ANNEX 1 ANNEX 2 ANNEX 3

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(WP)HSIIDCC/05

Report Series number: RS/200S/GEl52(PHL) English only

REPORT

CONSULTATION ON THE DEVELOPMENT OF A REGIONAL NETWORK OF WHO COLLABORATING CENTRES AND TECHNICAL PARTNERS ON HIV/AIDS

IN THE WESTERN PACIFIC REGION 3--4 December 2008

Manila, Philippines

Convened by World Health Organization Regional Office for the Western Pacific

Not for sale Printed and distributed by:

World Health Organization Regional Office for the Western Pacific

Manila, Philippines

WHOIWPRO LmRA R\

MANILA. PIIILlI'I'INF:S

o ^{3 JUN} ²⁰⁰⁹

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NOTE

The views expressed in this report are those of the participants in the Consultation on the Development of a Regional Network of WHO Collaborating Centres and Technical Partners on HIV I AIDS in the Western Pacific Region and do not necessarily reflect the policies of the Organization.

This report has been prepared by the Wodd Health Organization Regional Office for the Western Pacific for governments of Member States in the Region and for those who participated in the Consultation on the Development of a Regional Network of WHO Collaborating Centres and Technical Partners on HIV/AIDS in the Western Pacific Region from 3 to 4 December 2008 in Manila, the Philippines.

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CONTENTS

SUMMARY

1. INTRODUCTION

1.1 Objectives... 1

1.2 Participants... 1

1.3 Organization of the consultation.... ... ... ... ... ... ... .... ... ... 2

1.4 Opening ceremony... . . .. . . .. . . .. . . 2

2. PROCEEDINGS 2.1 Day 1... 2

2.2 Day2... 2

3. CONCLUSIONS ... . 3

ANNEXES:

ANNEX 1 ANNEX 2 ANNEX 3

LIST OF PARTICIPANTS TIMETABLE

BACKGROUND DOCUMENTS

Keywords: Acquired immunodeficiency syndrome/ HN infections/ Sexually transmitted diseases/ Regional cooperation! Partnership/ Western Pacific

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AIDS ASC AusAID GFATM HN PEPFAR STI WHO

ABBREVIATIONS

acquired immunodeficiency syndrome Albion Street Centre

Australian Agency for International Development Global Fund to Fight AIDS, Tuberculosis, and Malaria human immunodeficiency virus

United States President's Emergency Plan for AIDS Relief sexually transmitted infection

World Health Organization

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SUMMARY

The Consultation on the Development of a Regional Network of WHO Collaborating Centres and Technical Partners on HlV/AIDS in the Western Pacific Region was held at the WHO Western Pacific Regional Office, Manila, the Philippines, from 3 to 4 December 2008, with the following objectives:

(1) to review information and data from WHO collaborating centres and selected institutions with expertise in preventing, treating and caring for HlV / AIDS and sexually transmitted infections (STI) in the health sector;

(2) to gain experience in the knowledge hubs and other WHO network models (e.g. those for occupational health and for nurses and midwives);

(3) to update and improve understanding of the contents and standards ofthe HIV/AIDS programme of WHO (priority interventions and five strategic directions);

(4) to discuss and agree on the principles, purpose and structure, and procedures of the network; and

(5) to identifY the next steps that must be taken to put the network into operation, including the appointment of a Secretariat.

The agenda included an update on the outcomes of the Organization-wide review and

evaluation of WHO's work with collaborating centres; an analysis of WHO collaborating centres and selected partner institutions; an update on the HN/AIDS programme of WHO and the demand for technical assistance from the Global Fund to Fight AIDS, Tuberculosis, and Malaria; and an analysis of the thematic networks of WHO collaborating centres. Participants discussed the proposed

establishment of the HIV / AIDS network and its functions and identified the next steps to be taken to put the network into operation.

