodies such as ARCAN, GLIA, RATN, and SADC which should aim at fostering the creation of an enabling environment as well as providing a forum for sharing and exchange of resources and ideas for effective HIV capacity building in the region. The delegates also agreed to have a similar meeting of capacity building stakeholders from the ESA region on an annual basis.

EANNASO and RATN joining hands to strengthen civil society capacity In February 2009, RATN and the Eastern Africa Network of National AIDS Service Organizations (EANNASO) signed a Memorandum of Understanding aimed at strengthening the collaboration of the two organizations in capacity building for HIV and AIDS in Eastern Africa. EANNASO was established as an umbrella organization of country networks of AIDS NGOs (namely AIDS Service Organizations (ASOs) in 13 countries in Eastern Africa). It was established to facilitate the establishment of country networks of AIDS NGOs where none exists, and strengthen those that exist. EANNASO has the duty to support and enhance the capacity of functional, sustainable and effective networks that provide leadership and capacity building in advocacy, programme development and to enhance greater involvement of People Living with HIV/AIDS (PLWHs) in the overall response to the AIDS pandemic. The EANNASO secretariat is based in Arusha, Tanzania The MoU established the following areas of interest for collaboration (a) Capacity building in policy formulation and analysis; programme management skills, and information management; (b) Capacity building for country network affiliates on thematic

RATN Annual Report, April 2008 - March 2009

HIV/AIDS areas; (c) Participation in identification of emerging issues in HIV/AIDS at regional and national level; (d) Sharing of key information and best practices through information exchange; and (e) and Staff exchange programmes for short periods. The two networks committed themselves, among other things, meet once a year to review progress on the implementation of the MOU as well as produce, on annual basis, reports on activities pertaining to the MOU. RATN considers the partnership established with EANNASO an important step in reaching more beneficiaries for HIV capacity building. The collaboration also provides RATN with an opportunity to continuously learn training needs from more organizations working at grassroots level considering that a lot of EANNASO members are implementing HIV and AIDS programmes at community level.

Strengthening the role of Research in Informing Policy RATN recognizes the critical role research plays in strengthening HIV & AIDS information and knowledge base for effective HIV & AIDS agenda and policy responses as well as the development of relevant and timely training and capacity building programmes. Through its membership in the ABBA Research programme Consortium (RPC), a consortium of five other organizations namely: Liverpool School of Tropical Medicine (UK) which is the lead partner, Population Council (USA), Health Economic and HIV/AIDS Research Division (South Africa), Health Research Unit (Ghana), Research on Equity and Community Health (Malawi), RATN is currently involved in research in the following key areas in Addressing the Balance and Burden of AIDS (ABBA): (a) Health Related Quality of Life among PLWHIV; and (b) Persons with Disability and HIV/AIDS. The aim of the Research Project Consortium (RPC) is to persuade policymakers and project implementers to use research findings to enhance the positive impact of institutions and programmes on poor and vulnerable groups.

RATN Annual Report, April 2008 - March 2009

During the period under review, the ABBA project completed the data collections and preliminary analysis of one of the studies titled “Community Perceptions on Health Related Quality of Life (HRQoL) among PLWH in Kenya - Baseline Study”. This study was exploratory in nature and was conducted at the Riruta City Council Clinic run by Liverpool VCT using in-depth interviews and focus group discussions (FGDs) qualitative methodologies. Being a first phase of a larger study on health related quality of life, it explored views on quality of life which will be analyzed and incorporated in a quantitative study that will constitute the second phase of the study

barriers to high health related quality of life. At the community level participants emphasized the need to fight stigma both at the service delivery level, community and household level; recognizing that the combination of fear of disclosure and stigma have the potential to drive the epidemic. It is particularly important to improve access to health care and through increased awareness to encourage people to know their HIV status. From this study it is clear that a combination of awareness of one’s status and ART have contributed greatly to what is perceived as health related quality of life. The social economic environment has an overarching role in defining health related quality of life.

The study population primarily comprised of three groups of persons residing in Riruta and Kawangware area. The first group was that of 35 (thirty-five) PLWAs on ART. The second group was that of 13 PLWAs not on ART. The purpose of having the two groups was to provide an indication as to whether there is a difference and /or shifts in perception and experience of health related quality of life depending on whether one is on ART or not. The third group of participants was drawn from the general community members to provide cultural, socio-economic data as well as general perceptions on health related quality of life, especially in the context of HIV infection. A fourth group comprised policy makers, researchers and service providers in Nairobi. At the community level FGDs were conducted with groups whose HIV status was not known. Additional and relevant information was collected from key informants. Narratives were conducted with PLWAs who had special circumstances that required deeper probing. The social map provided the peoples understanding of the environment especially sources of services. The outcome of this research will be used to develop a quantitative study that will incorporate relevant domains for study of HRQoL among PLHIV in Kenya

Impact of RATN’s Engagement in research One of RPC’s agenda is to encourage its members to share results and influence policy and programmes accordingly. As part of its Communication strategy RATN for the period under review has been actively engaged in the following activities: a) Support for Persons with Disabilities and HIV/AIDS Advocacy and activities RATN is a member of the Disability fraternity. In October 2008, RATN supported the Kenya Campaign on Disability and HIV Advocacy Strategy Planning workshop with the outcome being a (3) three year ADVOCACY STRATEGY (October 2008 – September 2011). Policies that could be influenced under this advocacy STRATEGY are not limited to the following: National HIV & AIDS policy; National HIV & AIDS strategic plan; National HIV budget /resource envelope; Sector HIV mainstreaming strategies, plans, budgets; Sector Medium Term Expenditure Framework

(MTEF) plans and budgets; National HIV laws, bills and acts; National Constitution; and National laws related to evidence act, education act and penal code. b) Developing linkages In the past year, RATN established links with Kenya National Coordinating Agency for Population and Development (NCAPD) a Kenya government arm coordinating population and development issues. NCAPD has recently produced the first National survey on Persons with Disability in Kenya. Based on these strengths and RATN’s engagements with Persons with disability in ABBA, it is hoped that PWD needs will be well articulated at policy level. RATN and the NCAPD have gone further in responding to a call for proposals by NACC in developing a joint proposal- A situational Analysis on HIV and AIDS among PWDS. c) Community Engagements RATN through the ABBA project sponsored an activity during the annual event called, “Imagination of Poetry and Storytelling in the HIV & AIDS pandemic’ on 1st December by the Community Focus Group. As an annual event, this activity that has been running for the last 3 years and during the period under review, it was held on 1st December 2008 as an activity for the World AIDS day. It was organized by the community based grassroots organization- Community Focus Group (CFG) with the support of RATN. The goal of the AIDS and poetry storytelling festival is to promote HIV & AIDS human rights and reduce incidences of stigma and discrimination as well as promote Reproductive Health Rights of PLHIV and the disabled.

Emerging Issues from the Preliminary Findings The programme on ARVs has contributed tremendously to improved quality of life as perceived by PLWAs; however, stigma, discrimination and non-disclosure are potential

RATN Annual Report, April 2008 - March 2009

Monitoring and Evaluation

Results from Evaluation of RATN Strategic Plan (2004-2008) In April and September 2008, RATN undertook an evaluation of its Strategic Plan (2004-2009). An independent consulting firm, Techtop Consult Ltd from Tanzania was commissioned to undertake the evaluation.

Box 6.1: The Evaluation Objectives The evaluation, coming towards the end of the strategic plan period, had five main objectives: • To assess the progress made by RATN in meeting the goals and objectives set in its Strategic Plan (2004-2008) and in past annual plans and agreements with funding partners; • To assess progress made by RATN (Secretariat and Member Institutions) in implementing the recommendations from the joint Evaluation and Beneficiary Survey (2005) and the Mid-Term Review (2007); • To identify any important emerging issues in programmes and administration and provide recommendations to RATN and the donors on potential directions that should be incorporated into the next five-year Strategic Plan for the period April 2009 to March 2014;g • To identify the “ value added” that RATN brings to the Eastern and Southern Africa region; and • To assess the soundness of the systems and governance structure (strategic planning, programmatic planning and implementation, financial management, human resource management) and their viability.

The Evaluation Process A multi-faceted approach was used to obtain both primary and secondary data for the evaluation. This entailed (a) the review of relevant documents supplied by the Secretariat of the Network, (b) structured interviews with key informants within the Secretariat, the MIs and other stakeholder organizations, (c) a questionnaire distributed by email to a sample of RATN alumni, and (d) FGDs

RATN Annual Report, April 2008 - March 2009

with alumni of selected MI in the region. Field visits were undertaken to Kenya, Malawi, Tanzania, Uganda, South Africa and Zimbabwe where interviews were conducted with management, training coordinators/managers, trainers and alumni of the MIs in those countries as well as with representatives of stakeholder institutions such as NACs and CSOs.

Box 6.2: Summary of key achievements •

•

The focus of RATN during the previous Strategic Plan (2004-2008) was to establish a regional network of training institutions to provide skills training, upgrading, extension services and technical assistance to health and allied workers in the field of STIs/HIV/AIDS in the ESA.

