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

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. 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. 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. 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

5. 5

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. 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. 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. 2. Design Disease Programs using a
Human Rights-Based Approach

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. 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. Millions have a drug problem.
They can’t get any.
4. Remove Financial Barriers

13. Policy Advocacy for
Access to Affordable Medicines
Community Mobilization
+
Officials Sensitization

14. Key Tools to Remove Barriers

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. Thank you!
UNDP APRC
Global Fund Partnership Team
emilie.pradichit@undp.org