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1. INTRODUCTION

In recent years, HN / AIDS programmes have expanded as more resources have become available, mostly from the Global Fund to Fight AIDS, Tuberculosis, and Malaria (GFATM), the United States President's Emergency Plan for AIDS Relief (pEPF AR), the Australian Agency for International Development (AusAID), and other donors. There has in turn been increased demand from Member States of the World Health Organization (WHO) for specialized technical assistance on a wide range of issues under the WHO mandate.

This increased demand and the possible role of WHO collaborating centres in addressing the needs of national HN/AIDS programmes have been the subject of discussions at WHO. The Western Pacific Region recognizes the possibility of developing a network of WHO collaborating centres and other key technical partners that are best positioned to provide technical support to Member States with the aid of documentary resources of the HN/AIDS programme of WHO. To help create a formal structure for such a network in the Region, a two-day consultation was held for selected WHO

collaborating centres and partner institutions from 3 to 4 December 2008 at the WHO Regional Office for the Western Pacific in Manila, the Philippines.

This report summarizes the activities during and resulting from the two-day consultation.

1.1 Objectives

The consultation had the following objectives:

(1) to review information and data from WHO collaborating centres and selected institutions with expertise in preventing, treating and caring for HN / AIDS and sexually transmitted infections (STI) in the health sector;

(2) to gain experience in the knowledge hubs and other WHO network models (e.g. those for occupational health and for nurses and midwives);

(3) to update and improve understanding of the contents and standards of the HN / AIDS programme of WHO (priority interventions and five strategic directions);

(4) to discuss and agree on the principles, purpose and structure, and procedures of the network; and

(5) to identify the next steps that must be taken to put the network into operation, including the appointment of a Secretariat.

1.2 Participants

A total of 17 temporary advisers from Australia, China, Hong Kong (China), Japan, Malaysia, New Zealand, the Philippines, Singapore and Viet Nam attended the consultation. Those invited to participate in the consultation had either been recommended to the Western Pacific Regional Office after rigorous pre-consultation research (in the case of collaborating centres) or had an established history of cooperation with the Western Pacific Region (in the case of technical partners).

The Secretariat comprised staff from WHO Headquarters in Geneva and Regional Office for the Western Pacific. The list of participants is appended as Annex 1.

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1.3 Organization of the consultation

At the start of the consultation, Dr Massimo Ghidinelli, Regional Adviser of HIV I AIDS and STI Unit, WHO Regional Office for the Western Pacific, presented the way in which the consultation was organized. All the participants adopted the proposed programme, which guided the consultation and the discussion of the specified objectives. The consultation was participatory throughout. The timetable is appended as Annex 2.

1.4 Opening ceremony

After welcoming the participants to Manila, Dr Ghidinelli introduced Dr Richard Nesbit, Director of Programme Management, WHO Regional Office for the Western Pacific. Dr Nesbit, in his opening speech, cited the benefits of partnerships and networking to synergy and sustainability for the prevention and control of HIV and STI. He appealed to collaborating centres and development partners to work closely with countries and provide the technical and financial support needed in the Region.

2. PROCEEDINGS

2.1 Day 1: Wednesday, 3 December 2008

The key activities on day 1 centred on the following:

(1) outcomes of the WHO review and evaluation of the work of WHO with collaborating centres (1998-1999 and 2006-2007);

(2) fmdings of the analysis of WHO collaborating centres that guided the consultation (2008);

(3) HIV knowledge hubs-their present status and new developments;

(4) experiences, lessons learnt, and practical examples from WHO collaborating centre networks in occupational health, tobacco control, and nursing and midwifery;

(5) HIV/AIDS programme of WHO; and

(6) demand for technical assistance from the Global Fund.

2.2 Day 2: Thursday, 4 December 2008

The key activities on day 2 involved the following:

(1) group work and discussion for the establishment of an HIV I AIDS network, including its functions and procedures; and

(2) defmition of immediate action steps.

Underlying the activities was preliminary research done by the Albion Street Centre (ASC) in Sydney, Australia (a WHO collaborating centre for capacity-building and health care worker training in HIV I AIDS care, treatment and support). The research mapped the collaborating centres that were active in HIV and STI work in the Western Pacific Region, as well as collaborating centres that could contribute to technical areas such as laboratory, nursing, health education, and health promotion. The

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analysis ~fthe results of the research and various background papers were considered in the consultatIOn. See Annex 3 for further background information on the consultation.

