Sharma HIV Aids

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Slide1: 

Capacity for Results A Case of HIV/AIDS Monica Sharma, Director HIV/AIDS Group - UNDP The Answer Lies Within

Where are we?: 

Where are we? Infections not leveling off: 40% of adults in Botswana are HIV positive 34% in Zimbabwe, 33% in Swaziland and 31% in Lesotho Russia: reported cases rise from 11,000 to 300,000 in last 4 years LAC: HIV prevalence of 1% or more in 12 countries, all Caribbean CIS, Asia experience fastest-growing HIV/AIDS epidemic Feminization of epidemic: in Sub-Saharan Africa women make 60% of HIV positive adults; globally this figure is 50% for the first time India: 95% of new infections in women were among married and monogamous Stigma & discrimination: Surveys reveal that majority of respondents do not want to work with people living with HIV/AIDS Lack of treatment: In Africa only 2% of PLWHA have treatment Vast secondary impacts: Orphans, basic social services, instability

HIV/AIDS Epidemic: 

HIV/AIDS Epidemic SEX FEAR SHAME DEATH DENIAL STIGMA SILENCE DISCRIMINATION

Slide7: 

Generating an Extraordinary Response, with Results Nation-wide Multisector Multi-level Gender sensitive Including PLWHA

Governance Challenge of HIV/AIDS: 

“Governance is defined as the exercise of political, economic and administrative authority to manage a nation’s affairs. It is the complex mechanisms, processes, relationships and institutions through which citizens and groups articulate their interests, exercise their rights and mediate their differences… Governance embraces all methods that societies use to distribute power and manage public resources and problems… Effective democratic forms of governance rely on participation, accountability and transparency.” UNDP, 1997 Governance Challenge of HIV/AIDS

Meeting the Governance Challenge: 

Meeting the Governance Challenge Institutional inertia Medical response too narrow National, Sub-national Disconnect Innovation stifled Medical, human rights responses not integrated Community voice not heard, decisions not supported Underlying causes often ignored (e.g., stigma, power, access)

Slide12: 

Subjective, Interior Behavioral Systems, Structures, Laws, Plans Intention, Commitment, Values Cultures, Norms Values Individual Collective Objective, Exterior Action Based on Ken Wilber’s work Integral Transformation if we are to produce results: HIV/AIDS and MDGs

Slide13: 

Subjective, Interior Individual Collective Objective, Exterior Stimulating community decisions and actions to reverse the HIV/AIDS epidemic (1) Reversing HIV/AIDS through transformative leadership capacity development (1) Strengthening systems, sectors, structures, studies, PRS, policies and laws (2) Arts & Media (3) Integral Transformation if we are to produce results: HIV/AIDS and MDGs

Slide14: 

LDP: Performance in service delivery CCE: Poor participate and make their own decisions/solutions and adapting socio-cultural practices to new challenges A&M: Bring role models from institutions and organizations as well as community voice into the public domain DP: Developing new mechanisms to reflect community concerns into the planning and resource allocation processes at national and decentralized levels Principled Outreach Achieving MDGs Alternatives Voice Innovation for Results Pro-Poor

L4R – A Synergistic Package for a Comprehensive Response to HIV/AIDS: 

L4R – A Synergistic Package for a Comprehensive Response to HIV/AIDS

Slide16: 

Leadership for Advocacy Leadership for Results UNDP

Slide17: 

How can we help individuals, communities and systems that are paralyzed and silent, to rise and respond to the epidemic? The aim is not just to have people discuss a problem that they all know about, but to lead people to think through the repercussion of a situation. It is to help people think through the way their behaviour and values, and those of their families and neighbours, affect people’s lives and to reflect on and to discuss these things with others.

Slide18: 

Replace Negative Stereotypes Reposition HIV and AIDS Create new icons, metaphors, stories and images that empower Address underlying causes The New Leadership Acknowledging Women – coping, caring, connecting Men who champion gender equality Celebrate the lives of PLWHA

Slide19: 

Supporting sub-national and district level HIV/AIDS responses Mainstreaming HIV/AIDS into: National Dev Plans/Budgets, Poverty Reduction Strat, Medium Term Expenditure Frameworks, HIPC, UN processes (CCAs/UNDAFs and CCFs) Mainstreaming HIV/AIDS into sector Ministries, including planning, finance, information, judiciary/law Preparing sectoral studies responding to impact of HIV/AIDS on sectors –education, health, agriculture, manufac-turing, and environment

Slide20: 

Addressing Underlying Causes: Power, Stigma and Discrimination

Slide21: 

1 2 3 4 5 Coordination/Rules and Roles - UBW Collaboration for Results: UNDP is the UN system’s convener for development planning and governance Synergy: UNDP’s actions for integral transformation achieve other agencies’ mandates (ie testing, World Bank in Ethiopia, ILO in Ghana) Diversity with principle: UNDP’s action for integral transformation help hold different ways of addressing key issues (ie intravenous drug users and their acceptance)

Slide22: 

World Bank E.g. Ethiopia Money Used to Scale Up Fund Flow from National to Sub-national NGO Partnerships Civil Society Organizations E.g. Africaso Strengthening Governance Enhancing Leadership Capacity Networks of PLWHA E.g. GNP+, Regional Networks Partnerships Strengthening Leadership Development Examples of Country-Level Partnerships with UNDP World Health Organisation E.g. 3 x 5 in 6 Countries Leadership Development Community Conversations International Labour Organisation E.g. Ukraine, Cote d’Ivoire Partnership with Trade Unions Workplace Programmes HABITAT Urban Management E.g. In 8 Cities in 8 Countries Partnerships at Municipal Levels

Slide24: 

Self-sustaining breakthrough initiatives and community decisions/actions through transformative leadership and community capacity enhancement Development and popularization of approaches to address the underlying causes of the epidemic (e.g., stigma, power relations) Strategies and approaches have enhanced governance and development practice, including HIV/AIDS and beyond