1. JUNTA has engaged leadership and developed analytical notes for Samoa, Tonga, Solomon Islands and Marshal Islands to reinforce the commitment to the AIDS response and lift travel restrictions.\r\n2. A Stigma Index Study was funded jointly by UNAIDS, UNICEF and MOH in Fiji based on a Stigma Index Protocol and questionnaire that was approved by Fiji Ethical Committee to be implemented by Fiji Network Plus (FJN+).\r\n3. In the field of prevention, the first steps undertaken were to generate strategic information on key populations and to scale up testing and services. \r\n4. The capacity of 35 focal points in the Pacific was strengthened and country Global AIDS response progress reporting (GARPR) reporting was increased from 10 to 12 countries including reporting on indicators for key populations. This was used to produce a regional analysis for the development of a successful Global Fund multi-country proposal of $6.5 million covering 11 countries and shaping the priorities for the proposal, including size estimations for key populations and a NGO grant programme for HIV prevention in key populations for all 11 countries. \r\n5. UNFPA, with financial support from the Ministry of Foreign Affairs and Trade of New Zealand, completed Sexual Reproductive Health (SRH) Needs Assessments in 5 Programme countries (Kiribati, Samoa, Solomon Islands, Tonga and Vanuatu). The assessments aimed to establish the reproductive health needs of the countries including adolescents, youths, reproductive-aged women and men. Key findings common to all countries included, policies which needed to be revised, there is a need for a rights-based approach which integrates SRH and HIV policies, there is need for more collaboration among stakeholders and, finally, there is a need to strengthen enabling factors within the health system.\r\n6. JUNTA has facilitated development of a Concept Note for the Global Fund for 11 countries in the Pacific amounting for $6.5 million, the majority of the funds covers activities for key affected populations, including data generation, grant programme for NGOs for prevention in key populations and capacity building of NGOs to deliver services.\r\n7. UNICEF Pacific in cooperation with UNDP are supporting the collection of strategic information and size mapping for key populations in 10 countries of the region which will help provide information on populations at higher risk. The studies will be conducted in three phases, with the final phases scheduled for completion in October 2016.\r\n

Coordination among UN Agencies could be improved and difficulties where experienced with regard to organising JUNTA activities in a sub-regional environment. \r\nExisting technical officers in most countries are overstretched and often face impediments to deliver work in a timely manner.\r\nLack of quality information on behaviours, testing or availability of contraceptives; limited resources at country and regional level to conduct specific epidemiological studies on key populations at higher risk. There are plans to fill in the gaps through the current Global Fund multi-country grant. \r\nThe monitoring and evaluation system is paper-based and weak management of information/data systems has resulted in poor quality and limited availability of data.\r\nFew programs address the specific needs of women and girls and insufficient capacity amongst some actors to address gender issues and HIV in the region.\r\nService coverage of key populations is still insufficient, in some countries they are completely lacking and the prevalence of HIV among these key populations is highest in many Pacific countries. Some NGOs also lack experience needed for service delivery.\r\nExtremely high turnover of staff in the government institutions in all countries poses an additional setback for technical assistance and does not allow for long-term collaboration. \r\n

Promote the 90-90-90 Fast Track Initiative for implementation in the Pacific Islands Countries through the Global Fund multi-country proposal.\r\nDevelop the Comprehensive Condom Programme Rapids Needs assessment in 11 countries to determine access to and availability of condoms. \r\nDevelop a Condom Distribution Plan and strengthen monitoring mechanisms \r\nSupport countries in strategic planning and mainstreaming HIV into National Development Plans aligned to SDGs. \r\n

14 small island developing states in the Pacific region 14 small island developing states in the Pacific region