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PREPARING FOR A GENDER ASSESSMENT 
OF THE NATIONAL HIV RESPONSE 
IN EGYPT 
AUGUST 2014
BACKGROUND: THE DEVELOPMENT OF THE 
GENDER ASSESMENT 
2 
Agenda to Respond to 
HIV is developed 
•UNAIDS Agenda for country action for women girls, gender quality and HIV 
develops a strategic set of actions to better respond to the needs of 
women and girls with HIV was launched during National AIDS Conference 
2010 
2012 – Systematic 
review 
•The Systematic review revealed a more efficient and standardized 
approach to data collection was required 
•The tool ensures that evidence based decisions can be confidently made 
Gender 
Assessment 
Tool
WHAT IS THE GENDER ASSESSMENT? 
3 
• Specifically designed to meet the 
needs of women and girls 
• Considered in the context of HIV 
A Set of initiatives 
• Informing the effective health 
initiatives 
• to support the development of 
NSP and inform submissions for 
county investment cases 
A tool used by 
Countries to 
assess the HIV 
epidemic, context 
and response
WHY A GENDER ASSESMENT IN EGYPT? 
 The UNAIDS Strategy (‘Getting to Zero’) commits to 
advancing gender equality for an effective HIV response, 
calling for gender-transformative HIV responses that put 
gender equality, equity and human rights at its centre. 
 The gender assessment in Egypt will connect to the 
strategic opportunity of the national programme 
assessment and development of a new strategic plan for 
HIV before the end of 2014. 
4
STRATEGIC INFORMATION ON HIV AND GENDER 
IN EGYPT: ACHIEVEMENTS 
 Some of the prevention initiates under the Global Fund to 
fight AIDS, Tuberculosis and Malaria (GFATM) include HIV 
awareness projects specifically for women and girls. (1) 
 The UN Joint Team on AIDS (UNJT) supports an outreach 
program for FSWs in Cairo through its local NGO 
implementing partner Al Shehab. It provides outreach, 
prevention and alternate career services to FSWs. (2) 
 UNHCR provides support to local medical NGO partner 
Refugee Egypt which offers age and gender-sensitive primary 
health care services and HIV/AIDS awareness-raising 
activities to refugees and other population groups in 
Alexandria and Cairo. (2) 
5
STRATEGIC INFORMATION ON HIV AND GENDER IN 
EGYPT: ACHIEVEMENTS 
• The Network of women living with HIV (MENAROSA) has 
held support groups for WLHIV. (2) 
• The project “Leadership Development Program for WLHIV 
in Egypt” includes micro credit loans, training in leadership 
and project management skills, and helps WLHIV 
establish their own viable business ventures. (2) 
• Projects led by civil society organizations include psycho-social 
support groups for key populations (MSM, PWID 
and FSWs). (2) 
6
STRATEGIC INFORMATION ON HIV AND GENDER 
IN EGYPT: STATUS AT A GLANCE 
 The HIV epidemic is concentrated in certain key 
populations, including people who inject drugs (7.7% in 
Cairo and 6.7% in Alexandria), MSM (5.4% in Cairo and 
6.9% in Alexandria) and FSW (0.5%). (2, 3) 
 The number of new HIV infections is increasing. In 2013 the 
number of confirmed HIV cases almost doubled from the 
previous year. (2) 
• The percentage of young people who correctly identify 
ways to prevent the sexual transmission of HIV and who 
reject major misconceptions about HIV transmission was 
3.1% among females and 16.0% among males in the 15- 
19 age group; and 6.4% among females and 21.2% among 
males in the 20-24 age group. (2) 
7
STRATEGIC INFORMATION ON HIV AND GENDER IN EGYPT 
• Only 10% of sex workers reported the use of a condom 
with their most recent client. (4) 
• Only 15% of HIV-positive pregnant women received 
antiretrovirals to reduce the risk of mother-to-child 
transmission. (2) 
 Lack of sex- and age- disaggregated data on PWID and 
HIV. 
 Lack of reporting and data on the linkages between GBV 
and HIV. 
• Even though studies point out women’s vulnerability to 
HIV, a comprehensive understanding of the issues and 
their complexity has not yet developed. (5) 
8
THE GENDER ASSESSMENT TEAM 
9 
NAP Regional 
GENDER 
ASSESSMEN 
T TEAM 
Center 
for 
training 
Women 
Living 
with HIV 
Roa’ya 
Key 
Affected 
Populations 
representative 
Al 
Shehab 
UN 
Women 
The 
National 
Council 
for 
Women 
UNAIDS 
UNFPA 
The 
National 
Populatio 
n Council
THE STANDARDIZED GENDER ASSESMENT TOOL (II) 
 Supports countries to position gender equality and violence in 
the “strategic investment” discussion. 