•

Evaluation Results and Achievements 2004-2008)

•

Despite the challenges faced in transforming from being a project to a fully fledged International NGO, tremendous strides have been made by RATN in its attempts to scale up the access to quality training and capacity development in the ESA region. Below is a summary of RATN’s key achievements during the implementation of the Strategic Plan (20042008):

Impact of RATN work (2004-2008) Overall, RATN has benefited her Member Institutions in several ways including the following: increased visibility of MI courses; fundraising for a minimum number of participants in courses to ensure that courses take place; opportunities for networking and collaborating for MIs; assessment of training needs at the regional level; trainer capacity development through supporting Trainer of Trainers (ToT) courses; monitoring and evaluation of courses with an opportunity of comparison of performance across institutions. RATN has also facilitated the development and institutionalization of a number of courses which before were not being delivered, for example,

• •

•

Registration under the laws of Kenya in April 2003 as an international NGO operating regionally, thereby changing its status from being a collaborative project of the University of Manitoba and the University of Nairobi Establishment of functioning governance structures comprising of a General Council that meets annually and gives policy directions, an elected Board of Directors responsible for directing the organization on behalf of the members, and a Secretariat under an Executive Director who is responsible for the day-to-day management and implementation of RATN’s policies and programmes Training of 2073 alumni (57% of them female) during the past four years (2004-2008), some of the trainees drawn from countries outside the Network such as Eritrea, Namibia, Nigeria and Sudan. Development of 17 new courses including programs on HIV prevention, care and support, impact mitigation, and HIV program management. Strengthened capacity of 25 training member institutions through ToT programmes and information exchange High quality regional HIV/AIDS Training Needs Assessment for Eastern and Southern Africa undertaken by RATN with support from USAID Retaining the confidence and support of the core group of donors that have continued to fund the Network from its infancy as a project Several communications platforms – Newsletter, Resource Centre, Website and TRIC – have been improved (and new ones developed e.g. the web-based Training Reference Information Centre (TRIC)).

Behavior Change Communication, Management of HIV/AIDS Programmes; Utilization of Research Results; Training of Trainers of HIV/AIDS Programmes and Gender and HIV/AIDS. In a survey done in 2000 by RATN to assess Members’ satisfaction with Network services, it was clear that of the above-mentioned benefits, the most valued was the opportunity to network followed by the support that RATN provides to courses. One of the training institutions stated that the biggest benefit has been: “Linkages with Partner Institutions we might never have known” RATN has been able to achieve such an impressive set of results due largely to the dedication of programme staff and management, the partnerships it has developed as well as strategic alliances with other actors responding the HIV training and capacity development needs in the region.

Annual RATN donors Monitoring Mission In April 2009, a team of representatives of the core RATN funding partners conducted the fourth Annual Joint Monitoring Mission at RATN. The team was comprised of Anne Anamela (Irish Aid, Regional Office, and Pretoria) Erick Ordeman (CIDA Headquarters), and Enock Banda (SwedishNorwegian Regional HIV/AIDS team for Africa, based in Lusaka). The mission visit is part of the implementation of the Joint Financing Arrangement (JFA) in line with the Paris Declaration aimed at harmonizing collaboration among funding and recipient partners. The primary purpose of the monitoring mission was to verify project progress toward the achievement of results against agreed work plans, schedules, budgets, targets and indicators, as identified in RATN’s Strategic Plan, Annual Plans and Budgets, Logical Framework Analysis, Risk Analysis and the Performance Measurement Framework (PMF) Overall, the fourth joint monitoring mission noted that over the years RATN has been improving in its interactions with the ICPs and will benefit from a continuation of this trend as the new Strategic Plan is implemented. This work will be facilitated by the evaluation of the previous Strategic Plan, which has provided good direction for streamlining the Performance Management Framework. Box 6.3: Specific recommendations from RATN donors monitoring mission: • •

• • • •

•

The network should take into account the balance between members needs and services provided while repackaging courses in the new strategic plan; Undertake a deeper analysis to ascertain reasons for unequal distribution of the RATN courses conducted with a view to mitigate the 80/20 issue (i.e. 80% of the course are conducted by 20% of the MIs); Undertake a deeper gender analysis of the uptake of courses and outcomes; Pursue strategic partnerships to increase its regional relevance; Ensure that all positions are filled as appropriate and with minimum delays; Consider supporting higher level courses (e.g. diploma & degree courses) as recommended by the MIs and also look into the possibility of targeting high-level persons such as members of parliament; Update the risk management framework regularly and take into account country contexts for both the MIs and the secretariat in the risk assessment.

RATN Annual Report, April 2008 - March 2009

Financial Performance Total income received during the year under review was USD2, 538,197 compared to USD2, 075,112 for the previous year (FY2007/8). This translates to an increase of 22%.

External Audit Report To fulfill the statutory requirements, RATN financial Statements have been annually audited by certified public Accountants of Kenya. A review of the audited financial statements indicate that the main funding partners of RATN are Canadian International Development Agency(CIDA), Swedish International Development Agency (Sida) and Irish Aid(IA),who jointly contributed 87% of our annual budget. The expenditure review indicates that program costs were 75% of the total expenditures while the administration costs were 25%.

Table 7.2: Summary of Financial Statements (FY2008/9)

37%

2009

2008

US$

Total Income

2,538,197

2,075,112

Less: Total Operating Expenditure

2,381,118

2,107,020

157,079

(31,908)

Table 7.1 Summary of Grants received by RATN (FY2008/9)

Non-current assets

Net surplus/ Net deficit for the year

Grant Received (USD)

Assets

Total assets

96,836

90,393

693,511

468,894

790,347

559,287

CIDA

934,571

Funds and liabilities

Sida/Norwegian Agency

531,496

Capital funds

475,437

358,586

Irish Aid

755,976

314,910

200,701

Others

316,154

Current liabilities Total funds and liabilities

790,347

Total

2,538,197

RATN Annual Report, April 2008 - March 2009

21%

The overall total expenditure for the year was USD 2,381,118 compared to USD2, 107,020 for the previous year. This translates to an overall increase of 13% in. Table 7.3 shows the levels of expenditure per department during the year. Table 7.3: Expenditures by Department (FY2008/9)

Balance Sheet

Current assets

30%

Income Statement

The preparation of the financial statements was based on International Financial Reporting Standards (IFRS). Besides, RATN adopted several new and revised International Accounting Standards which became effective for the first time in 2007 and were relevant to our operations. The adoption of the revised standards had no effect on the amounts reported for the current or prior years. Table 7.1 and 7.2 below shows the summary of financial statements for the year under review (the detailed Financial Statements are available as a separate document).

Development Partner

12%

Department

Amount (USD)

Network Development

306,118

13%

Training

914,587

38%

Information & Communication

306,125

13%

Monitoring & Evaluation

229,361

10%

Secretariat & Administration

579,932

24%

Others 559,287

Total

2% 24%

38%

10%

44,995 2,381,118

13% Information & Communication

13%

2% 100%

RATN Annual Report, April 2008 - March 2009

Reflections and Challenges

Key Challenges faced by RATN (FY2004/5-FY2008/9) Despite RATN’s achievements to date, there have been several challenges that have affected its ability to respond effectively to the training and capacity development needs in the region. Limited influence on regional policies: RATN’s capacity to influence policies of national and regional HIV/AIDS bodies was sub-optimal. Only 50% of the MIs reported having functional linkages with these bodies. In the current strategic plan, RATN intends to develop a clear strategy on advocacy for HIV training and capacity development. Slow progress on accreditation: Limited progress on implementation of plans for the accreditation of RATN courses due to the challenges and complexity of accreditation of courses offered by multiple MIs in different countries and jurisdictions Targeting participants: Reaching out to the different target for impact at the service / implementation levels has remained to be one of the challenges. The initiative of RATN to support MIs in both the review and re-packaging of coursecurricula into modular formats will enable tailormade courses for specific clientele-needs hence cutting down on time spent on course areas that may fall into the “nice to know category” instead of the “must know-core curriculum” tailored to specific clientele needs. Balancing regional and national participants: Getting more regional participants to attend courses has continued to be a challenge given that very few employers or donors are willing to provide support especially for travel in the region. RATN and the MIs are exploring other alternative ways of maintaining the regional sharing and cross-fertilization of learning experiences for example through mobile

RATN Annual Report, April 2008 - March 2009

training teams and out-reach where regional trainers can take courses to places where they are required. Need for National Tailored Courses: Courses tailored to the national needs would become more relevant and applicable to local situations. Including the possibility of a cost-sharing strategy with national bodies, (for example, some participants could attend courses on a daily basis etc). Increasing Course Costs: Over the past four years a trend has emerged showing that a number of RATN courses have been attracting a majority of national participants unlike when the courses were initially developed (as residential regional costs). There is need to adjust courses delivery-costs in line with the new approaches. Keeping all Member Institutions committed to the Network: Given that the MIs are independent organizations with their own work to implement, there is a potential danger that some MIs could find themselves focusing more on their work than the Network. For instance the evaluation the last strategic plan found showed that on average 80 percent of the RATN courses were delivered by 20 percent of the MIs. Ensuring the continued relevance of RATN training programmes: This requires the establishment of frequent and effective assessment methods to ensure that the training programmes meet the needs of the region Inadequate information infrastructure: Some of the major challenges facing Networks in general include poor information infrastructure in most countries of the region, high cost of holding meetings and exchange fora and the difficulty in raising funds for the core activities of a Network.