3. CONCLUSIONS

3.1 Conclusions

Overall, the establishment of an HIV regional network received strong endorsement from the consultation participants. The proposed membership and structure of the network - collaborating centres specific to HIV and STI, related collaborating centres with overlapping interests, collaborating centres with broader fields of expertise, technical institutes with specific knowledge - was viewed as original and innovative. The opportunity of such a network to internally access different disciplinary perspectives was seen to benefit WHO in providing high-quality technical advice to Member States in support of health-sector responses to HIV.

The specific outcomes and agreements pertaining to the operation of the network are detailed below.

(l) Name: WHO Networkfor HIV and Health in the Western Pacific Region

This agreed name defines the scope of health sector involvement, supports a name that is specific to a Region, and demonstrates that HIV is not solely a health concern but rather a multidisciplinary area.

(2) Mission: To collaboratively support Member States in implementing public health approaches to HIV / AIDS according to WHO strategic directions

This is in line with the WHO objective of "the attainment by all peoples of the highest possible level of health".

(3) Objectives: It was agreed that the purpose of the network had to be defmed in a statement of objectives. Key words and issues were identified in the consultation to guide the generation of objectives. Proposed objectives, yet to be ratified by network members, are presented in this report.

In the Western Pacific Region, the proposed objectives of the network are to:

(a) provide a multidisciplinary approach to activities of the network and technical cooperation with Member States;

(b) provide quality assurance through dedicated human resources that work together using consistent and coherent approaches;

(c) establish a two-way relationship between WHO and network members that generates and contributes to critical review' and dialogue;

(d) contribute to the scientific debate related to HIV and health;

( e) contribute to operational research related to HIV and health;

(1) promote information exchange between network members and the public health community; and

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(g) invest in the strengthening of the managerial, technical, and human resource capacity of network members.

(4) Membership criteria and processes: Organizations that apply for membership in the network must:

(a) be active WHO collaborating centres or WHO technical partners ~~t~ an established history of cooperating with WHO on its programmes and aCTIVlties;

(b) be able to show proof of capacity in one or more WHO strategic d~ecti.ons ~or the health sector's response to HIV / AIDS or to contribute to WHO strateglc drrectlons through one or more key functions;

(c) be able to contribute to a regional forum for early review and input to policies, strategies, guidelines, tools and scientific publications;

(d) be actively involved in developing and delivering a network strategic plan;

(e) already have institutional capacity and be financially sustainable; and (t) have no conflict of interest.

Stage 1

It was agreed that the consultation participants would form the foundation of the network. Membership will be confrrmed and established through the signing of a declaration of commitment and the completion of a capacity matrix (see "Agreed Immediate Action Steps" below). Therefore, 20-25 members were anticipated in stage l---enough to provide breadth of numbers and expertise while still being manageable in the formation phase ofthe network.

Stage 2

If gaps in knowledge or skills are found when the capacities of the members are assessed, within the frrst six to nine months of the official start of the network, more members will be invited to apply to the network according to the defmed criteria.

Applications will be sought and assessed through a working group of network members including WHO Western Pacific Region. A formal application package will be

developed for this stage.

Stage 3

After the network has been operating for 12 months, additional memberships will be considered.

The specifics of stage 2 and 3 will be determined as part of strategic planning for the network.

(5) Database matrix (organization details / strategic directions / key functions); A draft template for a matrix was proposed and accepted. It will be further developed in consultation with the network members, and each strategic direction and function will be defined. The database will be updated regularly and will contain standardized information on members that is accessible to those seeking technical cooperation. The following information will be in the matrix;

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General information about the organization:

- Name of organization - Director

- Contact details (street address, e-mail address, phone and fax numbers, website address)

- Relationship to WHO (WHO collaborating centre or recognized technical partner)

Countries of work experience '

- Number of staff available to the network Strategic directions:

- Enabling people to know their HN status - Maximizing prevention

- Accelerating the expansion of treatment Strengthening health systems

- Providing strategic information - Planning and mobilizing resources Functions:

- Advocacy

- Operational research - Technical support - Tools and guidelines - Capacity-building

- Information dissemination - Networking

(6) Management: The network will be managed by the WHO Western Pacific Regional Office mainly through the HN / AIDS and STI team in the Division of Communicable Diseases.

