Component 1: Development of gender specific regional policy guidelines on access of migrants to HIV services and their pilot implementation in at least 3 selected countries
Indicator: The number of countries which have approved national guidelines and regulations for the access of mobile population groups to HIV-services has increased from 0 to at least 3
•    Regional and national policy and legal frameworks which influence the access of mobile population groups to HIV services assessed.
•    Working groups for the development of policy guidelines established.
•     Policy guidelines developed, approved and distributed.
•     Implementation plan for introduction of policies and guidelines in pilot countries approved.
•     Experience shared and planning of roll-out to the overall region achieved.
•    Policy and legal analysis report.
•    Design of Regional Policy Guidelines.
•    Recommendations to National regulations and legislation.
•    Evaluation report and roll-out plan
•    Analyse regional and national policy and legal frameworks which influence the access of migrants to HIV-services
•    Establish working groups for development of political guidelines
•    Develop, approve and distribute policy guidelines
•    Support planning of implementation and implementation in selected countries
•     Analyse first experiences with the planning of roll-out to the region
Key challenges
National ownership: development of the regional policy on HIV-services for the migrant population will be first discussed and a consensus achieved at national level and translated afterwards into national legislation and regulations. It is crucial that governments of the selected pilot countries not only support policy formulation in the planning phase, but actually allocate necessary human and financial resources to promote their implementation in the respective countries.
Specifics of the migrants groups: the vulnerabilities of migrants to HIV and access routes to HIV services are diverse, and it is not known if migrants access health services through the public, private, or non-profit sector. This has implications not only for the development of policy guidelines but also for health financing mechanisms and training of health service providers
Political interests and multiple stakeholders interests: the strategic setup of the project and the establishment of communication and collaboration channels is important to ensure successful implementation of activities. The large number of stakeholders involved as well as the sometimes conflicting political interests of national governments and PANCAP need to be channeled carefully. It is crucial to rely on already existing and operational policy mechanisms to avoid the creation of parallel structures
Intervention Logic
The so called “undocumented” status of migrants aggravates access to healthcare services. It is also understood that many migrants outstay their visas and thus become illegal. However, it is important to realize that the status of mobile populations often does not initially arise from their definition as migrants, but rather from the types of activity migrants become involved in. This differentiation highlights the necessity for close cooperation between the project and parallel initiatives seeking to enhance access levels to healthcare services for undocumented workers and vulnerable population groups.