Lessons Learned to inform the implementation of New RATN SP Considering this Annual Report is the last one based on the outgoing Strategic Plan (2004-2008), it is important to draw key lessons learnt from not only implementing the RATN programmes in the year under review but also draw lessons from the cumulative experience of implementing the exiting Strategic Plan in order to adequately inform the new Strategic Plan (2009-2014). The following are the key lessons learnt: Effective Participation of MIs Adds Value to the Network: Institutions are more likely to contribute to developing a Network if the “value added” of their participation is clear. It is essential to create frequent opportunities for MIs to reflect on how their organizations are benefiting from their participation to keep them motivated and to involve them in the governance of the Network. Building an Effective Network requires Resources and a Plan: Building a formal Network will not be achieved simply by engaging in networking activities like information sharing and promoting collaboration. Such activities are vital in creating a sense of working for a common goal but they will not in themselves give Members a sense that the Network belongs to them. Building a formal Network requires a concrete strategy and resources as to how to establish and sustain it. Functional Communication Channels are Vital within RATN: Investing in communication channels such as the RATN member newsletter and the RATN website has been an effective way to keep

MIs informed of vital information and resources. The newsletter and the website have also helped to improve the public profile of RATN and MI projects along with that of their courses throughout the ESA region. TNA is Crucial in the Development of Appropriate Training: Conducting Training Needs Assessment studies is a crucial first step in developing training programmes. Using needs assessment data in programme planning helps to ensure that training courses continue being relevant to the needs of the region. Culture of Excellence in Training creates Significant Impact: Creating and encouraging a culture of excellence in course content and delivery among MIs has made a significant impact in several areas. However this needs to be strengthened to ensure that RATN courses withstand emerging market competition while utilizing emerging technology advancements. M&E Function is Vital for ensuring Quality Training: The practice of feeding back the results of monitoring and evaluation into training programmes ensures continuous quality control and improvement of courses and training. Long-term follow up studies are very important in ensuring that the skills attained during training have an impact in the field.

The lessons and experiences outlined above have been used as cornerstone for defining the new strategic focus and direction for RATN work in the next five years (2009-2014) to ensure increased relevance and impact of RATN programmes.

Mobilizing adequate financial resources for the Strategic Plan activities can be difficult especially if an organization has no clear strategy and prioritization. Thus, the past years recorded a limited diversification of RATN income sources.

RATN Annual Report, April 2008 - March 2009

Planned Activities for FY2009/2010

The following Table 2 presents a summary of the main activities planned in the next FY2008/2009 against the key programme areas). A detailed activity schedule and targets are contained in the Annual Work-Plan and Budget (April 2009 â&#x20AC;&#x201C; March 20010) which is a separate document. Result Statement

Indicators

Baseline April 2009

Target 2009-2010

SP target (as at 31.03. 2014)

1.1. Target groups reached through new courses and innovative methods for training and capacity building

26 courses run in FY2008/9. Overall total=318 courses by 24th Feb 2009

30 training courses (2 new courses)

600 courses delivered by March 31, 2014.

2,073 (1178F, 895M ) students trained 2004-2008 (191 received funding from RATN). 57% trained were female but less in maledominated fields

25% increase over FY2008/9

75% over baseline.

Tools being piloted for capturing data on marginalized groups trained.

To review progress and have MIs adopt tools

To reach marginalized populations with training.

No clear structured mobile teams for specific HIV areas of expertise

Resource persons Support Programs and Mobile training teams structured & expanded

75% 0f MIs actively involved in facilitators exchange and mobile teams

10% of RATN courses accredited

Develop plan of action for accreditation based on RATN MIs experiences

50% of RATN courses accredited

No data on quality minimum standards and compliance for HIV courses by RATN and partners in ESA

Set minimum standards for RATN training and develop linkages with key partners in ESA to advocate for quality assurance for HIV training at all levels.

75% of HIV training and capacity building programmes in MIs and ESA region meet quality standards

Total of 110 (47M//64F) MI trainers trained between 2006 and 2008

10% increase in number of MI trainers.

100% increase (over baseline) by March 31, 2014.

No data on capacity for RATN MIs to effectively deliver HIV training programmes

MI capacity needs assessment

90% of MIs report having adequate capacity to deliver quality training,

Curricula of 25% of RATN courses reviewed.

Curricula of 50% of RATN courses reviewed and repackaged to ensure relevance

100% of all RATN courses reviewed and repackaged based on best practices and changing evidence

2nd Alumni study (2005) indicated that 90% reported that the courses were relevant and applicable; 52% of alumni reported changes in ways of programming

Consolidate the RTMES to capture impact of RATN training on Alumni (for new and old courses)

100% of Alumni report using skills and knowledge from RATN training.

Outcomes 1. HIV and AIDS programs staff with improved skills and competencies to effectively manage HIV interventions at community and workplace levels.

1.2. RATN MIs delivering high quality training and capacity building programmes (based on minimum quality standards) that respond to the STI/ HIV/AIDS training needs of the region 1.3. RATN Member institutions (MIs) with adequate capacity to develop and deliver training and/ or manage quality gender sensitive HIV/ and AIDS prevention, care, support, and mitigation programs.

1.4. Alumni incorporate new skills into their programmes and work plans

RATN Annual Report, April 2008 - March 2009

Result Statement

Indicators

Baseline April 2009

Target 2009-2010

SP target (as at 31.03. 2014)

2.1. Number of MIs effectively participating in network activities (e.g. meetings, information exchange, planning etc)

5 MIs have MOUs

All (25) MIs sign MoUs

All MIs fulfilling terms of MoUs with RATN

95% MIs participate at GC and other Network meetings

100% participation at GC meeting

100% participation at Board Meetings

100% participation at Board meetings

25 Member Institutions (MIs)

2 new MIs

50 MIs

10 participating countries

2 new countries

All Countries of ESA

75% of MIs paid membership fees in 2004

80% of MIs to pay membership fees

100% payment of membership fees

50% of MIs actively providing Technical expertise of MIs used course development areas

To increase utilization of technical expertise of MIs

100% of MIs providing technical expertise to RATN

RATN Annual Budget USD 2.982.317 Annual deficit of USD530.000

Fundraise USD530.000

To raise USD USD3.5m over the years of the SP

Audit report notes weakness in complying with internal control policies and structures

100% compliance with internal control policies and structures

To conduct timely annual audits by an external firm.

13 staff employed at Secretariat.

To recruit vacant positions in line with new SP.

RATN with adequate skills and expertise to meet regional mandate

RATN mainstreaming gender in management and programme structure

To maintain gender balances through affirmative action.

To achieve acceptable gender equality and equity in programming and structure.

Outcomes 2. RATN is fully functional and sustainable regional membershipbased network organization

2.2. Number of MIs in number of countries contributing own resources towards growth and strengthening of the network

2.3. Adequate financial and human resources mobilized and efficiently managed to support RATN programmes

RATN Annual Report, April 2008 - March 2009

Result Statement

Indicators

Baseline April 2009

Target 2009-2010

SP target (as at 31.03. 2014)

Outcomes 3. Strengthened exchange of knowledge and information on HIV and AIDS (and therefore RATN is recognized as an authority source for high quality HIV/AIDS information

Indicators

Baseline April 2009

Target 2009-2010

SP target (as at 31.03. 2014)

4.1. RATN, MIs and partners making major contributions to the formulation of policies by participating in key HIV/AIDS coordinating forums.

No clear structures and protocols for RATN and MIs to influence national HIV/AIDS authorities and RECs

Develop clear structures/ for a for RATN and MIs to influence relevant policies

RATN and MIs involved in formulation & implementation of HIV CB policies at national/ regional levels

4.2. RATN entering new collaborations with other regional bodies and networks

Ad-hoc linkages exist with SADC, UNAIDS, SAFAIDS, SAT, EANNASO, SANASO, NAP+; No structured linkages between RATN and MIs and national HIV/AIDS authorities/RECs

To establish formal and clear linkages of partnerships with regional bodies.

RATN and partners Influence policies of regional bodies on capacity development and training.

5.1 A robust and functioning monitoring and evaluation system in place.

PMF and RTMES exist; No structured tools for collecting and analyzing M&E data to inform PMF progress

Develop an M&E strategy for integrated M&E system for regular monitoring of RATN project activities & action learning.

RATN activities based on evidence from monitoring and evaluation results

Quarterly and annual programmatic reviews undertaken and progress reported to the Board.

Update the PMF on a quarterly and annual basis and report progress to the Board.

Establish quality M&E support to programme thematic areas.

Carry out Alumni follows based on RTMES tools and feedback lessons learnt into programs.

Undertake effective monitoring of impact of RATN training on Alumni

Undertake a annual Joint Board and donors evaluation of RATN programmes

Undertake effective monitoring and evaluation of RATN programmes

TNA done in 2005 informed RATN training courses No clear systematic database of research linked to training and capacity building activities

Undertake TNA with partners in ESA region; and develop systematic database to link research and training

75% of HIV training in ESA and RATN MIs based on research evidence and priorities

No structured data of evidencebased capacity building activities in ESA region

Develop protocol for utilization of research results to inform training and capacity building.

Effectively utilize evidence to inform training and capacity building activities

Outcomes 3.1. RATN responds to increased demand for quality information and capacity building resources

3.2. Increased utilization and dissemination of RATN training and capacity building information by MIs.

Result Statement

Average of 67 users per month for resource centre. TRIC being finalized as e-information hub

Convert RC to e-library under TRIC and finalize TRIC to be a quality e-info hub

RATN recognized as reliable source of HIV training and CB information

Hard copy Newsletters mailed out to 2500 individuals every quarter.

Revised circulation list to ensure efficiency and effectiveness and hard copies constitute only 50%

100% increase circulation and hard copies constitute only 10%

No baseline data on contribution feedback from users on RATN information and materials.

