FAQs

As countries work to develop roadmaps and navigate the path towards sustainability using the new approach to ensure the sustainability of the HIV response UNAIDS continues to seek key moments and opportunities to support countries, communities and other stakeholders in conducting HIV response sustainability dialogues and shaping HIV sustainability roadmaps and ensuring that stakeholders are well equipped for the in-country work.

The overarching objective of this section is to provides answers to questions that have been received from UNAIDS country officers, 
national counterparts, staff of our co-sponsor agencies and partners (including PEPFAR and Global Fund), as well as from 
participants on the multiple internal and public webinars that UNAIDS has convened.

What is the new sustainability framework?
As countries work to reach the goal of ending AIDS as a public health threat by 2030, planning is urgently needed for sustaining the gains from the HIV response beyond 2030. The strategies and delivery modalities required for scaling up prevention and treatment services and to ensure a stable enabling environment to reach the 2030 target will differ from those that will be needed for long-term sustainability. The new HIV Response Sustainability Approach and framework provides the backdrop for the design of country specific HIV Response Sustainability Roadmaps across five domains encompassing programmatic, political, structural and financial dimensions of sustainability. hiv goals
What’s different with this new sustainability approach?
The vision of the new HIV response sustainability approach is to “galvanize efforts and to drive sustainable HIV response transformations to reach and maintain epidemic control beyond 2030, by upholding the right to health for all”. Therefore, HIV response sustainability implies that a country has and uses, in an enabling environment:
(a) people-centred systems for health and equity;
(b) empowered and capable institutions and community-led organizations; and
(c) adequate and equitably distributed resources to end AIDS and sustain that accomplishment in ways that uphold the right to health for all.

This new approach to HIV sustainability that puts countries at the centre, leading the response to HIV and guiding the transformations required to reach the 2030 SDG targets and to sustain impact beyond 2030. It is a more holistic approach to thinking of sustaining the HIV response, focusing beyond financial sustainability to the political, programmatic, systems, and services transformations needed to maintain impact of the HIV response by and beyond 2030.

 
What is the relationship between the Sustainability Roadmap process and other tools and exercises such as National Strategic Plans?
Sustainability roadmaps are not going to replace the NSP. They will provide substantial content regarding transformations for the response to help the next iteration of NSPs .The sustainability road maps are distinct from, yet complementary to NSPs And the revisions of the existing sustainability roadmaps are also intended to inform the plans and actions of all relevant actors (including partners) as they move into their next planning exercises, as they move to the transformations that each of the different actors will need to undergo. As we all know, change and transformations are difficult, and are difficult for all actors to advance. But this is also the substance of this exercise – interrogating those things that will allow us to really increase our impact and be prepared and ready for the post-2030 world looking long-term.
Why do countries need to start taking a broader perspective to HIV response sustainability now?
This a very important moment in the HIV response, a moment to look to the future confidently, to embrace the success that the response has seen to this point, and to more intentionally discuss the vision for the HIV response beyond 2030. It is time to be laser focused on the transformations needed to achieve impact, drawing on the learnings from the countries that are getting closer to achieving the 95-95-95 targets, and support others that are facing many challenges. We need to engage early given that the transformations needed are against a backdrop of complex domestic and global environments and priorities. This would require taking a long-term view to sustaining impact. The purpose of the new HIV response sustainability approach and the Roadmap is to support countries in planning for the future of the HIV response, though not in isolation from other priorities. Many of the pertinent analyses, actions, and transformations to be undertaken require clear, well-crafted steps towards stronger health systems, better-integrated services for HIV, stronger country ownership and more streamlined donor contributions to strengthen country systems. Those changes must also contribute towards universal health coverage, gender equality, human rights, stronger and better financed health systems.
What is an HIV Response Sustainability Roadmap?
An HIV Response Sustainability Roadmap outlines a country-led path for achieving the global AIDS targets for 2025, ending AIDS by 2030 and sustaining the impact of those achievements beyond 2030. It lays out the steps that can transform both health- and HIV-related political leadership, policies, finances, systems and services. The Roadmap should be aligned to existing sectoral strategies and plans, including for HIV, health and related social and multisectoral development strategies. The transformations proposed in the Roadmap should also inform future revisions in national strategies, including HIV and other health-sector and multisectoral strategies. The HIV Sustainability Roadmap comprises two sections, Part A and Part B developed in a phased approach.