Transcript Working with the hard to reach: Addressing vulnerability in young

Challenges in developing
strong Global Fund proposals
related to sexual minorities
(and what to do about these barriers)
About CVC
CVC is a coalition of organisations and
individuals working in rights-based HIV
prevention, care, treatment and support in the
Kreyol, Dutch, English, French and Spanish
speaking Caribbean.
CVC
Especially Vulnerable Populations
• subject to hostile stereotyping
• unable to challenge their status
• possess little or no social protection
systems to remedy the way they are
treated
CVC
Focus Populations
• Drug Users
• Sex Workers
• Prisoners
• Men who have Sex with Men and
Transgender People
Three challenges
and actions to address them
1. Who convenes, coordinates, and leads in the
development of proposals? Global Fund partners, especially
UNAIDS cosponsors, should facilitate civil society organizing.
2. Who advises on evidence-based needs assessments
and technically-sound approaches? Global Fund partners
should support technical input.
3. Is the proposal development process accountable to
programmatic considerations rather than political and
institutional interests? Global Fund partners can review and
advise on programme design and budgetary allocations (e.g. mock
TRPs).
1. Who convenes and coordinates?
 Caribbean Broadcast Media Partnership (CBMP)
 Caribbean Drug Abuse Research Institute (CDARI)
 Caribbean Forum for the Liberation of All-Sexualities,
and Gays (CARIFLAGs)
 Caribbean Harm Reduction Coalition (CHRC)
 Caribbean Sex Worker Coalition (CSWC)
 Caribbean Treatment Action Group (CTAG)
 CVC Access to Treatment Working Group
 CVC Human Rights Working Group
 Centro de Orientación e Investigación Integral (COIN)
Global Fund partners should facilitate
civil society organizing
•
•
•
•
Barbados: Sterling Mungal
Belize: Caleb Orozco
Curacao: Dudley Ferdinandus, Mario Kleinmoedig
Dominican Republic: Carlos Adón, Robert Paulino, Santo Rosario, Leonardo
Sanchez, John Waters, Nairobi
•
•
•
•
Grenada: Andre Blackman, Nigel Mathlin, Anita Radix
Guyana: Miriam Edwards, Stacey Gomes, Donna Snagg
Haiti: Harry Beauvais, Steeve LaGuerre
Jamaica: Princess Brown, Robert Carr, Howard Gough, Rohan Lewis, Deborah
Manning, Jason McFarlane, Ian McKnight, Karlene Williams-Clarke
•
•
•
•
•
Saint Lucia: Veronica Cenac, Marcus Day, Joan Didier
Saint Vincent and the Grenadines: Charles Woods
Suriname: Juanita Altenberg, Milton Castelen, Soca
Trinidad and Tobago: Dona da Costa Martinez, Denis James
International: UNDP, UNAIDS, UNFPA, PAHO
2. Who provides technical input?
Documented high HIV prevalence
and high HIV exposure among
prisoners, drug users, sex workers,
and men who have sex with men
throughout the Caribbean
Technical input about interventions
Objective:
1. Members of the four
most-at-risk populations
will increase their access
to, and utilization of,
appropriate ongoing
interventions for HIV
prevention, treatment,
care, and support.
(SDA: Behaviour Change
Communications)
Objectively Verifiable Indicators (OVI)
Number of individuals in targeted
networks reached with a defined
comprehensive set of interventions
by demonstration programmes
(Centres of Excellence) providing
peer outreach, counselling, case
management, health services
(including HIV VCT), & health
referrals.
Technical input about policy
Objective:
Objectively Verifiable Indicators (OVI)
2. Evidence-based health
and human rights policies,
practices, and
interventions related to
most-at-risk populations
proposed and supported
by individuals with direct
experience with those
most-at-risk populations.
(SDA: Policy Development)
2.1: Number of individuals regionally
trained and supported to address and
promote human rights and sexual and
reproductive health of most-at-risk
populations.
2.2: Number of regional policy reports
and other publications produced from
the perspective of most-at-risk
populations to support evidence-based
policies, practices, and interventions.
Technical input about capacity
Objective:
Objectively Verifiable Indicators (OVI)
3. CVC, as a coalition of
most-at-risk populations and
their advocates, will support
innovative programming,
disseminate evidence and
best practice, and participate
in regional HIV planning and
evaluation.
(SDA: Strengthening of civil
society and institutional
capacity building)
3.1: Number of people participating in
regional networks aimed at facilitating
regional exchange and dissemination of
best practice.
3.2 Number of individuals experienced
of prisoners, drug users, sex workers, and
MSM populations leading regional HIV
grantmaking initiatives.
3.3: Number of individuals participating
in CVC governance as a regional coalition
of vulnerable communities.
3. Who holds process accountable?
PANCAP Regional Objectives
Expected Results
and Regional Public Goods
Objective 2.6: Facilitate further
involvement of PLHIV, CSOs, NGOs, CBOs ER 1.1, 1.2, 5.1, 6.2: Model legislation,
and FBOs in the HIV response
policies and systems for social protection,
Objective 3.3: Achieve Universal Access policies for access, policies on stigma and
to targeted prevention interventions to discrimination, gender equity and equality,
reach and support MARPs.
evidence-based policy.
Objective 4.1 Expand access to
ER 2.6: Support groups and other
treatment, comprehensive care and
networks for MARPs to become advocates
services
for their own needs; capacity of MARPs to
Objectives 1.1, 1.2, 5.1, 6.2: Remove
be involved in the HIV response
barriers to access; ground HIV responses ER 3.3, 4.1: Targeted BCC & VCT, improve
in human rights and gender equality and national policies affecting prevention,
equity; develop appropriate evidence- develop peer education programs, train
based policies, practices and
providers, decentralise services)
interventions.
External review (e.g. mock TRP)
Sufficient five-year budgetary allocation?
Programme staffing
Management and administrative staffing
Contracted technical / training support
Trainings/meetings
Subcontracts
Communications/media/web
Monitoring and evaluation
Overhead and indirect
Key Points
• Value of regional approach
• Focus on structural issues as well
individual outreach
• Community-led strategy development
– Policy, interventions, capacity
• Using existing entry points
• Ensuring budget allocations enable
success
Thank you
Sam Avrett
[email protected]
Robert Carr
[email protected]