The WHO Western Pacific Regional Office, through the country offices and with the HN Department at WHO Headquarters, will have the following functions:

(a) interfacing with beneficiaries (essentially the National Programme on HIV / AIDS and STI)-identifying needs, forwarding requests to the Secretariat or network members, and facilitating responses;

(b) building capacity and supporting the compliance of network with United Nations (UN) procedures;

(c) formalizing and promoting the network within the UN system and other technical partners;

(d) convening network meetings and ensuring the participation of members at WHO regional consultations; and

(e) mobilizing resources.

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Albion Street Centre, on the other hand, will facilitate the following Secretariat functions:

(a) establishing and maintaining connectivity and sharing information among network members;

(b) developing a database on the capacity of network members;

(c) developing a website for the network;

(d) developing a network strategic plan in consultation with the Western Pacific Region and network members;

(e) monitoring the functionality of the network; and (f) mobilizing resources.

3.2 Next steps

Participants agreed on the following next steps:

(1) Finalize and distribute the report of the consultation (ASCIWHO, by December 2008) and release the report as an official paper (WHO, as soon as possible).

(2) Design and distribute the declaration of commitment (ASCIWHO, by December 2008;

declaration to be signed and returned to ASC by the end of December 2008).

(3) Distribute formal application forms to interested parties (ASCIWHO, to distribute for signing by January 2009; signed forms to be returned to ASC by the end of January 2009).

(4) Share the proposed database template of strategic directions and key functions with network members (ASC, by early January 2009; network members to send comments to ASC by the end of January 2009).

(5) Distribute the database matrix (ASC, by early February 2009; network members to complete the matrix and return it to ASC by the end of February 2009).

(6) Communicate formally with Member States and inventory requests (WHO, by the end of February 2009).

(7) Announce officially and launch the network (WHO, date to be confirmed, depending on internal legal clearances, media support, and input).

(8) Exchange communications (ASCIWHO and network members, ongoing).

(9) Develop the network website (ASC, ongoing).

(10) Monitor the responsiveness of the network over the first six months (ASC, depending on the official start date).

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ANNEXl

LIST OF PARTICIPANTS

1. TEMPORARY ADVISERS

Dr Peter Azzopardi. Representative, Centre for International Child Health, Royal Children's Hospital, Flemington Road, Parkville, Victoria 3052, Australia. Tel: +61 393455522, +61 393454986.

Fax: +61 393456715.

E-mail: [email protected]

Dr Xiang-sheng Chen. Deputy Director, National Centre for STD Control, China CDC, 12 Jiangwangmiao Street, Nanjing 210042, People's Republic of China. Tel: 8625-8547 8901.

Fax: 8625-8547 8958.

Mr Wayne Dimech, Business Development Manager, National Serology Reference Laboratory, St. Vincent's Institute of Medical Research, 4th Floor, Healy Building, 41 Victoria Parade, Fitzroy, Victoria 3065, Australia. Tel: 613-9418 1132. Fax: 613-9418 1155.

Dr Kate Dolan, Associate Professor, Programme of International Research and Training, National Drug and Alcohol Research Centre, University of New South Wales, Sydney, Australia. Tel: 612-9385 0331.

Fax: 612-9385 0222.

Dr John Elliot, Director, Pacific Paramedical Training Centre, P.O. Box 7013, Wellington 6242, New Zealand. Tel: 644-389 6294. Fax: 644-389 6295.

