Government HIV and AIDS Policies

Export Indicator

National Composite Policy Index (NCPI)
What it measures

To assess progress in the development and implementation of national level HIV and AIDS policies, strategies and laws
 

Rationale
Numerator

Not applicable

Denominator

Not aplicable

Calculation

Not applicable

Method of measurement

The National Composite Policy Index questionnaire is divided in two parts which cover the following areas:

Part A - to be administered to government officials

I. Strategic plan
II. Political support
III. Prevention
IV. Treatment, care and support
V. Monitoring and evaluation

Part B - to be administered to representatives from civil society organizations, bilateral agencies, and UN organizations

I. Human rights
II. Civil society involvement
III. Prevention
IV. Treatment, care and support

Some questions occur in both Part A and Part B to ensure that the views of both the national government and nongovernment respondents, whether in agreement or not, are obtained.

Each section should be completed by (a) conducting a desk review of relevant documents and (b) interviewing key people most knowledgeable about the topic. It is important to submit a fully completed
National Composite Policy Index: check the relevant standardized responses as well as provide further
information in the open text boxes where requested. This will facilitate a better understanding of the
current country situation, provide examples of good practice for others to learn from, and pin-point some
issues for further improvement. National Composite Policy Index responses refl ect 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 insuffi ciently captured
in the questions as asked e.g. important sub-national variations; the level of implementation of strategies, policies, laws or regulations; explanatory notes; comments on the data sources etc. In general, draft strategies, policies, or laws are not considered ‘in existence’ (i.e. there is no opportunity yet to expect their influence on programme implementation) so questions about whether such a document exists should be answered with ‘no’. It would, however, be useful to state that such documents are in draft form in the relevant open text box.

While the responsibility for submitting the consolidated National Composite Policy Index data lies with
the national government, the assistance of technical coordinators for data gathering, data consolidation
and data validation is strongly advised. Accurate completion of the National Composite Policy Index requires the involvement of a range of stakeholders which should include representatives of civil society
organizations. It is strongly recommended to (a) organize an initial workshop with key stakeholders to
agree on the National Composite Policy Index data gathering process (including relevant documents for
desk review, organizational representatives to be interviewed, process to be used for determining fi nal
responses, timeline); and to (b) organize a final workshop with key stakeholders to present, discuss and
validate the National Composite Policy Index fi ndings before offi cial submission as part of the UNGASS
Country Progress Report. Agreement on the fi nal National Composite Policy Index data does not require
that discrepancies, if any, between overlapping questions in Part A and Part B be reconciled; it simply
means that when there are different perspectives, that Part A respondents agree on their responses, Part B respondents agree on their responses, and that both are submitted.

If not already the case, it is useful to collate all key documents (i.e. policies, strategies, laws, guidelines,
reports etc) related to the HIV response in one place which allows easy access by all stakeholders (such as a website). This will not only facilitate validation of National Composite Policy Index responses but, e

Measurement frequency

Biennial

Disaggregation

Condom type: N/A

Education: N/A

Gender: N/A

Geographic location: N/A

HIV status: N/A

Pregnancy status: N/A

Sector: N/A

Service Type: N/A

Target: N/A

Time period: N/A

Type of orphan: N/A

Vulnerability status: N/A

Explanation of the numerator
Explanation of the denominator
Strengths and weaknesses

The National Composite Policy Index is the most comprehensive standardized questionnaire
available to assess the policy, strategy, legal and programme implementation environment for the HIV
response. Although the National Composite Policy Index is generally referred to as an ‘indicator’ or
an ‘index’, it is not used in that sense. While it is possible to calculate an overall score by assigning
a value to each response, the importance of the Index lies in the process of data collection and
data reconciliation between different stakeholders, detailed analysis of the responses, and its use in
strengthening the national HIV response. The National Composite Policy Index process provides
a unique opportunity for the variety of 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 truly collaborative manner, inviting appropriate representation and respecting different views, the
National Composite Policy Index process can play an important role in strengthening in-country
collaboration and increasing shared ownership of the HIV response.

It is important to analyse the data for each of the National Composite Policy Index sections and
include a write-up in the narrative section of the Country Progress Report in terms of progress
made in (a) policy, strategy and law development and (b) implementation of these in support of
the country’s HIV response. Comments on the agreements or discrepancies between overlapping
questions in Parts A and B should also be included, as well as a trend analysis on the key National
Composite Policy Index data since 2003, where available.
 

Further information