 The Tool was developed by UNAIDS Secretariat, in close 
collaboration with Cosponsors, government, civil society, and 
development partners. 
 Builds on the experience of piloting the Tool in 5 countries. 
 It applies a modular approach, building on already available 
information, to allow flexibility as per local context. 
 And uses questions to identify remaining gaps in information. 
10
GENDER ASSESSMENT TOOL FOR NATIONAL HIV 
RESPONSES - Overview 
STAGE 1: Preparing 
for the Gender 
Assessment of the 
national HIV 
response 
STAGE 2: Knowing the 
national HIV epidemic 
and context 
STAGE 3: Knowing the 
national HIV response 
STAGE 4: 
Analyzing and 
using the findings 
of the assessment 
for a gender 
transformative HIV 
response 
11
STAGE 1: PREPARING FOR THE GENDER ASSESMENT 
 Secure high level commitment 
 Establish a country assessment team 
 Develop a gender assessment framework: how will you move 
forward? What are the guiding principles? Are roles and 
responsibilities clear? 
 Collect and compile relevant data and documents 
and… 
 Read the Gender Assessment Tool: it is very important that all 
workshop participants read and understand what the tool is about. 
Technical and political understanding of tool is essential for the 
UNAIDS Team at country level. It will help facilitate the flow of the 
workshop. 
12
STAGE 2:KNOWING THE NATIONAL HIV EPIDEMIC AND 
CONTEXT 
Is data available and accessible on: 
 HIV and AIDS prevalence and incidence 
 Social, cultural and economic factors 
 Political and macro economic factors 
Is this data readily available for the gender assessment 
workshop? Are there any key gaps and ways to 
supplement these? 
13
STAGE 3:KNOWING THE NATIONAL HIV RESPONSE 
It is key to also assess: 
 Meaningful participation 
 The overall HIV response 
Coordination of gender equality within the HIV 
response 
 Prevention 
 Treatment 
Care and Support 
 Gender equality in programmes, projects and policies 
Women and girls, key populations, masculinities, 
gender-based violence 
 Expenditure tracking 
14
STAGE 4:ANALYSING AND USING THE FINDINGS OF THE 
GENDER ASSESMENT 
• Identify the gaps 
• Identify the objectives 
• Undertake a process of prioritization 
• Identify opportunities 
• Identify corresponding interventions 
Be sure to also develop a communication plan to 
disseminate the findings of the gender assessment of the 
national HIV response. 
15
PROCESS OF THE GENDER ASSESSMENT 
16 
Development 
of 
questionnaire 
for key 
informant 
interview 
Conference call 
with 
International 
consultant and 
the Gender 
assessment 
team 
Desk review and 
interviews 
Preparation for 
the workshop 
Workshop 
August 20-23 
August 24- September 2 
August 24– September 7 
September 15- إ 16 
September 8– 14
THE WORKSHOP 
17 
Identify strategic 
interventions 
Complement 
information used to 
reply to the Gender 
assessment tool 
Validate the desk 
review 
Design strategies 
Prepare a report of 
the findings and the 
strategy 
Upon completion of the Gender assessment All relevant 
stakeholders will be involved in a 2 day workshop 
WORKSHOP 
• Address issues and gaps identified by 
the Gender assessment 
• Inform the move towards gender-transormative 
HIV response in the 
country. 
• To be incorporated into the 
National Strategic Plan for 
HIV
ROLES OF CONSULTANTS AND GENDER ASSESSMNET TEAM 
18 
Activities Leading organisation Date 
Establish a Gender Assessment Team RCT, Un Women, UNAIDS 15-Jun 
Revision of TOR for the consultant Gender Assessment Team 15th -19th June 
Recruitment of consultant RCT, Un Women, UNAIDS 2 weeks (June-July) 
Introduction Webinar for the national consultant 
and the gender assessment team (2 hours) 
International consultant 20 August 
Data collection from exsiting literature UNAIDS 24 - 28 August 
Development of the guidelines for key informant 
National consultants and the Gender 
20-26 August 
interviews 
Assessment Team 
key informants interviews 
National consultants and the Gender 
Assessment Team 
27 August- 2 September 
Analysis of the qualitative data 
National consultants and the Gender 
Assessment Team 
27 August -8 September 
Conducting the desk review International consultant 28 August -7 September 
A meeting with Dinys for best practice and 
Consultants and the Gender Assessment 
preparation for the workshop (roles for the Gender 
8 September 
Team 
Assessment Team) 
Preparation for presentations and group work 
Consultants and the Gender Assessment 
Team 
8-14 September 
A meeting with Dinys in Cairo 
Consultants and the Gender Assessment 
Team 
14 September 
Stakeholder validation workshop (2 or 3 days) 
Consultants and the Gender Assessment 
Team 
15-17 or 15-16 September 
A follow-up meeting with Dinys 
Consultants and the Gender Assessment 
Team 
17 or 18 September 
Final report , Advocacy brief ( 3 days) International and national consultant 18-21 September 
Social media promotion RCT, Un Women, UNAIDS 1 - 20 September
Thank you 
19