Professor Jane Fisher, Deputy Director and Coordinator of International Programmes, Key Centre for Women's Health in Society, Melbourne School of Population Health, The University of Melbourne, Level 2, 723 Swanston Street, Carlton 3010, Victoria, Australia. Tel: 613-83440616. Fax: 613-93479824.

Professor Julian Gold, Director, The Albion Street Centre, 150-154 Albion St, Surry Hills, Sydney, New South Wales, Australia. Tel: 612-93329664. Fax: 612-93324219.

E-mail: Julian.Gold(ii{SESJAHS.HEALTH.NSW.GOV.AU

Ms Sumathi Govindasamy, Project Manager, Centre of Excellence for Research in AIDS, University of Malaya, 50603 Kuala Lumpur, Malaysia. Tel: 019-611 3028. Fax: 603-79494625.

E-mail: suigovindasamy(ii{yahoo.com;[email protected]

Professor Xu Keyi, Chief Professor, Clinical Research Centre for AIDS/STD, Beijing Ditan Hospital No 13 Di Tan Park, Beijing, People's Republic of China. Tel: 8610-64226966. Fax: 8610-6428 1540.

Dr Nguyen Minh Hung, Medical Doctor, Researcher on Occupational Disease Department, WHO Collaborating Centre for Occupational Health, National Institute of Occupational and Environmental Health, IB, Yecxanh, Ha Noi, Viet Nam. Tel: 844-971 5947. Fax: 844-821 2894.

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Mr Bruce Parnell, Principal Fellow, Centre for International Health" Burnet Institute (Macfarlane Burnet Institute for Medical Research and Public Health), 85 Commercial Road, Melbourne 3004, Australia.

Tel.: 613-92822212. Fax: 613-92822144.

Mr Shin'ichi Takenaka, Advisor, WHO Collaborating Centre for Reference, Research and Training on Tuberculosis, Research Institute of Tuberculosis, 3-1-24 Matsuyama, Kiyose, Tokyo 204-8533, Japan.

Tel: 81-42-491 1381. Fax: 81-42-492 8258.

E-mail: [email protected];[email protected] .

Mr Edmond Tak Fai Tong, Senior Clinical Associate, WHO Collaborating Centre for Community Health Services, The Hong Kong Polytechnic University, Hung Hong, Kowloon, Hong Kong. Tel: 852-2766 5111.

Fax: 852-2764 3374.

Ms Charmaine Turton, Director, International Health Medical Services, The Albion Street Centre 150-154 Albion St, Surry Hills, Sydney, New South Wales, Australia. Tel: 612-93329664.

Fax: 612-93324219.

Ms Joann Taylor-Villanueva, Deputy Director, Communicable Disease Education Department

Adult Health Division, Singapore Health Promotion Board, Singapore 168937, Singapore. Tel: 65-6435 3144. Fax: 65-6438 3609.

E-mail: JoannTAYLOR@hpb.!!:Ov.sg

Professor Bethel Buena P. Villarta, WHO Collaborating Centre for Leadership in Nursing Development College of Nursing, University of the Philippines, Manila, Philippines. Tel: 632-523 1485, Fax: 632-523

1494. E-mail: [email protected] .

Professor Zhu Yong Ming, President, Shanghai (Red Cross) Blood Centre, Director, WHO Collaborating Centre for Blood Transfusion Services, 1191 Hong Qiao Road, Shanghaj 200051, People's Republic of China. Tel: 8621-6295 6974. Fax: 8621-6295 8414.

E-mail: [email protected];[email protected]

2. SECRETARIAT

WHOfWestem Pacific Region

Dr Richard Nesbit, Director, Programme Management, World Health Organization, Western Pacific Regional Office, United Nations Avenue, 1000 Manila, Philippines. Tel: 6325289921.

Fax: 632521 1036.

Dr Massimo N Ghidinelli, Regional Adviser in IDV I AIDS and SrI, World Health Organization,

Western Pacific Regional Office, United Nations Avenue, 1000 Manila, Philippines. Tel: 6325289714.

Fax: 632521 1036.