To develop a system for tracking user contributions and feedback.

To develop a functional and effective monitoring system for ICT.

No data on ICT capacity needs of MIs and clear strategies to address needs

Identify ICT capacity needs of MIs and develop clear actions to address needs/ gaps

100% of MIs report ICT capacity supporting RATN work

80% of MIs receiving bulk copies of the RATN Newsletter for further distribution to their networks; RATN website linked to MIs websites

Streamline quality and distribution of RATN newsletter to achieve more impact and influence

100% of MIs to receive copies of RATN publications for wider dissemination.

66% of MIs attended the third ICT workshop. 76 % of the MIs attended the 5h ICT annual workshop.

100% MIs to participate at second ICT workshop

To improve data management and webbased communication.

82% of MIs participating in information networks

Revitalize the RATN website and use it as a tool for info sharing & marketing for RATN and MIs

Increase information networks between and among MIs.

Poor electronic use of the HIV training and capacity building information by MIs.

Increase in electronic dissemination of information through TRIC.

75% of MIs and stakeholders access RATN training information electronically.

Poor monitoring of ICT activities.

To develop M&E instruments for more effective monitoring of ICT activities

Added value of ICT effectively monitored and evaluated regularly.

6 MIs do not have websites. Only 8 of the 19 with websites have established links with RATN

20% increase the number of MIs with links to RATN website

RATN utilize all MI websites as a information and marketing tool for RATN programmes.

RATN Annual Report, April 2008 - March 2009

4. Strengthened advocacy and capacity of MIs, civil society, and other partners to influence policies towards HIV capacity building

5. HIV training and capacity building programmes are evidence based and reflective of emerging trends and lessons learnt

5.2. New research results and reviews of existing research inform training and capacity building programmes

RATN Annual Report, April 2008 - March 2009

Annual Report and Financial Statements for the year ending 31st March, 2009

REGIONAL AIDS TRAINING NETWORK

REGIONAL AIDS TRAINING NETWORK ORGANISATION'S INFORMATION FOR THE YEAR ENDED 31ST MARCH, 2009

Board Members:

Dr. Ranga Taruvinga Dr. Njabuliso Dlamini Dr. Hizaamu Ramadhan Mr.Kelvin Storey Mr. George Kahuthia Ms. Judith Kumwenda Mr. Dennis Mudede Dr. James Dean Dr. Walter Jaoko

- Chair - Vice Chair - Treasurer - Secretary

Management:

Mr. Kelvin Storey Mr. Sam Mwangangi Mr. Daniel Mwisunji Ms. Anastasia Ndiritu Ms. Consolata Mocha

- Excecutive Director - Financial Accountant - Network Development Manager - Training Programmes Manager - Information and Communication Officer

Registered Office:

Nairobi Business Park Unit C, 1st Floor Off Ngong Road P.O. Box 16035-00100 GPO Nairobi, Kenya E-mail: ratn@ratn.org

Auditors:

Wachira Irungu & Associates (Certified Public Accountants) Dominion House, Muthithi Road P.O Box 46671-00100 GPO Nairobi, Kenya

Bankers:

NIC Bank Limited Junction Branch P.O. Box 44599-00100 GPO Nairobi, Kenya

CONTENTS

- Mananga Centre for Regional Intergration & Management Dev. - Institute of Development Management -Traditional and Modern Health Practitioners Together Against AIDS - Excecutive Director RATN - Centre for African Family Studies - Kara Counselling - CONNECT Institute of Systemic Therapy - Representative, University of Manitoba - Representative, University of Nairobi

ORGANISATION'S INFORMATION REPORT OF THE BOARD MEMBERS STATEMENT OF BOARD MEMBERS' RESPONSIBILITIES REPORT OF THE INDEPENDENT AUDITOR FINANCIAL STATEMENTS: INCOME STATEMENT BALANCE SHEET STATEMENT OF CHANGES IN CAPITAL FUND CASHFLOW STATEMENT NOTES TO THE FINANCIAL STATEMENTS ANALYSIS OF INCOME AND EXPENDITURE BY FUNDING SOURCES APPENDIX 1

27 28 29 30

31 32 33 34 35 - 41

RATN Annual Report, April 2008 - March 2009

RATN Annual Report, April 2008 - March 2009 1

REGIONAL AIDS TRAINING NETWORK

REPORT OF THE BOARD MEMBERS

STATEMENT OF BOARD MEMBERS' RESPONSIBILITIES

FOR THE YEAR ENDED 31ST MARCH, 2009

The Board Members present their report together with the audited financial statements for the year ended 31st March, 2009. Activities Regional AIDS Training Network (RATN) is an International Regional NGO working in ten countries in Eastern and Southern Africa (ESA) region. These are Kenya, Uganda, Tanzania, Zambia, Rwanda, Malawi, Zimbabwe, Swaziland, Botswana, and South Africa. It is a network of twenty five Member Institutions (MIs) that was established in 1997 to collaborate in building capacity to combat STIs/HIV/AIDS in the region. RATN is now in its sixth year of operation since registration as an international NGO in April 2003. At the initial stages, it was found necessary to plan the future in order to achieve the mission. This was done through the five year strategic plan (2004-2008) which its final day of implementation was 31st March 2009. RATN management continues to approach new funding partners and work with the current partners in order to achieve smooth implementation of the new strategic plan (2009-2014) by ensuring a continous and reliable funding flow. The Board and Management of RATN will continue to regularly share new developments that affect the strategic plan with donors and accelerate fundraising activities. In order to conform to International Financial Reporting and Accounting Standards and also to comply with donor requirements, the management has in past years embarked in revising and enhancing financial management systems with the aim of reducing duplication. So far, the Board can report that our major donors, namely CIDA, SIDA, and Irish Aid have collaborated well in implementing the Joint Financing Arrangement (JFA) with RATN. Operating Results A review of the operating results for the year indicate that the main funding partners CIDA, SIDA and Irish Aid (IA) provided 87% of RATN's annual budget (82% in 2007/08). Program costs were 75% of the total expenditures while the administation costs were 25%. The RATN Board, through its finance committee, continue to ensure strict budgetary controls through continuous review of financial performance.

FOR THE YEAR ENDED 31ST MARCH, 2009

The Board Members are responsible for preparing financial statements for each financial year which give a true and fair view of the state of affairs of the organisation as at the end of the financial year and of its operating results for that year. The Board Members are also required to ensure the organisation keeps proper accounting records which disclose with reasonable accuracy at any time the financial position of the organisation. They are also responsible for safeguarding the assets of the organisation.

The Board Members accept responsibility for the annual financial statements, which have been prepared using appropriate accounting policies supported by reasonable and prudent judgements and estimates, in conformity with International Financial Reporting Standards and the policies stated under note 1. The Board Members are of the opinion that the financial statements give a true and fair view of the state of the financial affairs of the organisation and of its operating results. The Board Members further accept responsibility for the maintenance of accounting records which may be relied upon in the preparation of financial statements, as well as adequate systems of internal financial control.

The board acknowledges the satisfactory evaluation and development of a new strategic plan (20092014).The board members are of the opinion that the evaluation report ,the new strategic plan,and these financial statements provides an important framework for successful partnership with RATN key funding partners namely CIDA, SIDA and Irish Aid.There is nothing to indicate that the organisation will not remain a going concern for at least the next twelve months from the date of this statement.

Members of the Board The present Members of the Board are set out on page 1 and were appointed on 26th June, 2008. The Board members who have served two year terms will offer themselves for re-election as provided for in the Constitution of RATN. We thank them all for their exemplary service and dedication to RATN during the year under review.

……………………………….

CHAIRMAN

BOARD MEMBER

……………………………….

DATE

Auditors Our auditors, M/S Wachira Irungu & Associates being eligible have expressed their willingness to continue in office.

By Order of the Board

Secretary………………………………………………

DATE ……………………………………………………

RATN Annual Report, April 2008 - March 2009

RATN Annual Report, April 2008 - March 2009 1

REPORT OF THE INDEPENDENT AUDITOR

REGIONAL AIDS TRAINING NETWORK

TO THE MEMBERS OF REGIONAL AIDS TRAINING NETWORK

INCOME STATEMENT

FOR THE YEAR ENDED 31ST MARCH, 2009

FOR THE YEAR ENDED 31ST MARCH, 2009 Note

We have audited the financial statements of the Regional AIDS Training Network set out on pages 6 to 16 which comprise the balance sheet as at 31st March 2009, the income statement, the statement of changes in capital funds, the cashflow statement for the year then ended, and a summary of significant accounting policies and other explanatory notes. BOARD MEMBERS' RESPONSIBILITY FOR THE FINANCIAL STATEMENTS The Board Members are responsible for the preparation and fair presentation of these financial statements in accordance with International Financial Reporting Standards. This responsibility includes designing, implementing and maintaining internal control relevant to the preparation and fair presentation of financial statements that are free from material misstatement, whether due to fraud or error, selecting and applying appropriate accounting policies and making accounting estimates that are reasonable in the circumstances. They are also required to ensure that the organisation maintains proper books of account which are in agreement with the balance sheet and income statement. AUDITOR'S RESPONSIBILITY Our responsibility is to express an independent opinion on these financial statements based on our audit. We conducted our audit in accordance with International Standards on Auditing. Those standards require that we comply with ethical requirements and plan and perform the audit to obtain reasonable assurance whether the financial statements are free from material misstatement. An audit involves performing procedures to obtain audit evidence about the amounts and disclosures in the financial statements. The procedures selected depended on our professional judgment, including the assessment of the risks of material mis-statement of the financial statements, whether due to fraud or error. In making those risk assessments, we considered the internal control relevant to the organisation's preparation and fair presentation of the financial statements in order to design audit procedures that were appropriate in the circumstances, but not for the purpose of expressing an opinion on the organisation's internal control. An audit also includes evaluating the appropriateness of accounting policies used and the reasonableness of accounting estimates made by the Board Members, as well as evaluating the overall presentation of the financial statements. We believe that the audit evidence we have obtained is sufficient and appropriate to provide a basis for our audit opinion. OPINION

