National Response Assessment of civil society capacities

Transcription

1 THE AIDS STRATEGY AND ACTION PLAN (ASAP) CAPACITY BUILDING WORKSHOP in the Middle East and North Africa National Response Assessment of civil society capacities Tunisia, January 26 February 6, Mr Adel Zeddam UNAIDS consultant 1

2 STRATEGY RESULTS CYCLE Operational Planning Formulate/Revise HIV/AIDS Strategy Evaluate Changes in Ouputs Operational Planning Analyze HIV/AIDS and National Response Data Implementation & process monitoring (indicators, resource tracking) Operational Planning Select Interventions Resource Needs, Funding Identify Key National Outcomes & Priorities Select Principal Program Strategies 2

3 Objective Provide basic concepts of the response analysis and tools for assessment of civil society capacities within the framework of strategic planning 3

4 Introduction to Response Analysis Analyse taking into consideration the following dimensions: context of the country, dynamics of the epidemic political environment: policies; flow of resources and information, participation, good governance, coordination, etc ; Capacities of institutions and civil society Coverage of program and quality It is a complex process but indispensable for an effective and successful national strategic planning 4

5 STRATEGIC PLANNING A framework to change a specific situation and includes: priority settings steps to progress from a situation towards reaching objectives 5

6 Response analyses Determinants of the epidemic Working Group of national partners to analyse the response focusing on: Partners involved in the response and those who need to be involved Analysis of programmes: focus and target populations; services provided; coverage, quality and gaps Analysis of insitutional and human resources Framework of analyses of partners, programmes and current status Strengths Weaknesses Opportunities Threats 6

7 Mapping of the actors of the response Others GOV MOH Response PLHIV CSO Others 7

8 MENA Region = Various contexts Political context Conflicts; political instability and insecurity; existence and participation of civil society Social, economic and demographic variations Gender inequality Life expectancy: Economical variations Mobility Stigma and discrimination of people living with HIV Diverse patterns of epidemic No single epidemic Concetrated among populations and settings Generalized 8

9 Strengths Identify the strengths of the response: E.g Political High level political commitment Laws and legislations addressing the needs of people living with HIV Support sustainability of the response, in particular increasing the financial contribution of public resources Psychosocial support to those infected and affected Support to integrate PLHIV and create employment Establishment of associations of people living with HIV 9

10 Weaknesses Identify the weaknesses of the response E.g Political : Stigma and discrimination Absence of law practising Limited capacities of various partners Psychosocial support to those infected and affected Absence of comprehensive strategies Limited capacities of comunity actors 10

11 Identify opportunities Eg opportunities: Opportunities Commitment of national partners to the global agreements and frameworks: UNGASS, Universal Access, Three Ones Support of international partners can give impetus to the national response (Technique et Financier) 11

12 Threats Identify threats Eg Threats Dependance of national response on international resources Socio-cultural contexts and taboos 12

13 Example Assessment of capacities of civil society 13

14 Overall Observations 2006 UNAIDS Report indicates : Weak participation of people living with HIV and of civil society hampers effective implementation of the AIDS response Best Practices : Strong participation of civil society enables effective results of the response overcoming challenges - Thailande; Senegal ; Mali; South Africa,etc. 14

15 Situation analysis and challenges of the involvement of the Civil Society role in HIV response Slow progress from solely health response to a multisectorial approach and from a multisectorial approach to effective involvement of civil society Challenging socio cultural context, stigma of HIV hindered effective contribution of CS Lack of involvement of the actors of CS in technical capacity building (training, planning process, etc.) No substantial financial support Different level of capacities and understanding of role within the actors of the CS 15

16 Added Value of involving and working with CS Actors Complementarity to the governmental response Incom generating activities Risks Vulnerability Support to PLHIV Stigma & Discrimination Means of Prevention (condom, referal to VCT ) Outreach activities (Youth,MSM,, SW...) 16

17 Main steps for conducting the assesment Working group including partners from the NAP, universitie, civil society, resource person, person living with HIV Inventory of civil society partners, through networks or contacts Framework of capacity assessment elaborated and shared with civil society partners Results compiled and gaps vis-a-vis NSP objectives identified jointly with civil society 17

18 Mapping of analysis of the capacities NGO/PLHIV Network Areas of activities geographical coverage Linked activities with programs (%) human Resources Logistics Finances Knowledge Competences A B C X Y Primary Prevention Support Secondary prevention Women Cultural % 70% 80% 20% 30% Partnership Moh UN Bilateral Min Women Affairs Min Youth 18

19 Observations from assessments in few MENA countries Diversity of areas of programmes and target populations Umbrella NGOs identified and partnership with other NGOs established Limited geographical coverage Limited coverage of programmes and service provision Lack of coordination between interventions of civil society and other stakeholders Missing link: Lack of referral and continium of services from outreach, support to facility based services (VCT, treatment, etc) 19

20 Suggestions Reinforce technical, programmatic and organisational capcities: integrate and budget capacity-building as part of NSP and operational plans Need to adopt the «programme approach» versus project mode Increase programmatique coverage and decentralise services Identify other entry points and partners, in particular in countries with limited presence of civil society 20

21 Thank you 21

22 Discussions 22