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Gender Assessment Insights for Egypt's HIV Response

  • 1. PREPARING FOR A GENDER ASSESSMENT OF THE NATIONAL HIV RESPONSE IN EGYPT AUGUST 2014
  • 2. BACKGROUND: THE DEVELOPMENT OF THE GENDER ASSESMENT 2 Agenda to Respond to HIV is developed •UNAIDS Agenda for country action for women girls, gender quality and HIV develops a strategic set of actions to better respond to the needs of women and girls with HIV was launched during National AIDS Conference 2010 2012 – Systematic review •The Systematic review revealed a more efficient and standardized approach to data collection was required •The tool ensures that evidence based decisions can be confidently made Gender Assessment Tool
  • 3. WHAT IS THE GENDER ASSESSMENT? 3 • Specifically designed to meet the needs of women and girls • Considered in the context of HIV A Set of initiatives • Informing the effective health initiatives • to support the development of NSP and inform submissions for county investment cases A tool used by Countries to assess the HIV epidemic, context and response
  • 4. WHY A GENDER ASSESMENT IN EGYPT?  The UNAIDS Strategy (‘Getting to Zero’) commits to advancing gender equality for an effective HIV response, calling for gender-transformative HIV responses that put gender equality, equity and human rights at its centre.  The gender assessment in Egypt will connect to the strategic opportunity of the national programme assessment and development of a new strategic plan for HIV before the end of 2014. 4
  • 5. STRATEGIC INFORMATION ON HIV AND GENDER IN EGYPT: ACHIEVEMENTS  Some of the prevention initiates under the Global Fund to fight AIDS, Tuberculosis and Malaria (GFATM) include HIV awareness projects specifically for women and girls. (1)  The UN Joint Team on AIDS (UNJT) supports an outreach program for FSWs in Cairo through its local NGO implementing partner Al Shehab. It provides outreach, prevention and alternate career services to FSWs. (2)  UNHCR provides support to local medical NGO partner Refugee Egypt which offers age and gender-sensitive primary health care services and HIV/AIDS awareness-raising activities to refugees and other population groups in Alexandria and Cairo. (2) 5
  • 6. STRATEGIC INFORMATION ON HIV AND GENDER IN EGYPT: ACHIEVEMENTS • The Network of women living with HIV (MENAROSA) has held support groups for WLHIV. (2) • The project “Leadership Development Program for WLHIV in Egypt” includes micro credit loans, training in leadership and project management skills, and helps WLHIV establish their own viable business ventures. (2) • Projects led by civil society organizations include psycho-social support groups for key populations (MSM, PWID and FSWs). (2) 6
  • 7. STRATEGIC INFORMATION ON HIV AND GENDER IN EGYPT: STATUS AT A GLANCE  The HIV epidemic is concentrated in certain key populations, including people who inject drugs (7.7% in Cairo and 6.7% in Alexandria), MSM (5.4% in Cairo and 6.9% in Alexandria) and FSW (0.5%). (2, 3)  The number of new HIV infections is increasing. In 2013 the number of confirmed HIV cases almost doubled from the previous year. (2) • The percentage of young people who correctly identify ways to prevent the sexual transmission of HIV and who reject major misconceptions about HIV transmission was 3.1% among females and 16.0% among males in the 15- 19 age group; and 6.4% among females and 21.2% among males in the 20-24 age group. (2) 7
  • 8. STRATEGIC INFORMATION ON HIV AND GENDER IN EGYPT • Only 10% of sex workers reported the use of a condom with their most recent client. (4) • Only 15% of HIV-positive pregnant women received antiretrovirals to reduce the risk of mother-to-child transmission. (2)  Lack of sex- and age- disaggregated data on PWID and HIV.  Lack of reporting and data on the linkages between GBV and HIV. • Even though studies point out women’s vulnerability to HIV, a comprehensive understanding of the issues and their complexity has not yet developed. (5) 8
  • 9. THE GENDER ASSESSMENT TEAM 9 NAP Regional GENDER ASSESSMEN T TEAM Center for training Women Living with HIV Roa’ya Key Affected Populations representative Al Shehab UN Women The National Council for Women UNAIDS UNFPA The National Populatio n Council
  • 10. THE STANDARDIZED GENDER ASSESMENT TOOL (II)  Supports countries to position gender equality and violence in the “strategic investment” discussion.  The Tool was developed by UNAIDS Secretariat, in close collaboration with Cosponsors, government, civil society, and development partners.  Builds on the experience of piloting the Tool in 5 countries.  It applies a modular approach, building on already available information, to allow flexibility as per local context.  And uses questions to identify remaining gaps in information. 10
  • 11. GENDER ASSESSMENT TOOL FOR NATIONAL HIV RESPONSES - Overview STAGE 1: Preparing for the Gender Assessment of the national HIV response STAGE 2: Knowing the national HIV epidemic and context STAGE 3: Knowing the national HIV response STAGE 4: Analyzing and using the findings of the assessment for a gender transformative HIV response 11