2009 US$

2008 US$

Income Grants received during the year

2,222,043

1,893,392

Other income

316,154

181,720

2,538,197

2,075,112

Total income Operating expenditure Network development

306,118

334,550

Training

914,587

811,678

Information and capacity development

306,125

310,967

Monitoring and evaluation

229,361

92,770

Secretariat and administration costs

579,932

511,120

2,336,123

2,061,085

202,074

14,027

44,995

45,935

157,079

(31,908)

Total operating expenditure

Operating surplus 9

Other expenses Net Surplus/( deficit )for the year

In our opinion the accompanying financial statements give a true and fair view of the state of financial affairs of the organisation as at 31st March, 2009 and of its income statement and cash flows for the year then ended in accordance with International Financial Reporting Standards and the Non-Governmental Organisations Cordination Act.

The notes on pages 10 to 16 form an integral part of these financial statements.

Wachira Irungu & Associates Certified Public Accountants Dominion House, Muthithi Road P.O. Box 46671 - 00100 NAIROBI DATE:……………………………………………

RATN Annual Report, April 2008 - March 2009

REGIONAL AIDS TRAINING NETWORK

BALANCE SHEET

STATEMENT OF CHANGES IN CAPITAL FUNDS

FOR THE YEAR ENDED 31ST MARCH, 2009

ASSETS Note

2009 US$

2008 US$

86,841 9,995

89,507 886

96,836

90,393

76,457 140,458 476,596

34,841 62,054 371,999

693,511

468,894

790,347

559,287

Capital fund US$

Operating fund US$

Totals US$

104,014

390,594

494,608

8,850

(8,850)

(22,470)

22,470

(31,908)

Transfer to donor funds Balance at 31st March, 2008

90,394

(104,114) 268,192

(104,114) 358,586

Balance at 1st April, 2008

90,394

268,192

358,586

11,307

37,806

(37,806)

(23,227)

23,227

157,079

104,973

(51,535) 370,464

(51,535) 475,437

Note

NON-CURRENT ASSETS Property and equipment Intangible assets

1(b)& 10 11

CURRENT ASSETS 12 13 14

Receivables from donors Trade and other receivables Cash and cash equivalents

TOTAL ASSETS FUNDS AND LIABILITIES

Balance at 1st April, 2007 Additions during the year Depreciation/ armotisation Deficit for the year

Prior year adjustments

CAPITAL FUNDS

Additions during the year 15 16

Capital fund Operating fund

96,837 378,600

90,394 268,192

Depreciation/ armotisation

475,437

358,586

Surplus for the year Transfer to donor funds Balance at 31st March, 2009

CURRENT LIABILITIES 17 18

Unspent donor funds Trade and other payables

TOTAL FUNDS AND LIABILITIES

212,982 101,928

155,995 44,706

314,910

200,701

790,347

559,287

The financial statements on pages 6 to 16 were approved by the Board of Directors on …………………………………and signed on its behalf by: ………………………………… CHAIRMAN

………………………………… BOARD MEMBER

RATN Annual Report, April 2008 - March 2009

REGIONAL AIDS TRAINING NETWORK

NOTES TO THE FINANCIAL STATEMENTS

CASHFLOW STATEMENT

FOR THE YEAR ENDED 31ST MARCH, 2009 1 SIGNIFICANT ACCOUNTING POLICIES

FOR THE YEAR ENDED 31ST MARCH, 2009

Note Net cash generated from program activities

The principal accounting policies adopted in the preparation of these financial statements are set out below.

2009 US$ 114,343

2008 US$

a) Basis of preparation The financial statements are prepared in accordance with International Financial Reporting Standards(IFRS). The financial statements are presented in United States Dollars (US$) and are prepared under the historical cost basis of accounting.

219,824

The preparation of financial statements in conformity with IFRS requires the use of assumptions that affect the reported amounts of assets and liabilities at the date of the financial statements and the reported amounts of revenue and expenses during the reported period. It also requires the Board Members to exercise judgement in the process of applying the organisation's accounting policies. These policies have been consistently applied during the year unless otherwise stated.

Investing activities Purchase of property and equipment Interest income Sale of property and equipment Net cash generated from investing activities

Increase in cash and cash equivalents

(37,806) 18,313 9,747

(8,850)

(9,746)

(8,850)

104,597

b) Property and equipment All property and equipment are stated at historial cost less accumulated depreciation.

Depreciation is calculated on the reducing balance basis to write off the carrying values of the assets to their residual values over their expected useful lives, using the following rates per annum. Motor vehicles Computer equipment Office equipment Office furniture Fixtures and fittings

210,974

25.0% 30.0% 12.5% 12.5% 12.5%

c) Income recognition

Cash and cash equivalents At the beginning of the year At the end of the year

371,999

161,025

476,596

371,999

Income from financial partners and donations is recognised only when received except where there is a commitment by the financial partner to release the funds after RATN has provided proof of authorised expenditure, in which case the income receivable relating to that expenditure (which has been incurred) is accrued for. The income and expenditure are reflected in the income and expenditure account net of balances brought forward. d) Donations in kind Non-monetary donations are brought into the accounting records at the cost to the financial partner (donor) or fair open market value, whichever is lower. e) Income from consultancy services Income from consultancy services is accrued when invoiced, and after the work has been undertaken and related expenditure incurred during the consultancy work is also accrued accordingly. f) Financial instruments Financial assets and liabilities are recognised in the company's balance sheet when the orgnisation has become a party to the contractual provisions of the instrument. g)

Trade and other receivables Trade and other receivables are carried at anticipated realisable value. An estimate is made for doubtful receivables based on the review of all outstanding amounts at the year end. Bad debts are written off when all reasonable steps to recover them have failed.

Trade and other payables Trade and other payables are stated at their nominal value.

i) Provision For Staff Leave and Gratuity A provision is made to recognise staff entitlements in respect of annual leave not taken and gratuity as at the end of the financial year.

RATN Annual Report, April 2008 - March 2009

REGIONAL AIDS TRAINING NETWORK

NOTES TO THE FINANCIAL STATEMENTS

FOR THE YEAR ENDED 31ST MARCH, 2009 (CONTINUED)

j) Impairment At each balance sheet date, the company reviews the carrying amounts of its financial assets, tangible and intagible assets to determine whether there is any indication that those assets have suffered an impairement loss.If any such indications exists, the recoverable amounts of the assets are estimated and an impairment loss is recognised in the income statement whenever the carrying amount of the asset exceeds its recoverable amount. k) Expenditure Expenditure represents cash expended by RATN in program implementation and operations. Other expenditure incurred directly by RATN are accounted for on accrual basis. l) Intangible assets Generally, cost associated with developing computer software programs are recognized as expenses when incurred. However costs that are clearly asociated with an identifiable and unique product which will be controlled by the organisation and has a probable benefit exceeding the cost beyond one year are recognized as intangible assets. Expenditure which enhances and extends computer software programmes beyond the original specifications and lives is recognized as capital improvement and added to the original cost of the software. Computer software development costs recgnized as assets are stated at cost less armotization. Armotization is calculated on a straight line basis over the estimated useful life not exceeding a period of 3 years. m) Foreign currency translation Transactions in other currencies are translated into United States Dollars at an average exchange rate as determined by the management at the commencement of every month. Assets and liabilities are translated into United States Dollars at the exchange rate ruling at the balance sheet date. The resultant exchange variance is charged to the income and expenditure account. n) Cash & cash equivalents For the purpose of the cashflow statement, cash and cash equivalents comprise of bank balances at the end of the year. o) Comparatives Where necessarry, comparative figures have been adjusted to conform with changes in presentation in the current year. In particular, the comparatives have been adjusted or extended to take into account the requirements of the International Financial Reporting Standards. 2009 2008 US$ US$ 2 GRANTS RECEIVED DURING THE YEAR CIDA SIDA IRISH AID UNAIDS

934,571 531,496 755,976 2,222,043

633,114 515,310 708,968 36,000 1,893,392

253,313 12,958 6,863 12,730 1,611 11,450 11,535 5,694 316,154

157,298 (2,053) 3,428 12,600 2,691 7,756 181,720

3 OTHER INCOME Consultancy fees Exchange gain /(Loss) Interest from bank Membership fees Gain on assets disposal Interest on fixed deposits UNIFEM (recovery of debt written off previously) Other income

