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On the Road to HIV &                                                                                                      ...
Activity A: Quiz & Gallery WallTogether:Who has been affected by HIV ?Who has taken an HIV test?Who has disclosed their HI...
Intended Vision……    WaterAid to emerge as pioneer and role    model in sustainable integration of HIV into    WASH in the...
Building the Case…….• Main objective of comprehensive water, sanitation and hygiene  (WASH) interventions is to improve qu...
HIV Response Spheres  Response is developmental, not Health Sector  responsibility only :• Prevention - ABC, gender based ...
Links to Wateraid SA Strategy 2013-•   Principles                   2015    – Equity and Inclusion (prioritise beyond disa...
Specific HIV and WASH                       Linkages between HIV and      Perspectives categorizing linkages       WASH in...
Critical Consumer Links with HIV• HIV affected households impoverished           unable to pay  user fees      forfeit rig...
Critical Health Links with HIV (1)• Quality, Quantity, Affordability, Access:   – Successful adherence to antiretroviral t...
Critical Health Links with HIV•                           (2) & sanitation practices:    Poor water handling, storage    –...
Mr. Singh’s Life Changing ExperienceA driver in India, diagnosed with HIV, whose wife and 3 children alsohave HIV. Wife pa...
Critical Health Links with HIV(3)• Burial issue and safety of transmission myths can be  strategically addressed by WaterA...
Critical Gender Links with HIV• Women burdened with care roles, once “labelled” they face  double-stigma and exclusion fro...
Critical Community-driven Links•                       with HIV    HIV related stigma and discrimination compromises    pa...
Critical Human Rights Links with                   HIV (1)• Stigma & discrimination of HIV affected/infected families  bec...
Critical Human Rights Links with                HIV (2)• Actively involving people affected by HIV (PLHIV) proven   – To b...
Critical Poverty Alleviation Links•                       with HIVas education, health    Poor access to basic services su...
“Having no proper sanitation means that there is a vicious cycle of poverty,diseases and bad hygiene……        The cycle of...
Activity B: Mainstreaming HIV into WaterAid RegionalStrategic Aims (2012-2015)Group Guide:•How is HIV related to the progr...
Defining Mainstreaming (1)  Mainstreaming is a process that enables development actors to address the causes and   effects...
Defining Mainstreaming (2)• Internal Mainstreaming (IM pre-requisite for EM  effectiveness) involves   – Changing organisa...
MainstreamingAssumes                                                                                                Intern...
Mainstreaming HIV is not …….• Changing core functions and responsibilities in order to turn  all organisational activities...
“Turning the Tide” of WASH         Organisational Culture ‘main’ stream’                                                  ...
Mainstreaming HIV (1)– Context & Organisational Profile (HIV  Audit/Situational Analysis) - How is HIV affecting your  org...
Mainstreaming HIV (2)• Simply : let’s ask ourselves Four Key questions:   – How does HIV affect my organisation ?       – ...
Step 1: Baseline Analysis          INTERNAL SPHERE                                                                        ...
Step 2: Use Baseline Analysis Results to  answer how HIV affects your organisation                and your workAssess the ...
Step 3: Analysis of Potential Negative    Implications of “ignoring the HIV agenda”  How to do “no harm”? Do your cooperat...
Step 4a: Develop an HIV Workplace policy &                 programme                                                      ...
Step 4b: Plan and implement your contribution            to responding to HIV  Assess, where your comparative advantage is...
Step 4c: Monitoring - develop indicators to              measure change– Outcome: Has behaviour of beneficiaries and/or wa...
Essential Principles in HIV                         Mainstreaming (1)• Adapted to your context- no standard approach      ...
Essential Principles in HIV                                      Mainstreaming (2)To be successful :• Consider HIV as a de...
Essential Principles in HIV                                    Mainstreaming (3)To be successful (cont) :• Expertise and s...
Activity C: Back to Our Gallery Wall-How do we feel about the   - Hesitations?   - Aspirations   - Building on our experie...
Thank you …..                                                                                                           Zi...
