After three years of implementation, the project “PEMAR Panama”, ended its first phase on December 31, 2014, without significant impacts in the course of the epidemic. Before this closure, the principal recipient sent a formal note to the Presidency of the coordinating mechanism of Panama, in which he presented his resignation and manifested not having any interest to remain as the manager of the funds in the future.
On the other hand, last year it was launched the new model of financing, whereby the countries which already had a project could join. In this new scenario, Panama presented a conceptual note with a joint programming between HIV and tuberculosis in October 2014.
With a joint and improved programming for the fight against these two diseases, resources will be allocated in the most successful usages, services can be expanded and their effectiveness, efficiency, quality and sustainability could be improved.
A point that calls the most attention is that, while the country presented a solid conceptual note, some people linked to the response criticized the planned goals and highlighted them as “too difficult to achieve”. The proposal has a strong biomedical approach and raised responses would force people to face to face meetings and group interventions to be considered a population reached by the activities.
The responsibility for technical and financial management of the funds will be held by UNDP in conjunction with the National Coordination of Health (CONSALUD), an internal and semi-autonomous structure of the Ministry of Health.
In terms of the selection of the principal recipient, it was not until receiving two declines, when, on the third attempt, UNDP was elected as the principal recipient for this new phase, with the condition that in a reasonable time, the Ministry of Health was responsible for the technical and financial administration. It is expected that the proposed activities begin January 2016.
Also, in order to respond to the new financing model and improve structures linked to the Global Fund processes, processes of choice of some of the sectors of civil society began to occupy the representations of this structure.
“It was time to take into account many aspects, such as including women and people from the country’s interior in these processes, since it was previously performed in the capital and were carried out only with specific groups, with little participation of the pairs of the interior”, said Dayra García, Director of the Association Viviendo Positivamente.
Finally, with these new changes and proposals, it is expected to have a stronger mechanism, which ensures that resources are well executed and implemented.