  • 12. STAGE 1: PREPARING FOR THE GENDER ASSESMENT  Secure high level commitment  Establish a country assessment team  Develop a gender assessment framework: how will you move forward? What are the guiding principles? Are roles and responsibilities clear?  Collect and compile relevant data and documents and…  Read the Gender Assessment Tool: it is very important that all workshop participants read and understand what the tool is about. Technical and political understanding of tool is essential for the UNAIDS Team at country level. It will help facilitate the flow of the workshop. 12
  • 13. STAGE 2:KNOWING THE NATIONAL HIV EPIDEMIC AND CONTEXT Is data available and accessible on:  HIV and AIDS prevalence and incidence  Social, cultural and economic factors  Political and macro economic factors Is this data readily available for the gender assessment workshop? Are there any key gaps and ways to supplement these? 13
  • 14. STAGE 3:KNOWING THE NATIONAL HIV RESPONSE It is key to also assess:  Meaningful participation  The overall HIV response Coordination of gender equality within the HIV response  Prevention  Treatment Care and Support  Gender equality in programmes, projects and policies Women and girls, key populations, masculinities, gender-based violence  Expenditure tracking 14
  • 15. STAGE 4:ANALYSING AND USING THE FINDINGS OF THE GENDER ASSESMENT • Identify the gaps • Identify the objectives • Undertake a process of prioritization • Identify opportunities • Identify corresponding interventions Be sure to also develop a communication plan to disseminate the findings of the gender assessment of the national HIV response. 15
  • 16. PROCESS OF THE GENDER ASSESSMENT 16 Development of questionnaire for key informant interview Conference call with International consultant and the Gender assessment team Desk review and interviews Preparation for the workshop Workshop August 20-23 August 24- September 2 August 24– September 7 September 15- إ 16 September 8– 14
  • 17. THE WORKSHOP 17 Identify strategic interventions Complement information used to reply to the Gender assessment tool Validate the desk review Design strategies Prepare a report of the findings and the strategy Upon completion of the Gender assessment All relevant stakeholders will be involved in a 2 day workshop WORKSHOP • Address issues and gaps identified by the Gender assessment • Inform the move towards gender-transormative HIV response in the country. • To be incorporated into the National Strategic Plan for HIV
  • 18. ROLES OF CONSULTANTS AND GENDER ASSESSMNET TEAM 18 Activities Leading organisation Date Establish a Gender Assessment Team RCT, Un Women, UNAIDS 15-Jun Revision of TOR for the consultant Gender Assessment Team 15th -19th June Recruitment of consultant RCT, Un Women, UNAIDS 2 weeks (June-July) Introduction Webinar for the national consultant and the gender assessment team (2 hours) International consultant 20 August Data collection from exsiting literature UNAIDS 24 - 28 August Development of the guidelines for key informant National consultants and the Gender 20-26 August interviews Assessment Team key informants interviews National consultants and the Gender Assessment Team 27 August- 2 September Analysis of the qualitative data National consultants and the Gender Assessment Team 27 August -8 September Conducting the desk review International consultant 28 August -7 September A meeting with Dinys for best practice and Consultants and the Gender Assessment preparation for the workshop (roles for the Gender 8 September Team Assessment Team) Preparation for presentations and group work Consultants and the Gender Assessment Team 8-14 September A meeting with Dinys in Cairo Consultants and the Gender Assessment Team 14 September Stakeholder validation workshop (2 or 3 days) Consultants and the Gender Assessment Team 15-17 or 15-16 September A follow-up meeting with Dinys Consultants and the Gender Assessment Team 17 or 18 September Final report , Advocacy brief ( 3 days) International and national consultant 18-21 September Social media promotion RCT, Un Women, UNAIDS 1 - 20 September

Editor's Notes

  1. References MoHP (2012). National HIV AIDS Strategic Framework 2012-2016. National AIDS Programme. Global AIDS Response Progress Report . Egypt. 2014.
  2. 3. MoPH (2014). Global AIDS Response Progress Report 2014.
  3. 4. Data Elshehab CSO 5. Regional Center for Training in Family Planning and Reproductive Health (2013). Women’s vulnerability study in Egypt, unpublished. The Egyptian Society for Population Studies and Reproductive Health (2007). All Alone, the stories of Egyptian Women Living with HIV, Stigma and Isolation. The Egyptian Society for Population Studies and Reproductive Health (2007). The Agony of AIDS, a qualitative study on the experience of AIDS in Egypt.