1. Strengthening Africa’s
Country Coordinating Mechanisms
Building Capacity for the
Meaningful Participation of Women, Girls and Groups Marginalized by Sexual Orientation
and Gender Identities (SOGI).
Presented by Dr. Gemma Oberth
gemma@aidsaccountability.org
3. What We Do
Take complex data and put it into a simple format that is
easy to read and simple to understand.
Malawi
Eritrea
Botswana
Nigeria
South Africa
Mozambique
A
B
C
D
E
No data reported
4. How We Do It
AAI believes that strong and accountable leadership is
necessary to ensure effective responses
to HIV and related health challenges.
We do this by
Increasing transparency
Promoting dialogue and
Supporting action to improve
the response.
Needs-driven, evidence-based
research and advocacy that measures
performance against the commitments that
have been made by governments.
5. “
x
”
Human rights are the basis for
creating strong and accountable
states without which there can be no
political stability or social progress.
~ Irene Khan
7. 2007
The Global Fund to Fight AIDS, Tuberculosis and
Malaria identify the need to address women, girls
and SOGI vulnerabilities.
2009
The development of the Gender Equality (GE)
Strategy and the Global Fund Strategy in Relation
to Sexual Orientation and Gender Identities
(SOGI)
8. 1. The efforts of the Global Fund to
incorporate gender and sexual
orientation strategies are positive
steps forward (Fuleihan et al.,
2011; Seal et al., 2011).
2. However, much more should be
done to foster the Gender Equality
Strategy and Sexual Orientation
and Gender Identities strategy to
achieve meaningful participation
(Ashburn et al., 2009; Grover, 2011;
Pangea, 2011; Seale et al., 2010).
9. “The Global Fund encourages the participation of
vulnerable groups in CCMs, but it must go further and
require CCM membership for the most relevant at-risk
populations”
(Grover, 2011, p. 20)
Implementation of the Gender Strategy was being
compromised by a lack of political will from the Global
Fund leadership.
(Pangea, 2011)
11. • PLWD constituency is
smaller in Southern
African than in Latin
America (11%)
Average CCM Composition
in Southern Africa
(Global Fund, 2011)
• KAP constituency is
slightly larger in
Southern African than
the global average
(3%).
12. SURVEY QUESTION for CCM Members - Please evaluate the current level of
participation of these groups in the Country Coordinating Mechanism.
14. Challenges
“Part of what has driven the agenda on
the CCM, is the realization that there is a
generalized epidemic. Programs tends to
keep generalizing any issue to a nationwide level, and when you do that, the
specific need of a sub-group tends to be
muted or disappear”
– Key Informant, CCM Member
Zimbabwe
15. Challenges
“In this recourse constrained environment, one
of the things that a lot of us are pushing on is the
fact that now you have to start making choices.
That kind of a discussion doesn’t happen. If you
do a prioritization workshop, everything’s a
priority. Nothing is a priority because everything
is a priority. We don’t make choices”
– Key Informant, CCM Member
Malawi
16. Challenges
“There’s no strong
civil society here
and the
government is too
strong”
– Dundu Macha, CCM Member,
Network of People Living with HIV & AIDS,
Botswana
“I’m not sure about girls
though. You don’t really
have an organized entity
for young girls or an
organization where they
can channel their interests”
– Key informant
CCM Member,
PEPFAR
Namibia
17. How do these challenges affect Global Fund
proposals and programmes?
11
%
of Round 8 and 9 Global
Fund proposals
included activities for
young girls
2%
of Global Fund New
Funding Model $
went to civil society in
Zimbabwe
19. So what are we doing?
AAI is holding a series of in-country workshops which aim to:
•Increase the capacity of civil society to participate
meaningfully on the CCM
– SOGI and GE Strategy
– New Funding Model
– Investment Framework (Critical Enablers)
•Promote the collaboration of civil society, so that
constituencies are consulted and objectives can be voiced on
the CCM in a coordinated manner
21. What do Swazi Civil Society
want from the Global Fund
New Funding Model?
•
Orphans and vulnerable
children were prioritized
as top key population
•
PMTCT should focus
on patient tracking and
home visits, especially
around 18 months.
22. What do Zambian Civil
Society want from the Global
Fund New Funding Model?
•
Community led service
delivery through selfforming groups for more
efficient collection of TB
medicines.
•
Emphasis on neo-natal
male circumcision
23. What do Malawian Civil
Society want from the Global
Fund New Funding Model?
•
Economic empowerment
of young girls so they can
make decisions about
their behaviour
•
Sex workers and men
who have sex with men
as top key populations for
HIV, and prisoners for TB.
25. What can you do?
1. Find out more about our work at http://www.aidsaccountability.org
2. Subscribe to our newsletter on our website (see sidebar on the right of the
page) and get updates on meetings, discussions, advocacy tools and trainings.
3. Like us on Facebook
(AIDS Accountability International)
4. Follow us on Twitter: @AAI_AIDSwatch
5. Join the discussion at the AIDS Accountability International Sexual and Reproductive
Health and Rights LinkedIn
Discussion Forum
26. Thank You
Dr. Gemma Oberth
Senior Researcher
gemma@aidsaccountability.org
+27 (0)72 114 8819
Download all CCM Reports from our website:
www.aidsaccountability.org
This project was made possible by
the generous support of
Editor's Notes
Intro to previous scorecards, future scorecards and research projects... We also do country and regional research when requested by stakeholders.
The evolution of the Country SC, as a need was identified for the Gender SC so we did the SC on Women. Again the research process led us to believe that the idea of Gender was too wide and at the same time too narrow, and that by squashing two marginalised groups, the sexually diverse and women together, we would have been undermining our own desire to highlight the need to focus on each of these issues.... Hence the Scorecard on Sexual Diversity
AAI’s strategy.
AAI’s strategy.
At the 12th Global Fund Board Meeting in 2007, it was identified that a response was needed to address the recognized vulnerability of women, girls and those marginalized because of their sexual orientation and gender identity (SOGI)
The result was the development of the Gender Equality (GE) Strategy and the Global Fund Strategy in Relation to Sexual Orientation and Gender Identities (SOGI) which were adopted at the 18th Board Meeting of the GFATM in 2009.
The Global Fund has certain requirements and suggestions surrounding the composition of CCMs. They have nine categories of elected representation.