RATN Annual Report, April 2008 - March 2009

4 NETWORK DEVELOPMENT Salaries and benefits Board meetings Governance meetings and Directors forum Staff travel and per diems Quality management Government taxes/legal fees Consultancy Capacity development 5 TRAINING Salaries and benefits CD & TC development (course) CD & TC materials development CD & TC course expenses CD & TC scholarships CD & TC M & E costs CD & TC innovations & research Consultancy Staff travel and per diems 6 INFORMATION AND CAPACITY DEVELOPMENT Salaries and benefits Resource centre publications Capacity development Communication and postage Web / LAN hosting Consultancy fees Travel per diem and accomodation TRIC 7 MONITORING AND EVALUATION Programme reviews Capacity buiding of Mls RATN Evaluation Consultancy Travel per diem and accomodation 8 SECRETARIAT AND ADMINISTRATION Salaries and wages Medical and other benefits Office expenses Software development Materials ED travel and perdiem Staff development Staff parttime Audit and accountancy fees Local consultancy Office rent and utilities Staff travel and per diem Vehicle running expenses Equipment /maintenance Government taxes & legal fees Recruitment costs Bank charges

2009 US$ 36,490 84,227 107,575 21,350 29,164 4,406 14,754 8,152 306,118

2008 US$ 37,129 68,666 147,988 10,605 16,093 585 17,822 35,662 334,550

77,713 57,779 81,463 12,024 345,686 53,021 48,927 231,855 6,119 914,587

72,490 84,477 27,594 17,561 340,637 43,895 50,246 172,949 1,829 811,678

84,421 25,793 81,900 56,254 38,847 7,040 11,870 306,125

83,982 26,703 66,449 67,669 33,449 2,199 4,956 25,560 310,967

105,389 123,972 229,361

70,119 6,441 15,282 928 92,770

181,139 147,703 14,660 1,939 91 20,074 22,307 30,533 100,076 6,098 19,049 1,182 5,298 25,059 4,724 579,932

164,486 96,613 25,432 12,406 22,300 27,342 92,787 17,565 23,535 14,003 5,735 3,732 5,184 511,120

RATN Annual Report, April 2008 - March 2009 1

REGIONAL AIDS TRAINING NETWORK

NOTES TO THE FINANCIAL STATEMENTS

FOR THE YEAR ENDED 31ST MARCH, 2009 (CONTINUED)

FOR THE YEAR ENDED 31ST MARCH, 2009(CONTINUED)

2009 US$

2008 US$

18,230 21,768 4,997 44,995

23,465 19,758 2,712 45,935

2009 US$

2008 US$

This represents computer software development costs which are stated at cost less armotisation. Cost At 1 April 2008 Additions At 31 March 2009

8,135 14,106 22,241

8,135 8,135

Amortization At 1 April Charge for the year At 31 March

7,249 4,997 12,246

4,537 2,712 7,249

9,995

886

OTHER EXPENSES Receivable from UNIFEM 50% w/off Depreciation Provision for accrued leave days and gratuity Armotisation

10 PROPERTY AND EQUIPMENT Motor Vehicles US$

Computer Equipment US$

Office Equipment US$

Office Fixtures & Furniture Fittings US$ US$

At 1 April, 2007 Additions At 31 March, 2008

59,703 59,703

72,923 5,957 78,880

36,747 36,747

16,006 2,893 18,899

48,999 48,999

234,378 8,850 243,228

At 1 April, 2008 Additions Disposals At 31 March, 2009

59,703 (16,600) 43,103

78,880 11,774 (16,113) 74,541

36,747 11,926 (779) 47,894

18,899 18,899

48,999 48,999

243,228 23,700 (33,492) 233,436

At 1 April, 2007 Charge for the year At 31 March, 2008

48,905 2,700 51,605

51,738 8,143 59,881

10,899 3,231 14,130

6,629 1,534 8,163

15,791 4,151 19,942

133,962 19,758 153,720

At 1 April, 2008 On disposal Charge for the year At 31 March, 2009

51,605 (15,556) 1,764 37,813

59,881 (9,421) 7,224 57,684

14,130 (379) 4,268 18,019

8,163 1,342 9,505

19,942 3,632 23,574

153,721 (25,356) 18,230 146,595

Totals US$

COST

DEPRECIATION

NET BOOK VALUE At 31 March, 2009

5,291

16,857

29,875

9,394

25,425

86,841

At 31 March, 2008

8,098

18,999

22,617

10,736

29,057

89,507

11 INTANGIBLE ASSETS

Net book value At 31 March 12 RECEIVABLES FROM DONORS

This represents the funds that were spent by the organisation based on the commitment for reimbursement from the respective donors. The balances comprise of: Balance at 1/4/2008 US$ 23,465

Prior year Adjustments US$ -

Current year Adjustments US$ -

1,267

CIDA

(2,497)

(50,730)

SIDA

10,109 34,841

(2,497)

(10,109) (60,839)

UNIFEM ACTION AID

13 TRADE AND OTHER RECEIVABLES

RATN Annual Report, April 2008 - March 2009

Due from member institutions Deposits Prepayments(Medical Insurance) Receivable from CIDA ABBA project

Grants Received US$ (23,465)

Grants Expenses US$ -

Balance at 31/03/2009 US$ -

1,267

(829,257)

957,674

75,190

(852,722)

957,674

76,457

2009 US$ 8,677 13,783 12,684 105,314 140,458

2008 US$ 8,748 13,783 14,680 24,843 62,054

RATN Annual Report, April 2008 - March 2009

REGIONAL AIDS TRAINING NETWORK

NOTES TO THE FINANCIAL STATEMENTS

FOR THE YEAR ENDED 31ST MARCH, 2009 (CONTINUED)

FOR THE YEAR ENDED 31ST MARCH, 2009(CONTINUED)

2009 US$ 14 CASH AND CASH EQUIVALENTS Cash at bank USD Account Kshs Account

15 CAPITAL FUND Net book value of assets at 1st April Disposals during the year (net book value) Additions during the year

Depreciation/ Armotisation Balance carried forward at 31st March

2008 US$

432,702 43,894 476,596

343,300 28,699 371,999

90,394 (8,136) 37,806 120,064

104,014 8,850 112,864

(23,227)

(22,470)

96,837

90,394

16 OPERATING FUND Balance as stated at 1st April Prior year adjustments (note 20) Surplus/(Deficit) for the year Transfer to donor funds

268,192 11,307 157,079 (51,535)

390,594 (31,908) (104,114)

Transfer to capital fund (net)

385,043 (6,443)

254,572 13,620

Balance carried forward, 31st March

378,600

268,192

17 UNSPENT DONOR FUNDS Balance at Prior year 1/4/2008 Adjustments US$ US$ SIDA

Grants Received US$

Grants Expenses US$

Balance at 31/03/2009 US$

(2,125)

(10,109)

543,730

(489,902)

41,594

IRISH AID

54,871

(8,456)

755,976

(637,601)

164,790

UNAIDS

44,942

(38,344)

6,598

CIDA

50,730

(50,730)

(57)

4,407

(4,407)

988 155,995

(10,581)

(60,839)

1,299,706

(988) (1,171,299)

212,982

HRSA / ITECH UNIFEM IHA

Current year Adjustments US$

RATN Annual Report, April 2008 - March 2009

18 TRADE AND OTHER PAYABLES Trade payables Accrued audit fees Accrued Leave days and gratuity ABBA Project

19 NOTES TO THE CASH FLOW STATEMENT Net Surplus/( deficit) Prior year adjustments Interest income Transfers to operating fund Gain on assets disposal Depreciation Armotisation

Net grant transactions Changes in trade and other receivables Changes in trade and other payables Net cash generated from program activities 20 PRIOR YEAR ADJUSTMENTS These amount relates to misstatements in the previous year's financial statements. Understatement on receivable from SIDA Overstatement on unspent fund-IA Understatement on unspent fund-CIDA Understated expenses

2009 US$

2008 US$

2,571 14,500 21,768 63,089 101,928

27,306 17,400 44,706

157,079 11,307 (18,313) 5,452 (1,611) 18,230 4,997 177,141

(31,908) 19,758 2,712 (9,438)

(120,020) 57,222

369,954 (172,025) 31,333

114,343

219,824

2,125 8,456 (2,497) 3,223 11,307

21 RISK MANAGEMENT OBJECTIVES AND POLICIES Due to the nature of its activities RATN is exposed to a variety of fianacial risks. These include credit risks, the effects of changes in foreign currency exchange rates and interest rates. The organisationâ&#x20AC;&#x2122;s overall risk management programme focuses on the unpredictability of financial markets and seeks to minimise potential adverse effects on its financial performance, but the organisation does not hedge any risks. Risk management is carried out by the management of an organisation in accordance with policies approved by the Members of the Board. Foreign exchange risk The organisation's operations are predominantly in Kenya, and the currency used in reporting the financial statements is the US dollar. The currency has remained relatively stable against major convertible currencies. A significant portion of the organisations borrowings and grants are denominated in foreign currencies, and is therefore dollar and Euro. Foreign exchange risk arises from future commercial transactions, and recognised assets and liabilities. Credit risk The organisation takes on exposure to credit risk, which is the risk that a counter party will be unable to pay amounts in full, when due. The organisation structures the levels of credit risk it undertakes by placing limits on amounts of risk accepted in relation to one borrower or group of borrowers. Such risks are monitored on a revolving basis and subject to annual or more frequent review. 22 CONTINGENT LIABILITY The organisation is currently involved in a court case with a former employee over unpaid benefits and the outcome of the case is unpredictable 23 INCORPORATION The organisation is incorporated in Kenya under Section 10 of the Non-Governmental Organisation Co-ordination Act.

