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Placing Children in the Visibility Zone
 

Placing Children in the Visibility Zone

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    Placing Children in the Visibility Zone Placing Children in the Visibility Zone Presentation Transcript

    • Placing Children in the “Visibility” Zone - A SAfAIDS Approach Rouzeh Eghtessadi (MPH) Southern Africa HIV and AIDS Information Dissemination Service (SAfAIDS) 17 Beveridge Road, Avondale, Harare, Zimbabwe Tel: +263 4 33 61 93/4 Fax: +263 4 33 61 95 Website: http://www.safaids.net Email: rouzeh@safaids.org.zw HIV/AIDS INFORMATION : the power to make a differenceSAfAIDS - P O Box A509,Avondale, Harare, Zimbabwe, Tel: 263 4 336193/4, Fax: 263 4 336195, E-mail: info@safaids.org.zw, Website: www.safaids.org.zw Southern Africa HIV/AIDS Information Dissemination Service
    • HIV/AIDS INFORMATION : the power to make a differenceSAfAIDS - P O Box A509,Avondale, Harare, Zimbabwe, Tel: 263 4 336193/4, Fax: 263 4 336195, E-mail: info@safaids.org.zw, Website: www.safaids.org.zw Southern Africa HIV/AIDS Information Dissemination Service
    • “Children’s Rights continue to be addressed as Second-class within the development sphere – particularly in the context of the HIV and AIDS epidemics. Placing children meaningfully and“VISIBLY” on the all response agendasremains Paramount to effective scale-up and realisation of Universal AccessHIV/AIDS INFORMATION : the power to make a differenceSAfAIDS - P O Box A509,Avondale, Harare, Zimbabwe, Tel: 263 4 336193/4, Fax: 263 4 336195, E-mail: info@safaids.org.zw, Website: www.safaids.org.zw Southern Africa HIV/AIDS Information Dissemination Service
    • Recap - Critical Issues for Children & HIV Advocacy Considerations• Escalating school drop-outs• Child-headed households• Increased burden of care on children• Early child marriages• Increased risk of abuse (domestic violence against children, sexual abuse, transactional sex, child labour, child trafficking for household economic gain)• Labeling (stigma and discrimination)• Inadequate child-targeted information access, information sharing and dissemination platforms …whilst many gains made in the past 5 yrs… HIV/AIDS INFORMATION : the power to make a difference SAfAIDS - P O Box A509,Avondale, Harare, Zimbabwe, Tel: 263 4 336193/4, Fax: 263 4 336195, E-mail: info@safaids.org.zw, Website: www.safaids.org.zw Southern Africa HIV/AIDS Information Dissemination Service
    • There remain Gaps in Current• Interventions ( 1) Policy Domain: • Children remain an ‘after-thought’ - 1st we develop adult- geared policies, then suddenly remember the child!! • Subsequent delay in sound operationalisation, thus: Time lost – lives lost – suffering sky-rockets – poor domestication processes • Voices and concerns of children not adequately raised or heard (directly) – by law makers, govt & policy makers, donor community • Targets (MDGs 2, 4, 6, Universal Access- the Four “Ps”, CRC) & related Accountability - not being monitored/ ‘policed’ HIV/AIDS INFORMATION : the power to make a difference SAfAIDS - P O Box A509,Avondale, Harare, Zimbabwe, Tel: 263 4 336193/4, Fax: 263 4 336195, E-mail: info@safaids.org.zw, Website: www.safaids.org.zw Southern Africa HIV/AIDS Information Dissemination Service
    • Gaps in Current Interventions (2)Service and Programme Delivery Systems : • Limited availability, affordability and accessibility of paediatric health care support services • Much attention given to basic needs, such as education, food and shelter, but not in sustained manner – heavily reliant on external resources/capacity, overlooking the “TOTAL HUMAN BEING” package – psychosocial elements critical • Scanty comprehensive approaches – “pocket- interventions” versus “basket-services”, and overall collapse of health care systems esp. southern Africa (exodus) HIV/AIDS INFORMATION : the power to make a difference SAfAIDS - P O Box A509,Avondale, Harare, Zimbabwe, Tel: 263 4 336193/4, Fax: 263 4 336195, E-mail: info@safaids.org.zw, Website: www.safaids.org.zw Southern Africa HIV/AIDS Information Dissemination Service
    • Gaps in Current Interventions (3)Access (affordability and availability) Issues: • Poor community mobilisation and preparedness on children and HIV issues • Limited child-rights raising platforms for CABA • “Pocket” support for carers of children living with HIV • Child-household heads and child-carers continue to ‘accepted’ – “a child must be allowed to be a child”, it is NOT ‘ok’ for children to be adopting adult roles, neither is the international community ‘powerless’ to reverse this! HIV/AIDS INFORMATION : the power to make a difference SAfAIDS - P O Box A509,Avondale, Harare, Zimbabwe, Tel: 263 4 336193/4, Fax: 263 4 336195, E-mail: info@safaids.org.zw, Website: www.safaids.org.zw Southern Africa HIV/AIDS Information Dissemination Service