Ms Gaik Gui Ong, Technical Officer, IDV/AIDS and SrI, World Health Organization, Western Pacific Regional Office, United Nations Avenue, 1000 Manila, Philippines. Tel: 6325289718.

Fax: 632521 1036.

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Dr Nguyen Thi Thanh Thuy, Medical OfficeriEpiderniologist, HIV/AIDS and STI, World Health Organization, Western Pacific Regional Office, United Nations Avenue, 1000 Manila, Philippines.

Tel: 6325289717. Fax: 632521 1036.

Dr Fabio Mesquita, Technical Officer in Harm. Reduction, World Health Organization, Western Pacific Regional Office, United Nations Avenue, 1000 Manila, Philippines. Tel: 6325289759.

Fax: 632 521 1036.

Dr Reijo Salmela, Medical Officer, Situation Analysis for Policy, World Health Organization, Western Pacific Regional Office, United Nations Avenue, 1000 Manila, Philippines. Tel: 6325289835.

Fax: 632 521 1036.

Dr Liu Yunguo, Regional Adviser in Gender, Women and Reproductive Health, World Health Organization, Western Pacific Regional Office, United Nations Avenue, 1000 Manila, Philippines.

Tel: 632528 9878. Fax: 632521 1036.

Dr Marianna Trias, Regional Adviser in Child and Adolescent Health, World Health Organization, World Health Organization, Western Pacific Regional Office, United Nations Avenue, 1000 Manila, Philippines. Tel: 6325289868. Fax: 632521 1036.

Dr Pieter van Maaren, Regional Adviser in Stop TB and Leprosy Elimination, World Health Organization, Western Pacific Regional Office, United Nations Avenue, 1000 Manila, Philippines.

Tel: 6325289706. Fax: 632521 1036.

Dr Dean Shuey, Regional Adviser in Health Services Development, World Health Organization,

Fax: 632 521 1036.

Dr Susan Mercado, Regional Adviser in Tobacco Free Initiative, World Health Organization,

Fax: 632521 1036.

Dr Hisashi Ogawa, Regional Adviser in Healthy Settings and Environment, World Health Organization Western Pacific Regional Office, United Nations Avenue, 1000 Manila, Philippines. Tel: 6325289894.

Fax: 632 521 1036.

E-mail: [email protected] WHOlHeadquarters

Dr Antonio Carlos Gerbase, Department ofmv/AIDS, World Health Organization, CH-1211, Geneva 27, Switzerland. Tel +41 (0)22791 14556.

Email: [email protected]

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ANNEX 2 TIMETABLE

Time Wednesday, 3 December Time Thursday, 4 December

08:30-09:00 Registration 08:30-09:30 7. Analysis ofthematic networks of WHO collaborating centres-discussion

09:00-09:10 1. Opening 09:30-10:00 Introduction to group work

09:10-09:30 2. Introduction to the consultation

• Introduction of participants

• Objectives and expected outcomes of the consultation 09:30-10:00 3. Outcomes of the Organization-wide review and evaluation of

WHO's work with collaborating centres

10:00-10:30 Coffeelfea Break 10:00-10:30 Coffeelfea Break

10:30-11 :00 4. Analysis of WHO collaborating centres and selected partner institutions- 10:30-12:00 8. Group work and presentation: Establishment of HIV/AIDS network and functions-

discussion modus operandi

11:00-11:20 Knowledge Hubs 12:00 9. Conclusions and closing

11:20-11:35 Experience and lessons learned from WHO collaborating centre network 11:35-11:50 Practical examples from occupational health network

11:50-12:30 Feedback from participants-discussion

12:30-13:30 Lunch Break

13:30-14:30 Continuation of discussion (experience and expectations)

14:00-15:00 5. WHO's programme on HIV/AIDS ^I_I

I

15:00-15:30 Coffee/Tea Break

15:30-16:00 6. Global Fund-related demand for technical assistance 17:30 Welcome Reception

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ANNEX 3 BACKGROUND INFORMATION

Over 900 institutions •..

... in 99 countries ...