RATN Annual Report, April 2008 - March 2009

1 1

42 RATN Annual Report, April 2008 - March 2009 RATN Annual Report, April 2008 - March 2009

52,511 50,270 43,470 25,300 212,000 11,160 24,500 3,594 422,805

TRAINING Salaries and benefits CD & TC development (course) CD & TC materials development CD & TC course expenses CD & TC scholarships CD & TC M& E costs CD & TC Innovations & research Consultancy Staff travel and per diem Sub-total

152,363

141,857

20,810 23,425 27,706 33,683 36,233 -

50,068 9,915 43,347 1,656 208,955 8,618 24,590 3,291 350,440

29,394 46,873 40,082 6,561 20,261 1,318 14,363 158,852

53,227 829,257 882,484

Actual US$

SIDA

69,867

32,630 11,650 2,500 5,100 4,015 9,972 4,000

18,601 28,682 11,000 6,000 73,000 20,000 21,000 178,283

26,000 7,992 3,000 3,500 1,500 4,000 49,282

3,290

500,000 500,000

Budget US$

57,589

30,290 11,648 2,302 257 3,459 9,633 -

16,688 28,682 3,235 2,590 69,106 20,092 6,376 146,769

3,271 25,741 5,556 2,366 3,088 3,003 43,025

(12,234) 543,730 531,496

Actual US$

139,097

38,484 5,810 48,500 31,000 3,000 4,369 2,934 5,000

12,240 27,620 35,000 10,000 100,000 25,000 15,300 11,000 4,000 240,160

3,973 25,000 41,750 6,600 1,356 5,150 83,829

750,000 750,000

Budget US$

106,679

33,321 2,368 42,546 20,269 2,357 3,581 2,237 -

10,957 19,182 34,881 7,778 67,625 24,311 17,961 2,997 2,828 188,520

391 5,149 82,887

3,825 25,233 41,752 6,537

46,415 755,976 802,391

Actual US$

(75,190)

Transfer to operating fund Net donor funds balance

(75,190)

957,674

103,857 51,168 6,548 1,939 91 7,353 15,326 39,600 5,440 9,366 1,027 380 12,820 4,724 259,639

100,729 47,474 10,000 6,200 4,715 1,000 11,000 16,500 51,400 8,000 9,500 2,000 1,000 21,500 4,500 295,518

1,110,000

26,845 46,886

20,041 -

Actual US$ 20,000 26,845 46,845

CIDA

Balance before transfers

TOTAL EXPENDITURE

OTHER EXPENDITURE

MONITORING & EVALUATION Tools development Programme Reviews Staff Per Diems Consultancy fee Capacity Building of MIs RATN Evaluation Sub-total SECRETARIAT/ADMINISTRATION Salaries and wages Medical and other benefits Office expenses Software development Computers Materials ED travel & per diems Equipment & Supplies Audit and Accountancy Local Consultants Office rent & utilities Staff travel and per diem Vehicle running expenses Equipment / maintenance Government taxes& Legal fees Recruitment Bank charges Sub-total

Budget US$

SIDA

41,594

489,902

4,918 157,328

1,000 124,408

500,000

6,569

43,342 54,883 4,554 16,515 2,145 24,402

52,064 33,127 85,191

Actual US$

43,519 46,589 2,000 2,500 10,000 5,000 6,800 1,000 6,000

47,000 31,160 78,160

Budget US$

751,316

32,873 46,227 3,500 8,650 10,800 6,000 7,500 15,900 35,340 1,150 2,500 1,500 12,250 184,190

30,540 2,000 7,500 64,000.00 104,040

Budget US$

164,790

637,601

5,792 13,062 35,340 658 3,114 155 12,239 162,231

33,940 41,652 3,558 12,721

33,284 64,000.00 97,284

Actual US$

6,598

38,344

UNAIDS Budget Actual US$ US$

38,344 38,344

44,942 44,942

UNAIDS Budget Actual US$ US$

ANALYSIS OF INCOME AND EXPENDITURE STATEMENT BY FUNDING SOURCES FOR THE YEAR ENDED 31 MARCH, 2008 (CONTINUED)

APPENDIX 1 (CONTINUED)

REGIONAL AIDS TRAINING NETWORK

Sub-total

21,912 27,000 24,100 34,400 44,951 -

43,865 48,000 40,000 6,985 27,119 1,500 25,000 192,469

PROGRAM COSTS NETWORK DEVELOPMENT Salaries and benefits Board meetings Governance meetings Staff travel and per diem Quality management Government taxes/legal fees Consultancy Capacity Dev for Mis Sub-total

INFORMATION & CAP DEVT Salaries and benefits Resource centre publications Capacity development Communication Web/LAN hosting consultancy Travel,Accomondation & perdiems TRIC

1,110,000 1,110,000

CIDA

Grants opening balances Grants received during the year Net grants received

Budget US$

ANALYSIS OF INCOME AND EXPENDITURE STATEMENT BY FUNDING SOURCES FOR THE YEAR ENDED 31 MARCH, 2009

APPENDIX 1

REGIONAL AIDS TRAINING NETWORK

160,000

63,089

190,224

190,224 190,224

(24,843) 278,156 253,313

ABBA Budget Actual US$ US$

160,000 160,000

ABBA Budget Actual US$ US$

23,700

5,500 4,200 9,700

290 290

12,121 9,233 21,354

(47,557) 62,470 14,913

7,465

(7,465)

22,378

734 734

Others Budget Actual US$ US$

10,000 4,000 14,000

183,700 183,700

OTHERS Budget Actual US$ US$

TOTAL

2,545,016

177,121 140,290 15,500 14,200 13,365 1,000 21,800 6,000 17,500 37,400 97,740 10,150 18,000 3,500 2,000 33,750 4,500 613,816

97,540 2,000 7,500 122,005 229,045

TOTAL Budget US$

361,327

93,026 32,810 84,250 67,900 53,051 8,384 12,906 9,000

83,352 106,572 89,470 41,300 385,000 56,160 60,800 11,000 7,594 841,248

51,128 83,000 107,750 18,977 36,719 5,000 2,856 34,150 339,580

2,543,700 2,543,700

Budget US$

200,881

7,465

193,416

2,336,123

181,139 147,703 14,660 1,939 91 20,074 22,307 30,533 100,076 6,098 19,049 1,182 5,298 25,059 4,724 579,932

105,389 123,972 229,361

Actual US$

306,125

84,421 25,793 81,900 56,254 38,847 7,040 11,870 -

77,713 57,779 81,463 12,024 345,686 53,021 48,927 231,855 6,119 914,587

36,490 84,227 107,575 21,350 29,164 4,406 14,754 8,152 306,118

59,950 2,469,589 2,529,539

Actual US$

100%

25%

10%

13%

39%

13%

Annex 1: Courses delivered by RATN in FY2008/9 TOPIC

INSTITUTE/

SITE

DATE

TOTAL

TOPIC

RATN MI

KAPC

NAIROBI

7 April - 2 May, 2008

Counselling Support Supervision

KAPC

NAIROBI

24 March – 4 April, 2008

1st Block + 2nd Block

Counselling for the Visually

8 – 19 Sept, 2008

KAPC

HARARE NAIROBI

5 – 30 May, 2008 12 May – 6 June, 2008

3 3

28 8

31 11

KARA

LUSAKA

23 June – 25 July, 2008

MILDMAY

KAMPALA

16 - 27 June, 2008

Counselling

KAPC

NAIROBI

4 – 29 Aug , 2008

Child Counselling

TASO

KAMPALA

4 – 22 Aug, 2008

Counselling

KARA

LUSAKA

1 – 26 Sept, 2008

Counselling Marginalized Groups

CONNECT

HARARE

7 July – 1 Aug, 2008

Counselling

CONNECT

HARARE

8 Sept – 3 Oct, 2008

KAPC

NAIROBI

10 Nov – 5 Dec, 2008

ARV for Counsellors

Counselling for the Hearing

KHI

KIGALI

2 – 27 Feb, 2009

KARA

LUSAKA

16 March – 10 April, 2009

190

266

Counselling Counselling SUB TOTAL

2 – 27 June, 2008

Advanced Research Methods

CEU - UoN

NAIROBI

3 – 21 Nov, 2008

Programme Management and

MANANGA

MBABANE

9 Feb – 6 March, 2009

9 – 20 June, 2008

Administration

ADVOCACY, GENDER , POLICY PLANNING & BCC Gender

TGNP

DAR ES SALAAM

Advocacy Skills

CAF

NAIROBI

2 – 13 June, 2008

Gender and HIV/AIDS

IDM

GABORONE

16 – 27 March, 2009

SUB TOTAL ADULT EDUCATION Adult Education/TOT

ESAMI

ARUSHA

1 – 12 Sept, 2008

CLINICAL MANAGEMENT ART Clinical Programme

TASO/MILDMAY

KAMPALA

15 June – 4 July, 2008

MILDMAY/TASO

KAMPALA

3 – 21 Nov, 2008

MILDMAY

KAMPALA

24 Nov – 6 Dec, 2008

AMREF

NAIROBI

12 Feb – 18 April, 2008

198

305

503

Management ART Clinical Programme

TASO

KAMPALA

5 – 23 May, 2008

Lab Management

FACT

MUTARE

22 Sept – 10 Oct, 2008

Lab Management Ph 1, 2 & 2

12 – 23 May , 2008 MILDMAY

KAMPALA

13 – 31 Oct, 2008

Community Care of HIV

TASO

KAMPALA

6 – 24 Oct, 2008

Community Care of HIVs

CHIKANKATA

SAL. ARMY

22 March – 11 April, 2009

SUB TOTAL

TOTAL

ARUSHA

Community Care of HIV Rehabilitation & Palliative Care

Management

CARE & SUPPORT Community Care of HIV

ESAMI

SUB TOTAL

Impaired Post Graduate Certificate in

Program Management and

SUB TOTAL

Impaired Counselling

DATE

PROG MANAGEMENT & RESEARCH METHODS

Counselling

CONNECT

SITE

RATN MI

COUNSELING & RELATED COURSES

Accredited Counselling

INSTITUTE/

RATN Annual Report, April 2008 - March 2009

June/August, 2008 SUB TOTAL TOTAL COURSEs (30) GRAND TOTAL

RATN Annual Report, April 2008 - March 2009

Annex 2: Annex 2: RATN Performance Measurement Framework Key Outcomes, Indicators, Targets and Percentage Completed as at 31 March 2009 st

