Human Rights Barriers to Accessing HIV & Health Services

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Presentation given at the Global Fund South & East Asia Regional Workshop: "Achieving Impact: the New Funding Model" - 16 June, Phnom Penh, Cambodia

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Human Rights Barriers to Accessing HIV & Health Services

  1. 1. South & East Asia Regional Workshop Achieving Impact: The New Funding Model Update Barriers to Accessing Services Emilie Pradichit, UNDP APRC United Nations Development Programme Asia-Pacific Regional Centre 16 June 2014, Phnom Penh, Cambodia
  2. 2. 1. Identify Barriers to Accessing Services Stigma and Discrimination Criminalization: Fear of arrest Forced sterilization Gender inequality Migrants lack ID cards Lack of legal aid Police abuse No right to register an NGO Prison overcrowding Denial that key pops exist Availability of facilities Financial barriers Harmful gender norms Gender-based violence Barriers to health services Acountrymayhavemultiplebarriersto access.
  3. 3. The Global Commission on HIV & the Law (2010-2012) • Laws and Practices That Effectively Criminalise People Living With HIV and Vulnerable to HIV • Laws and Practices That Mitigate or Sustain Violence and Discrimination as Lived by Women • Issues of Law and HIV pertaining to children and young people • Laws and Practices that Facilitate or Impede Access to Affordable Medicines
  4. 4. The Global Commission on HIV & the Law: Key Findings 1. Epidemic of bad laws is fueling the spread of HIV, resulting in human rights violations and costing lives 2. Epidemic of bad laws is limiting effectiveness and efficiency of HIV and health investments 3. Good laws and practices that protect human rights and build on public health evidence already exist - they strengthen the global AIDS response, and they must be replicated www.hivlawcommission.org
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  6. 6. The Global Commission on HIV & the Law: Key Recommendations • Remove all legal barriers that impede access to HIV and health commodities and services for Key Populations • Respect, give force to domestic and international human rights obligations to protect and promote equality of all people within their borders • Repeal laws criminalizing consensual sex between adults of the same sex and transgender identity • Respect existing civil and religious laws and guarantees related to privacy www.hivlawcommission.org
  7. 7. The Global Commission on HIV & the Law: Key Recommendations www.hivlawcommission.org • Removing legal barriers to community organizing, socializing of LGBT • End all forms of violence, harassment, brutality against Key Populations  End police abuse and harassment of NGO workers and members of Key Populations  Effective methods to lodge complaints, prosecute police personnel, and access justice  Invest in training police, public safety officials, judges
  8. 8. The Global Commission on HIV & the Law: Key Recommendations www.hivlawcommission.org • Parliaments must explicitly prohibit HIV- related discrimination • Requires education on HIV and the law – of people living with HIV, the judiciary, law makers, healthcare workers, school systems, lawyers, employers and trade unions • Donors, civil society actors and the private sector to hold governments accountable to their human rights commitments
  9. 9. 2. Design Disease Programs using a Human Rights-Based Approach
  10. 10. 3. Remove Barriers to Access Community Mobilization: Access to Justice, Advocacy, Capacity Building, Strategic Information Addressing Attitudes & Bad Practices: Stigma, Discrimination, Prejudices Improved Policy Environment “SAFE SPACE” Enabling Environment
  11. 11. Combined Interventions Strategic Information - Creating / Improving the evidence base:  National Dialogue & Action Planning on HIV and the Law  Size Estimation study to identify and size KAPs Addressing Attitudes & Bad Practices:  Media & Religious Leader Sensitization  Law enforcement, Police & Health Sector Training Improving Legal & Policy Environment:  Legal environment assessments/reviews  Legislative Reform  Judicial Sensitization / Judicial Advocacy  Parliamentarian Sensitization / Legislative Advocacy Community Mobilization: “Know your Rights & Advocate”  Access to Justice – Legal Literacy & Legal Services
  12. 12. Millions have a drug problem. They can’t get any. 4. Remove Financial Barriers
  13. 13. Policy Advocacy for Access to Affordable Medicines Community Mobilization + Officials Sensitization
  14. 14. Key Tools to Remove Barriers
  15. 15. ✔ Key Populations Checklist for NFM 1. Strengthening the NSP 2. Country Dialogue Process 3. Concept Note 4/5. Independent review by TRP/Determination of upper budget ceiling 6/7/8. Grant making/Approval by GAC/Approval by GF M&E ← KP Assessment using appropriate Tools including programmatic mapping and size estimations. ← Data, targets and indicators on specific key populations ← Identify key priorities ← Develop timeline ← Involve KP stakeholders ← Capture recommendations of consultations ← Include findings from the KP and HIV analysis of NSP ← Capture KP & HIV analysis of NSP ← Define impacts of HIV among key populations ← Develop strong KP-focused proposals  Monitor Fund Portfolio Managers  Keep stakeholders informed of outcomes  Set out activity costs and funding for key population interventions → Ensure KP progammes are- implemented---- → Ensure KP-sensitive approaches at activity level → Include budgeting for KP programmes → Outline key population programme responsibilities-of SSR and SRs → Ensure M&E framework includes indicators for KP programming → Ensure evidence on KP interventions collected and documented Funding for HIV programming for key populations Entry points into the NFM 15
  16. 16. Thank you! UNDP APRC Global Fund Partnership Team emilie.pradichit@undp.org

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