••• supporting WHO programmes

The WHO Collaborating Centres (WHOCCs) are a highly v~lued mechanism of mODeratIon In which relevant Institutions are recognlzed by WHO to Implement the Organization's mandated work by su pporting the adllevement of Its planned strategiC objectives at the regional and global levels; enhandng the scientific validity of Its global health work; as well as developing and strengthening Institutional capacity in oountries and regions.

Deflnltlon: A WHO Collaborating Centre Is an Institution desfgnlJted by the D/redor-General to form part of an International collaborative network canylng out activIties In support of the OrgBnlzatlon ~

programmes at aI/levels

WHO gains access to top centres worldwide and the Institutional capacity to support Its work and ensure the sdentiflc validity of global health work.

Conversely, designation as a WHO collaborating centre provides Institutions with enhanced viSibility and recognition by natrona I authorities, calling public attention to the health Issues on which they work.. It opens up Improved opportunlttes for them to exchange Infonnatlon and develop technical. cooperation with other Institutions, In particular at International level, and to mobilize additional and sometimes Important resources from funding partners.

History and Present

The WHOCCS have been in place Since the founding of the Organization. The flrst WHO CC was the Department of Biological Standardization, Statens SerumlnstJtute:, Copenhagen, originally designated at the beginning of 1948; QJrrently the Organ"Jzation has over 900 WHOCCs located In almost 100 Member States.

Examples of recent designations are:

• The Education Development Centre for the Health Professions, at the Untverslty of Khartoum, Sudan was- designated as WHO COllaborating Centre for Education, Development for Health ProfeSsions In January 200.7. The Centre has accumulatecl experience in the area of continuing professional and human resource development In Sudan and In the region. The Centre has organized several training courses In collaboration with WHO for medical and nan-medical staff. One. of the main goals of the center Is to promote Innovattve approaches In health profession education and work with human resource management in general.

• The Nat;ional AIDS Research Institute (NAltlJ situated In Pune, rndla, was desigoated earty 2007. Their mlss'lon i~ to ~stabnsh research initiatives that have an Interface with Intervention and policy development to prevent and control th~ spread of the HIV{AIDS epidemiC. The Institute expands its activities in var10us aspects of research o.n HIV and AIDS through Intra-structural development, capadty building S:. research programmes. Through the collaboration wlth WHO, It provides training on laboratory techniques and acts as a reference centre for· HIV diagnosis. It also provldes technical guidance on surveillance of drug resistance In HIV and disseminates data.

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WHO COLLABORATING CENTRES AND NETWORKS (Key Points Presented in the Programme)

CCs are encouraged to develop working relations with other centres and national institutions recognized by WHO, in particular by setting up or joining

collaborative networks with WHO's support.

-World Health Organization Collaborating Centres Fact Sheet 2008

• . The collaborating centres (CCs) of the World Health Organization (WHO) are key institutions with relevant expertise distributed throughout the world. They represent a valuable resource and are an extended yet integral part of WHO's capacity to implement its mandated work.

• The CCs are a mechanism of cooperation to:

- assist WHO in canying out its mandated work by supporting the regional and global realization of its planned strategic objectives;

- enhance the scientific validity of its global health work; and

- develop and strengthen WHO institutional capacity in countries and regions.

• CCs collaborate individually with WHO or through networks organized around a common technical area of work. There are networks in the following areas:

- communicable diseases - food safety

- health promotion

injuries and violence prevention international classification - nursing and midwifery

nutrition

occupational health - radiation

- tobacco control - traditional medicine

http://www.who.in·t!collaboratingcentres/networkslenl

• Successful networks have these common factors:

- Strong leadership from WHO;

An agreed strategic plan;

A strong coordinator or secretariat and an established infrastructure to sustain and keep the network active;

An organized governance structure;

Effective communication, including regular meetings (annual or every two years) and email networks and websites;

Funds available (even though the amounts may be limited) to support the network; and Time to develop working relationships.

• Benefits of a network:

- Better alignment with WHO programmes;

- Greater global or regional application and impact of activities;

- New opportunities for the centres beyond their agreed work with WHO, and new synergies;

and

- Improved motivation for the centres.