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Mainstreaming HIV into Water, Sanitation and Hygiene (WASH)

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Mainstreaming HIV into Water, Sanitation and Hygiene (WASH)

  1. 1. On the Road to HIV & WASH Integration Regional Management Team Meeting 2 nd November 2012 Siavonga, Zambia Rouzeh Eghtessadi (MPH) Southern Africa HIV and AIDS Information Dissemination Service (SAfAIDS) 479 Sappers Contour, Lynnwood, Pretoria, South Africa Tel: +27 76 381 2425 Website: http://www.safaids.net Email: rouzeh@gmail.com 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
  2. 2. Activity A: Quiz & Gallery WallTogether:Who has been affected by HIV ?Who has taken an HIV test?Who has disclosed their HIV status to another person ?Who has integrated some aspect of HIV into their work?Individual: Hesitations, Aspirations & Experiences GalleryOn yellow card share an experience you have had, either in theWASH environment or in your personal life, related to HIVOn pink card share your hesitations, IF you have any, to linking HIVand WASH for programmes (externally) and workforce (internally)On blue card share your aspirations (positive), IF you have any, tolinking HIV and WASH integration 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
  3. 3. Intended Vision…… WaterAid to emerge as pioneer and role model in sustainable integration of HIV into WASH in the SADC region and beyond 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
  4. 4. Building the Case…….• Main objective of comprehensive water, sanitation and hygiene (WASH) interventions is to improve quality of life for individuals, families and the community. With advent of HIV (WaterAid positioned in epicentre of global epidemic) this becomes paramount• WaterAid (Ethiopia, India, Nepal, Tanzania), early 2004/recent 2011, shown evidence of benefits of mainstreaming HIV into WASH• Integration (multi-disciplinary/sectoral) vs Silo practice is direction the development sector/funding priorities is shifting – unavoidable!• Like all sectors, WASH sector is susceptible to HIV – reality check ! – HIV can reverse gains made externally – Capacity to delivery can be compromised internally 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
  5. 5. HIV Response Spheres Response is developmental, not Health Sector responsibility only :• Prevention - ABC, gender based violence, VCT• Care – home based care, positive living, health system monitoring, nutrition & food security, access to water/sanitation• Support – access to resources & services, peer support networks & groups, capacity building• Treatment – ART, opportunistic infections• Advocacy – awareness raising, combat stigma & discrimination, community and policy maker mobilisation, correct messaging• Research – build body of evidence• Mitigation & Litigation – legal aid for human rights violations, willful transmission, building conducive environment 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
  6. 6. Links to Wateraid SA Strategy 2013-• Principles 2015 – Equity and Inclusion (prioritise beyond disability, eg OVC, child and female headed & PLHIV affected households etc) – Community participation (strategic partnerships, advocate involvement of community to represent those with greatest need eg women, PLHIV)• Influence 3 levels through 5 Aims – Organisational (culture, funding, development) – Policy (legislative) – Programme (service delivery, advocacy)• Key shifts – Cross-sector working & synergy building – Systematic learning and documentation of BPs – Collaboration & partnerships with SADC PF, SADC Sec Water Division – Deepening learning (esp water security, disaster risk reduction) 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
  7. 7. Specific HIV and WASH Linkages between HIV and Perspectives categorizing linkages WASH include:• Consumer• Health• Human Rights• Gender• Community-driven development• Poverty AlleviationInstitutional: internal capacity for WASH at community andhigher levels being lost, compromising delivery 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
  8. 8. Critical Consumer Links with HIV• HIV affected households impoverished unable to pay user fees forfeit right to quality water & sanitation• Indigenous knowledge in water and other natural resource management lost leading inappropriate ways of utilisation• Households sink further into poverty exploitation of natural resources as alternative, result in water exploitation• Shift in “care-economy” from institution to home-base care (influenced by cultural pref); lack of skills on recycling and multi-water use techniques excessive water usage during home-based care; limited knowledge in hygiene practices lead to opportunistic infections (OIs) 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
  9. 9. Critical Health Links with HIV (1)• Quality, Quantity, Affordability, Access: – Successful adherence to antiretroviral treatment regimens , TB treatment etc – Mixing powdered formula for infant feeding as well as nutrition boosting for ill adults, need safe & ample water• Technological design & infrastructural access – Facilitate fetching water by children from HIV-affected households or people living with HIV (pump handles too low, too heavy, walls of the well too low etc) – Distance and mobility capacity need regauging 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
  10. 10. Critical Health Links with HIV• (2) & sanitation practices: Poor water handling, storage – Personal hygiene, domestic hygiene (ARVs, OIs), food hygiene (TB, diahorrea) and environmental hygiene – Safe waste water disposal and drainage increase water and sanitation related diseases- OIs• Poor access to sanitation: – Stds on closing distance gaps for fetching water by care- givers or PLHIV who are weak; and disposal facilities and access – revise to suit the population need – Risk of rape while fetching water or relieving oneself in remote places, thus increasing vulnerability to HIV 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
