ECDC additional NCPI
The NCPI focuses on issues of particular relevance to the European region, includiing measures of political leadership and key populations of particular interest to the region that are not covered in the global NCPI, such as migrants and prisoners.
This is the European supplement to the global National Commitments and Policy Instrument (NCPI).
The European supplement is divided into two parts, which mirror the structure of the global NCPI: Part A is answered by government and part B by civil society. Both parts have the following sections:
• Political leadership
• Role of civil society
• Prevention response
• HIV and migrants
• HIV programmes in prisons
• Treatment, care and support
Part A also includes questions on national spending on HIV prevention; HIV programmes for people who inject drugs; HIV programmes for men who have sex with men; and stigma and discrimination. The section on national spending on HIV prevention allows countries to provide data in a limited number of spending areas even if they do not have all data required for Global AIDS Progress reporting. Questions on programmes for people who inject drugs allow those countries that do not report to the European Monitoring Centre for Drugs and Drug Addiction (EMCDDA) to report on the same measures used by that agency. Questions on programmes for men who have sex with men allow countries to report on new approaches to tracking coverage of these programmes using measures from the recent European MSM Internet Survey (EMIS). Questions on stigma and discrimination allow government officials to respond to questions only asked of civil society respondents in the global NCPI.
Each section should be completed by (a) conducting a desk review of relevant documents and (b) interviewing key people most knowledgeable about the specific topic area. Completing the supplement requires respondents to answer a number of straightforward questions and provide some short narrative information. Respondents are strongly encouraged to answer as many questions in the supplement as possible. The supplement also allows countries to submit data they have available even if it does not precisely fit specific indicator descriptions. The submission of supporting documents to provide more complete information on a topic area is encouraged.
As is the case with the global NCPI, responses to the European supplement are expected to provide a better understanding of the current country situation; provide examples of good practice for others to learn from; and highlight issues for further improvement. The supplement captures the overall policy, strategy, legal and programme implementation environment of the HIV response. The open text boxes provide an opportunity to comment on issues that are perceived as important but captured insufficiently in the basic questions. Topics that could be covered in these short narrative responses include important sub-national variations; the level of implementation of strategies, policies, laws or regulations; explanatory notes; and comments on data sources.
While it is expected that the national government of particular countries will take responsibility for completing the supplement, the broad nature of the questions means that data may need to be collected from a variety of sources.
It is expected that data for the European supplement could be collected using the same process used for the global NCPI, For this, it is recommended (a) to organize an initial consultation with key stakeholders to agree on the NCPI data-gathering process (including relevant documents for desk review, organizational representatives to be interviewed, process to be used for determining final responses), timeline; and (b) to organize a final consultation with key stakeholders to present, discuss and validate the NCPI findings before submission.
It is not expected that responses to part A, by government, and to part B, by civil society, will be the same. Indeed, it might be expected that these responses are likely to reveal different perspectives and emphases.
The global NCPI is the most comprehensive standardized questionnaire available to assess the policy, strategy, legal and programme implementation environment for national HIV responses. Historically, it has the highest response rate from countries participating in global reporting on HIV.
The value of the NCPI lies in the process of collecting data and perspectives from a range of stakeholders, the detailed analysis of the data, and its use in strengthening the national HIV response. This value is amplified for European countries with the customised supplement focused on key regional issues and populations.
The process of completing the NCPI provides an opportunity for national stakeholders to take stock of progress made and to discuss what still needs to be done to support an effective and efficient HIV response. When completed in a collaborative manner, the NCPI can play an important role in further strengthening in-country collaboration and shared ownership of the HIV response.
Countries are encouraged to use material from the NCPI and the European supplement in the narrative reports submitted as part of their Global AIDS Progress report. Countries are also encouraged to analyse trends in their responses to NCPI questions from previous rounds of global reporting.
The European supplement enables more direct comparison of government and civil society responses in areas of relevance to the region. In addition, the supplement has enhanced questions on political leadership which go beyond whether or not countries have national strategies, national coordinating bodies and national monitioring and evaluation systems to focus on the extent to which they are taking the actions needed to respond effectively to their national HIV epidemics. In addition, the supplement allows data to be collected on key populations disproportionately affected by HIV in the region that are not well covered in the main NCPI, such as migrants and prisoners. In addition, questions to government about people who inject drugs allow countries that do not report to EMCDDA to provide data on key measures relating to this population that are used throughout the countries of the European Union.