    • Gaps in Current Interventions (4)• Elevation and Exercise of Child RightsThough child rights are documented well ………… • Little attention to alleviating stigma & discrimination against children infected or affected by HIV & AIDS (CABA) - or towards raising a rights-based community agenda • Negation of rights by continued “ignored” practices born from impact of AIDS e.g. child-headed families, school drop-outs • “Child-parading/on show” strategies promote labelling and stigma HIV/AIDS INFORMATION : the power to make a difference SAfAIDS - P O Box A509,Avondale, Harare, Zimbabwe, Tel: 263 4 336193/4, Fax: 263 4 336195, E-mail: info@safaids.org.zw, Website: www.safaids.org.zw Southern Africa HIV/AIDS Information Dissemination Service
    • SAfAIDS Role• SAfAIDS holds a unique niche in southern Africa, by harnessing information and communication tools and methodologies to respond to the prevention, care, support, treatment and mitigation needs of diverse target audiences across the region• SAfAIDS recognises key HIV, AIDS and TB information needs of vulnerable, marginalised and high-risk groups – and seeks to strengthen community capacities in scaling-up children and HIV advocacy response HIV/AIDS INFORMATION : the power to make a difference SAfAIDS - P O Box A509,Avondale, Harare, Zimbabwe, Tel: 263 4 336193/4, Fax: 263 4 336195, E-mail: info@safaids.org.zw, Website: www.safaids.org.zw Southern Africa HIV/AIDS Information Dissemination Service
    • SAfAIDS Child-focused• Policy Domain: Interventions (1) – Influencing child-friendly policy and legislative processes, through Community and National Policy Dialogues (PDs) – Lesotho, Swaziland, Zambia – SAfAIDS Policy Desk – “How-to-Cards” and Policy Briefs on PMTCT, children and ART, TB, children & HIV – Advocating informed decision-making– VFG policy paper & research – SADC GAD elevation to protocol status – Repackage policy documents to reach communities• Access Issues: – Scaling-up community preparedness around Children and ART issues – regional children’s treatment literacy program targeting children and members of their “circle of care” HIV/AIDS INFORMATION : the power to make a difference SAfAIDS - P O Box A509,Avondale, Harare, Zimbabwe, Tel: 263 4 336193/4, Fax: 263 4 336195, E-mail: info@safaids.org.zw, Website: www.safaids.org.zw Southern Africa HIV/AIDS Information Dissemination Service
    • SAfAIDS Child-focused• Interventions (2)Systems: Service and Programme Delivery – Establishment of Children’s HIV Information Corners - direct information needs of children at the community base through edu-taining strategies: RC Network – Capacity Building – information development, sharing and training for CBOs, children and community groups with knowledge and skills to address the plight of OVC – Best Practice documentation and sharing – NAP OVC project, SADC Zambia BP – Advocacy and information sharing through discussion forums• Elevation and Exercise of Child Rights: – Promoting Child Rights, at community level - through engagement of cultural structures, community groups and children themselves, in community culture dialogues and sensitisation sessions HIV/AIDS INFORMATION : the power to make a difference SAfAIDS - P O Box A509,Avondale, Harare, Zimbabwe, Tel: 263 4 336193/4, Fax: 263 4 336195, E-mail: info@safaids.org.zw, Website: www.safaids.org.zw Southern Africa HIV/AIDS Information Dissemination Service
    • What key Lessons have been Learnt? (1)• Capacity Building – Complementing national efforts, and aligning responses with national, regional and international instruments, commitments and targets is critical – ensures systematic & collective attainment of universal access – Scaling-up community preparedness efforts nurtures a wider pool of community advocates, through the Cascade Model – ‘fan’ and ‘trickle’ down of knowledge and skills through systematic community mobilisation activities, empowering the grassroots HIV/AIDS INFORMATION : the power to make a difference SAfAIDS - P O Box A509,Avondale, Harare, Zimbabwe, Tel: 263 4 336193/4, Fax: 263 4 336195, E-mail: info@safaids.org.zw, Website: www.safaids.org.zw Southern Africa HIV/AIDS Information Dissemination Service
    • What key Lessons have been Learnt? (2)• Advocacy – Utilisation of policy dialogues to simultaneously engage: policy makers, civil society, community members, implementers, media and the donor community, is effective - proven strategic in catalysing relevant Children & HIV related policy transitions – Families, and the family law system, must be supported to recognise the need to work to strengthen the capacity of children to be involved - contribute to finding the solutions, not remaining as “victims” on show HIV/AIDS INFORMATION : the power to make a differenceSAfAIDS - P O Box A509,Avondale, Harare, Zimbabwe, Tel: 263 4 336193/4, Fax: 263 4 336195, E-mail: info@safaids.org.zw, Website: www.safaids.org.zw Southern Africa HIV/AIDS Information Dissemination Service