Outcome

Indicator

1. A sustainable and functioning network of training institutions in Eastern and Southern Africa

1.1. Number of MIs in number of countries contributing own resources towards growth and strengthening of the network

1.2. Adequate financial and human resources mobilized and efficiently managed to support RATN programmes

2. Quality training and capacity development programmes that respond to the STI/ HIV/AIDS training needs of the region

2.1 New courses and methodologies implemented to respond to identified needs and gaps

Strategic Plan Target

Achieved At 31st March, 2009

% of SP Target

30 MIs, 8 new

25 MIs in the Network. 1 new

83%

13 Countries, 5 new

10 countries

69%

100% payment of membership fees

22/25

88%

100% participation at GC meeting

95% at June 2008

95%

100% participation at Board meetings

100% participation at Board meetings.

100%

To raise US$ 10,853,000 : FY2004/05 $2,354,000 FY2005/06 $2,640,000 FY2006/07 $2,740,000 FY2007/08 $1,557,000 FY2008/09 $1,562,000

Total $9,904,965 (Def $948,035) FY2004/05 $1,281,803 FY2005/06 $1,714,765 FY2006/07 $1,896,980 FY2007/08 $2,029,100 FY2008/09 $2,982,317

91%

16 members of staff

13, 1 vacant: M&E officer

81%

Administrative overhead drops to 18% of annual budget

29% of budget as at Feb 2006 30% of budget as at Jan 2007 26% of budget as at 29 Feb 2008 28% of budget as at 31 Mar 2009

45%

2004/05: 7 new training courses, 5 areas 2005/06: 5 news training courses delivered, 8 areas 2006/07: 61 new training courses delivered, 32 areas 2007/08: 33 new training courses developed, 3 areas 2008/09, no new course Total 21 new courses

105%

20 new training courses developed in 5 areas for the period of the strategic plan.

4 implemented

Strategic Plan Target

Achieved At 31st March, 2009

% of SP Target

2. Quality training and capacity development programmes that respond to the STI/ HIV/AIDS training needs of the region

2.2. MI courses improved as a result of RATN capacity development initiatives.

30% increase in MI Trainers trained by March 31, 2009 (baseline 54) 19M/35F in FY03/04 cumulative 180, 74M/106F.

FY 04/05: 20 (10M/10F) FY 05/06: 26 (11M/17F) FY 06/07: 94 (37M/57F) FY 07/08: 83 (44M/39F) FY 08/09: 19 (6M/13F) Total 244 (108M/136F)

35%

16 representatives from MIs attended 3 days Gender Training in Feb 2008 RATN developed HR-GASD4 toolkit for MIs to mainstream human rights, gender, ART, stigma and discrimination into training programmes. Counselling course curriculum review done in May 2008 (11 pieces) 17 participated Curriculum review of Community Care (4 pieces) 10 Participated 2.3. Target groups reached through programme activities continuously expanding.

3. RATN is recognized as an effective source of information on quality STD/HIV/ AIDS training and capacity enhancement in ESA

133%

Clinical management of Anti Retroviral Therapy (Mildmay/TASO), Lab Management (Mildmay), Counselling for Hearing Impaired (KAPC), HIV Counselling and

Indicator

150 courses delivered by March 31, 2009.

FY 04/05: 27, 4 new FY 05/06: 32, 5 new FY 06/07: 31, 6 new FY 07/08: 37, 2 new FY 08./09 30, 0 new Total 157

105%

25% annual increase in trainees over baseline in FY03/04 529 (230M/299F) trainees, cumulative 2388 (1,046M/1,342F).

FY 04/05: 465 (219M/246F) FY 05/06: 516 (233M/283F) FY 06/07: 508 (211M/297F) FY 07/08: 480(192M/288F) FY 08/09: 492 (193M/299F) Cum 2,461 (1,048M/,1,413F)

103%

2.4. Alumni incorporate new skills into their work plans

10% increase (from 25%) in Alumni reporting influencing their organisations

52%5 reported changes in programming and work as result of training

92%

3.1. RATN responds to increased demand for information and services.

30% increase in monthly requests for information processed by Resource Centre by March 31, 2009, over baseline average of 75/ month.

Average 67 users per month. 11%decline due to relocation of RATN office. MIs 14% of users. 2005/06: 10 MIs regularly requesting materials from RC 2006/07: 15 MIs6 regularly requesting materials from RC 2007/08: 15 MIs7 regularly requesting materials from RC

68%

2008/09 TRIC 70 hits 3.2. Increased utilization and dissemination of RATN information by MIs.

At least 3 new methodologies to be implemented in training.

Outcome

Testing (AIC), Counselling for marginalized groups (Connect) Accredited counselling (Connect) ART, Counselling, and Lad Management KHI counselling, AMREF Lab Management (LM), and HIV and AIDS Management e-learning with University of Manitoba. LM has took about 2 years to develop and pilot while E-learning development overran into FY2008/9

RATN Annual Report, April 2008 - March 2009

8 6 7

90% of MIs collaborating with their national HIV and AIDS bodies

18 (72%) MIs report linkages with their National HIV and AIDS authorities

72%

RATN Establish formal and clear linkages with regional bodies like COMESA, GLIA, EAC, SADC, etc to influence policies in favour of capacity development and training.

RATN is participating in: Regional Advisory Group of Regional Programme IHA; RAANGO meetings (3times); SADC HIV forum (2 times); EAC (once) COMESA (1) Exhibition

N/A

Human Rights, Gender, ART, Stigma and Discrimination Based on RATN Alumni study (2006). Expect updated data from RTMES results rolled out in Jan 2008 KARA; CONNECT; TASO; FACT; Chikankata; KAPC; AIC; Mildmay; Mananga; AMREF; NARESA; CAFS; THETA; IDM; MIM Same institutions that accessed RC frequently in 2006/7 have maintained the trend.

RATN Annual Report, April 2008 - March 2009

Outcome

Indicator

Strategic Plan Target

Achieved At 31st March, 2009

% of SP Target

4.1 A robust and functioning monitoring and evaluation system in place

To develop and operationlise and M&E strategy and

M&E strategy approved by the Board and being operationalised by Secretariat.

N/A

Establish quality M&E support to programme thematic areas.

Quarterly programmatic reviews carried out through the revised PMF and reports provided to the Board and ICPs for discussion and approval in June 07; Oct 07; Mar 2008, Oct 08, Feb 09

N/A

Develop a comprehensive plan for monitoring of training courses.

Mid-Term Review of the Strategic Plan was conducted and final report submitted in April 2007. Implementation schedule for the MTR Recommendations presented to Board in October 2007 for discussion and approval. Progress discussed at last BOD meeting in Feb 09, 92% of MTR recommendations addressed.

N/A

RATN responds to findings from monitoring, programme reviews and evaluations

RATN Annual Progress Report to be drafted by end May 2009 ICP joint monitoring missions annual PMF updates Implementation of Reviews is on-going. Undertake effective monitoring of the strategic plan.

4.2. Formulation and follow-up of action points by RATN to the findings of programme monitoring, reviews and evaluations

Effectively monitor the implementation of the strategic plan.

Alumni follow-up study completed and results informing programmes. Study disseminated on CD, MIs and other stakeholders.

N/A

Joint donor and board evaluation completed and disseminated to partners. Action plan developed. Progress reports on action plan provided to Board. Joint RATN â&#x20AC;&#x201C; ICP steering committee set.

N/A

92% of recommendations from the joint donor and board evaluation have been implemented. MTR completed successfully in April 2007. More than 95% of the aide memoir issues have been implemented 2004-2008 strategic plan evaluation completed

4.3. All MIs effectively managing own monitoring systems.

Do quarterly programmatic reviews and prepare presentations to the Board.

Quarterly programmatic reviews carried out and presented to the Board. Action points on Board resolutions and decisions followed up by Secretariat and progress last discussed at BOD meeting of 27th Feb 2009. Board minutes circulated to ICPs.

Develop the capacity of MIs in M&E

RTMES capacity building training done in Nov 2008 for 18 Training Managers from MIs. Training for MI staff on M&E undertaken by HEARD in August 2007. Planned training in RBM in Aug 2009 will improve capacities for follow up

RATN Annual Report, April 2008 - March 2009

RATN SUPPORTERS

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Regional AIDS Training Network (RATN)

Nairobi Business Park, Unit C, First Floor, off Ngong Road, Adjacent to the Ngong Racecourse. P. O. Box 16035-00100 GPO, Nairobi, Kenya. Tel: +254-20-3871016, 3872201, 3872235, 3872129 Fax: +254-20-3872270 Email: ratn@ratn.org Website: http://www.ratn.org ÂŠ Regional AIDS Training Network (RATN)

International Kenya