  11. 11. Mr. Singh’s Life Changing ExperienceA driver in India, diagnosed with HIV, whose wife and 3 children alsohave HIV. Wife passes (2009), leaving him alone to care for children.His health deteriorates rapidly, with frequent episodes of diarrhoea.WaterAid India, in partnership with AIDS Control Society in UttarPradesh State, rolled out a project for PLHIV. Through the projectMr.Singh and other PLHIV received-Key hygiene messages and counseling, including information on hand-washing, safe water handling, diarrhoea management and use of boiledwater for taking ARVs-Hygiene kit containing soap, chlorine tablets, Dettol, a towel & pamphlet“Before I was very ill, and now I suffer from diarrhoea less, can manage onmy own, and look forward to working and earning money I need to care formy family” - testifies Mr. Singh 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
  12. 12. Critical Health Links with HIV(3)• Burial issue and safety of transmission myths can be strategically addressed by WaterAid• Reverse erroneous beliefs that contribute to HIV related stigma and discrimination (via advocacy) eg: – “people can become infected with HIV due to groundwater pollution near burial sites” – “people (playing children) can become HIV infected through poor waste disposal practices: condoms and sanitary pads” 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
  13. 13. Critical Gender Links with HIV• Women burdened with care roles, once “labelled” they face double-stigma and exclusion from community WASH participatory activities – omitted from equitable access• School enrolment rates for girls decrease in communities with high HIV prevalence rates; they are required to take on a wider range of household and domestic responsibilities (fetching water and using it for domestic/agriculture/HBC)• Water collection is time consuming – done by women/girls, thus WLHIV’s health deteriorate - less time for self-care, and gender practical needs. Often due to gender biases in access to information, they don’t have hygiene knowledge 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
  14. 14. Critical Community-driven Links• with HIV HIV related stigma and discrimination compromises participation of PLHIV and affected households , social cohesion is weakened and traditional participatory channels become dysfunctional . Community empowerment fails!• What in WASH sector is known as “community management” can be compared to “community HIV competence” environmental sustainability – Placing communities in the drivers seat – Requires government & civil society to be demand- responsive, to build capacities and to create an enabling environment by providing technical support, formation of partnerships and supportive policy frameworks 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
  15. 15. Critical Human Rights Links with HIV (1)• Stigma & discrimination of HIV affected/infected families becomes exclusion factor for participation in community- based WASH related decision- making• Access to safe water and sanitation is considered not only a basic need but also a human right – For ALL! (advocacy) At the Johannesburg World Summit for Sustainable Development, delegates of the "The Civil Society Action Programme on Water" launched a statement saying that secure access to sufficient safe water and sanitation to meet basic human needs, including water for small-scale productive use to support livelihoods strategies, must be considered a human right 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
  16. 16. Critical Human Rights Links with HIV (2)• Actively involving people affected by HIV (PLHIV) proven – To be an effective strategy to tackle S&D and create more openness, in all sectors including WASH – That PLHIV can also be employed as effective & productive workers eg as WASH community mobilisers/peer educators (supermarket house-to- house approach sharing HIV and WASH information)• Promoting MIPA necessary to ensure that the voices of people living with HIV are heard within WASH circles 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
  17. 17. Critical Poverty Alleviation Links• with HIVas education, health Poor access to basic services such care and water and sanitation, are the same factors that are driving vulnerability to HIV infection• Adequate water supply, and access to sanitation and hygiene service and technologies –saves labour and energy; –contributes to diversification of income; –generates nutritional value; –reduces expenditure on health ……… thus implicating sustainable livelihoods 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
  18. 18. “Having no proper sanitation means that there is a vicious cycle of poverty,diseases and bad hygiene…… The cycle of epidemic is at a stage where manypeople are falling sick. Through home based and palliative care, people arelooked and cared for. One of the important ingredients of care is water…”Nkululko Nxesi (Director, South African National Association of People living with AIDS (NAPWA) 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
  19. 19. Activity B: Mainstreaming HIV into WaterAid RegionalStrategic Aims (2012-2015)Group Guide:•How is HIV related to the programme objectives underthis Strategic Aim?•Would addressing HIV contribute to meeting targets ofeach objective under the Aim?Group 1 = Aims 1 and 2Group 2 = Aims 2 and 3Group 3 = Aim 5 and ideas on penetrating HIV sector 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
  20. 20. Defining Mainstreaming (1) Mainstreaming is a process that enables development actors to address the causes and effects of HIV in an effective and sustained manner, both through their usual work and within their workplace (UNAIDS) 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
  21. 21. Defining Mainstreaming (2)• Internal Mainstreaming (IM pre-requisite for EM effectiveness) involves – Changing organisational culture - policy and practice - to reduce the susceptibility to HIV infection and vulnerability to the impact of AIDS – Preserving workforce well-being and organisational productivity – Building synergy with HIV expertise for capacity building internally• External Mainstreaming (EM) refers to – Adapting programme work to take into account susceptibility to HIV transmission and vulnerability to the impact of AIDS – Keeping HIV on the agenda of core programme work in the changing context of WASH needs and gaps – Advocating WASH into HIV interventions 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