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ANALYSIS OF WHO COLLABORATING CENTRES IN WPR, OCTOBER Z008 (Completed by the Albion Street Centre, Sydney, Australia)

According to the World Health Organization (WHO) Global Database, as of 19 October 2008, there were 902 WHO collaborating centres (CCs) operating worldwide. Regionally, the CCs have their highest concentration in Europe (EURO) with 351, followed by the Western Pacific (WPRO) 194, the Americas (AMRO) 186, South East Asia (SEARO) 85, the Eastern Mediterranean (EMRO) 54, and Africa (AFRO) 32.

In WPRO, China (72 CCs), Australia (47), and Japan (33) together account for 78% of all CCs in the Western Pacific Region. The Republic of Korea has 12 CCs, followed by Singapore (9), Malaysia (7), Philippines (6), New Zealand (5), Viet Nam (2), and Papua New Guinea (1).

Overall, of the 194 CCs in WPRO at the time of the analysis, 17 appeared to be doing work that had a direct or strong relationship to the field of HlV/S11. Ninety-eight others appeared to have the potential to contribute to an HlV/S11 network, though not enough information was available to determine this definitively. A survey was conducted to confirm and determine which CCs were most relevant to an HlV IS11 network.

Survey responses were considered to progressively determine centres with the potential to establish a strong initial network, which could eventually be expanded to other centres. Centres were selected across countries, subjects, and activities. Both centres that were already working in the field of HlV IS11 and those that could work alongside these centres to support the HlV response according to the strategic directions of WHO were included.

CCs were recommended for attendance at the consultation on the basis of the following criteria:

• Country representation. Nine of the 10 WPRO countries with CCs were represented. These nine countries were Australia, China, Japan, Republic of Korea, Malaysia, New Zealand, Philippines, Singapore, and Viet Nam. PNG, which has only one designated CC, for the control of acute infections in children, was not included.

• Subject representation-HlV/S11, blood products and safety, care and treatment, child and maternal health, drug and alcohol I substance abuse, health policy, health promotion, health systems, laboratory, nursing, occupational health, tuberculosis (TB), women.

• Activity representation-implementation of programmes and activities, information dissemination, product development, provision of technical advice, research, and training and education.

• Centres with activities that were in line with the strategic directions and priority interventions of the WHO framework for universal access (2006--2010).

• Centres with current and past HlV/S11 expertise and centres with strong potential to apply their expertise to the HlV/STI field.

• Several centres with networks within or external to their organizations that could strengthen an HlV ISTI network.

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KEY RESOURCESIREFERENCES

World Health Organization (WHO). 2008. Priority Interventions: mY/AIDS prevention, treatment and care in the health sector. WHO Press: Geneva, Switzerland.

www.who.intientitylhiv/pub/guidelines/2008priorityinterventions/enJ

World Health Organization (WHO). 2006. Towards Universal Access by 2010: How WHO is working with countries to scale-up HIV prevention, treatment, care and support. WHO Press: Geneva, Switzerland. http://www . who.intihiv/pub/advocacvJuniversalaccess/enJ

WHO Collaborating Centres Global Database

http://www.who.inticollaboratingcentres/databaseJen/

WHO Regional Office for the Western Pacific Database

http://www.wpm.who.intiinfo!Jlllltion sources/collaborating centres/collaborating centres.htm

Networks of WHO Collaborating Centres

http://www . who.inticollaboratingcentres/networkslen/

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GROUP PHOTO OF THE PARTICIPANTS IN THE CONSULTATION ON THE DEVELOPMENT OF A REGIONAL NETWORK OF WHO COLLABORATING CENTRES

AND TECHNICAL PARTNERS ON HIV/AIDS IN THE WESTERN PACIFIC REGION

ANNEX 1 ANNEX 2 ANNEX 3

o 3 JUN 2009

ANNEXES:

ANNEX 1 ANNEX 2 ANNEX 3

ANNEX 2 TIMETABLE

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