Equality and HIV/AIDS AND ICW Globals Engagement with the NFM.
Presented by: Maurine Murenga.
Meeting Objectives
To review the status of gender integration into the Global Fund New Funding Model concept notes; and to review lessons learned from experiences of countries for revising various guidance and tools To identify existing gaps and challenges in integrating gender into national HIV responses and to the Global Fund supported grants; and to strategically identify key technical support needs and priorities To identify future advocacy opportunities to further accelerate integrating gender into HIV responses
MINIMUM CONDITIONS TO ENSURE GENDER EQUALITY IS INTEGRATED INTO THE NFM Capacity-Building of national stakeholders Availability of tools and evidence, capacity to use, knowledge of tools Increased Gender Expertise within National & Global bodies taking part in the NFM proposal development and review process Political commitment Watchdog/Oversight system to ensure gender integration Meaningful Participation of women and other constituencies in national processes Collaboration/Coordination of partners Shared terminology, conceptual clarity (Balance of transformative/Responsive/Sensitive)
TRP messages to date TRP recommendations to applicants reflecting July windows (reviewed 5 HIV and 3 TB/HIV concept notes) included: 1. Focus on key pop. -Better use of epi-data to identify key populations -Addressing the rights of women and girls important Sustainability is key Getting the program split right Improve the quality of CNs Need more detail and consistency in budgeting, vis--vis identified programmatic gaps Prioritizing for greatest impact Inclusion of specific community, human rights and gender interventions that are adequately budgeted for and focus on KPs
Key gender issues noted by the TRP for CNs recommended for iteration Country A (generalized epidemic) Recommended for better programming for PMTCT, GBV and addressing young womens vulnerabilities
Country B (concentrated epidemic) Pointed out that young women and men are treated homogeneously in the funding request. The revised CN is expected to specifically address the needs of young women with elevated risk.
Country C (generalized epidemic) Requested to systematically include gender and age-specific considerations in the CN and subsequent programming. Requesting details of how prevention efforts, including those for key and marginalized populations including young women are addressed
First 20 CNs review: (Objectives) The level of integration of the principles of gender equality, The extent to which genderresponsive programs, either gender-sensitive or gender-transformative, are advanced; The approaches taken by countries to achieve gender equality; The scale of budget allocated to genderresponsive programs; Good practices and challenges in achieving the principles of gender equality, and proposing genderresponsive programs; Possible gaps and areas of improvement where TA would be appropriate before the end of the grant cycle.
20 CNs review: 5 key questions asked
Process Does the process leading to the proposal achieve principles of gender equality, or address specific needs of women and girls in the disease responses?
Analysis Does the proposal include a sound analysis of the gender dimensions of the epidemic(s)?
Matching epi- and country context to programming Does the proposed response address gender-sensitive or gender-transformative programming that is appropriate to the epidemiological and country context?
Obstacles Does the country face technical, political or cultural obstacles in addressing gender-responsive programming in its proposal?
TA needs Does the process, or content of the CN highlight TA needs related to gender equality for the country or key partners?
Preliminary findings: Analysis
Participation of womens groups, inc key affected women, in CN development process is patchy; little evidence of strong impact from their participation Sex-disaggregated data in gender analysis of many HIV CNs (esp. in countries that had gender assessment), but patchy throughout CN. Gender analysis in malaria CNs are hardly available. Very weak understanding often confusion - of relationship between key populations and women, and sex- disaggregated data of KPs often low quality or not included Trans* often included but rarely clear if this is trans men or trans women, and usually linked to MSM CNs with solid gender analysis rarely linked to concrete, related, evidence-based gender-responsive programming.
Preliminary findings: Programming Most CNs said requests are based on NSPs. Programs targeting female key populations (i.e., FSW, trans women) are increasing, but programs targeting female partners of key populations are almost non-existent. Few CNs with PMTCT programmes beyond prong 3. Many indicated strengthening RMNCH linkages as priority Many countries noted GBV as a key gender issue, but not many included GBV interventions in proposal nor in budget. Some mentioned anticipated obstacles (cultural, technical and political) in implementing gender-responsive interventions. Only a few included sex- disaggregated target for key interventions such as BCC, testing and treatment. cf: age- disaggregated target are better used.
Preliminary findings: Budget Good analysis does not get translated into proposed interventions nor adequately budgeted. Many had gender-responsive programs in above allocation (= incentive funding) budget. FSWs- targeted prevention and PMTCT are often requested within allocated budget. Some countries budget CSS interventions as a part of sustainability planning. Inclusion of womens groups and WLHIV networks as beneficiaries of CSS is not known.
THE UNAIDS GENDER ASSESMENT TOOL Applies a modular approach, building on already available information, to allow flexibility as per local context
Uses questions to identify remaining gaps in information
It allows to learn about the extent to which the national response recognises and acts on gender inequality as a critical enabler of the HIV response.