  22. 22. MainstreamingAssumes Internal sphere (workplace, your•multi-disciplinary organisation) Mainstreaming HIV•multi-level and &•multi-sector approaches External sphere (your cooperation activities) 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
  23. 23. Mainstreaming HIV is not …….• Changing core functions and responsibilities in order to turn all organisational activities into HIV programmes• Simply introducing HIV awareness raising in all activities - should be more systematic• All staff having to become HIV specialists• Business as usual ………… 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
  24. 24. “Turning the Tide” of WASH Organisational Culture ‘main’ stream’ EXTERNAL INTERNAL… automatic flow into all core business offshoots… ‘process’ not ‘event’ 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
  25. 25. Mainstreaming HIV (1)– Context & Organisational Profile (HIV Audit/Situational Analysis) - How is HIV affecting your organisation? Your work?– Impact of HIV on WASH– activity map tracking HIV influence– Impact of WASH on HIV – risk, vulnerability, responses & entry point identification– HIV Transformative Strategy/Policy/ Costed Program: awareness raising-reflection-action, advocacy, S&D combated, universal access, policy and support mechanism establishment, budget review, M&E plan, research & documentation, knowledge sharing ; synergy building with HIV sector actors 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
  26. 26. Mainstreaming HIV (2)• Simply : let’s ask ourselves Four Key questions: – How does HIV affect my organisation ? – How does HIV affect my work? – How can harm due to HIV be avoided? – How can I contribute to responding to HIV by limiting the spread, and mitigating the impact of the epidemic? – What HIV sector activity can I showcase WASH at? 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
  27. 27. Step 1: Baseline Analysis INTERNAL SPHERE EXTER NAL S PH ERE Organisational analysis: Contex – How are staff and their t analy  Wha sis: families affected? t is gen eral HI situatio V – Impact of HIV on human n in co  Im p mmuni resources in the sector? acts of ty ? HIV on the – What institutional WASH  Poli sector? instruments are available cies an d majo to respond? respon r ses? – What resources are  Stak eholde r available to respond? analys is?  Res ource a nalysis ? 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
  28. 28. Step 2: Use Baseline Analysis Results to answer how HIV affects your organisation and your workAssess the impact of HIV on:• The workplace and your organisation• The beneficiaries of your programme• What you want to do (including whether your objectives and activities are relevant and feasible in the HIV context) Then discuss how vulnerable your cooperation activity is to HIV and what changes need to be made? 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
  29. 29. Step 3: Analysis of Potential Negative Implications of “ignoring the HIV agenda” How to do “no harm”? Do your cooperation activities increase:• Population mobility• Gender inequalities• Exclusion of PLHIV or other vulnerable groups• Risk situations for gender based violence/ sex work/unsafe sexual practices/compromised access to services Then plan corrective actions 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
  30. 30. Step 4a: Develop an HIV Workplace policy & programme Source: ILO 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
  31. 31. Step 4b: Plan and implement your contribution to responding to HIV Assess, where your comparative advantage is highest for making a difference, and design costed plans in terms of:• Risk: helping people to behave safer and avoid risk situations• Vulnerability: acting on developmental factors that increase the vulnerability of population groups to HIV• Impact mitigation: help affected people and communities to cope with the effects of HIV 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
  32. 32. Step 4c: Monitoring - develop indicators to measure change– Outcome: Has behaviour of beneficiaries and/or way of working of staff/partners changed in the intended way– Impact: What impact did this make in terms of changing the HIV epidemic and its context? (BUT: avoid the pitfall HIV prevalence or mortality!)– Process: Which process did you use - with what effect? What works and what doesnt? what has been learnt ? 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
  33. 33. Essential Principles in HIV Mainstreaming (1)• Adapted to your context- no standard approach (varied combinations of organisational, sociology, logframe elements)• Relevant at all stages of the epidemic, also in low prevalence contexts• Continuous and integrated• Gender sensitive approach• MIPA involving people living with HIV• Networking & coordination• Advocating• Sharing of good practices and lessons learnt• Generating evidence through continuous monitoring 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
  34. 34. Essential Principles in HIV Mainstreaming (2)To be successful :• Consider HIV as a development issue• Commitment and support of decision makers• Clearly defined objectives for mainstreaming• Knowledgeable, compassionate and skilled staff• Document and share experiences through knowledge sharing systems, appropriate messaging and packaging 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
  35. 35. Essential Principles in HIV Mainstreaming (3)To be successful (cont) :• Expertise and support available and made use of; explore penetrating HIV sector events (International AIDS Conferences, ICASA, National HIV Strategic Planning Forums, etc)• Sufficient allocation of resources (human, financial, technical)• Willingness to learn, reflect and share 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
  36. 36. Activity C: Back to Our Gallery Wall-How do we feel about the - Hesitations? - Aspirations - Building on our experiences?-Roadmap: reaching the HIV & WASHIntegration “destination” 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
  37. 37. Thank you ….. Zikomo 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

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