‘Health’ constitutes a major pillar of the agreed framework of UN system cooperation in the Islamic Republic of Iran. In line with the Millennium Development Goals, in partnership with the Global Fund to Fight AIDS, Tuberculosis and Malaria (GFATM), UNDP assists Iran to implement it Nataional Strategic Plans to curb the aforesaid diseases. The partnership brings together a host of national and international partners including Government ministries/organisations, NGOs, academia, NGOs and communities/individuals living with diseases. The ever growing partnership started in 2005. More than US$ 80 million of GFATM grants has so far been mobilized and allocated to projects on the three diseases.
The projects are focused on: (i) Scaling up HIV/AIDS prevention programme towards universal access with increasing the partnership of non-government sector; (ii) tuberculosis prevention in high burden areas of the country; and (iii) intensified malaria control in high burden provinces towards elimination by 2016 of the most deadly type of malaria.
UNDAF/Country programme Outcome: Capacities of the health system and other relevant institutions for the promotion and implementation of policies and programmes to reduce non-communicable and communicable diseases are strengthened.
In close partnership with the country coordinating mechanism, as a principal recipient of GFATM grants, UNDP contributes to the reduction of HIV/AIDS, tuberculosis and malaria through its support to the Government to implement grants from the GFATM and achieve the national AIDS, malaria and tuberculosis objectives.
- Better knowledge about HIV and its risks and transmission routs among university and school students, prisoners & their families, injecting drug users, HIV vulnerable women, People living and/or affected by HIV/AIDS, refugees and health system staff;
- Strengthened ‘HIV/AIDS harm reduction’ services by establishing and running 105 male and female Harm Reduction Centres and Outreach Teams in selected districts across the country;
- A proactive approach to prevention and timely case detection via establishment of more than 320 Voluntary Counselling and Testing Centres, Triangular Clinics and Drop-in Centres in prisons and target districts;
- Provision of specialised treatment to the AIDS patients who are not responding to regular treatment regimens;
- Equipping national laboratories with high tech equipment to help detect AIDS;
- Provision of psychosocial support to people living with, or affected by, HIV through supporting a network of Positive Clubs in collaboration with the UNAIDS;
- Establishment of state-of-the-art tuberculosis labs and improved treatment procedures resulting in drastic improvement in diagnosis and treatment new positive cases, thus achieving an increase in tuberculosis case finding and treatment success rates;
- Equipping large prisons with tuberculosis quarantine and isolation facilities which has resulted in a drastic reduction in the risk of the disease in prison settings;
- Development of Malaria Early Warning System and a Malaria Epidemic Preparedness Plan;
- Establishment of 10 Emergency Sites and 54 Rapid Response Teams to address malaria epidemics;
- Provision of training and malaria prevention/rapid detection facilities at district and community level which has resulted in significant improvement in timely case detection and treatment;
- Improved malaria vector control practices by application of Integrated Vector Managment techniques;
- Strengthened physical infrastructure and quality of services of malaria labs;
- Enhancing health house network services in rural areas by providing 4WD vehicles and motorcycles;
- Strengthened capacities of the health system on monitoring and evaluation through recruitment of qualified staff for national and provincial institutions;
- Contribution to a considerable decrease in the number of local malaria cases from 14,710 in 2006 to 734 cases in 2012;
- Geopolitical situation that limits access to outside markets of health supply and equipment;
- Remoteness of some project areas, particularly in tuberculosis and malaria projects;
- The social stigma associated with diseases;