The tool supports countries in leveraging and mobilising resources for gender equality in the context of HIV
COUNTRIES THAT ARE UNDERTAKING GENDER ASSESSMENT. Completed
Bangladesh Bolivia Cambodia Cameroon Djibouti Domican Republic DRC Gabon Haiti Honduras Jamaica Laos Mozambique Myanmar Nigeria Paraguay Rwanda Senegal Somalia South Sudan Sudan Tajikistan Uzbekistan Zimbabwe Undertaking Algeria Botswana Burkina Faso Chile Colombia Egypt Eritrea Guinea Iran Kazakhstan Liberia Malawi Morocco Mozambique Nicaragua Peru South Africa Tanzania Tunisia Uruguay Yemen Zambia Zanzibar PARTICIPATION. 0 10 20 30 40 50 60 70 80 90 100 % of participation by type of institution / population Government People living with HIV UN Agencies Women's network Women living with HIV Young people LGB Bi/Multilaterals IDUs Transgender Men and boys Legal service providers Religious leaders CONTRIBUTIONS Created a space for peer-to-peer capacity increase process for staff and partners on issues regarding gender equality, gender-based violence, HIV and harmful gender norms.
Provided a thorough country analysis on gender and HIV that was not available previously.
Provided inputs for the elaboration of National Strategic Plans, GFATM concept notes, Investment Cases and Post 2015 consultations.
Provided the opportunity to network, strengthen pre-existing partnerships and foster new collaborations, including with partners that were not involved in gender or HIV before the gender assessment took place.
Information compilation, sharing and analysis empowered key populations who participated in the gender assessment.
IMPLEMENTATION CHALLENGES 1. Lack of sex disaggregated strategic data at county level.
2. While UNAIDS Gender Assessment Tool was found by countries to be helpful in strengthening partnerships, as well as analysing the HIV epidemic, context and response from a gender perspective, it was noted that further guidance was needed to prioritize and unpack interventions, as well as to cost them.
3. Challenges in translating the findings of the gender assessments into GF concept notes, particularly at the budgeting stage.
GTC - SHORT TERM ACTIONS. Menu of interventions (Claudia to coordinate smaller working group - named) by end September Over next 3-6 months weekly email (from GFS) of which CNs are coming in/being reviewed, and those with requests for concrete support. Learning from 20 concept notes (Motoko presentation) will be turned into communications pieces for 4 audiences. Develop a set of advocacy messages around age and sex disaggregation of data, and what data we should be requesting. CRG person being 50% dedicated to this work. Share gender tools with gender expertise within the countries as well as concept note writing teams
OPPORTUNITIES FOR ICW Technical Assistance on Community Systems Strengthening., Gender, Human Rights and Key Population Engagement.. RFP is to solicit proposals from suppliers who have technical expertise and experience in one (or more) of the following areas: Gender equality across HIV, tuberculosis, malaria, and/or HSS Addressing gender based violence (GBV) and sexual and reproductive health, with linkages to HIV Community systems strengthening Human rights barriers to women and girls accessing health services Meaningful engagement of key affected populations (for example: women living with diseases, adolescent girls, trans* communities, women who use drugs, sex workers, female prisoners, female migrants) Deadline for submission is 20 th October.
OPPORTUNITIES FOR ICW
Regional Civil Society and Community Support, Coordination and Communication Platform The Offerors will host Regional Civil Society and Community Support, Coordination and Communication Platform for a period of up to 25 months (1 December 2014- 31 December 2016). Should provide best value to the Global Fund, when both technical and cost factors are combined. The commencement of services is likely to start in December 2014. The proposal needs to state clearly what, if any, start-up support and costs (if any), would be needed to commence services. Platforms will be established in 6 regions:Asia and the Pacific; Anglophone Africa ;Francophone Africa;Middle East and North Africa;Eastern Europe and Central Asia;Latin America and the Caribbean Where there are potential synergies, value-added and cost-saving, offerors may bid to host in more than one region.
Way Forward Support to ICW Kenya Kelin are prequalified TA providers. The secretariat will write a memo to KELIN to work with ICW who will bring on additional support to ensure WLHIV are meaningfully engaged in concept note development and country dialogues. The mode of partnership will be discussed between KELIN and ICW Kenya. Do the same with other countries that have need for TA. Way Forward Regional Entity CfP will be out in couple of weeks. Involves supporting communities more broadly and legitimizing communities as TA. We should read the TA over and Over and answer questions carefully emphasizing on our technical expertise and parameters with which we have strength in. We can apply for both proposals as assessments will be done separately. If selected for both then a measure will be taken to merge the projects and address any conflict of interests.