    • SAfAIDS contribution to Global directions• Advocating on behalf of children• Nurturing ‘child-advocates’ and availing spaces for them to engage their governments and the donor community remains vital• Engagement of policy makers, via community, national and regional policy dialogues and activities of the policy desk, to honor relevant commitments• Building capacity in children to understand how to articulate and express their issues, and participate in forums HIV/AIDS INFORMATION : the power to make a difference SAfAIDS - P O Box A509,Avondale, Harare, Zimbabwe, Tel: 263 4 336193/4, Fax: 263 4 336195, E-mail: info@safaids.org.zw, Website: www.safaids.org.zw Southern Africa HIV/AIDS Information Dissemination Service
    • SAfAIDS contribution to Global directions• Build capacity of caregivers to rear child advocates, empowered with knowledge and skills relating to their rights, HIV status, adherence to ART, positive living and resilience in the face of stigma and discrimination• Engaging cultural structures and religious platforms to mobilise communities towards recognition of, and upholding, child rights and their critical links to HIV Develop a pool of advocacy leaders amongst children• Facilitating the establishment of child specific community based structures - child support groups, child-to-child learning• Linking with women’s advocacy activities, engaging the family unit (WTLT & Community preparedness program) HIV/AIDS INFORMATION : the power to make a difference SAfAIDS - P O Box A509,Avondale, Harare, Zimbabwe, Tel: 263 4 336193/4, Fax: 263 4 336195, E-mail: info@safaids.org.zw, Website: www.safaids.org.zw Southern Africa HIV/AIDS Information Dissemination Service
    • SAfAIDS Child-Centered Approach Needs Assessment Partner Selection Engagement of Children Information& Experience Sharing- Discussion Forums Best Practice Documentation- Policy Dialogues Monitoring, Material development- E-forums-Children’s Info Corners Evaluation & In-country MATs CSO and Govt consultations Reporting Voices of children Capacity Development Cascade Model Trainings and mentoring Linkages with technical expertise Child- to child learning HIV/AIDS INFORMATION : the power to make a difference SAfAIDS - P O Box A509,Avondale, Harare, Zimbabwe, Tel: 263 4 336193/4, Fax: 263 4 336195, E-mail: info@safaids.org.zw, Website: www.safaids.org.zw Southern Africa HIV/AIDS Information Dissemination Service
    • Recommendations (1)• Donor/Policy Makers - Directing and mobilise ‘in-ratio’ resources (and capacity to meaningfully employ them) towards children’s direct access, advocacy, capacity, and health care systems strengthening, remains a crucial call e.g cash grants to carers of CABA• Keep strong voices on the agenda - Funding for advocacy initiatives needs to be scaled-up, as currently shifted to basic needs - support capacity building of CBOs/NGOs currently employing advocacy services to employ better ways of packaging and tracking issues• Govt (esp of high epidemic countries) - take responsibility, avoid economic sanctions – adverse impacts on the population, esp the poor, felt more acutely amongst children HIV/AIDS INFORMATION : the power to make a difference SAfAIDS - P O Box A509,Avondale, Harare, Zimbabwe, Tel: 263 4 336193/4, Fax: 263 4 336195, E-mail: info@safaids.org.zw, Website: www.safaids.org.zw Southern Africa HIV/AIDS Information Dissemination Service
    • Recommendations (2)• Governments must work with CS - support in-country monitoring systems, including providing data on children (OVC/CABA) progress issues• Support urgent honoring of commitments made - strategies, funding and implementing and accountability mechanisms, through domestication and influence of family law – (CRC, Universal Access Targets, CEDAW, UNGASS special session on children ) HIV/AIDS INFORMATION : the power to make a difference SAfAIDS - P O Box A509,Avondale, Harare, Zimbabwe, Tel: 263 4 336193/4, Fax: 263 4 336195, E-mail: info@safaids.org.zw, Website: www.safaids.org.zw Southern Africa HIV/AIDS Information Dissemination Service
    • Recommendations (3)• Policing the ‘police” mechanisms (to monitor target achievement) need to be established – e.g upcoming Regional Interagency Task Team on Children & HIV (RIATT) high level regional conference to review progress & evidence for taking actions to scale for CABA in East and Southern Africa, Sept-Oct 2008• Establish model (int) for children’s service package (e.g. like HBC std package)• Establish national legal frameworks- address child rights that are ignored, violated or uncertain and retrieve their dignity, that promote and protect rights of the child, and counters stigma and discrimination HIV/AIDS INFORMATION : the power to make a difference SAfAIDS - P O Box A509,Avondale, Harare, Zimbabwe, Tel: 263 4 336193/4, Fax: 263 4 336195, E-mail: info@safaids.org.zw, Website: www.safaids.org.zw Southern Africa HIV/AIDS Information Dissemination Service
    • The Next Generation,therein lie the Solutions….Let usgrasp the opportunity withchampioningdiligence andurgency!! HIV/AIDS INFORMATION : the power to make a difference SAfAIDS - P O Box A509,Avondale, Harare, Zimbabwe, Tel: 263 4 336193/4, Fax: 263 4 336195, E-mail: info@safaids.org.zw, Website: www.safaids.org.zw Southern Africa HIV/AIDS Information Dissemination Service